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

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

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

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

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

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

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

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

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

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

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

The fundamental geographic division in American politics has traditionally been a sectional conflict setting the North against the South. The idioms of "red states" and "blue states" caught on widely after the 2000 presidential election because they could be applied to a regional divide—blue North, red South—that was already presumed to reflect the main axis of political debate and competition. But the partisan difference between large-metro and rural residents has now become much larger than the gap between northerners and southerners.

I call this widening gap between the partisan loyalties of urban and rural America “the density divide.” Hopkins is clearly correct that urban vs. rural has eclipsed North vs. South as the geographic embodiment of our partisan divisions. As the old adage goes, a chart speaks a thousand white papers.

I suspect that battle between North and South lives on both culturally and geographically. The North has drifted out of the countryside and concentrated itself into our cities. At the same time, America’s rural and exurban counties have slowly become more and more homogenously Southern. The South has risen again … in rural Maine?

One of the puzzles of the 2016 election, and the catastrophe of the Trump presidency, is how populist white nationalism finally prevailed at a time when Americans, taken altogether, were less racist than ever

My hunch is that rural white culture, which was once regionally varied and distinctive, became more uniform by becoming increasingly Southern. I call this the Southernification thesis.

In the Density Divide, I argued that the key to answering “Why did white ethnonationalism finally work to win the GOP nomination and then the White House when it didn’t even get close to working for Pat Buchanan or Ron Paul?” was that residential self-selection on ethnicity, personality, and education had made lower density parts of the country progressively more homogenously ethnocentric and socially conservative, which finally made it possible to unify and organize rural and exurban whites as a single constituency.

I think it’s an incomplete explanation without something like the Southernification thesis. Before it could be successfully organized politically, America’s increasingly ethnocentric non-urban white population needed to be consolidated first through the adoption of a relatively uniform ethnocentric white culture.

When I was a kid, the Atlanta Bravesþff somehow became “America’s Team.” Could it be that the media mogul who married Hanoi Jane took the critical first step in bringing non-urban white America together by beaming sanitized Southern culture into living rooms everywhere?

Democrats and independents who lean to the Democratic Party are about three times more likely than Republicans and Republican-leaning independents to say they have participated in at least one of these activities to address climate change in the past year (32% vs. 10%).

30% of adults ages 18 to 29 say they have participated in at least one of four activities in the past year, compared with 17% of those ages 65 and older.

Those who say they personally care a great deal about climate change are much more likely than those who say they care some to have participated in at least one of four climate-related activities in the last year (36% vs. 14%).

A relatively small share of the public (28%) believes that climate activism, such as protests and rallies, makes people more likely to support action on climate change.

About half of Americans (49%) say climate activism does not really affect people’s levels of support, and 21% believe it has the opposite of its intended effect and makes people less likely to support action on climate change.

Just 11% of Americans say climate activism is extremely or very effective in getting elected officials to act on climate change; 33% say it is somewhat effective

A narrow majority of Americans (54%) say that climate activism is not too or not at all effective in getting elected official to act on climate change.

However, a majority of Democrats believe climate activism is at least somewhat effective at motivating action from elected officials. By contrast, 69% of Republicans believe it is not too or not at all effective.

Overall, 53% of U.S. adults say they have talked about the need for action on global climate change in the past few weeks. By comparison, 46% say they have not talked about the need to address climate change recently.

Democrats (72%) are far more likely than Republicans (35%) to say they have talked about the need for action on climate change within the last week.

the left-wing narrative of vampire threat, which warns of a small group of powerful, almost immortal beings who invest in blood funds, suck out the profits and stash them in Transylvanian tax shelters.

Zombies and vampires represent archetypal middle-class fears: the fear of being pulled down by the needy or stomped on by the powerful.

who exactly are these zombies (or “takers” or “moochers”)?We know who they are not.

They are not those who paid no federal income taxes last year, because many of these can point to a record of hard work.

They are not those stuck at the very bottom of the income distribution: When all taxes (rather than merely federal income taxes) are taken into consideration, the share of all taxes paid by different income groups corresponds pretty closely to their share of total income

They are not those who get more in government benefits than they pay in taxes in a given year, because many of these families include children, elderly people, or adults who are eager to resume wage-earning as soon as they can find jobs but for now are unemployed.

Maybe the zombies are those likely to receive more in government benefits over their lifetime than they have paid in taxes. At the top of this list would be seriously injured military veterans in need of continuing care, along with those receiving costly Medicare-financed interventions in the last two months of their lives.

Alternatively, one might point to all those who have received means-tested public assistance. If so, Mr. Romney’s father George, who received public relief at one point, falls under suspicion.

lynchings and mass shootings are almost photo negatives of each other. An individual doing to an anonymous crowd what an anonymous crowd does to an individual....

1) Clean the air: We need "responsible" gun owners to help police the

Legislators and courts and law enforcement had clear and major roles -- once they decided to play them -- in suppressing the mob. It's much less clear, obviously, what will work on mass shootings.

I have some thoughts:

From the time that serious pieces of the establishment began to condemn and try to systematically stop lynchings (around World War I) to the time that real progress was made -- after World War II -- was 30 years. This is a long-term project.

bullshit bravado that dominates right wing gun culture. All of that bravado, like almost all bravado, is based on an irrational fear. The government is going to take my gun. Bullshit. And we all need to attack it as bullshit. It is the same level of bullshit as That negro is gonna rape my daughter. It's the exact same irrational fear of the other.

While the angry gun culture may not carry out most shootings, they are willing to tolerate them, just as much of America was long willing to tolerate lynchings, because of this primal/tribal fear. The NRA, like the Klan before it, is kind of a shiny object. It's hugely important, but it's the wider bullying gun culture that is the core of the problem.

If we can reduce the gun rhetoric pollution in the air somewhat through shaming, that may make these explosions less common.

2) Licensing v. Bans: Along those lines, your gun safety vs. gun control distinction is precisely correct. This is about meaningful licensing measures. Ways to assess the intersection of people and guns. Use the gun culture's own language. If you think people kill people, not guns, why do you object to closer monitoring of people? And I'd suggest working through concealed carry expansion. I would absolutely trade concealed carry expansion for stricter licensing and background measures

3) The Drug War: So much of our gun culture and violence organizes itself around drug prohibition -- both through tools of business and means of enforcement -- that any act of violence, especially gun violence, is inseparable from it

We'll never fully clean the air today without ratcheting down the drug war and moving toward as much legalization as possible

4) Seize this moment: One place where I think this moment is different than others is the growing sense in the country -- even among conservatives -- that right wing cultural nihilism is the greatest short and long-term challenge we face

The resistance to any effort to combat gun violence with something other than guns needs to be understood -- the NRA needs to be understood -- as a subsidiary of right-wing nihilism.

Over and over again, we ask what constructive suggestion do you offer to help govern your country to the benefit of all its people? And we get, fuck you, 47 percent. Arm yourself.

"Clinton is a well-known commodity in Israel.

"The Jewish Vote: Obama vs. Romney: A Voter's Guide."

Trump has had problems attracting the Jewish vote in the US after claims of anti-Semitic themes in various tweets and the backing he's received from the former head of the KKK, David Duke,

When asked which candidate would more heavily pressure the Israeli government to renew peace talks with the Palestinians, 57% said Clinton, while only 7% believed Trump would lean more on the Israeli government.

Israel has 200,000 eligible American voters, according to the non-partisan organization IVoteIsrael, which registers American Israelis to vote.

Karl Marx was a Wutbürger. So were Montesquieu, William Wilberforce, the Rev. Dr. Martin Luther King Jr. and the tens of thousands of Eastern German protesters who brought down the Berlin Wall in 1989.

Mr. Trump vs. Dr. King. Sadly, the leaders of today’s Wutbürger movements never grasped the difference between anger driven by righteousness and anger driven by hate.

In Germany a recent poll showed that only 14 percent of the citizens trusted the politicians.

Amid their mutual finger-pointing, neither populist nor established parties acknowledge that both are squandering people’s anger, either by turning this anger into counterproductive hatred or by denouncing and dismissing it. Mrs. Clinton has the chance to change, by leading a political establishment that examines and processes anger instead of merely producing and dismissing it. If she does, let’s hope Europe once again looks to America as a model for democracy.

Unfortunately, epinephrine is inherently unstable. Research shows that it degrades pretty quickly over time, and it’s recommended that EpiPens be replaced every year.

Mylan stopped selling individual EpiPens and began to sell only twin-packs.It also raised the price.

Kids need them in many places. They need them at home. They need them at school. They need them at camp. They may even want to stash one at Grandma’s house. So people often need to buy quite a few.More revenue for Mylan. And it raised the price.

Then in 2010, federal guidelines changed to recommend that two EpiPens be sold in a package instead of one

People in anaphylaxis need a full dose every time. They therefore need to replace all their EpiPens every year, again and again.

In 2013, the government went further. It passed a law that gave funding preferences for asthma treatment grants to states that maintained an emergency supply of EpiPens. As the near sole supplier of the devices, Mylan stood to make even more money. Advertisement Continue reading the main story That year, Mylan raised the price again.

Of course, competition would bring the price down. But it’s very hard to bring such a device to market.

setbacks, all in the last year, have once again left Mylan with a veritable run of the market. It raised the price of EpiPens again. As of this May, they cost more than $600 a pack. Since 2004, after adjusting for inflation, the price of EpiPens has risen more than 450 percent.

An alternative still exists. The Adrenaclick, while still not cheap, is back and less expensive than the EpiPen. Some think it’s harder to use, though. It’s not on the accepted list for many health insurance plans. More important, few physicians think of it. Because of that, they write prescriptions for EpiPens. Since the Adrenaclick is not a generic version of the EpiPen, pharmacists can’t substitute one for the other. A prescription for an EpiPen must be filled with an EpiPen, regardless of what consumers might want.

you could argue that they’re an alternative when the “Cadillac” EpiPens are financially out of reach. Write A Comment But those are unsatisfactory arguments. Epinephrine isn’t an elective medication. It doesn’t last, so people need to purchase the drug repeatedly. There’s little competition, but there are huge hurdles to enter the market, so a company can raise the price again and again with little pushback. The government encourages the product’s use, but makes no effort to control its cost. Insurance coverage shields some from the expense, allowing higher prices, but leaves those most at-risk most exposed to extreme out-of-pocket outlays. The poor are the most likely to consider going without because they can’t afford it.

EpiPens are a perfect example of a health care nightmare. They’re also just a typical example of the dysfunction of the American health care system.

With five months to go before Election Day, Mr. Trump has already said he would “loosen” libel laws to make it easier to sue news organizations. He has threatened to sic federal regulators on his critics. He has encouraged rough treatment of demonstrators.

His proposal to bar Muslims from entry into the country tests the Constitution’s guarantees of religious freedom, due process and equal protection. Advertisement Continue reading the main story

And, in what was a tipping point for some, he attacked Judge Gonzalo P. Curiel of the Federal District Court in San Diego, who is overseeing two class actions against Trump University.Mr. Trump accused the judge of bias, falsely said he was Mexican and seemed to issue a threat.

Beyond the attack on judicial independence is a broader question of Mr. Trump’s commitment to the separation of powers and to the principles of federalism enshrined in the Constitution. Randy E. Barnett, a law professor at Georgetown and an architect of the first major challenge to President Obama’s health care law, said he had grave doubts on both fronts.

“You would like a president with some idea about constitutional limits on presidential powers, on congressional powers, on federal powers,” Professor Barnett said, “and I doubt he has any awareness of such limits.”

Mr. Post said that view was too sanguine, given the executive branch’s practical primacy. “The president has all the power with respect to enforcing the law,” he said. “There’s only one of those three branches that actually has the guns in its hands, and that’s the executive.”

“I don’t think he cares about separation of powers at all,” said Richard Epstein, a fellow at the Hoover Institution who also teaches at New York University and the University of Chicago.

President George W. Bush “often went beyond what he should have done,” Professor Epstein said. “I think Obama’s been much worse on that issue pretty consistently, and his underlings have been even more so. But I think Trump doesn’t even think there’s an issue to worry about. He just simply says whatever I want to do I will do.”

“I can easily see a situation in which he would take the Andrew Jackson line,” Professor Epstein said, referring to a probably apocryphal comment attributed to Jackson about Chief Justice John Marshall: “John Marshall has made his decision; now let him enforce i

“I can easily see a situati

There are other precedents, said John C. Yoo, a law professor at the University of California, Berkeley, who took an expansive view of executive power as a lawyer in the Bush administration. “The only two other presidents I can think of who were so hostile to judges on an individual level and to the judiciary as a whole would be Thomas Jefferson and Franklin Roosevelt,” he said.

Other legal scholars said they were worried about Mr. Trump’s commitment to the First Amendment. He has taken particular aim at The Washington Post and its owner, Jeff Bezos, the founder of Amazon

On one hand, Mr. Trump seemed to misunderstand the scope of presidential power. Libel is a state-law tort constrained by First Amendment principles, and a president’s views do not figure in its application.

“There are very few serious constitutional thinkers who believe public figures should be able to use libel as indiscriminately as Trump seems to think they should,” Professor Somin said. “He poses a serious threat to the press and the First Amendment.”

On the other hand, said Ilya Somin, a law professor at George Mason University, Mr. Trump’s comments betrayed a troubling disregard for free expression.

Many of Mr. Trump’s statements about legal issues were extemporaneous and resist conventional legal analysis. Some seemed to betray ignorance of fundamental legal concepts, as when he said in a debate that Senator Ted Cruz of Texas had criticized Mr. Trump’s sister, a federal appeals court judge, “for signing a certain bill,” adding for good measure that Justice Samuel A. Alito Jr., while still an appeals court judge, had also “signed that bill.”

But bills are legislative rather than judicial documents. And, as it happened, Judge Alito had not joined the opinion in question.

One explanation for why so many come to that conclusion in the first place has to do with the widening of the gulf between America’s coasts and the region in between them

Cities that can entice well-educated professionals are booming, even as “flyover” communities have largely seen good-paying factory work automated or shipped overseas, replaced to a large extent with insecure jobs: Walmart greeters, independent-contractor truck drivers, and the like.

a college degree has become the true mark of individual success in America—the sort of white-picket-fence fantasy that drives people well into their elder years to head back to school

the white working class that emerged in the 19th century—stitched together from long-combative European ethnic groups—strived to set themselves apart from African Americans, Chinese, and other vilified “indispensable enemies,” and build, by contrast (at least in their view), a sense of workingman pride.

this last election was a reminder that white male resentment of “nasty” women and “uppity” racial and other minorities remains strong.

That said, many Americans with more stable, better-paid jobs have blind spots of their own. For all of their professed open-mindedness in other areas, millions of the well-educated and well-off who live in or near big cities tend to endorse the notion, explicitly or implicitly, that education determines a person’s value

white voters from hard-hit rural areas and hollowed-out industrial towns have turned away from a Democratic Party that has offered them little in the way of hope and inspiration and much in the way of disdain and blame.

Well into the 21st century, two-thirds of Americans age 25 and over do not have a bachelor’s degree. The labor market has become more polarized, as highly paid jobs for workers with middling levels of education and skill dwindle away.

As much as both liberals and conservatives have touted education as a means of attaining social mobility, economic trends suggest that this strategy has limits, especially in its ability to do anything about the country’s rapidly growing inequalities

such a fervent belief in the transformative power of education also implies that a lack of it amounts to personal failure—being a “stupid” person

even some workers I spoke to—all former union members—said they felt that people without a good education did not deserve to make a good living.

The rules of meritocracy that these blue-collar workers say they admire barely apply to the very top levels of the economy. Groups of elite workers—professionals, managers, financial workers, tenured professors—continue to wall themselves off from competition. They still organize collectively, through lobbying, credentialing, licensing, and other strategies. But fewer ordinary workers have the same ability to do so

What has emerged in the new economy, then, is a stunted meritocracy: meritocracy for you, but not for me

From gripes about the backwardness and boredom of small-town America to jokes about “rednecks” and “white trash” that are still acceptable to say in polite company, it’s no wonder that the white working class believes that others look down on them. That’s not to say their situation is worse than that of the black and Latino working classes—it’s to say that where exactly they fit in the hierarchy of oppression is a question that leads nowhere, given how much all these groups have struggled in recent decades.

However exaggerated by stereotypes, the urbane, urban values of the well-educated professional class, with its postmodern cultural relativism and its rejection of old dogmas, are not attractive alternatives to what the working class has long relied on as a source of solace.

In the absence of other sources of meaning, Americans are left with meritocracy, a game of status and success, along with the often ruthless competition it engenders. And the consequence of a perspective of self-reliance—Americans, compared to people in other countries, hold a particularly strong belief that people succeed through their own hard work—is a sense that those who fail are somehow inferior

The concept of grace comes from the Christian teaching that everyone, not just the deserving, is saved by God’s grace. Grace in the broader sense that I (an agnostic) am using, however, can be both secular and religious. In the simplest terms, it is about refusing to divide the world into camps of deserving and undeserving, as those on both the right and left are wont to do

It rejects an obsession with excusing nothing, with measuring and judging the worth of people based on everything from a spotty résumé to an offensive comment.

Unlike an egalitarian viewpoint focused on measuring and leveling inequalities, grace rejects categories of right and wrong, just and unjust, and offers neither retribution nor restitution, but forgiveness.

With a perspective of grace, it becomes clearer that America, the wealthiest of nations, possesses enough prosperity to provide adequately for all. It becomes easier to part with one’s hard-won treasure in order to pull others up, even if those being helped seem “undeserving”—a label that today serves as a justification for opposing the sharing of wealth on the grounds that it is a greedy plea from the resentful, idle, and envious.

ignorance shouldn’t be considered an irremediable sin. Yet many of the liberal, affluent, and college-educated too often reduce the beliefs of a significant segment of the population to a mash of evil and delusion

One of the few things he could really depend on was his church. He volunteered on their Sunday-school bus, leading the kids in singing songs. “It helps to be around young people,” he said. For many of the jobless workers I interviewed, religion and tradition provided a sense of community and a feeling that their lives had purpose.

While there are no simple explanations for the desperation and anger visible in many predominantly white working-class communities, perhaps the most astute and original diagnosis came from the rabbi and activist Michael Lerner, who, in assessing Donald Trump’s victory, looked from a broader vantage point than most. Underneath the populist ire, he wrote, was a suffering “rooted in the hidden injuries of class and in the spiritual crisis that the global competitive marketplace generates.”

That cuts right to it. The modern economy privileges the well-educated and highly-skilled, while giving them an excuse to denigrate the people at the bottom (both white and nonwhite) as lazy, untalented, uneducated, and unsophisticated.

many well-off Americans from across the political spectrum scorn the white working class in particular for holding onto religious superstitions and politically incorrect views, and pity them for working lousy jobs at dollar stores and fast-food restaurants that the better-off rarely set foot in

This system of categorizing Americans—the logical extension of life in what can be called an extreme meritocracy—can be pernicious: The culture holds up those who succeed as examples, however anecdotal, that everyone can make it in America. Meanwhile, those who fail attract disdain and indifference from the better-off, their low status all the more painful because it is regarded as deserved.

the shame of low status afflicts not just the unemployed, but also the underemployed. Their days are no longer filled with the dignified, if exhausting, work of making real things.

For less educated workers (of all races) who have struggled for months or years to get another job, failure is a source of deep shame and a reason for self-blame. Without the right markers of merit—a diploma, marketable skills, a good job—they are “scrubs” who don’t deserve romantic partners, “takers” living parasitically off the government, “losers” who won’t amount to anything

Even those who consider themselves lucky to have jobs can feel a sense of despair, seeing how poorly they stand relative to others, or how much their communities have unraveled, or how dim their children’s future seems to be: Research shows that people judge how well they’re doing through constant comparisons, and by these personal metrics they are hurting, whatever the national unemployment rate may be.

Russia has undoubtedly suffered economically from the global downturn in energy prices and from economic sanctions following the annexation of the Crimea, but the degree of dependence, in particular energy dependence, that Western Europe has on Russia is highly significant.

For example, the Nord Stream pipeline laid in international waters along the Baltic from Russia to Germany, supplies a significant -- according to EU figures, 38.7% -- proportion of Western Europe's gas needs.

Russia desperately needs the foreign earnings this generates

Consequently, while the armies and individual battles might be smaller than those in World War II, the death toll, the loss of war-making material and both sides' ability to reduce everything in their paths to rubble would make a large-scale conflict far more wide-reaching and, in terms of recovery, longer-lasting than anything we have seen before.

Turkey, on Russia's southern border, joined the military alliance in 1952, and since the end of the Cold War, many of Russia's former Warsaw Pact allies, including Poland, the Czech Republic, Slovakia, Romania, Bulgaria and the Baltic States have signed up, too.

It's certainly in Putin's interests that the West cuts defense spending and has a diminished appetite for brinkmanship and it is perhaps understandable that a recently retired general should push for this to be reversed.

However, NATO's forces are deployed globally to a far greater extent than Russia's. And even acknowledging that Russia could achieve a temporary military advantage in, say, the Baltic, for how long and at what price?

the likelihood of a Kursk-style pitched battle between heavy armor is highly unlikely.

A real-life analysis of the Russian president's actions would suggest that he is being entirely rational and that his actions are those or an arch-realist who places the needs of his country first.

Such a war, employing ships, submarines and aircraft with truly global reach, would indeed be a world war and would pay scant attention to the difference between military and civilian targets: this would truly be a war among the peoples.

Despite Shirreff's warnings, the nightmare scenario of nuclear war is highly unlikely as neither side ultimately would wish to unleash destruction on that scale.

This would be total war, waged on every imaginable front, from the internet and the stock market to outer space.

If elected, Edwards would become the second black woman ever to join the Senate.

Still, the term “identity politics” is frequently used as a pejorative by conservatives who accuse liberals of provoking division on issues of race and gender for political gain.

as for which of these groups makes America great, I’m not sure what criteria to use, but if it is generating wealth and contributing to gross domestic product, it’s not even close.

According to the Brookings Institution, the 500 counties won by Clinton produced 64 percent of U.S. economic output, while the 2,600 counties won by Trump produced just 36 percent of GDP.

It is blue states, which voted against Trump in 2016, that fund the red states that voted for him. From 1990 to 2009, Clinton states collectively paid $2.4 trillion more in federal taxes than they received in federal spending, while Trump states altogether received $1.3 trillion more than they paid.

this is not the way I think we should look at America. It’s one country, and different parts and people contribute in different ways.

The goal should be to use politics as a mechanism to bring us together through both public policy and public discourse.

Most presidents begin their tenure by trying to reach out to their political opponents, signaling that they want to represent those who didn’t vote for them as well as those who did, and generally trying to bring the country together. Trump has made almost no such effort, simply asserting that the country was divided before he was elected and thus absolving himself of any responsibility for unifying it. In office, he has mercilessly attacked anyone who dares to disagree with him

The challenge for the media must be to ensure that we don’t mirror Trump’s attitude of hostility. We cannot absorb and reflect that negativity. We are not the opposition. We are a civic institution, explicitly protected by the Constitution, that is meant to hold government accountable and provide real information to the citizenry.

The economics community just hasn't spent much time over the past couple of decades focusing on the effect that machine intelligence is likely to have on the labor marke

The Digital Revolution is different because computers can perform cognitive tasks too, and that means machines will eventually be able to run themselves. When that happens, they won't just put individuals out of work temporarily. Entire classes of workers will be out of work permanently. In other words, the Luddites weren't wrong. They were just 200 years too early

while it's easy to believe that some jobs can never be done by machines—do the elderly really want to be tended by robots?—that may not be true.

Robotic pets are growing so popular that Sherry Turkle, an MIT professor who studies the way we interact with technology, is uneasy about it: "The idea of some kind of artificial companionship," she says, "is already becoming the new normal."

robots will take over more and more jobs. And guess who will own all these robots? People with money, of course. As this happens, capital will become ever more powerful and labor will become ever more worthless. Those without money—most of us—will live on whatever crumbs the owners of capital allow us.

Economist Paul Krugman recently remarked that our long-standing belief in skills and education as the keys to financial success may well be outdated. In a blog post titled "Rise of the Robots," he reviewed some recent economic data and predicted that we're entering an era where the prime cause of income inequality will be something else entirely: capital vs. labor.

We're already seeing them, and not just because of the crash of 2008. They started showing up in the statistics more than a decade ago. For a while, though, they were masked by the dot-com and housing bubbles, so when the financial crisis hit, years' worth of decline was compressed into 24 months. The trend lines dropped off the cliff.

In the economics literature, the increase in the share of income going to capital owners is known as capital-biased technological change

The question we want to answer is simple: If CBTC is already happening—not a lot, but just a little bit—what trends would we expect to see? What are the signs of a computer-driven economy?

if automation were displacing labor, we'd expect to see a steady decline in the share of the population that's employed.

Second, we'd expect to see fewer job openings than in the past.

Third, as more people compete for fewer jobs, we'd expect to see middle-class incomes flatten in a race to the bottom.

Fourth, with consumption stagnant, we'd expect to see corporations stockpile more cash and, fearing weaker sales, invest less in new products and new factories

Fifth, as a result of all this, we'd expect to see labor's share of national income decline and capital's share rise.

There will be no place to go but the unemployment line.

The modern economy is complex, and most of these trends have multiple causes.

in another sense, we should be very alarmed. It's one thing to suggest that robots are going to cause mass unemployment starting in 2030 or so. We'd have some time to come to grips with that. But the evidence suggests that—slowly, haltingly—it's happening already, and we're simply not prepared for it.

the first jobs to go will be middle-skill jobs. Despite impressive advances, robots still don't have the dexterity to perform many common kinds of manual labor that are simple for humans—digging ditches, changing bedpans. Nor are they any good at jobs that require a lot of cognitive skill—teaching classes, writing magazine articles

in the middle you have jobs that are both fairly routine and require no manual dexterity. So that may be where the hollowing out starts: with desk jobs in places like accounting or customer support.

In fact, there's even a digital sports writer. It's true that a human being wrote this story—ask my mother if you're not sure—but in a decade or two I might be out of a job too

Doctors should probably be worried as well. Remember Watson, the Jeopardy!-playing computer? It's now being fed millions of pages of medical information so that it can help physicians do a better job of diagnosing diseases. In another decade, there's a good chance that Watson will be able to do this without any human help at all.

Take driverless cars.

Most likely, owners of capital would strongly resist higher taxes, as they always have, while workers would be unhappy with their enforced idleness. Still, the ancient Romans managed to get used to it—with slave labor playing the role of robots—and we might have to, as well.

There will be no place to go but the unemployment lin

we'll need to let go of some familiar convictions. Left-leaning observers may continue to think that stagnating incomes can be improved with better education and equality of opportunity. Conservatives will continue to insist that people without jobs are lazy bums who shouldn't be coddled. They'll both be wrong.

Corporate executives should worry too. For a while, everything will seem great for them: Falling labor costs will produce heftier profits and bigger bonuses. But then it will all come crashing down. After all, robots might be able to produce goods and services, but they can't consume them

we'll probably have only a few options open to us. The simplest, because it's relatively familiar, is to tax capital at high rates and use the money to support displaced workers. In other words, as The Economist's Ryan Avent puts it, "redistribution, and a lot of it."

would we be happy in a society that offers real work to a dwindling few and bread and circuses for the rest?

The next step might be passenger vehicles on fixed routes, like airport shuttles. Then long-haul trucks. Then buses and taxis. There are 2.5 million workers who drive trucks, buses, and taxis for a living, and there's a good chance that, one by one, all of them will be displaced

 economist Noah Smith suggests that we might have to fundamentally change the way we think about how we share economic growth. Right now, he points out, everyone is born with an endowment of labor by virtue of having a body and a brain that can be traded for income. But what to do when that endowment is worth a fraction of what it is today? Smith's suggestion: "Why not also an endowment of capital? What if, when each citizen turns 18, the government bought him or her a diversified portfolio of equity?"

In simple terms, if owners of capital are capturing an increasing fraction of national income, then that capital needs to be shared more widely if we want to maintain a middle-class society.

it's time to start thinking about our automated future in earnest. The history of mass economic displacement isn't encouraging—fascists in the '20s, Nazis in the '30s—and recent high levels of unemployment in Greece and Italy have already produced rioting in the streets and larger followings for right-wing populist parties. And that's after only a few years of misery.

When the robot revolution finally starts to happen, it's going to happen fast, and it's going to turn our world upside down. It's easy to joke about our future robot overlords—R2-D2 or the Terminator?—but the challenge that machine intelligence presents really isn't science fiction anymore. Like Lake Michigan with an inch of water in it, it's happening around us right now even if it's hard to see

A robotic paradise of leisure and contemplation eventually awaits us, but we have a long and dimly lit tunnel to navigate before we get there.

crowding, especially in bigger cities, is one of the downsides of a government-run health care system. On the upside, had I managed to book a bed in one of the public wards, my birth would have been completely free, paid for entirely by the government’s Assurance Maladie. Everyone pays into Assurance Maladie through charges that are taken directly from their paycheck

From the sixth month of pregnancy to 11 days after a child’s birth, the government covers a woman’s medical expenses in full.

transparency in the price of medical care is a legal requirement in France. The government sets what they consider fair prices for all appointments and procedures, and then reimburses these for everyone at 70 percent. This is not unlike Medicare and Medicaid in the U.S., but because the French government system covers the entire population, it has more bargaining power to keep prices low

t’s not uncommon in the bigger cities, particularly in Paris, for a doctor to charge more than the government’s recommended price. But these overages, called dépassements, don’t come anywhere near what an American specialist might charge. In fact, under French law, a doctor must issue a receipt explaining any dépassement above 70 euros before beginning the test or appointment.

In the U.S., meanwhile, it’s often impossible to get a price for a delivery out of a hospital. Estimates vary by orders of magnitude: This California study of 100,000 complication-free deliveries showed that new mothers were charged anywhere from $3,296 to $37,227, with no clear medical reason for the massive discrepancy.

By contrast, for my complication-free delivery and five-day stay in a private clinic, my total out-of-pocket cost was 400 euros, or about $542.

I don’t think we should count Obamacare’s average monthly premium of $328 as a success. That’s still a lot of money for a middle-class family—and that’s before co-pays, in-network deductibles, and all manner of hidden costs. From my French-ified perspective, a single-payer system—with strong government oversight to keep the price of medical care low—seems like the only way to go.