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Charting a Covid-19 Immune Response - The New York Times - 1 views

  • Amid a flurry of press conferences delivering upbeat news, President Trump’s doctors have administered an array of experimental therapies that are typically reserved for the most severe cases of Covid-19. Outside observers were left to puzzle through conflicting messages to determine the seriousness of his condition and how it might inform his treatment plan.
  • From the moment the coronavirus enters the body, the immune system mounts a defense, launching a battalion of cells and molecules against the invader.
  • The viral load may even peak before symptoms appear, if they appear at all.
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  • In severe cases, however, the clash between the virus and the immune system rages much longer. Other parts of the body, including those not directly affected by the virus, become collateral damage, prompting serious and potentially life-threatening symptoms
  • On Friday, the president received an experimental antibody cocktail developed by drug maker Regeneron. The next day he began a course of the antiviral remdesivir. Experts say such treatments might be best administered early in infection, to rein in the virus before it runs amok.
  • A typical immune response launches its defense in two phases. First, a cadre of fast-acting fighters rushes to the site of infection and attempts to corral the invader. This so-called innate response buys the rest of the immune system time to mount a second, more tailored attack, called the adaptive response, which kicks in about a week later, around the time the first wave begins to wane.
  • Eventually, a second wave of immune cells and molecules arrives, more targeted than their early counterparts and able to home in on the coronavirus and the cells it infects.
  • If the innate immune system makes early progress against the virus, the infection may be mild. But if the body’s defenses flag, the coronavirus may continue replicating, ratcheting up the viral load. Faced with a growing threat, innate immune cells will continue to call for help, fueling a vicious cycle of recruitment and destruction. Prolonged, excessive inflammation can cause life-threatening damage to vital organs like the heart, kidneys and lungs.
  • On Sunday, President Trump’s doctors reported that he had also received a course of dexamethasone, a steroid that broadly blunts the immune response by curbing the activity of several cytokines. Dexamethasone has been shown to reduce death rates in hospitalized Covid-19 patients who are ill enough to require ventilation or supplemental oxygen. But it is far less likely to help and may even harm patients at an earlier stage of infection, or those who have milder disease. Experts say that administering dexamethasone inappropriately, or too soon, could undermine a helpful immune response, allowing the virus to ravage the body.
  • At 74 years old and about 240 pounds, Mr. Trump occupies a high-risk age group and verges on obesity, a condition that can exacerbate the severity of Covid-19. Men also tend to have a poorer disease prognosis.
Javier E

Americans Are Paying the Price for Trump's Failures - The Atlantic - 0 views

  • don’t take responsibility at all,” said President Donald Trump
  • Those words will probably end up as the epitaph of his presidency
  • Trump now fancies himself a “wartime president.” How is his war going?
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  • On the present trajectory, it will kill, by late April, more Americans than Vietnam. Having earlier promised that casualties could be held near zero, Trump now claims he will have done a “very good job” if the toll is held below 200,000 dead.
  • The United States is on trajectory to suffer more sickness, more dying, and more economic harm from this virus than any other comparably developed country.
  • The loss of stockpiled respirators to breakage because the federal government let maintenance contracts lapse in 2018 is Trump’s fault. The failure to store sufficient protective medical gear in the national arsenal is Trump’s fault
  • That states are bidding against other states for equipment, paying many multiples of the precrisis price for ventilators, is Trump’s fault. Air travelers summoned home and forced to stand for hours in dense airport crowds alongside infected people? That was Trump’s fault too
  • Trump failed. He is failing. He will continue to fail. And Americans are paying for his failures.
  • The lying about the coronavirus by hosts on Fox News and conservative talk radio is Trump’s fault: They did it to protect him
  • The false hope of instant cures and nonexistent vaccines is Trump’s fault, because he told those lies to cover up his failure to act in time.
  • The severity of the economic crisis is Trump’s fault; things would have been less bad if he had acted faster instead of sending out his chief economic adviser and his son Eric to assure Americans that the first stock-market dips were buying opportunities.
  • The fact that so many key government jobs were either empty or filled by mediocrities? Trump’s fault. The insertion of Trump’s arrogant and incompetent son-in-law as commander in chief of the national medical supply chain? Trump’s fault.
  • sooner or later, every president must face a supreme test, a test that cannot be evaded by blather and bluff and bullying.
  • Ten weeks of insisting that the coronavirus is a harmless flu that would miraculously go away on its own? Trump’s fault again. The refusal of red-state governors to act promptly, the failure to close Florida and Gulf Coast beaches until late March? That fault is more widely shared, but again, responsibility rests with Trump: He could have stopped it, and he did not.
  • Those lost weeks also put the United States—and thus the world—on the path to an economic collapse steeper than any in recent memory.
  • It’s a good guess that the unemployment rate had reached 13 percent by April 3. It may peak at 20 percent, perhaps even higher, and threatens to stay at Great Depression–like levels at least into 2021, maybe longer.
  • This country—buffered by oceans from the epicenter of the global outbreak, in East Asia; blessed with the most advanced medical technology on Earth; endowed with agencies and personnel devoted to responding to pandemics—could have and should have suffered less than nations nearer to China
  • Through the early weeks of the pandemic, when so much death and suffering could still have been prevented or mitigated, Trump joined passivity to fantasy. In those crucial early days, Trump made two big wagers. He bet that the virus could somehow be prevented from entering the United States by travel restrictions. And he bet that, to the extent that the virus had already entered the United States, it would burn off as the weather warmed.
  • If Trump truly was so trustingly ignorant as late as January 22, the fault was again his own. The Trump administration had cut U.S. public-health staff operating inside China by two-thirds, from 47 in January 2017 to 14 by 2019, an important reason it found itself dependent on less-accurate information from the World Health Organization. In July 2019, the Trump administration defunded the position that embedded an epidemiologist inside China’s own disease-control administration, again obstructing the flow of information to the United States.
  • Yet even if Trump did not know what was happening, other Americans did. On January 27, former Vice President Joe Biden sounded the alarm about a global pandemic in an op-ed in USA Today.
  • Because Trump puts so much emphasis on this point, it’s important to stress that none of this is true. Trump did not close the borders early—in fact, he did not truly close them at all.
  • Trump’s actions did little to stop the spread of the virus. The ban applied only to foreign nationals who had been in China during the previous 14 days, and included 11 categories of exceptions. Since the restrictions took effect, nearly 40,000 passengers have entered the United States from China, subjected to inconsistent screenings, The New York Times reported.
  • At a House hearing on February 5, a few days after the restrictions went into effect, Ron Klain—who led the Obama administration’s efforts against the Ebola outbreak—condemned the Trump policy as a “travel Band-Aid, not a travel ban.”
  • The president’s top priority through February 2020 was to exact retribution from truth-tellers in the impeachment fight.
  • Intentionally or not, Trump’s campaign of payback against his perceived enemies in the impeachment battle sent a warning to public-health officials: Keep your mouth shut
  • The president’s lies must not be contradicted. And because the president’s lies change constantly, it’s impossible to predict what might contradict him.
  • Denial became the unofficial policy of the administration through the month of February, and as a result, that of the administration’s surrogates and propagandists.
  • That same day, Secretary of State Mike Pompeo scolded a House committee for daring to ask him about the coronavirus. “We agreed that I’d come today to talk about Iran, and the first question today is not about Iran.”
  • Throughout the crisis, the top priority of the president, and of everyone who works for the president, has been the protection of his ego
  • During the pandemic, this psychological deformity has mutated into a deadly strategic vulnerability for the United States.
  • For three-quarters of his presidency, Trump has taken credit for the economic expansion that began under President Barack Obama in 2010. That expansion accelerated in 2014, just in time to deliver real prosperity over the past three years
  • The harm done by Trump’s own initiatives, and especially his trade wars, was masked by that continued growth.
  • The economy Trump inherited became his all-purpose answer to his critics. Did he break laws, corrupt the Treasury, appoint cronies, and tell lies? So what? Unemployment was down, the stock market up.
  • On February 28, very few Americans had heard of an estimated death toll of 35,000 to 40,000, but Trump had heard it. And his answer to that estimate was: “So far, we have lost nobody.” He conceded, “It doesn’t mean we won’t.” But he returned to his happy talk. “We are totally prepared.” And as always, it was the media's fault. “You hear 35 and 40,000 people and we’ve lost nobody and you wonder, the press is in hysteria mode.”
  • on February 28, it was still not too late to arrange an orderly distribution of medical supplies to the states, not too late to coordinate with U.S. allies, not too late to close the Florida beaches before spring break, not too late to bring passengers home from cruise lines, not too late to ensure that state unemployment-insurance offices were staffed and ready, not too late for local governments to get funds to food banks, not too late to begin social distancing fast and early
  • Stay-at-home orders could have been put into effect on March 1, not in late March and early April.
  • So much time had been wasted by the end of February. So many opportunities had been squandered. But even then, the shock could have been limited. Instead, Trump and his inner circle plunged deeper into two weeks of lies and denial, both about the disease and about the economy.
  • Kudlow repeated his advice that it was a good time to buy stocks on CNBC on March 6 after another bad week for the financial markets. As late as March 9, Trump was still arguing that the coronavirus would be no worse than the seasonal flu.
  • The overwhelmed president responded by doing what comes most naturally to him at moments of trouble: He shifted the blame to others.
  • s the pandemic kills, as the economic depression tightens its grip, Donald Trump has consistently put his own needs first. Right now, when his only care should be to beat the pandemic, Trump is renegotiating his debts with his bankers and lease payments with Palm Beach County.
  • Governors got the message too. “If they don’t treat you right, I don’t call,” Trump explained at a White House press briefing on March 27. The federal response has been dogged by suspicions of favoritism for political and personal allies of Trump. The District of Columbia has seen its requests denied, while Florida gets everything it asks for.
  • The Trump administration is allocating some supplies through the Federal Emergency Management Agency, but has made the deliberate choice to allow large volumes of crucial supplies to continue to be distributed by commercial firms to their clients. That has left state governments bidding against one another, as if the 1787 Constitution had never been signed, and we have no national government.
  • Around the world, allies are registering that in an emergency, when it matters most, the United States has utterly failed to lead
  • Trump’s instinct to dodge and blame had devastating consequences for Americans. Every governor and mayor who needed the federal government to take action, every science and medical adviser who hoped to prevent Trump from doing something stupid or crazy, had to reckon with Trump’s psychic needs as their single biggest problem.
  • He has never tried to be president of the whole United States, but at most 46 percent of it, to the extent that serving even the 46 percent has been consistent with his supreme concerns: stealing, loafing, and whining.
  • Now he is not even serving the 46 percent. The people most victimized by his lies and fantasies are the people who trusted him, the more conservative Americans who harmed themselves to prove their loyalty to Trump.
  • Governments often fail. From Pearl Harbor to the financial crisis of 2008, you can itemize a long list of missed warnings and overlooked dangers that cost lives and inflicted hardship. But in the past, Americans could at least expect public spirit and civic concern from their presidents.
  • Trump has mouthed the slogan “America first,” but he has never acted on it. It has always been “Trump first.” His business first. His excuses first. His pathetic vanity first.
  • rump has taken millions in payments from the Treasury. He has taken millions in payments from U.S. businesses and foreign governments. He has taken millions in payments from the Republican Party and his own inaugural committee. He has taken so much that does not belong to him, that was unethical and even illegal for him to take. But responsibility? No, he will not take that.
  • Yet responsibility falls upon Trump, whether he takes it or not. No matter how much he deflects and insults and snivels and whines, this American catastrophe is on his hands and on his head.
carolinehayter

'It's a moral decision': Dr Seuss books are being 'recalled' not cancelled, expert says... - 0 views

  • A leading expert on racism in children’s literature has said the decision by the Dr Seuss Foundation to withdraw six books should be viewed as a “product recall” and not, as many claim, an example of cancel culture.
  • A leading expert on racism in children’s literature has said the decision by the Dr Seuss Foundation to withdraw six books should be viewed as a “product recall” and not, as many claim, an example of cancel culture.
  • He told the Guardian the six titles by Theodor Geisel published between 1937 and 1976 that Dr Seuss Enterprises said it would cease printing contained stereotypes of a clearly racist nature.
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  • “Dr Seuss Enterprises has made a moral decision of choosing not to profit from work with racist caricature in it and they have taken responsibility for the art they are putting into the world and I would support that,” Nel said.
  • “Dr Seuss Enterprises has made a moral decision of choosing not to profit from work with racist caricature in it and they have taken responsibility for the art they are putting into the world and I would support that,” Nel said.
  • The titles in question are And to Think That I Saw It on Mulberry Street, If I Ran the Zoo, McElligot’s Pool, On Beyond Zebra!, Scrambled Eggs Super! and The Cat’s Quizzer
  • Nel said the decision to no longer publish titles including caricatures of people of African, Asian and Arab descent showed just one way to address problematic material.
  • After this week’s announcement, amid uproar eagerly stoked by conservatives in the media and Congress, Dr Seuss books swiftly dominated sales charts. On Friday, the House minority leader, Kevin McCarthy, went so far as to share a video of himself reading from Green Eggs and Ham, a perennial strong seller.
  • Geisel’s stepdaughter, Lark Grey Dimond-Cates, told the New York Post there “wasn’t a racist bone in that man’s body”, but also said suspending publication of the six titles was “a wise decision”.
  • Geisel’s stepdaughter, Lark Grey Dimond-Cates, told the New York Post there “wasn’t a racist bone in that man’s body”, but also said suspending publication of the six titles was “a wise decision”
  • After this week’s announcement, amid uproar eagerly stoked by conservatives in the media and Congress, Dr Seuss books swiftly dominated sales charts. On Friday, the House minority leader, Kevin McCarthy, went so far as to share a video of himself reading from Green Eggs and Ham, a perennial strong seller.
  • Nel said the decision to no longer publish titles including caricatures of people of African, Asian and Arab descent showed just one way to address problematic material.
  • Later in life, he made efforts to tone down racial stereotypes in some of his books. Such revisions “were imperfect but will-intentioned efforts that softened but did not erase the stereotyping”, Nel said, noting that Geisel also made a joke of the changes, “which served only to trivialise the importance of the alterations”.
  • Geisel died in 1991. Later in life, he made efforts to tone down racial stereotypes in some of his books. Such revisions “were imperfect but will-intentioned efforts that softened but did not erase the stereotyping”, Nel said, noting that Geisel also made a joke of the changes, “which served only to trivialise the importance of the alterations”.
  • “Children understand more than they can articulate,” he said. “If you inflict racist images on them before they can express what they’re articulating they may endure a harm they cannot process.”In the case of Dr Seuss, Nel said, that “is itself a reason to withdraw the books or to bring in books or art that counter stereotypes with truth.”
  • “Children understand more than they can articulate,” he said. “If you inflict racist images on them before they can express what they’re articulating they may endure a harm they cannot process.”
  • In the case of Dr Seuss, Nel said, that “is itself a reason to withdraw the books or to bring in books or art that counter stereotypes with truth.”
  • only 22% of children’s books published in 2018 featured non-white characters.
  • only 22% of children’s books published in 2018 featured non-white characters.
  • Merely putting the question of what a child can or cannot see to parents would not be an adequate solution, Nel said.“Parents may not have training in anti-racist education,” he said, “or may not know how to have these conversations. So in the case of Dr Seuss it’s a way of addressing the gap in what one might hope a responsible adult would know and what we can expect a responsible adult to know.
  • “Parents may not have training in anti-racist education,” he said, “or may not know how to have these conversations. So in the case of Dr Seuss it’s a way of addressing the gap in what one might hope a responsible adult would know and what we can expect a responsible adult to know
Javier E

The Coronavirus Brazil Variant Shows the World's Vulnerability - The Atlantic - 0 views

  • Though many questions remain, one plausible explanation is that people who have already been infected by the virus are getting sick—and not mildly so. That possibility has been long feared throughout the pandemic, yet not previously seen on any significant scale
  • Although no known variants have been found to pose an immediate threat to vaccinated people, the capacity for reinfection to any significant degree would reshape the pandemic’s trajectory.
  • The new wave of COVID-19 cases in Manaus occurred about eight months after the initial wave. People might have lost some degree of immunity during that window.
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  • Two important factors seem to be playing a role in Brazil’s resurgence. The first is that, after a COVID-19 infection, the natural immunity that our bodies develop seems to vary in strength and permanence. Protection wanes after infection with most respiratory viruses, including coronaviruses
  • The solution, then, depends on vaccination. The immune response that the vaccines create is generally more robust than the immune response we get after being infected by a virus, and should buy a population more protected time than would a surge in exposure to the virus
  • it at least has a capacity to infect people who have already recovered from COVID-19, even if their defenses protect them against other versions of the virus.
  • The mutations that help the virus spread and evade immune responses have arisen independently in multiple places. Combined with waning immunity, these factors underscore the challenge before the world: Populations may still be vulnerable to disaster scenarios just when things seem to be getting better.
  • the virus’s capacity to cause such a deadly second surge in Brazil suggests a dangerous evolutionary potential.
  • New, dangerous variants are all but inevitable when there are extremely high levels of transmission of the virus. As more people gain immunity, the selective pressure on the virus will favor the variants that can most effectively evade immune responses
  • the basic nature of evolutionary biology means that the virus should be expected to evolve in ways that circumvent defense mechanisms. Evidence that it is already doing so has been clear in the latest vaccine trial data.
  • the variant in Brazil, known as the P.1 (or B.1.1.248) lineage, has a potent combination of mutations. Not only does this variant seem to be more transmissible; its lineage carries mutations that help it escape the antibodies that we develop in response to older lineages of the coronavirus.
  • Wealthy countries have time to avoid a fate like Brazil’s through immediate, efficient vaccination.
  • In most places, however, this is not close to happening. And as of last week, only one of the world’s 29 poorest countries had vaccinated anyone at all. A study in the journal BMJ estimated that vaccines will not be available to more than a fifth of the world’s population until 2022.
  • The coronavirus’s constantly evolving nature is a stark reminder that the entire world is in this crisis together.
  • Vaccine distribution is more than just an issue of justice or morality
  • Ensuring that every human is vaccinated is in everyone’s interest, as global distribution of vaccines is the most effective way to drive down the virus’s capacity to replicate and evolve.
  • The key will be bringing down the global rates of transmission as quickly as possible—not getting any single country to 100 percent vaccination while dozens of countries roil.
  • “It is truly confounding that wealthier nations think that hoarding vaccines is the way to protect their citizens from a global pandemic that doesn’t respect borders,”
  • As the virus currently surges across Africa, some 2.5 million health-care workers are unvaccinated. “Clearly, the failure to address vaccine allocation based on health and epidemiological needs, rather than national interest, is now promising to have a dire impact on the world’s ability to achieve rapid, global control of COVID,”
  • Certain countries will approach herd immunity by vaccinating almost every citizen. Other countries could see mass casualties and catastrophic waves of reinfection—potentially with variants that evolved in response to the immunity conferred by the very vaccines to which these populations do not have access. In the process, these hot spots themselves will facilitate rapid evolution, giving rise to even more variants that could make the vaccinated populations susceptible to disease once again
  • The countries that hoard the vaccine without a plan to help others do so at their own peril.
Javier E

Opinion | Who Killed the Knapp Family? - The New York Times - 0 views

  • there is a cancer gnawing at the nation that predates Trump and is larger than him.
  • Suicides are at their highest rate since World War II; one child in seven is living with a parent suffering from substance abuse; a baby is born every 15 minutes after prenatal exposure to opioids; America is slipping as a great power.
  • We have deep structural problems that have been a half century in the making, under both political parties, and that are often transmitted from generation to generation.
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  • Deaton and the economist Anne Case, who is also his wife, coined the term “deaths of despair” to describe the surge of mortality from alcohol, drugs and suicide.
  • “The meaningfulness of the working-class life seems to have evaporated,” Angus Deaton, the Nobel Prize-winning economist, told us. “The economy just seems to have stopped delivering for these people.”
  • Only in America has life expectancy now fallen three years in a row, for the first time in a century, because of “deaths of despair.”
  • Even in this presidential campaign, the unraveling of working-class communities receives little attention. There is talk about the middle class, but very little about the working class
  • The suffering was invisible to affluent Americans, but the consequences are now evident to all: The survivors mostly voted for Trump, some in hopes that he would rescue them
  • The stock market is near record highs, but working-class Americans (often defined as those without college degrees) continue to struggle. If you’re only a high school graduate, or worse, a dropout, work no longer pays.
  • If the federal minimum wage in 1968 had kept up with inflation and productivity, it would now be $22 an hour. Instead, it’s $7.25.
  • we would return to the Kristof family farm in Yamhill and see a humanitarian crisis unfolding in a community we loved — and a similar unraveling was happening in towns across the country. This was not one town’s problem, but a crisis in the American system.
  • “I’m a capitalist, and even I think capitalism is broken,” says Ray Dalio, the founder of Bridgewater, the world’s largest hedge fund.
  • One consequence is that the bottom end of America’s labor force is not very productive, in ways that reduce our country’s competitiveness
  • we discuss college access but not the one in seven children who don’t graduate from high school.
  • “We have to stop being obsessed over impeachment and start actually digging in and solving the problems that got Donald Trump elected in the first place,”
  • We have to treat America’s cancer.
  • the situation is worsening, because families have imploded under the pressure of drug and alcohol abuse, and children are growing up in desperate circumstances
  • In the 1970s and ’80s it was common to hear derogatory suggestions that the forces ripping apart African-American communities were rooted in “black culture.” The idea was that “deadbeat dads,” self-destructive drug abuse and family breakdown were the fundamental causes, and that all people needed to do was show “personal responsibility.
  • A Harvard sociologist, William Julius Wilson, countered that the true underlying problem was lost jobs, and he turned out to be right. When good jobs left white towns like Yamhill a couple of decades later because of globalization and automation, the same pathologies unfolded there.
  • Men in particular felt the loss not only of income but also of dignity that accompanied a good job. Lonely and troubled, they self-medicated with alcohol or drugs, and they accumulated criminal records that left them less employable and less marriageable.
  • Family structure collapsed.
  • The problems are also rooted in disastrous policy choices over 50 years
  • The kids on the No. 6 bus rode into a cataclysm as working-class communities disintegrated across America because of lost jobs, broken families, gloom — and failed policies.
  • The United States wrested power from labor and gave it to business, and it suppressed wages and cut taxes rather than invest in human capital, as our peer countries did.
  • Americans also bought into a misconceived “personal responsibility” narrative that blamed people for being poor.
  • It’s true, of course, that personal responsibility matters: People we spoke to often acknowledged engaging in self-destructive behaviors.
  • But when you can predict wretched outcomes based on the ZIP code where a child is born, the problem is not bad choices the infant is making.
  • If we’re going to obsess about personal responsibility, let’s also have a conversation about social responsibility.
  • Why did deaths of despair claim Farlan, Zealan, Nathan, Rogena and so many others?
  • First, well-paying jobs disappeared
  • Second, there was an explosion of drugs
  • Third, the war on drugs sent fathers and mothers to jail, shattering families.
  • Both political parties embraced mass incarceration and the war on drugs, which was particularly devastating for black Americans, and ignored an education system that often consigned the poor — especially children of color — to failing schools
  • Since 1988, American schools have become increasingly segregated by race, and kids in poor districts perform on average four grade levels behind those in rich districts.
  • Women in Recovery has a recidivism rate after three years of only 4 percent, and consequently has saved Oklahoma $70 million in prison spending,
  • ob training and retraining give people dignity as well as an economic lifeline. Such jobs programs are common in other countries.
  • For instance, autoworkers were laid off during the 2008-9 economic crisis both in Detroit and across the Canadian border in nearby Windsor, Ontario. As the scholar Victor Tan Chen has showed, the two countries responded differently
  • The United States focused on money, providing extended unemployment benefits. Canada emphasized job retraining, rapidly steering workers into new jobs in fields like health care, and Canadian workers also did not have to worry about losing health insurance.
  • The focus on job placement meant that Canadian workers were ushered more quickly back into workaday society and thus today seem less entangled in drugs and family breakdown.
  • Another successful strategy is investing not just in prisons but also in human capital to keep people out of prisons.
  • We attended a thrilling graduation in Tulsa, Okla., for 17 women completing an impressive local drug treatment program called Women in Recovery.
  • The graduates had an average of 15 years of addiction each, and all were on probation after committing crimes. Yet they had quit drugs and started jobs
  • Yet it’s not hopeless. America is polarized with ferocious arguments about social issues, but we should be able to agree on what doesn’t work: neglect and underinvestment in children. Here’s what does work.
  • Bravo for philanthropy, but the United States would never build interstate highways through volunteers and donations, and we can’t build a national preschool program or a national drug recovery program with private money.
  • For individuals trying to break an addiction, a first step is to face up to the problem — and that’s what America should do as well
Javier E

How Do Children Fight Off the Coronavirus? - The New York Times - 0 views

  • When the body encounters an unfamiliar pathogen, it responds within hours with a flurry of immune activity, called an innate immune response. The body’s defenders are quickly recruited to the fight and begin releasing signals calling for backup.Children more often encounter pathogens that are new to their immune systems. Their innate defense is fast and overwhelming.
  • Over time, as the immune system encounters pathogen after pathogen, it builds up a repertoire of known villains. By the time the body reaches adulthood, it relies on a more sophisticated and specialized system adapted to remembering and fighting specific threats.
  • The adaptive system makes sense biologically because adults rarely encounter a virus for the first time
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  • But the coronavirus is new to everyone, and the innate system fades as adults grow older, leaving them more vulnerable
  • In the time it takes for an adult body to get the specialized adaptive system up and running, the virus has had time to do harm
  • She and her colleagues compared immune responses in 60 adults and 65 children and young adults under the age of 24
  • Over all, the children were only mildly affected by the virus, compared with adults, mostly reporting gastrointestinal symptoms like diarrhea and a loss of taste or smell. Only five children needed mechanical ventilation, compared with 22 of the adults; two children died, compared with 17 adults.
  • In some adult Covid-19 patients, she added, the lack of a strong early response also may be setting off an intense and unregulated adaptive reaction that may lead to acute respiratory distress syndrome and death.
  • “We think that also protects them from sort of making the more vigorous adaptive immune response that’s associated with that hyper-inflammation,”
  • Some scientists have suspected that children may fare better because they tend to have had more recent exposure to coronaviruses that cause common colds, which might offer them some protection.But the new study found no significant differences in the immune responses to those viruses between the groups
  • Another theory held that children generate a stronger antibody response that clears the virus more efficiently than in adults. But the new study found that the sickest older people actually produced the most powerful antibodies.
  • That result may confirm a nagging worry among researchers: that the presence of those potent antibodies contributes to the illness in adults
  • “Is it possible that high titers of some antibodies actually are bad for you, as opposed to good for you?
  • If this virus becomes endemic, like the coronaviruses causing common colds, children eventually will develop adaptive defenses so strong that they will not experience the problems that adults are having now, Dr. Mina said.
  • “We will eventually age out of this virus.”
nrashkind

Exclusive: Most Americans sympathize with protests, disapprove of Trump's response - Re... - 0 views

  • Most Americans sympathize with protests, disapprove of Trump's response - Reuters/Ipsos
  • A majority of Americans sympathize with nationwide protests over the death of an unarmed black man in police custody and disapprove of President Donald Trump’s response to the unrest, according to a Reuters/Ipsos poll released on Tuesday.
  • The demonstrations, some of which have turned violent, began last week after a Minneapolis police officer was videotaped kneeling on the neck of George Floyd for nearly nine minutes, even after Floyd appeared to lose consciousness.
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  • Twice as many independent voters said they disapproved of Trump’s response to the unrest. Even among Republicans, only 67% said they approved of the way he had responded, significantly lower than the 82% who liked his overall job performance.
  • The officer has been charged with murder.
  • The survey conducted on Monday and Tuesday found 64% of American adults were “sympathetic to people who are out protesting right now,” while 27% said they were not and 9% were unsure.
  • Forty-seven percent of registered voters said they planned to support Biden in the Nov. 3 election, compared with 37% favoring Trump. Biden vowed not to “fan the flames of hate” in a speech on Tuesday about the unrest.
  • Public opinion could be particularly volatile as the protests continue to roil major cities every night. Several police officers were shot on Monday night, and Trump has derided governors who have not asked for military assistance.
  • The other poll conducted over the same period regarding Trump’s overall job performance and the 2020 election gathered responses from 1,113 American adults and had a credibility interval of plus or minus 3 percentage points.
Javier E

Why Britain Failed Its Coronavirus Test - The Atlantic - 0 views

  • Britain has not been alone in its failure to prevent mass casualties—almost every country on the Continent suffered appalling losses—but one cannot avoid the grim reality spelled out in the numbers: If almost all countries failed, then Britain failed more than most.
  • The raw figures are grim. Britain has the worst overall COVID-19 death toll in Europe, with more than 46,000 dead according to official figures, while also suffering the Continent’s second-worst “excess death” tally per capita, more than double that in France and eight times higher than Germany’s
  • The British government as a whole made poorer decisions, based on poorer advice, founded on poorer evidence, supplied by poorer testing, with the inevitable consequence that it achieved poorer results than almost any of its peers. It failed in its preparation, its diagnosis, and its treatment.
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  • In the past two decades, the list of British calamities, policy misjudgments, and forecasting failures has been eye-watering: the disaster of Iraq, the botched Libyan intervention in 2011, the near miss of Scottish independence in 2014, the woeful handling of Britain’s divorce from the European Union from 2016 onward
  • What emerges is a picture of a country whose systemic weaknesses were exposed with appalling brutality, a country that believed it was stronger than it was, and that paid the price for failures that have built up for years
  • The most difficult question about all this is also the simplest: Why?
  • Like much of the Western world, Britain had prepared for an influenza pandemic, whereas places that were hit early—Hong Kong, South Korea, Singapore, Taiwan—had readied themselves for the type of respiratory illness that COVID-19 proved to be.
  • Britain’s pandemic story is not all bad. The NHS is almost universally seen as having risen to the challenge; the University of Oxford is leading the race to develop the first coronavirus vaccine for international distribution, backed with timely and significant government cash; new hospitals were built and treatments discovered with extraordinary speed; the welfare system did not collapse, despite the enormous pressure it suddenly faced; and a national economic safety net was rolled out quickly.
  • One influential U.K. government official told me that although individual mistakes always happen in a fast-moving crisis, and had clearly taken place in Britain’s response to COVID-19, it was impossible to escape the conclusion that Britain was simply not ready. As Ian Boyd, a professor and member of SAGE, put it: “The reality is, there has been a major systemic failure.”
  • “It’s obvious that the British state was not prepared for” the pandemic, this official told me. “But, even worse, many parts of the state thought they were prepared, which is significantly more dangerous.”
  • When the crisis came, too much of Britain’s core infrastructure simply failed, according to senior officials and experts involved in the pandemic response
  • The human immune system actually has two parts. There is, as Cummings correctly identifies, the adaptive part. But there is also an innate part, preprogrammed as the first line of defense against infectious disease. Humans need both. The same is true of a state and its government, said those I spoke with—many of whom were sympathetic to Cummings’s diagnosis. Without a functioning structure, the responsive antibodies of the government and its agencies cannot learn on the job. When the pandemic hit, both parts of Britain’s immune system were found wanting.
  • The consequences may be serious and long term, but the most immediately tragic effect was that creating space in hospitals appears to have been prioritized over shielding Britain’s elderly, many of whom were moved to care homes, part of what Britain calls the social-care sector, where the disease then spread. Some 25,000 patients were discharged into these care homes between March 17 and April 16, many without a requirement that they secure a negative coronavirus test beforehand.
  • There was a bit too much exceptionalism about how brilliant British science was at the start of this outbreak, which ended up with a blind spot about what was happening in Korea, Taiwan, Singapore, where we just weren’t looking closely enough, and they turned out to be the best in the world at tackling the coronavirus,” a former British cabinet minister told me.
  • The focus on influenza pandemics and the lack of a tracing system were compounded by a shortfall in testing capacity.
  • Johnson’s strategy throughout was one that his hero Winston Churchill raged against during the First World War, when he concluded that generals had been given too much power by politicians. In the Second World War, Churchill, by then prime minister and defense secretary, argued that “at the summit, true politics and strategy are one.” Johnson did not take this approach, succumbing—as his detractors would have it—to fatalistic management rather than bold leadership, empowering the generals rather than taking responsibility himself
  • “It was a mixture of poor advice and fatalism on behalf of the experts,” one former colleague of Johnson’s told me, “and complacency and boosterism on behalf of the PM.”
  • What it all adds up to, then, is a sobering reality: Institutional weaknesses of state capacity and advice were not corrected by political judgment, and political weaknesses were not corrected by institutional strength. The system was hardwired for a crisis that did not come, and could not adapt quickly enough to the one that did.
  • Britain’s NHS has come to represent the country itself, its sense of identity and what it stands for. Set up in 1948, it became known as the first universal health-care system of any major country in the world (although in reality New Zealand got there first). Its creation, three years after victory in the Second World War, was a high-water mark in the country’s power and prestige—a time when it was a global leader, an exception.
  • Every developed country in the world, apart from the United States, has a universal health-care system, many of which produce better results than the NHS.
  • When the pandemic hit, then, Britain was not the strong, successful, resilient country it imagined, but a poorly governed and fragile one. The truth is, Britain was sick before it caught the coronavirus.
  • In asking the country to rally to the NHS’s defense, Johnson was triggering its sense of self, its sense of pride and national unity—its sense of exceptionalism.
  • Before the coronavirus, the NHS was already under considerable financial pressure. Waiting times for appointments were rising, and the country had one of the lowest levels of spare intensive-care capacity in Europe. In 2017, Simon Stevens, the NHS’s chief executive, compared the situation to the time of the health sevice’s founding decades prior: an “economy in disarray, the end of empire, a nation negotiating its place in the world.”
  • Yet from its beginnings, the NHS has occupied a unique hold on British life. It is routinely among the most trusted institutions in the country. Its key tenet—that all Britons will have access to health care, free at the point of service—symbolizes an aspirational egalitarianism that, even as inequality has risen since the Margaret Thatcher era, remains at the core of British identity.
  • In effect, Britain was rigorously building capacity to help the NHS cope, but releasing potentially infected elderly, and vulnerable, patients in the process. By late June, more than 19,000 people had died in care homes from COVID-19. Separate excess-death data suggest that the figure may be considerably higher
  • Britain failed to foresee the dangers of such an extraordinary rush to create hospital capacity, a shift that was necessary only because of years of underfunding and decades of missed opportunities to bridge the divide between the NHS and retirement homes, which other countries, such as Germany, had found the political will to do.
  • Ultimately, the scandal is a consequence of a political culture that has proved unable to confront and address long-term problems, even when they are well known.
  • other health systems, such as Germany’s, which is better funded and decentralized, performed better than Britain’s. Those I spoke with who either are in Germany or know about Germany’s success told me there was an element of luck about the disparity with Britain. Germany had a greater industrial base to produce medical testing and personal protective equipment, and those who returned to Germany with the virus from abroad were often younger and healthier, meaning the initial strain on its health system was less.
  • However, this overlooks core structural issues—resulting from political choices in each country—that meant that Germany proved more resilient when the crisis came, whether because of the funding formula for its health system, which allows individuals more latitude to top up their coverage with private contributions, or its decentralized nature, which meant that separate regions and hospitals were better able to respond to local outbreaks and build their own testing network.
  • Also unlike Britain, which has ducked the problem of reforming elderly care, Germany created a system in 1995 that everyone pays into, avoids catastrophic costs, and has cross-party support.
  • A second, related revelation of the crisis—which also exposed the failure of the British state—is that underneath the apparent simplicity of the NHS’s single national model lies an engine of bewildering complexity, whose lines of responsibility, control, and accountability are unintelligible to voters and even to most politicians.
  • Britain, I was told, has found a way to be simultaneously overcentralized and weak at its center. The pandemic revealed the British state’s inability to manage the nation’s health:
  • Since at least the 1970s, growing inequality between comparatively rich southeast England (including London) and the rest of the country has spurred all parties to pledge to “rebalance the economy” and make it less reliant on the capital. Yet large parts remain poorer than the European average. According to official EU figures, Britain has five regions with a per capita gross domestic product of less than $25,000. France, Germany, Ireland, Austria, the Netherlands, Denmark, and Sweden have none
  • If Britain were part of the United States, it would be anywhere from the third- to the eighth-poorest state, depending on the measure.
  • Britain’s performance in this crisis has been so bad, it is damaging the country’s reputation, both at home and abroad.
  • Inside Downing Street, officials believe that the lessons of the pandemic apply far beyond the immediate confines of elderly care and coronavirus testing, taking in Britain’s long-term economic failures and general governance, as well as what they regard as its ineffective foreign policy and diplomacy.
  • the scale of the task itself is enormous. “We need a complete revamp of our government structure because it’s not fit for purpose anymore,” Boyd told me. “I just don’t know if we really understand our weakness.”
  • In practice, does Johnson have the confidence to match his diagnosis of Britain’s ills, given the timidity of his approach during the pandemic? The nagging worry among even Johnson’s supporters in Parliament is that although he may campaign as a Ronald Reagan, he might govern as a Silvio Berlusconi, failing to solve the structural problems he has identified.
  • This is not a story of pessimistic fatalism, of inevitable decline. Britain was able to partially reverse a previous slump in the 1980s, and Germany, seen as a European laggard in the ‘90s, is now the West’s obvious success story. One of the strengths of the Westminster parliamentary system is that it occasionally produces governments—like Johnson’s—with real power to effect change, should they try to enact it.
  • It has been overtaken by many of its rivals, whether in terms of health provision or economic resilience, but does not seem to realize it. And once the pandemic passes, the problems Britain faces will remain: how to sustain institutions so that they bind the country together, not pull it apart; how to remain prosperous in the 21st century’s globalized economy; how to promote its interests and values; how to pay for the ever-increasing costs of an aging population.
  • “The really important question,” Boyd said, “is whether the state, in its current form, is structurally capable of delivering on the big-picture items that are coming, whether pandemics or climate change or anything else.”
Javier E

How Climate Change Is Changing Therapy - The New York Times - 0 views

  • Andrew Bryant can still remember when he thought of climate change as primarily a problem of the future. When he heard or read about troubling impacts, he found himself setting them in 2080, a year that, not so coincidentally, would be a century after his own birth. The changing climate, and all the challenges it would bring, were “scary and sad,” he said recently, “but so far in the future that I’d be safe.”
  • That was back when things were different, in the long-ago world of 2014 or so. The Pacific Northwest, where Bryant is a clinical social worker and psychotherapist treating patients in private practice in Seattle, is a largely affluent place that was once considered a potential refuge from climate disruption
  • “We’re lucky to be buffered by wealth and location,” Bryant said. “We are lucky to have the opportunity to look away.”
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  • starting in the mid-2010s, those beloved blue skies began to disappear. First, the smoke came in occasional bursts, from wildfires in Canada or California or Siberia, and blew away when the wind changed direction. Within a few summers, though, it was coming in thicker, from more directions at once, and lasting longer.
  • Sometimes there were weeks when you were advised not to open your windows or exercise outside. Sometimes there were long stretches where you weren’t supposed to breathe the outside air at all.
  • Now lots of Bryant’s clients wanted to talk about climate change. They wanted to talk about how strange and disorienting and scary this new reality felt, about what the future might be like and how they might face it, about how to deal with all the strong feelings — helplessness, rage, depression, guilt — being stirred up inside them.
  • As a therapist, Bryant found himself unsure how to respond
  • while his clinical education offered lots of training in, say, substance abuse or family therapy, there was nothing about environmental crisis, or how to treat patients whose mental health was affected by it
  • Bryant immersed himself in the subject, joining and founding associations of climate-concerned therapists
  • eventually started a website, Climate & Mind, to serve as a sort of clearing house for other therapists searching for resources. Instead, the site became an unexpected window into the experience of would-be patients: Bryant found himself receiving messages from people around the world who stumbled across it while looking for help.
  • Over and over, he read the same story, of potential patients who’d gone looking for someone to talk to about climate change and other environmental crises, only to be told that they were overreacting — that their concern, and not the climate, was what was out of whack and in need of treatment.
  • “You come in and talk about how anxious you are that fossil-fuel companies continue to pump CO2 into the air, and your therapist says, ‘So, tell me about your mother.’”
  • In many of the messages, people asked Bryant for referrals to climate-focused therapists in Houston or Canada or Taiwan, wherever it was the writer lived.
  • his practice had shifted to reflect a new reality of climate psychology. His clients didn’t just bring up the changing climate incidentally, or during disconcerting local reminders; rather, many were activists or scientists or people who specifically sought out Bryant because of their concerns about the climate crisis.
  • could now turn to resources like the list maintained by the Climate Psychology Alliance North America, which contains more than 100 psychotherapists around the country who are what the organization calls “climate aware.”
  • But treating those fears also stirred up lots of complicated questions that no one was quite sure how to answer. The traditional focus of his field, Bryant said, could be oversimplified as “fixing the individual”: treating patients as separate entities working on their personal growth
  • It had been a challenging few years, Bryant told me when I first called to talk about his work. There were some ways in which climate fears were a natural fit in the therapy room, and he believed the field had coalesced around some answers that felt clear and useful
  • Climate change, by contrast, was a species-wide problem, a profound and constant reminder of how deeply intertwined we all are in complex systems — atmospheric, biospheric, economic — that are much bigger than us. It sometimes felt like a direct challenge to old therapeutic paradigms — and perhaps a chance to replace them with something better.
  • In one of climate psychology’s founding papers, published in 2011, Susan Clayton and Thomas J. Doherty posited that climate change would have “significant negative effects on mental health and well-being.” They described three broad types of possible impacts: the acute trauma of living through climate disasters; the corroding fear of a collapsing future; and the psychosocial decay that could damage the fabric of communities dealing with disruptive changes
  • All of these, they wrote, would make the climate crisis “as much a psychological and social phenomenon as a matter of biodiversity and geophysics.”
  • Many of these predictions have since been borne out
  • Studies have found rates of PTSD spiking in the wake of disasters, and in 2017 the American Psychological Association defined “ecoanxiety” as “a chronic fear of environmental doom.”
  • Climate-driven migration is on the rise, and so are stories of xenophobia and community mistrust.
  • According to a 2022 survey by Yale and George Mason University, a majority of Americans report that they spend time worrying about climate change.
  • Many say it has led to symptoms of depression or anxiety; more than a quarter make an active effort not to think about it.
  • There was little or no attention to the fact that living through, or helping to cause, a collapse of nature can also be mentally harmful.
  • In June, the Yale Journal of Biology and Medicine published a paper cautioning that the world at large was facing “a psychological condition of ‘systemic uncertainty,’” in which “difficult emotions arise not only from experiencing the ecological loss itself,” but also from the fact that our lives are inescapably embedded in systems that keep on making those losses worse.
  • Climate change, in other words, surrounds us with constant reminders of “ethical dilemmas and deep social criticism of modern society. In its essence, climate crisis questions the relationship of humans with nature and the meaning of being human in the Anthropocene.”
  • This is not an easy way to live.
  • Living within a context that is obviously unhealthful, he wrote, is painful: “a dimly intuited ‘fall’ from which we spend our lives trying to recover, a guilt we can never quite grasp or expiate” — a feeling of loss or dislocation whose true origins we look for, but often fail to see. This confusion leaves us feeling even worse.
  • When Barbara Easterlin first started studying environmental psychology 30 years ago, she told me, the focus of study was on ways in which cultivating a relationship with nature can be good for mental health
  • A poll by the American Psychiatric Association in the same year found that nearly half of Americans think climate change is already harming the nation’s mental health.
  • the field is still so new that it does not yet have evidence-tested treatments or standards of practice. Therapists sometimes feel as if they are finding the path as they go.
  • Rebecca Weston, a licensed clinical social worker practicing in New York and a co-president of the CPA-NA, told me that when she treats anxiety disorders, her goal is often to help the patient understand how much of their fear is internally produced — out of proportion to the reality they’re facing
  • climate anxiety is a different challenge, because people worried about climate change and environmental breakdown are often having the opposite experience: Their worries are rational and evidence-based, but they feel isolated and frustrated because they’re living in a society that tends to dismiss them.
  • One of the emerging tenets of climate psychology is that counselors should validate their clients’ climate-related emotions as reasonable, not pathological
  • it does mean validating that feelings like grief and fear and shame aren’t a form of sickness, but, as Weston put it, “are actually rational responses to a world that’s very scary and very uncertain and very dangerous for people
  • In the words of a handbook on climate psychology, “Paying heed to what is happening in our communities and across the globe is a healthier response than turning away in denial or disavowal.”
  • But this, too, raises difficult questions. “How much do we normalize people to the system we’re in?” Weston asked. “And is that the definition of health?
  • Or is the definition of health resisting the things that are making us so unhappy? That’s the profound tension within our field.”
  • “It seems to shift all the time, the sort of content and material that people are bringing in,” Alexandra Woollacott, a psychotherapist in Seattle, told the group. Sometimes it was a pervasive anxiety about the future, or trauma responses to fires or smoke or heat; other times, clients, especially young ones, wanted to vent their “sort of righteous anger and sense of betrayal” at the various powers that had built and maintained a society that was so destructive.
  • “I’m so glad that we have each other to process this,” she said, “because we’re humans living through this, too. I have my own trauma responses to it, I have my own grief process around it, I have my own fury at government and oil companies, and I think I don’t want to burden my clients with my own emotional response to it.”
  • In a field that has long emphasized boundaries, discouraging therapists from bringing their own issues or experiences into the therapy room, climate therapy offers a particular challenge: Separation can be harder when the problems at hand affect therapist and client alike
  • Some therapists I spoke to were worried about navigating the breakdown of barriers, while others had embraced it. “There is no place on the planet that won’t eventually be impacted, where client and therapist won’t be in it together,” a family therapist wrote in a CPA-NA newsletter. “Most therapists I know have become more vulnerable and self-disclosing in their practice.”
  • “If you look at or consider typical theoretical framings of something like post-traumatic growth, which is the understanding of this idea that people can sort of grow and become stronger and better after a traumatic event,” she said, then the climate crisis poses a dilemma because “there is no afterwards, right? There is no resolution anytime in our lifetimes to this crisis that we nonetheless have to build the capacities to face and to endure and to hopefully engage.”
  • many of her patients are also disconnected from the natural world, which means that they struggle to process or even recognize the grief and alienation that comes from living in a society that treats nature as other, a resource to be used and discarded.
  • “How,” she asked, “do you think about resilience apart from resolution?”
  • she believed this framing reflected and reinforced a bias inherent in a field that has long been most accessible to, and practiced by, the privileged. It was hardly new in the world, after all, to face the collapse of your entire way of life and still find ways to keep going.
  • Torres said that she sometimes takes her therapy sessions outside or asks patients to remember their earliest and deepest connections with animals or plants or places. She believes it will help if they learn to think of themselves “as rooted beings that aren’t just simply living in the human overlay on the environment.” It was valuable to recognize, she said, that “we are part of the land” and suffer when it suffers.
  • Torres described introducing her clients to methods — mindfulness, distress tolerance, emotion regulation — to help them manage acute feelings of stress or panic and to avoid the brittleness of burnout.
  • She also encourages them to narrativize the problem, including themselves as agents of change inside stories about how they came to be in this situation, and how they might make it different.
  • then she encourages them to find a community of other people who care about the same problems, with whom they could connect outside the therapy room. As Woollacott said earlier: “People who share your values. People who are committed to not looking away.”
  • Dwyer told the group that she had been thinking more about psychological adaptation as a form of climate mitigation
  • Therapy, she said, could be a way to steward human energy and creative capacities at a time when they’re most needed.
  • It was hard, Bryant told me when we first spoke, to do this sort of work without finding yourself asking bigger questions — namely, what was therapy actually about?
  • Many of the therapists I talked to spoke of their role not as “fixing” a patient’s problem or responding to a pathology, but simply giving their patients the tools to name and explore their most difficult emotions, to sit with painful feelings without instantly running away from them
  • many of the methods in their traditional tool kits continue to be useful in climate psychology. Anxiety and hopelessness and anger are all familiar territory, after all, with long histories of well-studied treatments.
  • They focused on trying to help patients develop coping skills and find meaning amid destabilization, to still see themselves as having agency and choice.
  • Weston, the therapist in New York, has had patients who struggle to be in a world that surrounds them with waste and trash, who experience panic because they can never find a place free of reminders of their society’s destruction
  • eston said, that she has trouble with the repeated refrain that therapist and patient experiencing the same losses and dreads at the same time constituted a major departure from traditional therapeutic practice
  • “I’m so excited by what you’re bringing in,” Woollacott replied. “I’m doing psychoanalytic training at the moment, and we study attachment theory” — how the stability of early emotional bonds affects future relationships and feelings of well-being. “But nowhere in the literature does it talk about our attachment to the land.”
  • Lately, Bryant told me, he’s been most excited about the work that happens outside the therapy room: places where groups of people gather to talk about their feelings and the future they’re facing
  • It was at such a meeting — a community event where people were brainstorming ways to adapt to climate chaos — that Weston, realizing she had concrete skills to offer, was inspired to rework her practice to focus on the challenge. She remembers finding the gathering empowering and energizing in a way she hadn’t experienced before. In such settings, it was automatic that people would feel embraced instead of isolated, natural that the conversation would start moving away from the individual and toward collective experiences and ideas.
  • There was no fully separate space, to be mended on its own. There was only a shared and broken world, and a community united in loving it.
Javier E

Opinion | Why guilt shouldn't be the basis for climate change policy - The Washington Post - 0 views

  • Countries agreed to “transition away” from fossil fuels
  • who should transition first? What should determine each nation’s ambition? These efforts will be expensive. Who should pick up the tab?
  • The “Global Stocktake” from Dubai, like statements from earlier conclaves, got around these questions with the standard diplomatese:
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  • Countries’ commitments should reflect “equity and the principle of common but differentiated responsibilities and respective capabilities in the light of different national circumstances and in the context of sustainable development and efforts to eradicate poverty.”
  • It’s indisputable that poor nations should be allowed to develop and to eradicate poverty. Countries, obviously, can contribute to the global effort only to the extent of their capabilities
  • equity brings up a different, more slippery matter. What’s the just allocation of responsibility? What’s fair?
  • Countries, it turns out, have rather different takes on this question, potentially complicating efforts to make progress against climate change.
  • Consider the intended “nationally determined contributions” to battle climate change that various countries announced after the climate summit in Paris in 2015
  • One interesting study examined the notions of justice underpinning each national proposal. They were all over the map.
  • Critically, none of those experts considered the consequences of applying their logic to all countries across the board.
  • The aggregate notions of fairness did not add up to a solution. The countries that claimed responsibility for a small share of global emissions actually accounted for about a quarter of the total. Countries with per capita emissions ranging from 0.5 tons of carbon dioxide to 25 tons of CO2, roughly five times the global average, used this variable to justify modest plans.
  • The idea of an equitable and just distribution of responsibility might seem essential to achieve the shared goal of preventing a climate catastrophe
  • I can’t put precise odds on members of Congress accepting that the United States must bear one-fourth of the worldwide burden to cut greenhouse gas emissions because of the actions of long-dead Americans who had no idea they were causing damage. But the probability is quite low.
  • It seems only fair that countries such as the United States, which accounts for about a quarter of the greenhouse gases emitted by humanity since before the Industrial Revolution, should bear a much bigger share of the burden than, say, Brazil, which accounts for only 1 percent of historical emissions.
  • The United States, moreover, is quite rich and was made that way largely thanks to abundant and cheap fossil fuel.
  • Yet parsing how equity is to be achieved can get complicated
  • Should the goal be to equalize emissions per person, which today tilt heavily toward rich countries? (The United States emits some 18 tons per person; for India, the number is less than 3.
  • Or should we first cut emissions associated with the production of luxury goods and services that are mostly consumed in rich countries? Shouldn’t the emissions from producing the made-in-China toy you bought on Amazon accrue to the United States, where it is being played with?
  • They are in tension with the strategies championed by most rich countries, which are more sympathetic to the idea that historical emissions should be grandfathered in — not counted against them — and that they should be reduced in the future wherever reducing them is cheapest, which happens to be mostly in the developing world.
  • Many countries cannot afford the necessary mitigation pathways, either because they don’t have the resources to finance the new technologies needed to abandon fossil fuels, or because the resources they have are best deployed toward, say, buying air conditioning units or otherwise raising the standard of living.
  • There are essential truths that the world must acknowledge:
  • These countries are likely to face the gravest risks from climate change — whether measured in devastated crops, destroyed communities or people’s lives. Rich nations owe it to the world to ensure that resources and technologies are available for sufficient mitigation, adaptation and disaster relief
  • — not because they emitted a lot of greenhouse gases in the past, but because the task of preventing climate change and limiting its damage cannot be avoided, and they can afford it.
  • Many defended the fairness of their offer by pointing out that they accounted for a “small share” of global greenhouse gas emissions; others referred to their low per capita emissions. Many based their arguments on their vulnerability to climate change.
  • Consider the political ramifications of some climate justice arguments.
  • And that’s even without pointing out that China, today, emits more than double the amount of greenhouse gases the United States does.
  • Or consider how one research paper apportioned the remaining emissions budget — the greenhouse gases that can still be emitted in the future without breaching the warming ceiling (which in this estimate was set at 2 degrees Celsius)
  • It calculated nations’ responsibility for emissions starting only in 1992, when the world became aware of climate change, and assumed that each citizen of the world is entitled to the same budget since then. On this basis, it concluded that the United States would be entitled to 4.4 percent of the remainder, less than a fifth of its historic share.
  • That is fair. But it is also only 50 billion tons, or roughly nine years’ worth of emissions, at the nation’s current rate. I can’t imagine an administration that agreed to this surviving for long
  • The argument from guilt — built on the assumption that rich nations’ past development and emissions have incurred a moral debt to the rest of the world — will likely short-circuit the best case for action.
  • Better to draw on a different moral principle: to expect results from nations according to their capabilities and to assist them according to their needs. That frame could allow the job to get done.
Javier E

Opinion | Russians Must Accept the Truth. We Failed. - The New York Times - 0 views

  • In 2011, when it was announced that Mr. Putin would return to the Kremlin as president, tens of thousands took to the streets in protest. In 2014, when Russia annexed Crimea and fomented war in the Donbas, we held huge antiwar rallies. And in 2021 we took to the streets once more throughout the country when Russia’s main opposition figure, Aleksei Navalny, was arrested after his return to Moscow.
  • I want to believe we did everything in our power to rein in Mr. Putin. But it’s not true. Though we protested, organized, lobbied, spread information and built honest lives in the shadow of a corrupt regime, we must accept the truth: We failed. We failed to prevent a catastrophe and we failed to change the country for the better. And now we must bear that failure.
  • Those who stayed have lost much of what remained of their freedom. After Mastercard and Visa suspended operations in Russia, many can’t even pay for a VPN service to get independent media.
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  • The invasion of Ukraine marks the end, definitively, of Russia’s postwar era.
  • During the 77 years since World War II, Russia was regarded — no matter what other perceptions it carried — as the country that helped to save humanity from the greatest evil the world has ever known. Russia was the heroic country that defeated fascism, even if that victory forced 45 years of Communism on half of Europe.
  • Not anymore. Russia is now the nation that unleashed a new evil, and unlike the old one, it’s armed with nuclear weapons.
  • The primary responsibility for this evil lies squarely at the feet of Mr. Putin and his entourage.
  • Responsibility is the key.
  • for those who opposed the regime, in ways big and small, the responsibility is also ours to bear. How did it happen? What did we do wrong? How do we prevent this from happening again
  • responsibility was what we lacked
  • Russia is a very individualistic society, in which people, to quote the cultural historian Andrei Zorin, live with a “Leave me alone” mind-set. We like to isolate ourselves from one another, from the state, from the world.
  • This allowed many of us to build vibrant, hopeful, energetic lives against a grim backdrop of arrests and prison. But in the process, we became insular and lost sight of everyone else’s interests.
  • We must now put aside our individual concerns and accept our common responsibility for the war. Such an act is, first and foremost, a moral necessity.
  • it could also be the first step toward a new Russian nation — a nation that could talk to the world in a language other than wars and threats, a nation that others will learn not to fear.
Javier E

Silicon Valley Worries About Addiction to Devices - NYTimes.com - 1 views

  • founders from Facebook, Twitter, eBay, Zynga and PayPal, and executives and managers from companies like Google, Microsoft, Cisco and others listened to or participated
  • they debated whether technology firms had a responsibility to consider their collective power to lure consumers to games or activities that waste time or distract them.
  • Eric Schiermeyer, a co-founder of Zynga, an online game company and maker of huge hits like FarmVille, has said he has helped addict millions of people to dopamine, a neurochemical that has been shown to be released by pleasurable activities, including video game playing, but also is understood to play a major role in the cycle of addiction. But what he said he believed was that people already craved dopamine and that Silicon Valley was no more responsible for creating irresistible technologies than, say, fast-food restaurants were responsible for making food with such wide appeal. “They’d say: ‘Do we have any responsibility for the fact people are getting fat?’ Most people would say ‘no,’ ” said Mr. Schiermeyer. He added: “Given that we’re human, we already want dopamine.”
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  • “The responsibility we have is to put the most powerful capability into the world,” he said. “We do it with eyes wide open that some harm will be done. Someone might say, ‘Why not do so in a way that causes no harm?’ That’s naïve.” “The alternative is to put less powerful capability in people’s hands and that’s a bad trade-off,” he added.
  • the Facebook executive, said his primary concern was that people live balanced lives. At the same time, he acknowledges that the message can run counter to Facebook’s business model, which encourages people to spend more time online. “I see the paradox,” he said.
  • she believed that interactive gadgets could create a persistent sense of emergency by setting off stress systems in the brain — a view that she said was becoming more widely accepted. “It’s this basic cultural recognition that people have a pathological relationship with their devices,” she said. “People feel not just addicted, but trapped.”
  • Richard Fernandez, an executive coach at Google and one of the leaders of the mindfulness movement, said the risks of being overly engaged with devices were immense.
  •  
    First, I would like to point out that I read this article while distracted from my Extended Essay. Paradoxical, I know. The article points out many of the negative qualities of the glamorous lure of the internet. I found it interesting that internet usage can actually stimulate the production of dopamine in the body, making our attraction to the computer both a "high" and a true addiction. Not only have I seen an increasing number of articles on this topic in the past week or so, but I have also seen a rather large amount of articles pertaining to the "depression inducing" effect of the internet. Drawing from another article, logging onto social networking sites automatically bombards us with pictures of people we know having fun. Their pictures are beautiful and their status updates are witty. It is easy to see all of this content and immediately think something along the lines of: "why isn't my life that fun/hilarious/exciting?" or "I really wish that I were vacationing in Bora Bora". What we need to remember is that people choose what goes online, and, therefore, only choose to share the most glamourous sides of their lives. And let's not forget that those pictures most likely have at least one or more Instagram filter on them...
Javier E

Vladimir Putin, Meet Niccolo Machiavelli « The Dish - 0 views

  • If the end-result is that Putin effectively gains responsibility and control over the civil war in Syria, then we should be willing to praise him to the skies. Praise him, just as the far right praises him, for his mastery of power politics – compared with that ninny weakling Obama.
  • All this apparent national humiliation is worth it. The price Russia will pay for this triumph is ownership of the problem. At some point, it may dawn on him that he hasn’t played Obama. Obama has played him.
  • Most pundits use the term “Machiavellian” to mean whoever in the arena seems more successful at scheming, plotting, double-crossing, intimidating, and maneuvering. But Machiavelli himself had a different idea of what a true Machiavellian looks like: a kind, simple, virtuous naif.
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  • the individual who seems the least Machiavellian is often the most. What you need to do is get past appearances and look coldly at the result of any course of action, and whose interests it really advances.
  • My view is that the US’s core interest is in not owning the Syria conflict, while making sure its chemical stockpiles are secure or destroyed.
  • The core question is: Are we seeking responsibility for resolving this ghastly sectarian bloodbath? I believe we have to have the steely resolve to act on our core interests – after bankrupting ourselves fiscally and morally next door in Iraq – to say no.
  • the moments when Obama has risked owning this conflict have always been his low points. From that early high-minded and unnecessary statement on Assad to his impulsive declaration of intent to use force in August, he deeply worried the American people and <img class="alignright size-medium wp-image-191564" alt="Portrait_of_Niccolò_Machiavelli_by_Santi_di_Tito" src="http://sullydish.files.wordpress.com/2013/09/portrait_of_niccolocc80_machiavelli_by_santi_di_tito.jpg?w=233&h=300" width="233" height="300" />the world that the US could be getting into more responsibility for yet another Middle East sectarian bloodbath. But he has nimbly pivoted back from these positions – finding his way back to a more GHW Bush posture rather than a GW Bush one.
  • It is Putin who is on the hook now – and the more Putin brags about his diplomatic achievement the more entrenched his responsibility for its success will become.
  • that is perfectly in line with Russia’s core interests: Putin is much closer to Syria than we are; he must be scared shitless of Sunni Jihadists who now loathe him and Russia more than even the Great Satan getting control of WMDs. Those chemical weapons could show up in Dagestan or Chechnya or the Moscow subway.
  • this argument only makes sense if you don’t believe the US is best served by being responsible for the entire Middle East, and by being the only major power seriously invested there. If your goal is US global hegemony, this was a very bad week.
  • But if your goal is to avoid the catastrophe that occurred in Iraq, to focus on the much more important foreign policy area, Asia, and to execute vital domestic goals such as immigration reform and entrenching universal healthcare … then the result looks pretty damn good. Or at least perfectly good enough.
  • So when the inevitable cries of “Who lost the Middle East?” are raised by the neocon chorus, one obvious retort remains. Of all the regions in the world, wouldn’t the Middle East be a wonderful one to lose?
Javier E

Professors Are Prejudiced, Too - NYTimes.com - 0 views

  • we sent emails to more than 6,500 randomly selected professors from 259 American universities. Each email was from a (fictional) prospective out-of-town student whom the professor did not know, expressing interest in the professor’s Ph.D. program and seeking guidance. These emails were identical and written in impeccable English, varying only in the name of the student sender. The messages came from students with names like Meredith Roberts, Lamar Washington, Juanita Martinez, Raj Singh and Chang Huang
  • We computed the average response rates for each category of student (e.g., white male, Hispanic female), dividing the number of responses from the professors by the number of emails sent from students in a given race or gender category.
  • Professors were more responsive to white male students than to female, black, Hispanic, Indian or Chinese students in almost every discipline and across all types of universities
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  • response rates did indeed depend on students’ race and gender identity.
  • Surprisingly, several supposed advantages that some people believe women and minorities enjoy did not materialize
  • our own discipline of business showed the most bias, with 87 percent of white males receiving a response compared with just 62 percent of all females and minorities combined.
  • We found the most severe bias in disciplines paying higher faculty salaries and at private universities
  • Were Asians favored, given the model minority stereotype they supposedly benefit from in academic contexts? No. In fact, Chinese students were the most discriminated-against group in our sample
  • Did reaching out to someone of the same gender or race — such as a black student emailing a black professor — reduce bias? No. We saw the same levels of bias in both same-race and same-gender faculty-student pairs that we saw in pairs not sharing a race or gender (the one exception was Chinese students writing to Chinese professors).
  • Did it help to be in a discipline with a greater representation of women and minorities? Again, no. Faculty members in those more diverse disciplines, like criminal justice, were no less likely to discriminate than those in less diverse disciplines,
  • Did it help that these were students in the pre-applicant stage, when some believe underrepresented groups enjoy advantageous access to selective opportunities? Again, no
  • each of the supposed hidden advantages of being a woman or minority proved to be no more than a phantom.
katyshannon

Turkey blames Kurdish militants for Ankara bomb, vows response in Syria and Iraq | Reuters - 0 views

  • Turkish Prime Minister Ahmet Davutoglu blamed a Syrian Kurdish militia fighter working with Kurdish militants inside Turkey for a suicide car bombing that killed 28 people in the capital Ankara, and he vowed retaliation in both Syria and Iraq.
  • A car laden with explosives detonated next to military buses as they waited at traffic lights near Turkey's armed forces' headquarters, parliament and government buildings in the administrative heart of Ankara late on Wednesday.
  • Davutoglu said the attack was clear evidence that the YPG, a Syrian Kurdish militia that has been supported by the United States in the fight against Islamic State in northern Syria, was a terrorist organization and that Turkey, a NATO member, expected cooperation from its allies in combating the group.
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  • Within hours, Turkish warplanes bombed bases in northern Iraq of the Kurdistan Workers Party (PKK), which has waged a three-decade insurgency against the Turkish state and which Davutoglu accused of collaborating in the car bombing.
  • Turkey's armed forces would continue their shelling of recent days of YPG positions in northern Syria, Davutoglu said, promising that those responsible would "pay the price".
  • President Tayyip Erdogan also said initial findings suggested the Syrian Kurdish militia and the PKK were behind the bombing and said that 14 people had been detained.
  • The co-leader of the YPG's political wing denied that the affiliated YPG perpetrated the Ankara bombing and said Turkey was using the attack to justify an escalation in fighting in northern Syria.
  • The attack was the latest in a series of bombings in the past year mostly blamed on Islamic State militants.
  • Turkey is getting dragged ever deeper into the war in neighboring Syria and is trying to contain some of the fiercest violence in decades in its predominantly Kurdish southeast.
  • The YPG militia, regarded by Ankara as a hostile insurgent force deeply linked to the PKK, has taken advantage in recent weeks of a major Syrian army offensive around the northern city of Aleppo, backed by Russian air strikes, to seize ground from Syrian rebels near the Turkish border.
  • Hundreds of Syrian rebels with weapons and vehicles have re-entered Syria from Turkey over the last week to reinforce insurgents fending off the Kurdish-led assault on Azaz, rebel sources said on Thursday.
  • The political arm of the YPG, denied involvement in the bombing, while a senior member of the PKK said he did not know who was responsible.
  • Turkey has said its shelling of YPG positions is a response, within its rules of engagement, to hostile fire coming across the border into Turkey, something Muslim also denied.
  • Turkey has been battling PKK militants in its own southeast, where a 2-1/2 year ceasefire collapsed last July and pitched the region into its worst bloodshed since the 1990s. Six soldiers were killed and one wounded on Thursday when a remote-controlled handmade bomb hit their vehicle, the military said.
  • Davutoglu named the suicide bomber as Salih Necar, born in 1992 and from the Hasakah region of northern Syria, and said he was a member of the YPG.
  • A senior security official said the alleged bomber had entered Turkey from Syria in July 2014, although he may have crossed the border illegally multiple times before that, and said he had contact with the PKK and Syrian intelligence.
  • Davutoglu also accused the Syrian government of a hand in the Ankara bombing and warned Russia, whose air strikes in northern Syria have helped the YPG to advance, against using the Kurdish militant group against Turkey.
  • Russian President Vladimir Putin's spokesman, Dmitry Peskov, told a teleconference with reporters that the Kremlin condemned the bombing "in the strongest possible terms".
katyshannon

U.S. Strikes in Somalia Kill 150 Shabab Fighters - The New York Times - 0 views

  • American aircraft on Saturday struck a training camp in Somalia belonging to the Islamist militant group the Shabab, the Pentagon said, killing about 150 fighters who were assembled for what American officials believe was a graduation ceremony and prelude to an imminent attack against American troops and their allies in East Africa.
  • Defense officials said the strike was carried out by drones and American aircraft, which dropped a number of precision-guided bombs and missiles on the field where the fighters were gathered.
  • Pentagon officials said they did not believe there were any civilian casualties, but there was no independent way to verify the claim. They said they delayed announcing the strike until they could assess the outcome
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  • It was the deadliest attack on the Shabab in the more than decade-long American campaign against the group, an affiliate of Al Qaeda, and a sharp deviation from previous American strikes, which have concentrated on the group’s leaders, not on its foot soldiers. Continue reading the main story #g-0308-for-web-ATTACKmap { max-width:180px; } .g-artboard { margin:0 auto; } #g-0308-for-web-ATTACKmap-180{ position:relative; overflow:hidden; width:180px; } .g-aiAbs{ position:absolute; } .g-aiImg{ display:block; width:100% !important; } #g-0308-for-web-ATTACKmap-180 p{ font-family:nyt-franklin,arial,helvetica,sans-serif; font-size:13px; line-height:18px; margin:0; } #g-0308-for-web-ATTACKmap-180 .g-aiPstyle0 { font-size:11px; line-height:13px; font-weight:500; font-style:italic; color:#628cb2; } #g-0308-for-web-ATTACKmap-180 .g-aiPstyle1 { font-size:12px; line-height:14px; font-weight:500; letter-spacing:0.00833333333333em; color:#000000; } #g-0308-for-web-ATTACKmap-180 .g-aiPstyle2 { font-size:12px; line-height:14px; font-weight:500; text-align:right; letter-spacing:0.00833333333333em; color:#000000; } #g-0308-for-web-ATTACKmap-180 .g-aiPstyle3 { font-size:12px; line-height:13px; font-weight:700; letter-spacing:0.00833333333333em; color:#000000; } #g-0308-for-web-ATTACKmap-180 .g-aiPstyle4 { font-size:11px; line-height:13px; font-weight:500; letter-spacing:0.00833333333333em; color:#000000; } #g-0308-for-web-ATTACKmap-180 .g-aiPstyle5 { font-size:11px; line-height:13px; font-weight:500; font-style:italic; text-align:center; color:#628cb2; } #g-0308-for-web-ATTACKmap-180 .g-aiPstyle6 { font-size:9px; line-height:8px; font-weight:500; text-transform:uppercase; text-align:center; color:#000000; } Gulf of Aden ETHIOPIA SOMALIA Camp Raso Mogadishu KENYA Indian Ocean 300 miles MARCH 7, 2016 By The New York Times
  • It comes in response to new concerns that the group, which was responsible for one of the deadliest terrorist attacks on African soil when it struck a popular mall in Nairobi in 2013, is in the midst of a resurgence after losing much of the territory it once held and many of its fighters in the last several years.
  • The planned attack on American and African Union troops in Somalia, American officials say, may have been an attempt by the Shabab to carry out the same kind of high-impact act of terrorism as the one in Nairobi.
  • Pentagon officials would not say how they knew that the Shabab fighters killed on Saturday were training for an attack on United States and African Union forces, but the militant group is believed to be under heavy American surveillance.
  • The Shabab fighters were standing in formation at a facility the Pentagon called Camp Raso, 120 miles north of Mogadishu, when the American warplanes struck on Saturday, officials said, acting on information gleaned from intelligence sources in the area and from American spy planes
  • One intelligence agency assessed that the toll might have been higher had the strike happened earlier in the ceremony. Apparently, some fighters were filtering away from the event when the bombing began.
  • The strike was another escalation in what has become the latest battleground in the Obama administration’s war against terror: Africa.
  • The United States and its allies are focused on combating the spread of the Islamic State in Libya, and American officials estimate that with an influx of men from Iraq, Syria and Tunisia, the Islamic State’s forces in Libya have swelled to as many as 6,500 fighters, allowing the group to capture a 150-mile stretch of coastline over the past year.
  • The arrival of the Islamic State in Libya has sparked fears that the group’s reach could spread to other North African countries, and the United States is increasingly trying to prevent that
  • American forces are now helping to combat Al Qaeda in Mali, Niger and Burkina Faso; Boko Haram in Nigeria, Cameroon and Chad; and the Shabab in Somalia and Kenya, in what has become a multifront war against militant Islam in Africa.
  • The United States has a small number of trainers and advisers with African Union — primarily Kenyan — troops in Somalia. Defense officials said that the African Union’s military mission to Somalia was believed to have been the target of the planned attack.
  • Saturday’s strike was the most significant American attack on the Shabab since September 2014, when an American drone strike killed the leader of the group, Ahmed Abdi Godane, at the time one of the most wanted men in Africa. That strike was followed by one last March, when Adan Garar, a senior member of the group, was killed in a drone strike on his vehicle.
  • If the killings of Mr. Godane and Mr. Garar initially crippled the group, that no longer appears to be the case. In the past two months, Shabab militants have claimed responsibility for attacks that have killed more than 150 people, including Kenyan soldiers stationed at a remote desert outpost and beachcombers in Mogadishu.
  • In addition, the group has said it was responsible for a bomb on a Somali jetliner that tore a hole through the fuselage and for an attack last month on a popular hotel and a public garden in Mogadishu that killed 10 people and injured more than 25. On Monday, the Shabab claimed responsibility for a bomb planted in a laptop computer that went off at an airport security checkpoint in the town of Beletwein in central Somalia, wounding at least six people, including two police officers. The police said that one other bomb was defused.
  • At the same time, Shabab assassination teams have fanned out across Mogadishu and other major towns, stealthily eliminating government officials and others they consider apostates.
  • The Shabab have also retaken several towns after African Union forces pulled out. The African Union peacekeeping force, paid for mostly by Western governments, features troops from Uganda, Burundi, Kenya, Djibouti and other African nations.
  • The Shabab were once strong, then greatly weakened and now seem to be somewhere in between, while analysts say the group competes with the Islamic State for recruits and tries to show — in the deadliest way — that it is still relevant. Its dream is to turn Somalia into a pure Islamic state.
johnsonma23

Barack Obama: Guns Are Our Shared Responsibility - The New York Times - 0 views

  • Barack Obama: Guns Are Our Shared Responsibility
  • THE epidemic of gun violence in our country is a crisis. Gun deaths and injuries constitute one of the greatest threats to public health and to the safety of the American people.
  • A national crisis like this demands a national response. Reducing gun violence will be hard. It’s clear that common-sense gun reform won’t happen during this Congress.
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  • They include making sure that anybody engaged in the business of selling firearms conducts background checks, expanding access to mental health treatment and improving gun safety technology.
  • We need the vast majority of responsible gun owners who grieve with us after every mass shooting, who support common-sense gun safety and who feel that their views are not being properly represented
  • The gun industry also needs to do its part. And that starts with manufacturers.
  • As Americans, we hold consumer goods to high standards to keep our families and communities safe.
  • We will not end the cycle of gun violence until we demand that the gun industry take simple actions to make its products safer as well
  • Yet today, the gun industry is almost entirely unaccountable.
  • All of us need to demand leaders brave enough to stand up to the gun lobby’s lies.
  • Those moments represent American democracy, and the American people, at our best. Meeting this crisis of gun violence will require the same relentless focus, over many years, at every level.
Javier E

Opinion | The Content of the G.O.P.'s Character - The New York Times - 0 views

  • Trump’s latest outbursts were very much in character — and I don’t just mean his personal character. When did you last see a member of the Trump administration, or for that matter any prominent Republican, admit error or accept responsibility for problems?
  • Don’t say that it has always been that way, that it’s just the way people are. On the contrary, taking responsibility for your actions — what my parents called being a mensch — used to be considered an essential virtue in politicians and adults in general.
  • And in this as in so many things, there’s a huge asymmetry between the parties. Of course not all Democrats are honest and upstanding; but as far as I can tell, there’s almost nobody left in the G.O.P. willing to take responsibility for, well, anything.
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  • I don’t think this is an accident. The sad content of modern Republican character is a symptom of the corruption and hypocrisy that has afflicted half of our body politic — a sickness of the soul that manifests itself in personal behavior as well as policy.
  • consider a few non-Trump examples of the lack of character that pervades this administration.
  • And it didn’t start with Trump. In fact, way back in 2006 I wrote about the “mensch gap” in the Bush administration — the unwillingness of top officials to accept responsibility for the botched occupation of Iraq, the botched response to Hurricane Katrina, and more.
  • At the trivial but still telling end of the scale, we have the tale of Scott Pruitt, head of the Environmental Protection Agency, who keeps flying first class at taxpayers’ expense. The money isn’t the important issue here, although his spending violates federal guidelines. The revealing thing, instead, is the supposed reason he needs to fly premium — you see, ordinary coach passengers have been known to say critical things to his face.
  • Nor, by the way, are we only talking about politicians. In my neck of the woods, I remain amazed by the unwillingness of right-leaning economists to admit that they were wrong in predicting that the Fed’s efforts to rescue the economy would cause runaway inflation. Being wrong is one thing — it happens to everyone, myself very much included. Refusing to admit and learn from error is something different.
  • in this case the personal is, ultimately, political. The modern G.O.P. is, to an extent never before seen in American history, a party built around bad faith, around pretending that its concerns and goals are very different from what they really are.
  • Flag-waving claims of patriotism, pious invocations of morality, stern warnings about fiscal probity are all cover stories for an underlying agenda mainly concerned with making plutocrats even richer.
  • And the character flaws of the party end up being echoed by the character flaws of its most prominent members. Are they bad people who chose their political affiliation because it fits their proclivities, or potentially good people corrupted by the company they keep? Probably some of both.
  • let’s be clear: America in 2018 is not a place where we can disagree without being disagreeable, where there are good people and good ideas on both sides, or whatever other bipartisan homily you want to recite. We are, instead, living in a kakistocracy, a nation ruled by the worst, and we need to face up to that unpleasant reality
Javier E

Opinion | 'If You've Built a Chaos Factory, You Can't Dodge Responsibility for the Chao... - 0 views

  • “Too many seem to think that good intentions excuse away harmful outcomes,” Mr. Cook told the assembled graduates of a school from which much of the modern internet has sprung. “If you’ve built a chaos factory, you can’t dodge responsibility for the chaos. Taking responsibility means having the courage to think things through.”
  • he made the case that possible abuses of the technology weren’t necessarily Amazon’s responsibility, because any tech tool can be turned into a weapon — even one as benign as email, which was used in the Sony hack a few years ago. “You could use a knife in a surreptitious way,” he said.
  • Tech’s ploy to assuage its growing chorus of detractors has been to beg for forgiveness over and over for making a mess, promise to follow laws once someone else figures out a way to manage the madness, and then hire an army of lobbyists to make sure those rules are not too onerous.
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  • Which is to say: We make, we break, you fix.
  • the release of this offering right in the midst of punishing scrutiny of how the company has bollixed its main platform is what one might call a gangster move. Not literally, fingers crossed.
  • Pointing out that companies like Amazon, Salesforce, Microsoft, Palantir and others have been supplying the immigration agencies with all kinds of software, devices and services, some of which may have been used to help separate children from their families, Mr. Ryan said he was perplexed as to why tech companies did not have more of an ethical conscience.
  • “I think that what the companies right now that are holding the power need to recognize is that the government could not do what it is doing now without them,” he said. The tech companies’ tools are making it possible, he suggested, to track immigrants with increasing expertise: “What we’ve seen is a scaling up and a quickening of the efficiency of this tyrannical operation.”
  • “If tech wants to walk hand in hand with our government in this experiment in tyranny,” Mr. Ryan told the crowd, “then go for it.”
Javier E

How to evaluate and eventually ease coronavirus restrictions - The Washington Post - 0 views

  • In recent days, epidemiologists and infectious disease specialists, as well as former top agency officials, have rushed to put out their own plans — by publishing preprint papers online and sharing ideas on Twitter and in op-eds
  • a consensus of sorts has begun to coalesce around several key ingredients for an American strategy to move forward while minimizing human and economic casualties. They include mounting a large-scale contact tracing effort, widespread testing, building up health care capacity before easing restrictions, making future quarantines more targeted, and allowing those who have recovered and have some immunity to go back to work.
  • While overall the peak of the epidemic may occur in late April or early May, the timing may be different in different states.
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  • The plan was published Sunday by the American Enterprise Institute. Its lead author — Scott Gottlieb, former Food and Drug Administration commissioner in the Trump administration
  • “The goal is to outline a plan that will allow a gradual return to a more normal way of life without increasing the risk” that the epidemic will resurge.
  • Most economists and health experts say there is no way to restart the economy without addressing the underlying problem of the coronavirus. As long as the pandemic continues to spread, the markets will be in turmoil and any businesses will struggle to stay open, they say.
  • instead of giving false reassurances and deadlines, the White House should tell people the hard truth about the current situation and a coherent strategy they can work toward. “The social distancing, being stuck at home, the deaths we’re going to be seeing. People want to know what it’s for. That there’s a plan.”
  • the road map Gottlieb’s group outlined stresses the need to move away from the current decentralized system and “toward more coordinated execution of response.”
  • The plan divides coming months into four phases and sets “triggers” for states to move from one phase to the next.
  • The latest proposal is a 19-page plan with a step-by-step timeline, with clear benchmarks states and regions would need to meet to safely move forward to the next step
  • With most of the nation now in phase one of the epidemic, the goal should be a sharp increase in hospital critical care beds and an increase of testing to 750,000 people a week to track the epidemic — a number Gottlieb said could be achieved in the next week or two.
  • For a state to move to phase two, it should see a sustained reduction in new cases for at least 14 days, and its hospitals need to be able to provide care without being overwhelmed.
  • “The reason we set it at 14 days is that’s the incubation period of the virus,” said Rivers of Johns Hopkins. “That way you know the downward trend is certain and not because of a holiday or blip or some other delay in reported cases.”
  • States that have moved into phase two would begin gradually lifting social distancing measures and opening schools and businesses, while increasing surveillance.
  • The key goals thereafter would be accelerating the development of new treatments and deploying tests to determine who has recovered from infection with some immunity and could rejoin the workforce.
  • Phase 3 occurs when the nation has a vaccine or drugs to treat covid-19 in place and the government launches mass vaccinations
  • For weeks, World Health Organization officials have stressed such lockdowns are only helpful for slowing down the virus and buying time to deploy more targeted and comprehensive measures, which the U.S. has not yet done.
  • Trump has repeatedly returned to strategies of bans and movement restriction
  • Phase 4 involves rebuilding the nation’s capacity to deal with the next pandemic by building up its scientific and public health infrastructure.
  • Mike Ryan, WHO head of emergency programs, recently urged countries to focus on finding and isolating infected people and their contacts. “It’s not just about physical distancing, it’s not just about locking down,”
  • Many experts’ recent proposals for a U.S. strategy have similar stressed the importance of large-scale contact tracing — because it was a cornerstone for successful efforts like South Korea and Singapore.
  • as countries have shown success with it against this coronavirus, that thinking has changed.
  • such contact tracing is “impractical now in many places but more practical once case numbers have been reduced and testing scaled up” and “could alleviate the need for stringent social distancing to maintain control of the epidemic.”
  • Rapidly building up that capacity — either with community volunteers or short-term hires — will be crucial in coming months, said Rivers of Johns Hopkins. “If you build capacity up and bring cases down, it starts looking a lot more possible.”
  • Many proposals tackle the problem of the tanking economy.
  • Gottlieb-Johns Hopkins plan, for example, calls for widespread use of blood tests to identify people who have had the infection and now are immune — called serology testing
  • People who are immune could return to work, or take on high-risk roles in the health care system and help people, especially the elderly, who are still quarantined at home.
  • Such serology tests have not been deployed before like this on such a large scale
  • during Ebola outbreaks in Africa, survivors were often the ones who provided care, watched over the children of sick patients and buried the dead.
  • One challenge unaddressed by most proposals and op-eds, however, is how to get such detailed plans adopted by the White House, whose response has weighed down by infighting and unclear leadership ping-ponging in recent weeks among Trump, Pence and health advisers like Anthony S. Fauci and Deborah Birx and others.
  • Health officials and scientists involved in the federal response, especially from the Centers for Disease Control and Prevention, have fought to be heard while straining to avoid offending Trump, who bristles at being publicly contradicted, undercut or overshadowed by praise for ideas or people beside himself, according to people who spoke on the condition of anonymity about sensitive deliberations.
  • On Thursday, Trump unveiled a plan of his own, though scarce in detail. He said he planned to help communities ease their restrictions and reopen for business by using on “robust” surveillance and categorizing counties across America into three “risk levels” — low, medium and high. More details are likely in coming days, White House officials said.
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