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Javier E

Doomsday Prep for the Super-Rich | The New Yorker - 0 views

  • as the Presidential campaign exposed increasingly toxic divisions in America, Antonio García Martínez, a forty-year-old former Facebook product manager living in San Francisco, bought five wooded acres on an island in the Pacific Northwest and brought in generators, solar panels, and thousands of rounds of ammunition. “When society loses a healthy founding myth, it descends into chaos,” he told me. The author of “Chaos Monkeys,” an acerbic Silicon Valley memoir, García Martínez wanted a refuge that would be far from cities but not entirely isolated. “All these dudes think that one guy alone could somehow withstand the roving mob,” he said. “No, you’re going to need to form a local militia. You just need so many things to actually ride out the apocalypse.” Once he started telling peers in the Bay Area about his “little island project,” they came “out of the woodwork” to describe their own preparations, he said. “I think people who are particularly attuned to the levers by which society actually works understand that we are skating on really thin cultural ice right now.”
  • In private Facebook groups, wealthy survivalists swap tips on gas masks, bunkers, and locations safe from the effects of climate change. One member, the head of an investment firm, told me, “I keep a helicopter gassed up all the time, and I have an underground bunker with an air-filtration system.” He said that his preparations probably put him at the “extreme” end among his peers. But he added, “A lot of my friends do the guns and the motorcycles and the gold coins. That’s not too rare anymore.”
  • Tim Chang, a forty-four-year-old managing director at Mayfield Fund, a venture-capital firm, told me, “There’s a bunch of us in the Valley. We meet up and have these financial-hacking dinners and talk about backup plans people are doing. It runs the gamut from a lot of people stocking up on Bitcoin and cryptocurrency, to figuring out how to get second passports if they need it, to having vacation homes in other countries that could be escape havens.” He said, “I’ll be candid: I’m stockpiling now on real estate to generate passive income but also to have havens to go to.” He and his wife, who is in technology, keep a set of bags packed for themselves and their four-year-old daughter. He told me, “I kind of have this terror scenario: ‘Oh, my God, if there is a civil war or a giant earthquake that cleaves off part of California, we want to be ready.’ ”
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  • When Marvin Liao, a former Yahoo executive who is now a partner at 500 Startups, a venture-capital firm, considered his preparations, he decided that his caches of water and food were not enough. “What if someone comes and takes this?” he asked me. To protect his wife and daughter, he said, “I don’t have guns, but I have a lot of other weaponry. I took classes in archery.”
  • Over the years, Huffman has become increasingly concerned about basic American political stability and the risk of large-scale unrest. He said, “Some sort of institutional collapse, then you just lose shipping—that sort of stuff.” (Prepper blogs call such a scenario W.R.O.L., “without rule of law.”) Huffman has come to believe that contemporary life rests on a fragile consensus. “I think, to some degree, we all collectively take it on faith that our country works, that our currency is valuable, the peaceful transfer of power—that all of these things that we hold dear work because we believe they work. While I do believe they’re quite resilient, and we’ve been through a lot, certainly we’re going to go through a lot more.”
  • Justin Kan heard the first inklings of survivalism among his peers. Kan co-founded Twitch, a gaming network that was later sold to Amazon for nearly a billion dollars. “Some of my friends were, like, ‘The breakdown of society is imminent. We should stockpile food,’ ” he said. “I tried to. But then we got a couple of bags of rice and five cans of tomatoes. We would have been dead if there was actually a real problem.” I asked Kan what his prepping friends had in common. “Lots of money and resources,” he said. “What are the other things I can worry about and prepare for? It’s like insurance.”
  • Long before the financial crisis became front-page news, early signs appeared in user comments on Reddit. “People were starting to whisper about mortgages. They were worried about student debt. They were worried about debt in general. There was a lot of, ‘This is too good to be true. This doesn’t smell right.’ ” He added, “There’s probably some false positives in there as well, but, in general, I think we’re a pretty good gauge of public sentiment. When we’re talking about a faith-based collapse, you’re going to start to see the chips in the foundation on social media first.”
  • How did a preoccupation with the apocalypse come to flourish in Silicon Valley, a place known, to the point of cliché, for unstinting confidence in its ability to change the world for the better?Those impulses are not as contradictory as they seem. Technology rewards the ability to imagine wildly different futures,
  • “When you do that, it’s pretty common that you take things ad infinitum, and that leads you to utopias and dystopias,” he said. It can inspire radical optimism—such as the cryonics movement, which calls for freezing bodies at death in the hope that science will one day revive them—or bleak scenarios.
  • In 2012, National Geographic Channel launched “Doomsday Preppers,” a reality show featuring a series of Americans bracing for what they called S.H.T.F. (when the “shit hits the fan”). The première drew more than four million viewers, and, by the end of the first season, it was the most popular show in the channel’s history.
  • A survey commissioned by National Geographic found that forty per cent of Americans believed that stocking up on supplies or building a bomb shelter was a wiser investment than a 401(k).
  • Johnson wishes that the wealthy would adopt a greater “spirit of stewardship,” an openness to policy change that could include, for instance, a more aggressive tax on inheritance. “Twenty-five hedge-fund managers make more money than all of the kindergarten teachers in America combined,” he said. “Being one of those twenty-five doesn’t feel good. I think they’ve developed a heightened sensitivity.”
  • In an e-mail, Wong told me, “Most people just assume improbable events don’t happen, but technical people tend to view risk very mathematically.” He continued, “The tech preppers do not necessarily think a collapse is likely. They consider it a remote event, but one with a very severe downside, so, given how much money they have, spending a fraction of their net worth to hedge against this . . . is a logical thing to do.”
  • I asked Hoffman to estimate what share of fellow Silicon Valley billionaires have acquired some level of “apocalypse insurance,” in the form of a hideaway in the U.S. or abroad. “I would guess fifty-plus per cent,” he said, “but that’s parallel with the decision to buy a vacation home. Human motivation is complex, and I think people can say, ‘I now have a safety blanket for this thing that scares me
  • In building Reddit, a community of thousands of discussion threads, into one of the most frequently visited sites in the world, Huffman has grown aware of the way that technology alters our relations with one another, for better and for worse. He has witnessed how social media can magnify public fear. “It’s easier for people to panic when they’re together,” he said, pointing out that “the Internet has made it easier for people to be together,” yet it also alerts people to emerging risks.
  • “I’ve heard this theme from a bunch of people,” Hoffman said. “Is the country going to turn against the wealthy? Is it going to turn against technological innovation? Is it going to turn into civil disorder?”
  • The C.E.O. of another large tech company told me, “It’s still not at the point where industry insiders would turn to each other with a straight face and ask what their plans are for some apocalyptic event.” He went on, “But, having said that, I actually think it’s logically rational and appropriately conservative.”
  • “Our food supply is dependent on G.P.S., logistics, and weather forecasting,” he said, “and those systems are generally dependent on the Internet, and the Internet is dependent on D.N.S.”—the system that manages domain names. “Go risk factor by risk factor by risk factor, acknowledging that there are many you don’t even know about, and you ask, ‘What’s the chance of this breaking in the next decade?’ Or invert it: ‘What’s the chance that nothing breaks in fifty years?’ ”
  • “Anyone who’s in this community knows people who are worried that America is heading toward something like the Russian Revolution,” he told me recently.
  • “People know the only real answer is, Fix the problem,” he said. “It’s a reason most of them give a lot of money to good causes.” At the same time, though, they invest in the mechanics of escape. He recalled a dinner in New York City after 9/11 and the bursting of the dot-com bubble: “A group of centi-millionaires and a couple of billionaires were working through end-of-America scenarios and talking about what they’d do. Most said they’ll fire up their planes and take their families to Western ranches or homes in other countries.”
  • By January, 2015, Johnson was sounding the alarm: the tensions produced by acute income inequality were becoming so pronounced that some of the world’s wealthiest people were taking steps to protect themselves. At the World Economic Forum in Davos, Switzerland, Johnson told the audience, “I know hedge-fund managers all over the world who are buying airstrips and farms in places like New Zealand because they think they need a getaway.”
  • many worry that, as artificial intelligence takes away a growing share of jobs, there will be a backlash against Silicon Valley, America’s second-highest concentration of wealth.
  • The gap is widening further. In December, the National Bureau of Economic Research published a new analysis, by the economists Thomas Piketty, Emmanuel Saez, and Gabriel Zucman, which found that half of American adults have been “completely shut off from economic growth since the 1970s.” Approximately a hundred and seventeen million people earn, on average, the same income that they did in 1980, while the typical income for the top one per cent has nearly tripled.
  • r the silo and finished construction in December, 2012, at a cost of nearly twenty million dollars. He created twelve private apartments: full-floor units were advertised at three million dollars; a half-floor was half the price. He has sold every unit, except one for himself, he said
  • Johnson said, “If we had a more equal distribution of income, and much more money and energy going into public school systems, parks and recreation, the arts, and health care, it could take an awful lot of sting out of society. We’ve largely dismantled those things.”
  • “Why do people who are envied for being so powerful appear to be so afraid?” Johnson asked. “What does that really tell us about our system?” He added, “It’s a very odd thing. You’re basically seeing that the people who’ve been the best at reading the tea leaves—the ones with the most resources, because that’s how they made their money—are now the ones most preparing to pull the rip cord and jump out of the plane.”
  • The movement received another boost from the George W. Bush Administration’s mishandling of Hurricane Katrina. Neil Strauss, a former Times reporter, who chronicled his turn to prepping in his book “Emergency,” told me, “We see New Orleans, where our government knows a disaster is happening, and is powerless to save its own citizens.”
  • Tyler Allen, a real-estate developer in Lake Mary, Florida, who told me that he paid three million dollars for one of Hall’s condos. Allen said he worries that America faces a future of “social conflict” and government efforts to deceive the public. He suspects that the Ebola virus was allowed to enter the country in order to weaken the population. When I asked how friends usually respond to his ideas, he said, “The natural reaction that you get most of the time is for them to laugh, because it scares them.” But, he added, “my credibility has gone through the roof. Ten years ago, this just seemed crazy that all this was going to happen: the social unrest and the cultural divide in the country, the race-baiting and the hate-mongering.”
  • d G. Mitchell, Jr., a professor emeritus at Oregon State University, who spent twelve years studying survivalism, said, “During the Reagan era, we heard, for the first time in my life, and I’m seventy-four years old, from the highest authorities in the land that government has failed you, the collective institutional ways of solving problems and understanding society are no good. People said, ‘O.K., it’s flawed. What do I do now?’ ”
  • That gap is comparable to the gap between average incomes in the U.S. and the Democratic Republic of Congo,
  • If a silo in Kansas is not remote or private enough, there is another option. In the first seven days after Donald Trump’s election, 13,401 Americans registered with New Zealand’s immigration authorities, the first official step toward seeking residency—more than seventeen times the usual rate. The New Zealand Herald reported the surge beneath the headline “Trump Apocalypse.”
  • In fact, the influx had begun well before Trump’s victory. In the first ten months of 2016, foreigners bought nearly fourteen hundred square miles of land in New Zealand, more than quadruple what they bought in the same period the previous year
  • Much as Switzerland once drew Americans with the promise of secrecy, and Uruguay tempted them with private banks, New Zealand offers security and distance. In the past six years, nearly a thousand foreigners have acquired residency there under programs that mandate certain types of investment of at least a million dollars.
  • The difference between New Zealand and the U.S., to a large extent, is that people who disagree with each other can still talk to each other about it here. It’s a tiny little place, and there’s no anonymity. People have to actually have a degree of civility.”
  • Jack Matthews, an American who is the chairman of MediaWorks, a large New Zealand broadcaster, told me, “I think, in the back of people’s minds, frankly, is that, if the world really goes to shit, New Zealand is a First World country, completely self-sufficient, if necessary—energy, water, food. Life would deteriorate, but it would not collapse.”
  • Top to bottom, the island chain runs roughly the distance between Maine and Florida, with half the population of New York City
  • In a recent World Bank report, New Zealand had supplanted Singapore as the best country in the world to do business.
  • “Kiwis used to talk about the ‘tyranny of distance,’ ” Wall said, as we crossed town in his Mercedes convertible. “Now the tyranny of distance is our greatest asset.”
  • American clients have also sought strategic advice. “They’re asking, ‘Where in New Zealand is not going to be long-term affected by rising sea levels?’ ”
  • In particular, the attention of American survivalists has generated resentment. In a discussion about New Zealand on the Modern Survivalist, a prepper Web site, a commentator wrote, “Yanks, get this in your heads. Aotearoa NZ is not your little last resort safe haven.”
  • An American hedge-fund manager in his forties—tall, tanned, athletic—recently bought two houses in New Zealand and acquired local residency. He agreed to tell me about his thinking, if I would not publish his name. Brought up on the East Coast, he said, over coffee, that he expects America to face at least a decade of political turmoil, including racial tension, polarization, and a rapidly aging population. “The country has turned into the New York area, the California area, and then everyone else is wildly different in the middle,” he said. He worries that the economy will suffer if Washington scrambles to fund Social Security and Medicare for people who need it. “Do you default on that obligation? Or do you print more money to give to them? What does that do to the value of the dollar? It’s not a next-year problem, but it’s not fifty years away, either.”
  • He said, “This is no longer about a handful of freaks worried about the world ending.” He laughed, and added, “Unless I’m one of those freaks.”
  • Fear of disaster is healthy if it spurs action to prevent it. But élite survivalism is not a step toward prevention; it is an act of withdrawal.
  • Philanthropy in America is still three times as large, as a share of G.D.P., as philanthropy in the next closest country, the United Kingdom. But it is now accompanied by a gesture of surrender, a quiet disinvestment by some of America’s most successful and powerful people. Faced with evidence of frailty in the American project, in the institutions and norms from which they have benefitted, some are permitting themselves to imagine failure. It is a gilded despair.
  • As Huffman, of Reddit, observed, our technologies have made us more alert to risk, but have also made us more panicky; they facilitate the tribal temptation to cocoon, to seclude ourselves from opponents, and to fortify ourselves against our fears, instead of attacking the sources of them. Justin Kan, the technology investor who had made a halfhearted effort to stock up on food, recalled a recent phone call from a friend at a hedge fund. “He was telling me we should buy land in New Zealand as a backup. He’s, like, ‘What’s the percentage chance that Trump is actually a fascist dictator? Maybe it’s low, but the expected value of having an escape hatch is pretty high.’ 
  • As Americans withdraw into smaller circles of experience, we jeopardize the “larger circle of empathy,” he said, the search for solutions to shared problems. “The easy question is, How do I protect me and mine? The more interesting question is, What if civilization actually manages continuity as well as it has managed it for the past few centuries? What do we do if it just keeps on chugging?”
lilyrashkind

10 Things You May Not Know About the Jamestown Colony - HISTORY - 0 views

  • In May of 1607, a hearty group of Englishmen arrived on the muddy shores of modern-day Virginia under orders from King James I to establish an English colony. But despite their efforts,
  • In December of 1606, the Virginia Company, under charter from King James I, sent an expedition to establish an English settlement in North America. When their ships, the Susan Constant, Godspeed and Discovery, arrived near the banks of the James River on May 14, 1607, 104 men and boys set foot on what would soon become Jamestown. The initial group contained well-to-do adventurers, a handful of artisans and craftsmen, and laborers eager to forge a new home. Notably absent were members of the opposite sex. It would be another nine long months before any women arrived at the fledgling colony. 
  • While the terrain might have appeared ideal from the deck of a ship—unoccupied and ripe with natural resources—the Virginia Company established its settlement on a swath of swampy land with no source of fresh water. Soon after, the men began to perish. Only 38 of the 104 original settlers were still alive by January 1608. 
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  • Before more colonists arrived from England, the population of Jamestown dwindled. The Virginia Company had predicted that disease would manifest, and lives would be lost. Concerned about prying eyes and an ambush on a weakened colony, they had stressed "above all things" that the colonists hide the sick and bury the dead in unmarked graves. The men followed orders, burying their deceased out of sight behind the fort wall. When the death toll spiked between May and September of 1607, they also made use of double burials with two men laid to rest in the same shaft.
  • Surrounded by Powhatan’s warriors and trapped inside the fort, the settlers eventually ran out of food and were forced to eat whatever they could find: horses, dogs, rats, snakes, leather shoes and, according to forensic evidence, even each other.
  • The Virginia Company offered attractive incentives for would-be wives: free transportation, a plot of land, a dowry of clothing and furnishings. They also allowed the women to choose their husbands after entertaining the eager suitors. The tactic had some success, and, the women, in theory, became America’s first mail-order brides.
  • King James I had a strong, and well-known, distaste for tobacco. “A custome lothsome to the eye, hatefull to the Nose,” he once declared. It’s ironic that this very crop gave Jamestown its economic viability. The settlement had struggled to find a marketable commodity that it could trade and ship back to England for profit. The colonists dabbled in forestry, silk making and glassmaking, with little financial return.
  • . Thereafter, each new English colony sought its own legislature. Although there were challenges and power struggles, the concept of elections, creation of laws and power through and by the people, began in America's first English settlement.
  • Before their arrival, European explorers assumed America's climate would match that of other lands situated at the same latitude. They soon discovered that the New World was both hotter and colder than they expected. To make matters worse, the already harsh and unpredictable environment was exacerbated by climate change, namely a “Little Ice Age” that lasted from 1550 to 1800.
  • No one knows where or how Rolfe obtained the seeds. Until then, Spain had controlled tobacco on the European markets and selling seeds to non-Spaniards was a crime punishable by death. Rolfe may have smuggled the seeds from Bermuda, where some of the fleet was shipwrecked for 10 months before arriving in Jamestown, or somewhere in the Caribbean. Either way, the risk paid off.
  • Historians believe that Rolfe either falsified his report to conceal what the English had done or that the White Lion swapped flags with a Dutch ship while out at sea, causing Rolfe to incorrectly record the ship’s country of origin.
  • Active archaeological excavation, research and analysis have been ongoing since 1994 at the original site of Jamestown. Archaeologists have found parts of the palisade of the original 1607 fort, discovered the site of the second church and unearthed the remains of a handful of the settlement’s early inhabitants.
Javier E

Opinion | Donald Trump May Have Begun Losing - The New York Times - 0 views

  • Without obvious shared goals, arguably all these different prosecutors, officials and individuals are undertaking an inadvertent deterrence project, keeping alive the bad parts of the recent past and applying pressure on the central players.
  • We talk about a “chilling” effect with abortion laws, regulatory action against corporations and certain speech policies; these “work” by exerting pressure, making people skittish and worried about getting caught up in legal trouble.
  • post-Jan. 6 prosecutions and the prospect of an indictment in Georgia may be causing people to be less rowdy.
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  • Deterrence is an uneasy goal, however — hard to measure, impossible to predict, and at danger of becoming retribution in the wrong hands, or even hardening reactionary and illiberal elements by accident.
  • Reaching one shared idea of what happened and why things went wrong, even within a smaller group behind closed doors, has real appeal, even if it’s not how we would want a country run. Instead, it’s like the best society can do is to keep applying a kind of societal weight to Mr. Trump — attention on the accurate memory of the events, the creation of legal hurdles and public scrutiny, possibly doomed prosecutions of varying quality — adding a little more weight, a little more weight, a little more weight in an effort to contain him
  • It’s like some mixed-up version of deterrence and truth, with a society trying something, anything, with possibly volatile precedents for the future.
Javier E

Europe's energy crisis may get a lot worse - 0 views

  • It was only at the end of April that Russia cut gas supplies to Poland and Bulgaria, the first two victims of its energy-pressure campaign. But overall gas shipments are at less than one-third the level they were just a year ago. In mid-June, shipments through Nord Stream 1 were cut by 75 percent; in July, they were cut again.
  • “It is wartime,” Tatiana Mitrova, a research fellow at Columbia, told her colleague Jason Bordoff, a former adviser to Barack Obama, on an eye-opening recent episode of the podcast “Columbia Energy Exchange.”
  • I think there’s been a gradual and growing recognition that we are headed into the worst global energy crisis at least since the 1970s and perhaps longer than that.
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  • “This is something that European politicians and consumers didn’t want to admit for quite a long time. It sounds terrible, but that’s the reality. In wartime the economy is mobilized. The decisions are made by the governments, not by the free market. This is the case for Europe this winter,” she said, adding that we may see forced rationing, price controls, the suspension of energy markets and shutdowns of whole industrial sectors. “We are not actually talking about extremely high prices, but we are talking about physical absence of energy resources in certain parts of Europe.”
  • It’s increasingly clear that Vladimir Putin is using gas as a weapon and trying to supply just enough gas to Europe to keep Europe in a perpetual state of panic about its ability to weather the coming winter.
  • Europe has been finding all the supplies that it can, but governments are realizing that’s not going to be sufficient. There are going to have to be efforts taken to curb demand as well and to prepare for the possibility of really severe energy rationing this winter.
  • If things become really severe this winter, I fear that you could see European countries start to look out for themselves rather than one another.
  • I think we could start to see governments saying, “Well, we’re going to restrict exports. We’re going to keep our energy at home.” Everyone starts to just look out for themselves, which I think would be exactly what Putin would hope for.
  • it would be wise to assume that Russia will use every opportunity it can to turn the screws on Europe.
  • I think you would see Russia continue to restrict gas exports and maybe cut them off completely to Europe — and a very cold winter. I think a combination of those two things would mean sky-high energy prices.
  • governments will have to ration energy supplies and decide what’s important.
  • Since Russia invaded Ukraine and maybe until very recently, I’ve had the sense that the European public and the public beyond Europe, as well as policymakers, have been a little bit sleepwalking into a looming crisis.
  • here was some unrealistic optimism about how quickly Europe could do without Russian gas. And we took too long to confront seriously just how bad the numbers would look if the worst came to pass.
  • I think there was continued skepticism that Putin would really cut the gas supply. “It might be declining. It might be a little bit lower,” people thought. “But he’s not really going to shut off the supply.” And I think now everyone’s recognizing that’s a real possibility.
  • Putin has the ability to do a lot of damage to the global economy — and himself, to be sure — if he cuts oil exports as well.
  • There’s no extra oil supply in the world at all, as OPEC Plus reminded everyone by saying: No, we’re not going to be increasing production much, and we can’t even if we wanted to.
  • For all the talk about high gasoline prices and the rhetoric of Putin’s energy price hike, Russia’s oil exports have not fallen very much. If that were to happen — either because the U.S. and Europe forced oil to come off the market to put economic pressure on Putin or because he takes the oil off the market to hurt all of us — oil prices go up enormously.
  • it depends how much he takes off the market. We don’t know exactly. If Russia were to cut its oil exports completely, the prices would just skyrocket — to hundreds of dollars a barrel, I think.
  • That’s because there’s just no extra supply out there today at all. There’s a very little extra supply that the Saudis and the Emiratis can put on the market. And that’s about it. We’ve used the strategic petroleum reserve, and that’s coming to an end in the next several months.
  • We’re heading into a winter where markets might simply not be able to work anymore as the instrument by which you determine supply and demand.
  • if prices just soar to uncontrollable levels, markets are not going to work anymore. You’re going to need governments to step in and decide who gets the scarce energy supplies — how much goes to heating homes, how much goes to industry. There’s going to be a pecking order of different industries, where some industries are deemed more important to the economy than others.
  • a lot of governments in Europe are putting in place those kinds of emergency plans right now.
  • if the worst comes to pass, governments will, by necessity, step in to say: Homes get the natural gas, and parts of industry get dumped. Probably they would set price caps on energy or massively subsidize it. So it’s going to be very painful.
  • Worryingly for the European economy, this may mean that factories that can’t switch fuels will go dormant.
  • Today, before winter comes, gas prices in Europe are around $60 per million British thermal units. That compares to around $7 to $8 here in the United States
  • if the worst comes to pass, the market, as a mechanism, simply won’t work. The market will break. The prices will go too high. There’s just not enough energy for the market to balance at a certain price.
  • don’t forget, the amount of liquid natural gas that Europe is importing today — Asia is competing for those shipments. What happens if the Asia winter is very bad? What happens if China and others are willing to pay very high prices for it?
  • I think we’re in a multiyear potential energy crisis.
  • one thing that hasn’t gotten enough attention and that I worry most about is the impact this is having on emerging markets and the developing economies, because it is an interconnected market. When Europe is competing to buy L.N.G. at very high prices, not to mention Asia, that means if you’re in Pakistan or Bangladesh or lower-income countries, you’re really struggling to afford it. You’re just priced out of the market for natural gas — and coal. Coal is incredibly expensive now,
  • I think that that is a real potential humanitarian crisis, as a ripple effect of what’s happening in Europe right now.
  • right now, the price of gas in Europe is about four times what it was last year. Russia has cut flows to Europe by two-thirds but is earning the same revenue as it did last year. So Putin is not being hurt by the loss of gas exports to Europe. Europe’s being hurt by that.
  • this situation could last for several years.
  • Could the energy crisis bring about a change of heart, in which European countries withdraw some of their support or even begin to pressure Ukraine to negotiate a settlement? Is it possible that could even happen in advance of this winter?
  • you would imagine that, over time, when you don’t see Ukraine on the front page each and every day, eventually people’s attention wanes a bit and at a certain point the economic pain of high energy prices or other economic harms from the conflict reach a point where support may start to fracture a bit.
  • Whether that reaches a point where you start to see the West put pressure on Ukraine to capitulate, I think we’re pretty far away from that now, because everyone recognizes how outrageous and unacceptable Putin’s conduct is.
Javier E

Opinion | The Economic Mistake Democrats Are Finally Confronting - The New York Times - 0 views

  • This is the driving theory of most of the progressive policy agenda, most of the time: give people money or a moneylike voucher they can use to buy something they need or even just want.
  • The problem is that if you subsidize the cost of something that there isn’t enough of, you’ll raise prices or force rationing. You can see the poisoned fruit of those mistakes in higher education and housing. But it also misses the opportunity to pull the technologies of the future progressives want into the present they inhabit.
  • The first problem is explored in “Cost Disease Socialism,” a new paper by the center-right Niskanen Center. “We are in an era of spiraling costs for core social goods — health care, housing, education, child care — which has made proposals to socialize those costs enormously compelling for many on the progressive left,”
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  • That requires a movement that takes innovation as seriously as it takes affordability.
  • what Bastani sees clearly is that the world we should want requires more than redistribution. It requires inventions and advances that render old problems obsolete and new possibilities manifold.
  • the authors urge conservatives to tackle costs directly. Too often, Republican proposals to cut government spending are just shell games that shift costs onto individuals. The conservative enthusiasm for moving Medicare beneficiaries onto (often more expensive!) private plans “risks being little more than an accounting trick — a purely nominal change in ‘who pays’ that would do little to address the underlying sources of cost growth.”
  • For now, though, it’s Democrats who are starting to take supply-side concerns seriously.
  • A problem of our era is there’s too little utopian thinking, but one worthy exception is Aaron Bastani’s “Fully Automated Luxury Communism,” a leftist tract that puts the technologies in development right now — artificial intelligence, renewable energy, asteroid mining, plant- and cell-based meats, and genetic editing — at the center of a postwork, postscarcity vision.
  • “What if everything could change?” he asks. “What if, more than simply meeting the great challenges of our time — from climate change to inequality and aging — we went far beyond them, putting today’s problems behind us like we did before with large predators and, for the most part, illness? What if, rather than having no sense of a different future, we decided history hadn’t actually begun?”
  • There are sharp limits on supply in all of these sectors because regulators make it hard to increase supply (zoning laws make it difficult to build housing), training and hiring workers is expensive (adding classrooms means adding teachers and teacher aides, and expanding health insurance requires more doctors and nurses) or both. “This can result in a vicious cycle in which subsidies for supply-constrained goods or services merely push up prices, necessitating greater subsidies, which then push up prices, ad infinitum,” they write.
  • Progressives have long known to look for problems on the demand side of the economy — to ask whether there are goods and services people need that they cannot afford. That will make today fairer, but to ensure tomorrow is radically better, we need to look for the choke points in the future we imagine, the places where the economy can’t or won’t supply the things we need. And then we need to fix them.
  • In a world where two-thirds of emissions now come from middle-income countries like China and India, the only way for humanity to both address climate change and poverty is to invent our way to clean energy that is plentiful and cheap and then spend enough to rapidly deploy it.
  • It is true that European countries free-ride off the high cost we pay for drugs, because it’s the U.S. market that drives innovation. But that doesn’t mean we’d be better off paying their prices, if that meant new drug development slowed. We don’t just want everyone to have health insurance in the future. We want them to be healthier, freed from diseases and pain that even the best health insurance today cannot cure or ease.
  • It’s ludicrous to say that the pharmaceutical system we have now is oriented toward innovation. It’s oriented toward profit; sometimes that intersects with innovation and sometimes it doesn’t.
  • We should combine price controls with new policies to encourage drug development. That could include everything from more funding of basic research to huge prizes for discovering drugs that treat particular conditions to more public funding for drug trials.
  • Years ago, Bernie Sanders had an interesting proposal for creating a system of pharmaceutical prizes in which companies could make millions or billions for inventing drugs that cured certain conditions, and those drugs would be immediately released without exclusive patent protections. Focusing on the need to make new drugs affordable while ignoring the need to make more of them exist is like trimming a garden you’ve stopped watering.
  • this is a lesson progressives are, increasingly, learning. This is clearest on climate. Much of the spending in the Biden agenda is dedicated to increasing the supply of renewable energy and advanced batteries while building the supply of carbon-neutral transportation options.
  • In a blog post, Jared Bernstein, a member of President Biden’s Council of Economic Advisers, and Ernie Tedeschi, a senior policy economist for the council, framed the Biden agenda as “an antidote for inflationary pressure” because much of it expands the long-term supply of the economy.
  • Climate change is the most pressing example
  • look closely and you can see something new and overdue emerging in American politics: supply-side progressivism.
Javier E

What the Ukraine Crisis Reveals About American Power - The Atlantic - 0 views

  • Guicciardini noted the danger of such moments. “If you see a city beginning to decline, a government changing, a new empire expanding,” he warned, “be careful not to misjudge the time they will take.”
  • the problem is that while the rise or fall of a new power is typically obvious—China’s for example—the point at which the old power is likely to be replaced is far more difficult to judge. Guicciardini wrote that “such movements are much slower than most men imagine.”
  • We know that the benign leviathan of Clintonian America has gone—a victim both of historic forces that weren’t within its control and of hubristic mismanagement that very much was.
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  • even the America of Donald Trump and Joe Biden remains the most powerful country on the planet—at least for now.
  • The fact that the imperial center is gripped by a kind of psycho-political civil war, conflicted about who it is and what it wants to be, is troubling for many of its allies, but not yet enough to alter the fundamental reality of where power lies in the world.
  • For the states of Eastern Europe and the Baltics, the immediate crisis has only proved that what matters to them above all is the American security guarantee.
  • This realization of how little has changed in terms of the fundamental anchor of European security applies to Europe’s “big three” as well. Each of these powers—Germany, France, and Britain—is playing a role coordinated by Washington: Germany as economic leverage, France as diplomatic lead, Britain as the intelligence and military hawk.
  • Successive American administrations are surely right that Europe needs to pay more for its own defense, and Macron is surely right that Europe risks drifting into geopolitical irrelevance if it does not, caught between a United States that wants to disengage and one that never quite seems able to.
  • the picture that emerges is a strange one of impressive short-term Western unity and long-term incoherence. The Ukraine crisis has reinforced an American dominance that everyone believes is unsustainable.
  • The result is conservative management of this crisis that is both sensible and admirable, but also limited (and, potentially, ineffective in actually deterring Putin).
  • Whenever the EU has faced a crisis, it has tended to do just enough to get through the problem—and little else. The euro remains so structurally flawed that few think it can seriously rival the dollar; the EU has failed to build itself almost any foreign-policy clout, with little military-industrial capacity and barely any coordinated defensive capability. And the problem is, this is how Germany likes it.
  • A former ambassador of a major EU power to Berlin told me that Germany will simply not change its position; its economy is too successful for it to do what is necessary for the EU to become an independent force. At heart, Berlin is happy with the status quo, weathering whatever storms blow in from Washington. If it is forced to change course, then it will, but sees no point in preempting this given the enormous benefits of being the preeminent economic power in Europe without the responsibilities of a decisive global power
  • One former European ambassador to Washington told me he had come to the conclusion that nothing would change in Europe until America pulled out, leaving the continent to fend for itself.
  • Like Germany but in reverse, does the United States really want to change the status quo that has worked so well for so long?
  • The ambiguity in the American position is reflected in the current administration, which seems caught between wanting to be more hard-edged and nationalistic in its foreign policy—ending distracting “forever wars” without consultation, gazumping allies’ defense contracts and the like—and not being quite comfortable giving up its idea of itself as the force for rules-based internationalism.
  • One frustrated former diplomat told me that Biden was a realist but members of his team were products of the old Washington consensus, “hence their half-baked internationalistic-nationalistic policy.”
  • Russia’s challenge to the West today, as it amasses its troops on Ukraine’s borders, is predicated on its belief that American power is retreating, and with it the power of its example. Europe’s response, however, has been to reveal how powerful America remains. The truth is that it’s possible for both sentiments to be true at the same time.
Javier E

Why This Democratic Strategist Walked Away - The Atlantic - 0 views

  • Simon
  • Ron Brownstein:
  • I think it’s a surprise to a lot of people that you would close up shop at NDN so soon after that success and the notoriety it generated. What prompted this decision?
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  • I think that the age of the New Democrats, which was a very successful political project for the Democratic Party, has come to an end. The assumption of that politics, which began in earnest in the late 1980s and early 1990s, was that the Cold War had been settled, that democracy had prevailed, that the West was ascendant. But with China’s decision to take the route that they’ve gone on, with Russia now having waged this intense insurgency against the West, the assumption that that system is going to prevail in the world is now under question.
  • Rosenberg: Any honest assessment of the New Democrat project has to view it as wildly successful, because when I went to work for Clinton in 1992, Democrats had lost five out of the six previous presidential elections. And the central project of the New Democrats was to make the Democratic Party competitive at the presidential level again. Since then, we’ve won more votes in seven of eight presidential elections
  • I think that it’s birthing now for the United States a different era of politics, where we must be focused on two fundamental, existential questions. Can democracy prevail given the way that it’s being attacked from all sides? And can we prevent climate change from overwhelming the world that we know?
  • I want to try to write a book and to take the perspective of having been part of the beginning of the last big shift in American politics, the emergence of the New Democrats, and start imagining what’s going to come next for the center left in the United States and around the world.
  • Simon Rosenberg:
  • We’ve also seen three Democratic presidents that have served [since then]—Clinton, Barack Obama, and Joe Biden have also made the country materially better during their presidencies.
  • what’s the main lesson you take from his emergence?
  • Rosenberg: Yeah, it’s obviously disappointing. The emergence of what I call “Greater MAGA” has been a dark period in our history.
  • You have to recognize just how central to that is this narrative of the white tribe rallying around itself, and the sense of grievance, the sense of loss, the sense of decline. That’s what MAGA is. That’s all it is
  • We know from history, we know from other countries, when countries go into sectarian or tribal warfare, it can destroy a country, pull it apart. And Trump has created a domestic argument here that could potentially destroy the U.S. Look at Marjorie Taylor Greene this week—advocating for the country to split into two, red and blue.
  • Part of the reason I’m taking a step back from NDN is that I don’t think that we have yet figured out how to talk to the American people about the nature of the conflict we’re in right now, with rising authoritarianism around the world, the weakening of democratic institutions here and in other places.
  • My hope is that because Biden won’t be able to legislate very much for the next two years, he’ll spend his time talking to the American people and the West about the necessity of winning this conflict.
  • Rosenberg: The threat is still here. Look, I think [Florida Governor] Ron DeSantis is even more MAGA than Trump. This idea that in 2024, Republicans are going to end up with a moderate, center-right candidate and distance themselves from the insanity of the Trump years, that’s just fantasy talk.
  • DeSantis has decided to double down on extremism and on MAGA. We will learn in the next year and a half about how it all plays out. But I think he misread the room; he’s misread the moment in history. He needed to become an anti-Trump; instead, he became more Trump than Trump
  • In this last election, there were really two elections. There was a bluer election inside the battlegrounds, and there was a redder election outside the battlegrounds. We actually gained ground in seven battleground states: Arizona, Colorado, Georgia, Michigan, Minnesota, New Hampshire, and Pennsylvania. It’s an extraordinary achievement given high inflation, a low Biden approval rating, traditional midterm dynamics. My view is, that happened because the fear of MAGA has created a supercharged grass roots; our candidates are raising unprecedented amounts of money; we have more labor to work in these races than we’ve ever had before. And where we have these muscular campaigns, we were able to control the information environment. And also push turnout up through the roof.
  • But outside the battlegrounds, we fell back in New York and California, and in Florida and Texas, the four biggest states in the country. And the admonition to us is that we are still not competitive enough in the national daily discourse;
  • Republicans, because of this incredible noise machine that they built, are still far louder than we are. Democrats have to become obsessive about being more competitive in the daily political discourse in the country.
  • We have to build more media institutions. Republicans use ideological media to advance their politics in a way that we’ve never done. And we’re going to have to match that to some degree.
  • The second piece is that average Democratic activists have to recognize that they need to become information warriors daily
  • I think the way we have to think of the war room now, it’s 4 million proud patriots getting up every day, spending a little bit of their day putting good information into our daily discourse to try to crowd out the poisonous information and right-wing propaganda. There’s a lot that average citizens can do in this.
  • The key is to defeat MAGA in such a definitive and declarative way that Republicans move on to a different kind of politics and become something more like a traditional center-right political party.
  • We must stick together as a party because what will cause far-right political parties to succeed is when the prodemocracy coalition splits, and we can’t allow that to happen. As much as sometimes we want to have interfamily battles, those are self-indulgent at this point.
  • I don’t think that this emerging criticism is entirely wrong, but it’s only half right. The goal should be to expand, not to reposition. There are four areas that I think we have to bear down on in the next two years for a potential Democratic expansion: young voters, Latinos, Never-MAGA or -Trumpers, and young women, post-Dobbs.
  • The No. 1 job is we just need more young people voting, period. It’s more registration, more communications, targeting them more in our campaigns. In the Democratic Party, young people are still at the kids’ table; they have to become the center of our politics now.
  • I think that we’re favored in the presidential election. For us to win next year, the economy has to be good. And we have to look like we’ve been successful in Ukraine. Those two things are going to be paramount in him being able to say, “I’ve been a good president, and I may be a little bit old, but I still got 90 miles an hour on my fastball, and I’m able to get the job done right versus they’re still a little bit too crazy.”
  • What the Republicans should be worried about is we’ve had three consecutive elections where the battleground states have rejected MAGA. And so, if the Republicans present themselves as MAGA again, which looks almost inevitable, it’s going to be hard for them to win a presidential election in 2024 given that the battleground has muscle memory about MAGA and has voted now three times against it.
Javier E

I Thought I Was Saving Trans Kids. Now I'm Blowing the Whistle. - 0 views

  • Another disturbing aspect of the center was its lack of regard for the rights of parents—and the extent to which doctors saw themselves as more informed decision-makers over the fate of these children.
  • when there was a dispute between the parents, it seemed the center always took the side of the affirming parent.
  • no matter how much suffering or pain a child had endured, or how little treatment and love they had received, our doctors viewed gender transition—even with all the expense and hardship it entailed—as the solution.
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  • Besides teenage girls, another new group was referred to us: young people from the inpatient psychiatric unit, or the emergency department, of St. Louis Children’s Hospital. The mental health of these kids was deeply concerning—there were diagnoses like schizophrenia, PTSD, bipolar disorder, and more. Often they were already on a fistful of pharmaceuticals.
  • Being put on powerful doses of testosterone or estrogen—enough to try to trick your body into mimicking the opposite sex—-affects the rest of the body. I doubt that any parent who's ever consented to give their kid testosterone (a lifelong treatment) knows that they’re also possibly signing their kid up for blood pressure medication, cholesterol medication, and perhaps sleep apnea and diabetes. 
  • There are rare conditions in which babies are born with atypical genitalia—cases that call for sophisticated care and compassion. But clinics like the one where I worked are creating a whole cohort of kids with atypical genitals—and most of these teens haven’t even had sex yet. They had no idea who they were going to be as adults. Yet all it took for them to permanently transform themselves was one or two short conversations with a therapist.
  • Other girls were disturbed by the effects of testosterone on their clitoris, which enlarges and grows into what looks like a microphallus, or a tiny penis. I counseled one patient whose enlarged clitoris now extended below her vulva, and it chafed and rubbed painfully in her jeans. I advised her to get the kind of compression undergarments worn by biological men who dress to pass as female. At the end of the call I thought to myself, “Wow, we hurt this kid.”
  • How little patients understood what they were getting into was illustrated by a call we received at the center in 2020 from a 17-year-old biological female patient who was on testosterone. She said she was bleeding from the vagina. In less than an hour she had soaked through an extra heavy pad, her jeans, and a towel she had wrapped around her waist. The nurse at the center told her to go to the emergency room right away.
  • We found out later this girl had had intercourse, and because testosterone thins the vaginal tissues, her vaginal canal had ripped open. She had to be sedated and given surgery to repair the damage. She wasn’t the only vaginal laceration case we heard about.
  • Bicalutamide is a medication used to treat metastatic prostate cancer, and one of its side effects is that it feminizes the bodies of men who take it, including the appearance of breasts. The center prescribed this cancer drug as a puberty blocker and feminizing agent for boys. As with most cancer drugs, bicalutamide has a long list of side effects, and this patient experienced one of them: liver toxicity. He was sent to another unit of the hospital for evaluation and immediately taken off the drug. Afterward, his mother sent an electronic message to the Transgender Center saying that we were lucky her family was not the type to sue.
  • Here’s an example. On Friday, May 1, 2020, a colleague emailed me about a 15-year-old male patient: “Oh dear. I am concerned that [the patient] does not understand what Bicalutamide does.” I responded: “I don’t think that we start anything honestly right now.”
  • There are no reliable studies showing this. Indeed, the experiences of many of the center’s patients prove how false these assertions are. 
  • Many encounters with patients emphasized to me how little these young people understood the profound impacts changing gender would have on their bodies and minds. But the center downplayed the negative consequences, and emphasized the need for transition. As the center’s website said, “Left untreated, gender dysphoria has any number of consequences, from self-harm to suicide. But when you take away the gender dysphoria by allowing a child to be who he or she is, we’re noticing that goes away. The studies we have show these kids often wind up functioning psychosocially as well as or better than their peers.” 
  • When a female takes testosterone, the profound and permanent effects of the hormone can be seen in a matter of months. Voices drop, beards sprout, body fat is redistributed. Sexual interest explodes, aggression increases, and mood can be unpredictable. Our patients were told about some side effects, including sterility. But after working at the center, I came to believe that teenagers are simply not capable of fully grasping what it means to make the decision to become infertile while still a minor.
  • To begin transitioning, the girls needed a letter of support from a therapist—usually one we recommended—who they had to see only once or twice for the green light. To make it more efficient for the therapists, we offered them a template for how to write a letter in support of transition. The next stop was a single visit to the endocrinologist for a testosterone prescription. 
  • The doctors privately recognized these false self-diagnoses as a manifestation of social contagion. They even acknowledged that suicide has an element of social contagion. But when I said the clusters of girls streaming into our service looked as if their gender issues might be a manifestation of social contagion, the doctors said gender identity reflected something innate.
  • Frequently, our patients declared they had disorders that no one believed they had. We had patients who said they had Tourette syndrome (but they didn’t); that they had tic disorders (but they didn’t); that they had multiple personalities (but they didn’t).
  • The girls who came to us had many comorbidities: depression, anxiety, ADHD, eating disorders, obesity. Many were diagnosed with autism, or had autism-like symptoms. A report last year on a British pediatric transgender center found that about one-third of the patients referred there were on the autism spectrum.
  • This concerned me, but didn’t feel I was in the position to sound some kind of alarm back then. There was a team of about eight of us, and only one other person brought up the kinds of questions I had. Anyone who raised doubts ran the risk of being called a transphobe. 
  • I certainly saw this at the center. One of my jobs was to do intake for new patients and their families. When I started there were probably 10 such calls a month. When I left there were 50, and about 70 percent of the new patients were girls. Sometimes clusters of girls arrived from the same high school. 
  • Until 2015 or so, a very small number of these boys comprised the population of pediatric gender dysphoria cases. Then, across the Western world, there began to be a dramatic increase in a new population: Teenage girls, many with no previous history of gender distress, suddenly declared they were transgender and demanded immediate treatment with testosterone. 
  • Soon after my arrival at the Transgender Center, I was struck by the lack of formal protocols for treatment. The center’s physician co-directors were essentially the sole authority.
  • At first, the patient population was tipped toward what used to be the “traditional” instance of a child with gender dysphoria: a boy, often quite young, who wanted to present as—who wanted to be—a girl. 
  • During the four years I worked at the clinic as a case manager—I was responsible for patient intake and oversight—around a thousand distressed young people came through our doors. The majority of them received hormone prescriptions that can have life-altering consequences—including sterility. 
  • I left the clinic in November of last year because I could no longer participate in what was happening there. By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to “do no harm.” Instead, we are permanently harming the vulnerable patients in our care.
  • Today I am speaking out. I am doing so knowing how toxic the public conversation is around this highly contentious issue—and the ways that my testimony might be misused. I am doing so knowing that I am putting myself at serious personal and professional risk.
  • Almost everyone in my life advised me to keep my head down. But I cannot in good conscience do so. Because what is happening to scores of children is far more important than my comfort. And what is happening to them is morally and medically appalling.
  • For almost four years, I worked at The Washington University School of Medicine Division of Infectious Diseases with teens and young adults who were HIV positive. Many of them were trans or otherwise gender nonconforming, and I could relate: Through childhood and adolescence, I did a lot of gender questioning myself. I’m now married to a transman, and together we are raising my two biological children from a previous marriage and three foster children we hope to adopt. 
  • The center’s working assumption was that the earlier you treat kids with gender dysphoria, the more anguish you can prevent later on. This premise was shared by the center’s doctors and therapists. Given their expertise, I assumed that abundant evidence backed this consensus. 
  • All that led me to a job in 2018 as a case manager at The Washington University Transgender Center at St. Louis Children's Hospital, which had been established a year earlier. 
Javier E

Opinion | There's a Reason There Aren't Enough Teachers in America. Many Reasons, Actually. - The New York Times - 0 views

  • Here are just a few of the longstanding problems plaguing American education: a generalized decline in literacy; the faltering international performance of American students; an inability to recruit enough qualified college graduates into the teaching profession; a lack of trained and able substitutes to fill teacher shortages; unequal access to educational resources; inadequate funding for schools; stagnant compensation for teachers; heavier workloads; declining prestige; and deteriorating faculty morale.
  • Nine-year-old students earlier this year revealed “the largest average score decline in reading since 1990, and the first ever score decline in mathematics,”
  • In the latest comparison of fourth grade reading ability, the United States ranked below 15 countries, including Russia, Ireland, Poland and Bulgaria.
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  • Teachers are not only burnt out and undercompensated, they are also demoralized. They are being asked to do things in the name of teaching that they believe are mis-educational and harmful to students and the profession. What made this work good for them is no longer accessible. That is why we are hearing so many refrains of “I’m not leaving the profession, my profession left me.”
  • We find there are at least 36,000 vacant positions along with at least 163,000 positions being held by underqualified teachers, both of which are conservative estimates of the extent of teacher shortages nationally.
  • “The current problem of teacher shortages (I would further break this down into vacancy and under-qualification) is higher than normal.” The data, Nguyen continued, “indicate that shortages are worsening over time, particularly over the last few years
  • a growing gap between the pay of all college graduates and teacher salaries from 1979 to 2021, with a sharp increase in the differential since 2010
  • The number of qualified teachers is declining for the whole country and the vast majority of states.
  • Wages are essentially unchanged from 2000 to 2020 after adjusting for inflation. Teachers have about the same number of students. But, teacher accountability reforms have increased the demands on their positions.
  • The pandemic was very difficult for teachers. Their self-reported level of stress was about as twice as high during the pandemic compared to other working adults. Teachers had to worry both about their personal safety and deal with teaching/caring for students who are grieving lost family members.
  • the number of students graduating from college with bachelor’s degrees in education fell from 176,307 in 1970-71 to 104,008 in 2010-11 to 85,058 in 2019-20.
  • We do see that southern states (e.g., Mississippi, Alabama, Georgia and Florida) have very high vacancies and high vacancy rates.”
  • By 2021, teachers made $1,348, 32.9 percent less than what other graduates made, at $2,009.
  • These gaps play a significant role in determining the quality of teachers,
  • Sixty percent of teachers and 65 percent of principals reported believing that systemic racism exists. Only about 20 percent of teachers and principals reported that they believe systemic racism does not exist, and the remainder were not sure
  • “We find,” they write, “that teachers’ cognitive skills differ widely among nations — and that these differences matter greatly for students’ success in school. An increase of one standard deviation in teacher cognitive skills is associated with an increase of 10 to 15 percent of a standard deviation in student performance.”
  • teachers have lower cognitive skills, on average, in countries with greater nonteaching job opportunities for women in high-skill occupations and where teaching pays relatively less than other professions.
  • the scholars found that the cognitive skills of teachers in the United States fell in the middle ranks:Teachers in the United States perform worse than the average teacher sample-wide in numeracy, with a median score of 284 points out of a possible 500, compared to the sample-wide average of 292 points. In literacy, they perform slightly better than average, with a median score of 301 points compared to the sample-wide average of 295 points.
  • Increasing teacher numeracy skills by one standard deviation increases student performance by nearly 15 percent of a standard deviation on the PISA math test. Our estimate of the effect of increasing teacher literacy skills on students’ reading performance is slightly smaller, at 10 percent of a standard deviation.
  • How, then, to raise teacher skill level in the United States? Hanushek and his two colleagues have a simple answer: raise teacher pay to make it as attractive to college graduates as high-skill jobs in other fields.
  • policymakers will need to do more than raise teacher pay across the board to ensure positive results. They must ensure that higher salaries go to more effective teachers.
  • The teaching of disputed subjects in schools has compounded many of the difficulties in American education.
  • The researchers found that controversies over critical race theory, sex education and transgender issues — aggravated by divisive debates over responses to Covid and its aftermath — are inflicting a heavy toll on teachers and principals.
  • “On top of the herculean task of carrying out the essential functions of their jobs,” they write, “educators increasingly find themselves in the position of addressing contentious, politicized issues in their schools as the United States has experienced increasing political polarization.”
  • Teachers and principals, they add, “have been pulled in multiple directions as they try to balance and reconcile not only their own beliefs on such matters but also the beliefs of others around them, including their leaders, fellow staff, students, and students’ family members.”
  • These conflicting pressures take place in a climate where “emotions in response to these issues have run high within communities, resulting in the harassment of educators, bans against literature depicting diverse characters, and calls for increased parental involvement in deciding academic content.”
  • Forty-eight percent of principals and 40 percent of teachers reported that the intrusion of political issues and opinions in school leadership or teaching, respectively, was a job-related stressor. By comparison, only 16 percent of working adults indicated that the intrusion of political issues and opinions in their jobs was a source of job-related stress
  • In 1979, the average teacher weekly salary (in 2021 dollars) was $1,052, 22.9 percent less than other college graduates’, at $1,364
  • Nearly all Black or African American principals (92 percent) and teachers (87 percent) reported believing that systemic racism exists.
  • White educators working in predominantly white school systems reported substantially more pressure to deal with politically divisive issues than educators of color and those working in mostly minority schools: “Forty-one percent of white teachers and 52 percent of white teachers and principals selected the intrusion of political issues and opinions into their professions as a job-related stressor, compared with 36 percent of teachers of color and principals of color.
  • and opinions into their professions as a job-related stressor, compar
  • A 54 percent majority of teachers and principals said there “should not be legal limits on classroom conversations about racism, sexism, and other topics,” while 20 percent said there should be legislated constraint
  • Voters, in turn, are highly polarized on the teaching of issues impinging on race or ethnicity in public schools. The Education Next 2022 Survey asked, for example:Some people think their local public schools place too little emphasis on slavery, racism and other challenges faced by Black people in the United States. Other people think their local public schools place too much emphasis on these topics. What is your view about your local public schools?
  • Among Democrats, 55 percent said too little emphasis was placed on slavery, racism and other challenges faced by Black people, and 8 percent said too much.
  • Among Republicans, 51 said too much and 10 percent said too little.
  • Because of the lack of reliable national data, there is widespread disagreement among scholars of education over the scope and severity of the shortage of credentialed teachers, although there is more agreement that these problems are worse in low-income, high majority-minority school systems and in STEM and special education faculties.
  • Public schools increasingly are targets of conservative political groups focusing on what they term “Critical Race Theory,” as well as issues of sexuality and gender identity. These political conflicts have created a broad chilling effect that has limited opportunities for students to practice respectful dialogue on controversial topics and made it harder to address rampant misinformation.
  • The chilling effect also has led to marked declines in general support for teaching about race, racism, and racial and ethnic diversity.
  • These political conflicts, the authors wrote,have made the already hard work of public education more difficult, undermining school management, negatively impacting staff, and heightening student stress and anxiety. Several principals shared that they were reconsidering their own roles in public education in light of the rage at teachers and rage at administrators’ playing out in their communities.
  • State University of New York tracked trends on “four interrelated constructs: professional prestige, interest among students, preparation for entry, and job satisfaction” for 50 years, from the 1970s to the present and founda consistent and dynamic pattern across every measure: a rapid decline in the 1970s, a swift rise in the 1980s, relative stability for two decades, and a sustained drop beginning around 2010. The current state of the teaching profession is at or near its lowest levels in 50 years.
  • Who among the next generation of college graduates will choose to teach?
  • Perceptions of teacher prestige have fallen between 20 percent and 47 percent in the last decade to be at or near the lowest levels recorded over the last half century
  • Interest in the teaching profession among high school seniors and college freshmen has fallen 50 percent since the 1990s, and 38 percent since 2010, reaching the lowest level in the last 50 years
  • the proportion of college graduates that go into teaching is at a 50-year low
  • Teachers’ job satisfaction is also at the lowest level in five decades, with the percent of teachers who feel the stress of their job is worth it dropping from 81 percent to 42 percent in the last 15 years
  • The combination of these factors — declining prestige, lower pay than other professions that require a college education, increased workloads, and political and ideological pressures — is creating both intended and unintended consequences for teacher accountability reforms mandating tougher licensing rules, evaluations and skill testing.
  • Education policy over the past decade has focused considerable effort on improving human capital in schools through teacher accountability. These reforms, and the research upon which they drew, were based on strong assumptions about how accountability would affect who decided to become a teacher. Counter to most assumptions, our findings document how teacher accountability reduced the supply of new teacher candidates by, in part, decreasing perceived job security, satisfaction and autonomy.
  • The reforms, Kraft and colleagues continued, increasedthe likelihood that schools could not fill vacant teaching positions. Even more concerning, effects on unfilled vacancies were concentrated in hard-to-staff schools that often serve larger populations of low-income students and students of color
  • We find that evaluation reforms increased the quality of newly hired novice teachers by reducing the number of teachers that graduated from the least selective institutions
  • We find no evidence that evaluation reforms served to attract teachers who attended the most selective undergraduate institutions.
  • In other words, the economic incentives, salary structure and work-life pressures characteristic of public education employment have created a climate in which contemporary education reforms have perverse and unintended consequences that can worsen rather than alleviate the problems facing school systems.
  • If so, to improve the overall quality of the nation’s more than three million public schoolteachers, reformers may want to give priority to paychecks, working conditions, teacher autonomy and punishing workloads before attempting to impose higher standards, tougher evaluations and less job security.
Javier E

The 'Black Hole' That Sucks Up Silicon Valley's Money - The Atlantic - 0 views

  • That’s not to say that Silicon Valley’s wealthy aren’t donating their money to charity. Many, including Mark Zuckerberg, Elon Musk, and Larry Page, have signed the Giving Pledge, committing to dedicating the majority of their wealth to philanthropic causes. But much of that money is not making its way out into the community.
  • The San Francisco Bay Area has rapidly become the richest region in the country—the Census Bureau said last year that median household income was $96,777. It’s a place where $100,000 Teslas are commonplace, “raw water” goes for $37 a jug, and injecting clients with the plasma of youth —a gag on the television show Silicon Valley—is being tried by real companies for just $8,000 a pop.
  • There are many reasons for this, but one of them is likely the increasing popularity of a certain type of charitable account called a donor-advised fund. These funds allow donors to receive big tax breaks for giving money or stock, but have little transparency and no requirement that money put into them is actually spent.
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  • Donor-advised funds are categorized by law as public charities, rather than private foundations, so they have no payout requirements and few disclosure requirements.
  • And wealthy residents of Silicon Valley are donating large sums to such funds
  • critics say that in part because of its structure as a warehouse of donor-advised funds, the Silicon Valley Community Foundation has not had a positive impact on the community it is meant to serve. Some people I talked to say the foundation has had little interest in spending money, because its chief executive, Emmett Carson, who was placed on paid administrative leave after the Chronicle’s report, wanted it to be known that he had created one of the biggest foundations in the country. Carson was “aggressive” about trying to raise money, but “unaggressive about suggesting what clients would do with it,”
  • “Most of us in the local area have seen our support from the foundation go down and not up,” he said.
  • The amount of money going from the Silicon Valley Community Foundation to the nine-county Bay Area actually dropped in 2017 by 46 percent, even as the amount of money under management grew by 64 percent, to $13.5 billion
  • “They got so drunk on the idea of growth that they lost track of anything smacking of mission,” he said. It did not help perceptions that the foundation opened offices in New York and San Francisco at the same time local organizations were seeing donations drop.
  • The foundation now gives her organization some grants, but they don’t come from the donor-advised funds, she told me. “I haven’t really cracked the code of how to access those donor-advised funds,” she said. Her organization had been getting between $50,000 and $100,000 a year from United Way that it no longer gets, she said,
  • Rob Reich, the co-director of the Stanford Center on Philanthropy and Civil Society, set up a donor-advised fund at the Silicon Valley Community Foundation as an experiment. He spent $5,000—the minimum amount accepted—and waited. He received almost no communication from the foundation, he told me. No emails or calls about potential nonprofits to give to, no information about whether the staff was out looking for good opportunities in the community, no data about how his money was being managed.
  • One year later, despite a booming stock market, his account was worth less than the $5,000 he had put in, and had not been used in any way in the community. His balance was lower because the foundation charges hefty fees to donors who keep their money there. “I was flabbergasted,” he told me. “I didn’t understand what I, as a donor, was getting for my fees.”
  • Though donors receive a big tax break for donating to donor-advised funds, the funds have no payout requirements, unlike private foundations, which are required to disperse 5 percent of their assets each year. With donor-advised funds, “there’s no urgency and no forced payout,”
  • he had met wealthy individuals who said they were setting up donor-advised funds so that their children could disperse the funds and learn about philanthropy—they had no intent to spend the money in their own lifetimes.
  • Fund managers also receive fees for the amount of money they have under management, which means they have little incentive to encourage people to spend the money in their accounts,
  • Transparency is also an issue. While foundations have to provide detailed information about where they give their money, donor-advised funds distributions are listed as gifts made from the entire charitable fund—like the Silicon Valley Community Foundation—rather than from individuals.
  • Donor-advised funds can also be set up anonymously, which makes it hard for nonprofits to engage with potential givers. They also don’t have websites or mission statements like private foundations do, which can make it hard for nonprofits to know what causes donors support.
  • Public charities—defined as organizations that receive a significant amount of their revenue from small donations—were saddled with less oversight, in part because Congress figured that their large number of donors would make sure they were spending their money well, Madoff said. But an attorney named Norman Sugarman, who represented the Jewish Community Federation of Cleveland, convinced the IRS to categorize a certain type of asset—charitable dollars placed in individually named accounts managed by a public charity—as donations to public, not private, foundations.
  • Donor-advised funds have been growing nationally as the amount of money made by the top 1 percent has grown: Contributions to donor-advised funds grew 15.1 percent in fiscal year 2016, according to The Chronicle of Philanthropy, while overall charitable contributions grew only 1.4 percent that year
  • Six of the top 10 philanthropies in the country last year, in terms of the amount of nongovernmental money raised, were donor-advised funds,
  • In addition, those funds with high payout rates could just be giving to another donor-advised fund, rather than to a public charity, Madoff says. One-quarter of donor-advised fund sponsors distribute less than 1 percent of their assets in a year,
  • Groups that administer donor-advised funds defend their payout rate, saying distributions from donor-advised funds are around 14 percent of assets a year. But that number can be misleading, because one donor-advised fund could give out all its money, while many more could give out none, skewing the data.
  • Donor-advised funds are especially popular in places like Silicon Valley because they provide tax advantages for donating appreciated stock, which many start-up founders have but don’t necessarily want to pay huge taxes on
  • Donors get a tax break for the value of the appreciated stock at the time they donate it, which can also spare them hefty capital-gains taxes. “Anybody with a business interest can give their business interest before it goes public and save huge amounts of taxes,”
  • Often, people give to donor-advised funds right before a public event like an initial public offering, so they can avoid the capital-gains taxes they’d otherwise have to pay, and instead receive a tax deduction. Mark Zuckerberg and Priscilla Chan gave $500 million in stock to the foundation in 2012, when Facebook held its initial public offering, and also donated $1 billion in stock in 2013
  • Wealthy donors can also donate real estate and deduct the value of real estate at the time of the donation—if they’d given to a private foundation, they’d only be able to deduct the donor’s basis value (typically the purchase price) of the real estate at the time they acquired it. The difference can be a huge amount of money in the hot market of California.
Javier E

AI scientist Ray Kurzweil: 'We are going to expand intelligence a millionfold by 2045' | Artificial intelligence (AI) | The Guardian - 0 views

  • American computer scientist and techno-optimist Ray Kurzweil is a long-serving authority on artificial intelligence (AI). His bestselling 2005 book, The Singularity Is Near, sparked imaginations with sci-fi like predictions that computers would reach human-level intelligence by 2029 and that we would merge with computers and become superhuman around 2045, which he called “the Singularity”. Now, nearly 20 years on, Kurzweil, 76, has a sequel, The Singularity Is Nearer
  • no longer seem so wacky.
  • Your 2029 and 2045 projections haven’t changed…I have stayed consistent. So 2029, both for human-level intelligence and for artificial general intelligence (AGI) – which is a little bit different. Human-level intelligence generally means AI that has reached the ability of the most skilled humans in a particular domain and by 2029 that will be achieved in most respects. (There may be a few years of transition beyond 2029 where AI has not surpassed the top humans in a few key skills like writing Oscar-winning screenplays or generating deep new philosophical insights, though it will.) AGI means AI that can do everything that any human can do, but to a superior level. AGI sounds more difficult, but it’s coming at the same time.
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  • Why write this book? The Singularity Is Near talked about the future, but 20 years ago, when people didn’t know what AI was. It was clear to me what would happen, but it wasn’t clear to everybody. Now AI is dominating the conversation. It is time to take a look again both at the progress we’ve made – large language models (LLMs) are quite delightful to use – and the coming breakthroughs.
  • It is hard to imagine what this would be like, but it doesn’t sound very appealing… Think of it like having your phone, but in your brain. If you ask a question your brain will be able to go out to the cloud for an answer similar to the way you do on your phone now – only it will be instant, there won’t be any input or output issues, and you won’t realise it has been done (the answer will just appear). People do say “I don’t want that”: they thought they didn’t want phones either!
  • The most important driver is the exponential growth in the amount of computing power for the price in constant dollars. We are doubling price-performance every 15 months. LLMs just began to work two years ago because of the increase in computation.
  • What’s missing currently to bring AI to where you are predicting it will be in 2029? One is more computing power – and that’s coming. That will enable improvements in contextual memory, common sense reasoning and social interaction, which are all areas where deficiencies remain
  • LLM hallucinations [where they create nonsensical or inaccurate outputs] will become much less of a problem, certainly by 2029 – they already happen much less than they did two years ago. The issue occurs because they don’t have the answer, and they don’t know that. They look for the best thing, which might be wrong or not appropriate. As AI gets smarter, it will be able to understand its own knowledge more precisely and accurately report to humans when it doesn’t know.
  • What exactly is the Singularity? Today, we have one brain size which we can’t go beyond to get smarter. But the cloud is getting smarter and it is growing really without bounds. The Singularity, which is a metaphor borrowed from physics, will occur when we merge our brain with the cloud. We’re going to be a combination of our natural intelligence and our cybernetic intelligence and it’s all going to be rolled into one. Making it possible will be brain-computer interfaces which ultimately will be nanobots – robots the size of molecules – that will go noninvasively into our brains through the capillaries. We are going to expand intelligence a millionfold by 2045 and it is going to deepen our awareness and consciousness.
  • Why should we believe your dates? I’m really the only person that predicted the tremendous AI interest that we’re seeing today. In 1999 people thought that would take a century or more. I said 30 years and look what we have.
  • I have a chapter on perils. I’ve been involved with trying to find the best way to move forward and I helped to develop the Asilomar AI Principles [a 2017 non-legally binding set of guidelines for responsible AI development]
  • All the major companies are putting more effort into making sure their systems are safe and align with human values than they are into creating new advances, which is positive.
  • Not everyone is likely to be able to afford the technology of the future you envisage. Does technological inequality worry you? Being wealthy allows you to afford these technologies at an early point, but also one where they don’t work very well. When [mobile] phones were new they were very expensive and also did a terrible job. They had access to very little information and didn’t talk to the cloud. Now they are very affordable and extremely useful. About three quarters of people in the world have one. So it’s going to be the same thing here: this issue goes away over time.
  • The book looks in detail at AI’s job-killing potential. Should we be worried? Yes, and no. Certain types of jobs will be automated and people will be affected. But new capabilities also create new jobs. A job like “social media influencer” didn’t make sense, even 10 years ago. Today we have more jobs than we’ve ever had and US average personal income per hours worked is 10 times what it was 100 years ago adjusted to today’s dollars. Universal basic income will start in the 2030s, which will help cushion the harms of job disruptions. It won’t be adequate at that point but over time it will become so.
  • Everything is progressing exponentially: not only computing power but our understanding of biology and our ability to engineer at far smaller scales. In the early 2030s we can expect to reach longevity escape velocity where every year of life we lose through ageing we get back from scientific progress. And as we move past that we’ll actually get back more years.
  • What is your own plan for immortality? My first plan is to stay alive, therefore reaching longevity escape velocity. I take about 80 pills a day to help keep me healthy. Cryogenic freezing is the fallback. I’m also intending to create a replicant of myself [an afterlife AI avatar], which is an option I think we’ll all have in the late 2020s
  • I did something like that with my father, collecting everything that he had written in his life, and it was a little bit like talking to him. [My replicant] will be able to draw on more material and so represent my personality more faithfully.
  • What should we be doing now to best prepare for the future? It is not going to be us versus AI: AI is going inside ourselves. It will allow us to create new things that weren’t feasible before. It’ll be a pretty fantastic future.
Javier E

All Signs Point to Higgs Boson, but Still Waiting for Scientific Certainty - NYTimes.com - 1 views

  • physicists admit that it will take more work and analysis before they will have the cold numbers that clinch the case that the new particle announced on July 4 last year is in fact the exact boson first predicted by Peter Higgs and others in 1964 to be the arbiter of mass and cosmic diversity
  • What happened in the first instant of the Big Bang? What happens at the middle of a black hole where matter and time blink in or out of existence? What is the dark matter whose gravitational influence, astronomers say, shapes the structures of galaxies, or the dark energy that is forcing the universe apart? Why is the universe full of matter but not antimatter? And what, finally, is the fate of the universe? These are all questions that the Standard Model, the vanilla-sounding set of equations that ruled physics for the last half century, does not answer
  • Some of them could be answered by the unproven theory called supersymmetry, which among other things is needed to explain why whatever mass the Higgs has is low enough to be discovered in the first place and not almost infinite. It predicts a whole new population of elementary particles — called superpartners to the particles physicists already know about — one of which could be the dark matter that pervades the universe. If such particles exist, they would affect the rate at which Higgs bosons decay into other particles, but the CERN teams have yet to record what they consider a convincing deviation from the Standard Model predictions for those decays. Supersymmetry is still at best a beautiful idea.
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  • One thing that has hampered progress is that physicists still do not agree on how much the new particle weighs.
  • What does it matter how much a Higgs boson weighs? It could determine the fate of the universe.
  • his colleagues ran the numbers and concluded that the universe was in a precarious condition and could be prone to collapse in the far, far future. The reason lies in the Higgs field, the medium of which the Higgs boson is the messenger and which determines the structure of empty space, i.e., the vacuum.
  • It works like this. The Higgs field, like everything else in nature, is lazy, and, like water running downhill, always seeks to be in the state of lowest energy. Physicists assume that the Higgs field today is in the lowest state possible, but Dr. Giudice found that was not the case. What counts as rock bottom in today’s universe could turn out to be just a plateau. Our universe is like a rock perched precariously on a mountaintop, he explained, in what physicists call a metastable state. The Higgs field could drop to a lower value by a process known as quantum tunneling, although it is not imminent.
  • If that should happen — tomorrow or billions of years from now — a bubble would sweep out through the universe at the speed of light, obliterating the laws of nature as we know them.
  • The calculations assume that the Standard Model is the final word in physics, good for all times and places and energies — something that no physicist really believes. Theories like supersymmetry or string theory could intercede at higher energies and change the outcome.
  • The calculations also depend crucially on the mass of the top quark, the heaviest known elementary particle, as well as the Higgs, neither of which have been weighed precisely enough yet to determine the fate of the universe. If the top quark were just a little lighter or the Higgs a little heavier, 130 billion electron volts, Dr. Giudice said, the vacuum would in fact be stable.
  • , “Why do we happen to live at the edge of collapse?” He went on, “In my view, the message about near-criticality of the universe is the most important thing we have learned from the discovery of the Higgs boson so far.” Guido Tonelli of CERN and the University of Pisa, said, “If true, it is somehow magic.” We wouldn’t be having this discussion, he said, if there hadn’t been enough time already for this universe to produce galaxies, stars, planets and “human beings who are attempting to produce a vision of the world,” he said.
  • “So, in some sense, we are here, because we have been lucky, because for this particular universe the lottery produced a certain set of numbers, which allow the universe to have an evolution, which is very long.”
Javier E

Life After Oil and Gas - NYTimes.com - 0 views

  • To what extent will we really “need” fossil fuel in the years to come? To what extent is it a choice?
  • Thirteen countries got more than 30 percent of their electricity from renewable energy in 2011, according to the Paris-based International Energy Agency, and many are aiming still higher.
  • Could we? Should we?
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  • the United States could halve by 2030 the oil used in cars and trucks compared with 2005 levels by improving the efficiency of gasoline-powered vehicles and by relying more on cars that use alternative power sources, like electric batteries and biofuels.
  • New York State — not windy like the Great Plains, nor sunny like Arizona — could easily produce the power it needs from wind, solar and water power by 2030
  • “You could power America with renewables from a technical and economic standpoint. The biggest obstacles are social and political — what you need is the will to do it.”
  • “There is plenty of room for wind and solar to grow and they are becoming more competitive, but these are still variable resources — the sun doesn’t always shine and the wind doesn’t always blow,” said Alex Klein, the research director of IHS Emerging Energy Research, a consulting firm on renewable energy. “An industrial economy needs a reliable power source, so we think fossil fuel will be an important foundation of our energy mix for the next few decades.”
  • improving the energy efficiency of homes, vehicles and industry was an easier short-term strategy. He noted that the 19.5 million residents of New York State consume as much energy as the 800 million in sub-Saharan Africa (excluding South Africa)
  • a rapid expansion of renewable power would be complicated and costly. Using large amounts of renewable energy often requires modifying national power grids, and renewable energy is still generally more expensive than using fossil fuels
  • Promoting wind and solar would mean higher electricity costs for consumers and industry.
  • many of the European countries that have led the way in adopting renewables had little fossil fuel of their own, so electricity costs were already high. Others had strong environmental movements that made it politically acceptable to endure higher prices
  • countries could often get 25 percent of their electricity from renewable sources like wind and solar without much modification to their grids. A few states, like Iowa and South Dakota, get nearly that much of their electricity from renewable power (in both states, wind), while others use little at all.
  • America is rich in renewable resources and (unlike Europe) has the empty space to create wind and solar plants. New York State has plenty of wind and sun to do the job, they found. Their blueprint for powering the state with clean energy calls for 10 percent land-based wind, 40 percent offshore wind, 20 percent solar power plants and 18 percent solar panels on rooftops
  • the substantial costs of enacting the scheme could be recouped in under two decades, particularly if the societal cost of pollution and carbon emissions were factored in
Javier E

Bill Gates: 'Death is something we really understand extremely well' - 0 views

  • how do you know what’s actually working when you’re in failed states with very little data-collection capacity? Bill Gates: Of all the statistics in health, death is the easiest, because you can go out and ask people, “Hey, have you had any children who died, did your siblings have any children who died?” People don’t forget that.
  • you can save a lot of lives. One thing about the childhood death rate is you really can split it into the first 30 days of life versus 30 days to 5 years. Thirty days to 5 years is all vaccine preventable stuff — it’s diarrhea, respiratory and malaria.
  • BG: I was completely surprised that nobody was funding some of these vaccines. When I first looked at this I thought, well, all the good stuff will have been done. It was mind-blowing me to find things like Rotavirus vaccine were going unfunded. One hundred percent of rich kids were getting it and no poor kids were. So over a quarter million kids a year were dying of Rotavirus-caused diarrhea. You could save those lives for $800 per life. That’s like $20 or $30 per year of life.
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  • The low-income, middle-income and high-income health systems have extremely different problems. You know, in low-income countries, getting to a health post is hard. It’s very expensive. Whereas in rich countries, yes, you can get to your doctor. In low-income countries, the main problems you have is infectious diseases. We’re dealing with countries that in the worst case where kids have death rates of 20 percent and that’s all infectious disease. And nothing else. In the U.S., in terms of kids under 5, other than premature birth, you really don’t have big problems. Kids just don’t die of infectious disease.
  • in the U.S., what do people die of? From age 5 till age 50, you’ve got suicide, you’ve got traffic accidents. There’s very little cancer and heart disease before age 50.
  • what’s a year of life worth? They call it a disability-adjusted life year (DALY). When you’re running a poor country health-care system, you can’t treat a year of life as being worth more than, say, $200, $300 or else you’ll bankrupt your health system immediately. So, with very few exceptions, you do nothing for cancer. If you get cancer, you’re going to die. And so none of the stuff that’s going on in the U.S. about $300,000 a year chemotherapy drugs is relevant.
  • If you spend the less than 2 percent of what the rich countries spend, but you spend it on vaccinations and antibiotics, you get over half of all that healthcare does to extend life. So you spend 2 percent and you get 50 percent. If you spend another 80 percent you’re at over 90 percent.
  • in rich-world health, innovation is both your friend and your enemy. Innovation is inventing organ replacement, joint replacement. We’re inventing ways of doing new things that cost $300,000 and take people in their 70s and, on average, give them an extra, say, two or three years of life. And then you have to say, given finite resources, should we fire two or three teachers to do this operation? And with chemotherapies, we’ve got things where we’ll spend our dollars on treatments where you’re valuing a life here at over $10 to $20 million. Really big, big numbers, which if you were infinitely rich, of course that would be fine. So most innovations, unfortunately, actually increase the net costs of the healthcare system. There’s a few, particularly having to do with chronic diseases, that are an exception. If you could cure Alzheimer’s, if you could avoid diabetes — those are gigantic in terms of saving money. But the incentive regime doesn’t favor them.
  • We’re very uncomfortable putting a value on human life. The way I see our health system is we’ve chosen to pay a huge premium in order to avoid these questions. A prerequisite for the kind of cost-cutting innovations you’re talking about it is being willing to make judgments about what a human life is worth, or even what a few months of a human life are worth. Because if you can’t decide that, then of course you just pay for everything. But if you start trying to make those choices, or even get people to think about those choices, people cry “death panels!”
  • BG. Yes, someone in the society has to deal with the reality that there are finite resources and we’re making trade-offs, and be explicit about that. When the car companies were found to have a memo that actually said, “This safety feature costs X and saved Y lives,” the very existence of that memo was considered damning. It was “Oh, you think human life is only a bank account.” Or when you made it reimbursable for a doctor to ask, “Do you want heroic care at the end-of-life,” that was a death panel. No, it wasn’t a death panel! It was asking somebody to make a decision.
Javier E

'The Sleepwalkers' and 'July 1914' - NYTimes.com - 0 views

  • In “The Sleepwalkers,” Christopher Clark, a professor of modern European history at Cambridge, describes how within 10 days czarist Russia’s ministers had created a narrative to justify Russia taking up arms for its “little Serbian brothers” should Austria-Hungary try to punish them. The dead archduke was portrayed as a stooge of Kaiser Wilhelm II of Germany and a warmonger (which he wasn’t). The intent was to shift the moral onus from the perpetrator to the victim. France bought into that stratagem, and England more or less went along, the three bound by the Triple Entente of 1907. Austria-Hungary in turn had by July 4 sent an envoy on the night train to Berlin, where the Kaiser had just rebuked an official urging calm: “Stop this nonsense! It was high time a clean sweep was made of the Serbs.” So Austria-­Hungary got its famous “blank check,” and 37 days after Sarajevo the Central Powers (Germany, Austria-Hungary, the Ottoman Empire later in the year and eventually Bulgaria) were at war with the Entente powers
  • Russia’s ­mobilization, he says, was “one of the most momentous decisions of the July crisis. This was the first of the general mobilizations.” McMeekin says that Russia’s crime was first in escalating a local quarrel by encouraging Serbia to stand up to Austria-Hungary and then accelerating the rush to war. He faults Barbara Tuchman in her classic “Guns of August” for misdating Russia’s mobilization two days later than it was ordered. He is no apologist for Germany. In “The Berlin-­Baghdad Express” (2010), he nailed the Kaiser as a half-crazy jihadist inciting Muslims against Anglo-French interests in the faltering Ottoman Empire, but his 2011 book “The Russian Origins of the First World War” lived up to its title. Clark lends authority by citing Russian-French falsifications of documents. The Russians backdated and reworded papers in the records. The French were even more inventive, fabricating a telegram reporting six days of war preparations by Germany that weren’t happening. In Clark’s phrase, both Russia and France were at pains, then and later, to make Berlin appear “the moral fulcrum of the crisis.”
  • By a stringent line-by-line analysis of the terms of Austria’s 48-hour ultimatum to Serbia and the Serbian reply, Clark demolishes the standard view that Austria was too harsh and that Serbia humbly complied. Austria demanded action against irredentist networks in Serbia. It would have been an infringement of sovereignty, yes, but Serbian tolerance of the terrorist networks, and its laid-back response to the Sarajevo murders, inhibit one’s sympathy with its position. Clark describes Austria’s ultimatum as “a great deal milder” than the ultimatum presented by NATO to Serbia-Yugoslavia in the March 1999 Rambouillet Agreement for unimpeded access to its land. As for Serbia’s reply, so long regarded as conciliatory, Clark shows that on most policy points it was a highly perfumed rejection offering Austria amazingly little — a “masterpiece of diplomatic equivocation.”
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  • Clark declines to join McMeekin in what he calls “the blame game,” because there were so many participants. He argues that trying to fix guilt on one leader or nation assumes that there must be a guilty party and this, he maintains, distorts the history into a prosecutorial narrative that misses the essentially multilateral nature of the exchanges, while underplaying the ethnic and nationalistic ferment of a region. “The outbreak of war in 1914,” he writes, “is not an Agatha Christie drama at the end of which we will discover the culprit standing over a corpse in the conservatory with a smoking pistol.” Not having a villain to boo is emotionally less satisfying, but Clark makes a cogent case for the war as a tragedy, not a crime: in his telling there is a smoking pistol in the hands of every major character.
  • Clark makes a fascinating point I’ve not seen before: not simply were all the political players in the drama male, but they were men caught in a “crisis of masculinity.” He cites historians of gender who argue that at this particular time “competition from subordinate and marginalized masculinities — proletarian and nonwhite for example” accentuated assertiveness. You’d expect the military men to exude testosterone, and they do, but Clark is struck by how ubiquitous in memoir and memorandums are pointedly masculine modes of comportment, and how closely they are interwoven with their understanding of policy. “Uprightness,” “backs very stiff,” “firmness of will,” “self-castration” are typical modes of expression.
  • The brilliance of Clark’s far-reaching history is that we are able to discern how the past was genuinely prologue. The participants were conditioned to keep walking along a precipitous escarpment, sure of their own moral compass, but unknowingly impelled by a complex interaction of deep-rooted cultures, patriotism and paranoia, sediments of history and folk memory, ambition and intrigue. They were, in Clark’s term, “sleepwalkers, watchful but unseeing, haunted by dreams, yet blind to the reality of the horror they were about to bring into the world.”
Javier E

A Misguided Focus on Mental Illness in Gun Control Debate - NYTimes.com - 0 views

  • lifetime prevalence of violence among people with serious mental illness — like schizophrenia and bipolar disorder — was 16 percent, compared with 7 percent among people without any mental disorder. Anxiety disorders, in contrast, do not seem to increase the risk at all.
  • Alcohol and drug abuse are far more likely to result in violent behavior than mental illness by itself.
  • mass killings are very rare events, and because people with mental illness contribute so little to overall violence, these measures would have little impact on everyday firearm-related killings. Consider that between 2001 and 2010, there were nearly 120,000 gun-related homicides, according to the National Center for Health Statistics. Few were perpetrated by people with mental illness.
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  • more significant, we are not very good at predicting who is likely to be dangerous in the future.
  • “Most of these killers are young men who are not floridly psychotic. They tend to be paranoid loners who hold a grudge and are full of rage.”
  • Even though we know from large-scale epidemiologic studies like the E.C.A. study that a young psychotic male who is intoxicated with alcohol and has a history of involuntary commitment is at a high risk of violence, most individuals who fit this profile are harmless.
  • “Can we reliably predict violence?  ‘No’ is the short answer. Psychiatrists, using clinical judgment, are not much better than chance at predicting which individual patients will do something violent and which will not.”
  • Even if clinicians could predict violence perfectly, keeping guns from people with mental illness is easier said than done. Nearly five years after Congress enacted the National Instant Criminal Background Check System, only about half of the s
  • All the focus on the small number of people with mental illness who are violent serves to make us feel safer by displacing and limiting the threat of violence to a small, well-defined group
  • But the sad and frightening truth is that the vast majority of homicides are carried out by outwardly normal people in the grip of all too ordinary human aggression to whom we provide nearly unfettered access to deadly force.
Javier E

America Can Take a Breather. And It Should. - NYTimes.com - 0 views

  • Today, there are threats, but they tend to be regional, years away or limited in scale. None rises to the level of being global, immediate and existential. The United States faces no great-power rival. And this is likely to remain so for the foreseeable future.
  • The biggest strategic question facing America is how to extend this respite rather than squander it. This will require restraining foreign involvement and restoring domestic strength. We can no longer seek to remake countries in the Middle East and South Asia, as was tried at great cost and with little success in Iraq and Afghanistan.
  • This situation isn’t cause for complacency. Primacy is not license to do as we please. A respite is, by definition, temporary — a departure from history, not history’s end. It allows a shift of emphasis, not withdrawal from the world.
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  • Overseas, our attention should be focused on those places where America’s interests are greatest and where our available policy tools — the military, aid, trade and diplomacy — can accomplish the most good. This means limiting wars of choice and wholesale efforts to remake societies
  • At home, we must work to restore the foundations of American power. In many cases, this doesn’t even require spending more — often there is little relationship between our investments and the results.
  • The United States spends nearly twice as much as other industrialized nations per citizen on health care — often with worse outcomes. We spend more per student on education than most other wealthy countries, with few results to show for it. Attracting top-quality teachers, rewarding them for success, and enabling parents and students to choose effective schools would be a better use of resources.
rachelramirez

Dying Infants and No Medicine: Inside Venezuela's Failing Hospitals - The New York Times - 0 views

  • Dying Infants and No Medicine: Inside Venezuela’s Failing Hospitals
  • “The death of a baby is our daily bread,” said Dr. Osleidy Camejo, a surgeon in the nation’s capital, Caracas, referring to the toll from Venezuela’s collapsing hospitals.
  • It is just part of a larger unraveling here that has become so severe it has prompted President Nicolás Maduro to impose a state of emergency and has raised fears of a government collapse.
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  • Gloves and soap have vanished from some hospitals. Often, cancer medicines are found only on the black market. There is so little electricity that the government works only two days a week to save what energy is left.
  • At the University of the Andes Hospital in the mountain city of Mérida, there was not enough water to wash blood from the operating table. Doctors preparing for surgery cleaned their hands with bottles of seltzer water.
  • The hospital has no fully functioning X-ray or kidney dialysis machines because they broke long ago. And because there are no open beds, some patients lie on the floor in pools of their blood.
  • This nation has the largest oil reserves in the world, yet the government saved little money for hard times when oil prices were high.
  • So without water, gloves, soap or antibiotics, a group of surgeons prepared to remove an appendix that was about to burst, even though the operating room was still covered in another patient’s blood.
  • In April, the authorities arrested its director, Aquiles Martínez, and removed him from his post. Local news reports said he was accused of stealing equipment meant for the hospital, including machines to treat people with respiratory illnesses, as well as intravenous solutions and 127 boxes of medicine.
  • In a supply room, cockroaches fled as the door swung open.
  • Ms. Parucho, a diabetic, was unable to receive kidney dialysis because the machines were broken. An infection had spread to her feet, which were black that night. She was going into septic shock.
  • A holiday had been declared by the government to save electricity, and the blood bank took donations only on workdays.
  • For the past two and a half months, the hospital has not had a way to print X-rays. So patients must use a smartphone to take a picture of their scans and take them to the proper doctor.
  • Near him, a handwritten sign read, “We sell antibiotics — negotiable.” A black-market seller’s number was listed.
  • The ninth floor of the hospital is the maternity ward, where the seven babies had died the day before. A room at the end of the hall was filled with broken incubators.
  • The day of the power blackout, Dr. Rodríguez said, the hospital staff tried turning on the generator, but it did not work.
Javier E

After Trump, conservatives should stop longing for the past - and learn a little humility - The Washington Post - 0 views

  • He explains the illusory appeal of nostalgia-driven politics in the United States, the kind that Trump stokes in coarse, simplistic terms.
  • he offers a path forward for the American right after this campaign, whether it is adjusting to life in Trump’s America or coping again with another electoral setback.
  • Levin wants a humbler, more local conservatism, one less concerned with tearing down Washington or promoting hyper-individualism than with creating space for America’s “mediating institutions” of family and community to blossom
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  • This vision involves “a mix of dependence on others and obligations to them,” Levin writes, “and so a connection with specific people with whom you share some meaningful portion of the actual experience of life.”
  • Levin understands the allure of nostalgia; indeed, he believes that almost all contemporary politics is based on it
  • These competing nostalgias, though more sophisticated than Trump’s, are no less misguided, and lead to bad politics and policy.
  • Sure, there is plenty to long for, Levin says. In the early decades of the post-World War II era, the United States enjoyed “relative cultural cohesion, low economic inequality, high confidence in national institutions, and widespread optimism about the nation’s prospects” (especially if you were white and male). But that was a unique pivot point in U.S. history, a time when the country was straddling two opposing forces that would define the American century: consolidation and diffusion.
  • The first half of the 20th century, Levin contends, was an age of consolidation, with a peerless industrial economy, a strong centralized government and a relatively uniform cultural identity shaped by a powerful mass media.
  • In the century’s second half, by contrast, the U.S. economy became more diversified and deregulated, while cultural conformity broke down in favor of individualism and the politics of personal identity.
  • for a fleeting moment at midcentury, it enjoyed the best of both. “The social, political, and economic forms of American life at midcentury made possible a degree of prosperity and cohesion that in turn enabled many Americans to flourish,”
  • “Democrats talk about public policy as though it were always 1965 and the model of the Great Society welfare state will answer our every concern,”
  • Republicans talk as though it were always 1981 and a repetition of the Reagan Revolution is the cure for what ails us.”
  • This stale — and stalemated — debate leaves people discouraged with politicians who don’t seem engaged with their current struggles. “In the absence of relief from their own resulting frustration, a growing number of voters opt for leaders who simply embody or articulate that frustration,”
  • the nostalgia of the traditional political class is also pernicious and “blinding,” Levin argues, because it keeps us from grappling with the real problems assaulting us in the age of diffusion
  • “In liberating many individuals from oppressive social constraints, we have also estranged many from their families and unmoored them from their communities, work, and faith,”
  • “Rather than decrying the collapse of moral order, we must draw people’s eyes and hearts to the alternative.” Their incessant focus on religious liberty, for example, while important, may be counterproductive, “a fundamentally plaintive and inward-looking minority asking to protect what it has and in essence to be left alone,”
  • In unleashing markets to meet the needs and wants of consumers, we have freed them also to treat workers as dispensable and interchangeable.
  • In pursuing meritocracy, we have magnified inequality.”
  • “In loosening the reins of cultural conformity and national identity we have weakened the roots of mutual trust.
  • he worries that the price of this new freedom has been high. “We have set loose a scourge of loneliness and isolation that we are still afraid to acknowledge as the distinct social dysfunction of our age of individualism, just as crushing conformity was the characteristic scourge of an era of cohesion and national unity,”
  • The answer to all this is the pursuit of what Levin describes as a “modernized politics of subsidiarity — that is, of putting power, authority and significance as close to the level of interpersonal community as reasonably possible.”
  • He is most concerned with the thicket of institutions in the middle — families, schools, religious organizations, all the things usually lumped together as civil society.
  • “we should see it as an effort to open up the space between them — the space where a free society can genuinely thrive.” Our objective should be to “channel power and resources to the mediating institutions of society and allow for bottom-up problem solving that takes a variety of specialized, adapted forms.”
  • It is a very Tocquevillian vision, with a dash of Catholic social teaching thrown in. No doubt, to yearn for the renewal of these traditional institutions is its own kind of nostalgia.
  • So how do we go about strengthening families, religious organizations, schools and all those mediating institutions?
  • He calls for a “mobility agenda,” with economic growth spurred by tax and regulatory reform
  • a more competitive and low-cost health-care system, lower budget deficits — all part of a standard conservative recipe.
  • He proposes education reform that includes more professional certificates, apprenticeships “and other ways of gaining the skills for well-paid employment that do not require a college degree.”
  • Levin’s intention here is less to offer detailed proposals than to shift the locus of policymaking itself — and to infuse it with greater humility. “There is not much that public policy can do,” he admits, “to create communities that do a better job of encouraging constructive behavior: it could, however, do less harm, and it could leave room for such communities to form, and protect the space in which they take root and grow.”
  • The result is a bifurcated America, torn between wealth and poverty, order and disorder. “Increasingly, society consists of individuals and a national state, while the mediating institutions — family, community, church, unions, and others — fade and falter.”
  • Instead, social and religious conservatives should “assert themselves by offering living models of their alternative to the moral culture of our hyper-individualist age.”
  • In other words, less hectoring and lecturing, less trying to remake the culture at large, and more strengthening one’s “near-at-hand community,” Levin writes. He calls this approach “subcultural traditionalism
  • he sees it in “civic groups that channel their energies into making neighborhoods safe and attractive, or into helping the poor, or protecting the vulnerable, or assimilating immigrants, or helping fight addiction
  • in schools that build character and inculcate the values parents think are most important; in religious congregations that mold themselves into living communities of like-minded families, and that turn their faiths into works to improve the lives of others;
  • in the work of teachers and students who are committed to liberal learning and engagement with the deepest questions.”
  • Such a localized focus, Levin maintains, is not “an alternative to fighting for the soul of the larger society, but a most effective means of doing so.”
  • I suspect the fulfillment of Levin’s vision would require a party and a movement that grasp the exhaustion of their current approach. A November defeat, especially a landslide, might accomplish that
Javier E

The EpiPen, a Case Study in Health System Dysfunction - The New York Times - 0 views

  • the story of EpiPens can also explain so much of what’s wrong with our health care system.
  • Epinephrine is very, very cheap. Even in the developing world, it costs less than a dollar per milliliter, and there’s less than a third of that in an EpiPen.
  • The EpiPen isn’t new; it has been in use since 1977. Research and development costs were recouped long ago. Nine years ago, it was bought by the pharmaceutical company Mylan, which then began to sell the device. When Mylan bought it, EpiPens cost about $57 each.
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  • 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.
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