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What Spotify should learn from the Joe Rogan affair | The Economist - 0 views

  • Yet he has broken no laws, nor even, Spotify seems to believe, the company’s content rules.
  • As a matter of principle, Mr Rogan should be able to speak. As a commercial question, Spotify has made a publisher’s gamble that his wildly popular show will attract more customers than it repels—just as Netflix recently bet that Dave Chappelle’s risqué comedy show would tickle more subscribers than it turned off. The gamble is, in the most literal sense, Spotify’s business.
  • The result is that the content mix on audio platforms is starting to look less like the curated library of Netflix and more like the infinite hotch-potch of YouTube. Unlike other social networks, however, audio platforms have little experience in moderating content.
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  • Most of the 3.2m podcasters on Spotify are not like Mr Rogan, who sold his show to the company in 2020 for a reported $100m. The vast majority are amateurs,
  • The vaccines bust-up is their first taste of an argument that other social networks have grappled with for years and which is now coming to audio.
  • On the one hand, most consumers want protection from the most harmful content, the best example being the incitement to violence, which even America’s First Amendment condemns.
  • On the other hand, few want tech executives to become censors. Plenty of good music features bad language, disturbing ideas and violence. Some podcasts will stoke controversy. Free speech must be the default.
  • The starting point is transparency, which the audio platforms sorely lack.
  • Apple, the next-biggest streamer, has content guidelines for podcasts but a rough style guide for music. Amazon, the third-largest, has published even less in the way of rules. And whereas Facebook and co release regular reports on what content they have taken down and why, the audio streamers are opaque.
  • Amid the Rogan crisis, Spotify casually mentioned that it had removed 20,000 other podcast episodes over covid misinformation. What else is it taking down? No one knows
  • But clear, predictable rules can protect speech as much as containing it. Rules determine not just what is banned, but also help defend what is allowed.
  • The social networks are far from perfect, but rules that are open to public scrutiny can gradually be improved on.
  • By contrast, the failure to spell out what is and isn’t allowed risks having a chilling effect, in which people steer clear of controversy for fear of triggering the unpredictable censor.
  • The lack of well-defined rules encourages an ongoing free-for-all of the sort seen this week, in which critics hope that by withdrawing their business or shouting loudly enough, they can force companies to cancel acts they disapprove of.
  • As platforms like Spotify open their gates to more user-generated content, the same free-speech battles are coming to audio. Streamers should get their rules ready now, and prepare for the next, inevitable explosion.
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Beijing's Winter Olympics symbolise a world divided | The Economist - 0 views

  • No leader of a big Western power will attend the games. The pandemic has provided some with an excuse for staying away. But the main reason is the scale of the repression that Xi Jinping has unleashed since he took power in 2012.
  • In Xinjiang Mr Xi has sent about 1m people, mostly ethnic Uyghurs, to camps to “cure” them of “extremism”—a euphemism for stamping out their culture and Muslim faith.
  • Russia’s president, Vladimir Putin, does not share their scruples. As tensions mount over Ukraine, he will enjoy the limelight as the most important guest and Mr Xi’s “best friend”.
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  • The West worried about China then, too. The country had been waging a fierce campaign to crush unrest in Tibet following widespread protests there. Human-rights groups were calling for boycotts. But many Western officials still believed that engaging with China might nudge it towards acceptance of the Western-led global order, or at least help tame the rise of anti-Western nationalism.
  • Mr Xi has fuelled an ugly nationalism and clearly wants a China-centric order. The motto he has chosen for the winter games alludes to this. It is shorthand for one of his favourite catchphrases, about building a “community with a shared future for mankind”.
  • That means a world in which countries co-operate with China regardless of its politics. Many in the West abhor the idea.
  • State media suggest that the opening ceremony is unlikely to be such a full-throated celebration of China’s greatness as was seen at the launch of the games in 2008, when thousands of costumed troops took part in grandiose performances.
  • No foreign visitors, other than invited guests, have been let into China to watch the games. Tickets are not being sold to people in the country. Fearful of recent outbreaks of covid-19, the government says it will “organise” people to attend.
  • They may clap, but not shout. The athletes, their support staff and journalists are being kept in a “closed loop”, isolated from the local community. Dozens of them are testing positive.
  • Protections make sense when admitting 30,000 foreigners into a country that lacks a highly effective vaccine (because it has not approved foreign jabs), and whose population has acquired no immunity from infections.
  • But they also show how far China is diverging from the rest of the world in its handling of the pandemic. China is excoriating other countries trying to co-exist with the virus for failing to protect human lives. It sees its zero-covid approach as proof of its own system’s superiority.
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Opinion | Guns, Germs, Bitcoin and the Antisocial Right - The New York Times - 0 views

  • What do these examples have in common? As Thomas Hobbes could have told you, human beings can only flourish, can only avoid a state of nature in which lives are “nasty, brutish and short,” if they participate in a “commonwealth” — a society in which government takes on much of the responsibility for making life secure.
  • Thus, we have law enforcement precisely so individuals don’t have to go around armed to protect themselves against other people’s violence.
  • Public health policy, if you think about it, reflects the same principle. Individuals can and should take responsibility for their own health, when they can; but the nature of infectious disease means that there is an essential role for collective action
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  • the need for regulation to maintain the reliability of essential aspects of the economy like electricity supply and the monetary system.
  • Which is why I’m calling the modern American right antisocial — because its members reject any policy that relies on social cooperation, and they want us to return instead to Hobbes’s dystopian state of nature
  • why Republicans have become fanatics about cryptocurrency, to the extent that one Senate candidate has defined his position as being “pro-God, pro-family, pro-Bitcoin.” The answer, I’d argue, is that Bitcoin plays into a fantasy of self-sufficient individualism, of protecting your family with your personal AR-15, treating your Covid with an anti-parasite drug or urine and managing your financial affairs with privately created money, untainted by institutions like governments or banks.
  • In the end, none of this will work. Government exists for a reason. But the right’s constant attacks on essential government functions will take a toll, making all of our lives nastier, more brutish and shorter.
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How Politics Poisoned the Evangelical Church - The Atlantic - 0 views

  • in the spring of 2021, Brown told me his alarm had only grown. “The crisis for the Church is a crisis of discernment,” he said over lunch. “Discernment”—one’s basic ability to separate truth from untruth—“is a core biblical discipline. And many Christians are not practicing it.”
  • Paul’s admonishment of the early Church contains no real ambiguity. Followers of Jesus are to orient themselves toward his enduring promise of salvation, and away from the fleeting troubles of humanity.
  • To many evangelicals today, the enemy is no longer secular America, but their fellow Christians, people who hold the same faith but different beliefs.
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  • Having convinced so many evangelicals that the next election could trigger the nation’s demise, Christian leaders effectively turned thousands of churches into unwitting cells in a loosely organized, hazily defined, existentially urgent movement—the types of places where paranoia and falsehoods flourish and people turn on one another.
  • “Hands down, the biggest challenge facing the Church right now is the misinformation and disinformation coming in from the outside,” Brown said.Because of this, the pastor told me, he can no longer justify a passive approach from the pulpit. The Church is becoming radicalized—and pastors who don’t address this fact head-on are only contributing to the problem
  • “The battle lines have been drawn,” Bolin told me, sitting in the back of his darkened sanctuary. “If you’re not taking a side, you’re on the wrong side.”
  • It’s the story of millions of American Christians who, after a lifetime spent considering their political affiliations in the context of their faith, are now considering their faith affiliations in the context of their politics.
  • “We fix our eyes not on what is seen, but on what is unseen,” Paul wrote. “Since what is seen is temporary, but what is unseen is eternal.”
  • The pastor said his concern was not simply for his congregation of 300, but for the millions of American evangelicals who had come to value power over integrity, the ephemeral over the eternal, moral relativism over bright lines of right and wrong.
  • For much of my lifetime, however, American Christians have done the opposite. Beginning in the 1980s, white evangelicals imposed themselves to an unprecedented degree on the government and the country’s core institutions
  • Once left to cry jeremiads about civilizational decline—having lost fights over sex and sexuality, drugs, abortion, pornography, standards in media and education, prayer in public schools—conservative Christians organized their churches, marshaled their resources, and leveraged their numbers,
  • Evangelical leaders set something in motion decades ago that pastors today can no longer control. Not only were Christians conditioned to understand their struggle as one against flesh and blood, fixated on earthly concerns, a fight for a kingdom of this world—all of which runs directly counter to the commands of scripture—they were indoctrinated with a belief that because the stakes were getting so high, any means was justified.
  • When Trump was elected thanks to a historic showing among white evangelicals—81 percent voted for him over Hillary Clinton—the victory was rightly viewed as the apex of the movement’s power. But this was, in many ways, also the beginning of its unraveling.
  • what’s notable about the realignment inside the white evangelical Church is its asymmetry. Pastors report losing an occasional liberal member because of their refusal to speak on Sunday mornings about bigotry or poverty or social injustice. But these same pastors report having lost—in the past few years alone—a significant portion of their congregation because of complaints that they and their staff did not advance right-wing political doctrines
  • Substantial numbers of evangelicals are fleeing their churches, and most of them are moving to ones further to the right.
  • Christianity has traditionally been seen as a stabilizing, even moderating, influence on American life. In 1975, more than two-thirds of Americans expressed “a great deal or quite a lot of confidence in the church,” according to Gallup, and as of 1985, “organized religion was the most revered institution” in American life
  • Today, Gallup reports, just 37 percent of Americans have confidence in the Church.
  • to Jeff and Deidre, Jenkinson’s stance amounted to cowardice. “I realize these are hard conversations, but the reason we left Milford is they were never willing to have the conversation,” Jeff said. “They were just trying to keep everybody happy. Paul is a conservative, but his conservatism has no teeth.”
  • a strictly apolitical approach can be counterproductive; their unwillingness to engage only invites more scrutiny. The whisper campaigns brand conservative pastors as moderate, and moderate pastors as Marxists. In this environment, a church leader’s stance on biblical inerrancy is less important than whether he is considered “woke.
  • “A pastor asked me the other day, ‘What percentage of churches would you say are grappling with these issues?’ And I said, ‘One hundred percent. All of them,’ ”
  • “It may sound like Chicken Little. But I’m telling you, there is a serious effort to turn this ‘two countries’ talk into something real. There are Christians taking all the populist passions and adding a transcendent authority to it.”
  • More than a few times, I’ve heard casual talk of civil war inside places that purport to worship the Prince of Peace. And, far from feeling misplaced, these conversations draw legitimacy from a sense of divine justice.
  • The Church is not a victim of America’s civic strife. Instead, it is one of the principal catalysts.
  • “Back when I believed there was an honorable alliance between Republicans and evangelicals, it was because I believed that our values would ultimately prevail, come what may on this Earth, whether we win or lose some election,” Brown said. “But over time, there was a shift. Losing was no longer an option. It became all about winning.”
  • And then,” Brown said, “came Barack Obama.”It felt silly at first—jokes about Obama’s birth certificate, comments about his faith. But over time, the discourse inside the church became more worrisome.
  • The cultural climate was getting chilly for evangelicals; the Great Recession was squeezing his blue-collar congregation. But much of the anxiety felt amorphous, cryptic—and manufactured. However effective Brown might be at soothing his congregants for 45 minutes on a Sunday morning, “Rush [Limbaugh] had them for three hours a day, five days a week, and Fox News had them every single night.”
  • Brown kept reminding his people that scripture’s most cited command is “Fear not.” But he couldn’t break through. Looking back, he understands why.
  • “Biblically, fear is primarily reverence and awe. We revere God; we hold him in awe,” Brown told me. “You can also have reverence and awe for other things—really, anything you put great value on. I think, in conservative-Christian circles, we place a lot of value on the life we’ve known. The earthly life we have known. The American life we’ve known …
  • If we see threats to something we value, we fear—that is, we revere, we hold in inappropriate awe—those who can take it away. That’s Barack Obama. That’s the left.”
  • For white evangelicals, the only thing more galvanizing than perceptions of their idealized nation slipping away was the conviction that their favored political party was unwilling to fight for the country’s survival.
  • “There was this sense that America is under siege, that the barbarians were at the gates,” Brown said. “Then along comes Donald Trump, who says he can make America great again. And for evangelicals, it was time to play for keeps.”
  • The Trump conversion experience—having once been certain of his darkness, suddenly awakening to see his light—is not to be underestimated, especially when it touches people whose lives revolve around notions of transformation.
  • Modern evangelicalism is defined by a certain fatalism about the nation’s character. The result is not merely a willingness to act with desperation and embrace what is wrong; it can be a belief, bordering on a certainty, that what is wrong is actually right.
  • This downward spiral owes principally to two phenomena: the constant stench of scandal, with megachurches and prominent leaders imploding on what seems like a weekly basis; and the growing perception that Christians are embracing extremist views.
  • Tony DeFelice is another new arrival at FloodGate—and another Christian who got tired of his pastor lacking teeth. At his previous church, in the Democratic-leaning Detroit suburb of Plymouth, “they did not speak a single word about politics. Not on a single issue,” he told me. “When we got to FloodGate, it confirmed for us what we’d been missing.”
  • “We didn’t leave the church. The church left us,” Tony told me. “COVID, the whole thing, is the biggest lie perpetrated on humanity that we’re ever going to see in our lifetime. And they fell for it.”
  • Tony and Linda say FloodGate’s style—and Bolin’s fiery messages on topics like vaccines and voter fraud—has changed the way they view their responsibilities as Christians. “This is about good against evil. That’s the world we live in. It’s a spiritual battle, and we are right at the precipice of it,” Tony said.
  • With the country on the brink of defeat at the hands of secularists and liberals, Tony no longer distinguishes between the political and the spiritual. An attack on Donald Trump is an attack on Christians. He believes the 2020 election was stolen as part of a “demonic” plot against Christian America. And he’s confident that righteousness will prevail: States are going to begin decertifying the results of the last election, he says, and Trump will be returned to office.
  • He is just as convinced that Trump won the 2020 election, he said, as he is that Jesus rose from the dead 2,000 years ago.
  • Most evangelicals don’t think of themselves as Locke’s target demographic. The pastor has suggested that autistic children are oppressed by demons. He organized a book-burning event to destroy occult-promoting Harry Potter novels and other books and games. He has called President Biden a “sex-trafficking, demon-possessed mongrel.”
  • Not long ago, Locke was a small-time Tennessee preacher. Then, in 2016, he went viral with a selfie video, shot outside his local Target, skewering the company’s policies on bathrooms and gender identity. The video has collected 18 million views, and it launched Locke as a distinct evangelical brand. He cast himself on social media as a lone voice of courage within Christendom. He aligned himself with figures like Dinesh D’Souza and Charlie Kirk to gain clout as one of the Christian right’s staunchest Trump supporters. All the while, his congregation swelled—moving from their old church building, which seated 250, into a large outdoor tent, then into an even bigger tent, and eventually into the current colossus. The tent holds 3,000 people and would be the envy of Barnum & Bailey.
  • “We are born for such a time as this. God is calling you to do something,” Schneider says. “We have a country to get back. And if that fails, we have a country—yes, I’ll say it—to take back.”
  • “I really don’t. No. Not too much. I don’t,” Bolin says, shaking his head. “Firebrand statements have been part of the pulpit, and part of politics, for as long as we’ve been a nation. And there is a long history of both sides exaggerating—like in a post like that.”
  • How many pastors at smaller right-wing churches—pastors like Bolin—would have felt uneasy sitting inside this tent? The answer, I suspect, is very few. Global Vision and FloodGate may be different in degree, but they are not different in kind.
  • his mission creep inside evangelicalism is why some churches have taken an absolutist approach: no preaching on elections, no sermons about current events.
  • “What’s coming is going to be brutal. There’s no way around that,” Bingham told me. “Churches are breaking apart everywhere. My only hope is that, when the time comes, our people can separate without shattering.”
  • At one point, I show Bolin a Facebook post he wrote months earlier: “I’m still wondering how 154,000,000 votes were counted in a country where there are only 133,000,000 registered voters.” This was written, I tell him, well after the Census Bureau had published data showing that more than 168 million Americans were registered to vote in 2020. A quick Google search would have given Bolin the accurate numbers.
  • “Yeah, that’s one I regret,” he tells me, explaining that he subsequently learned that the numbers he’d posted were incorrect. (The post was still active. Bolin texted me the following day saying he’d deleted it.)
  • Doesn’t he worry that if people see him getting the easy things wrong, they might suspect he’s also getting the hard things wrong? Things like sanctity and salvation?
  • Let’s be clear: Locke belongs to a category of his own. He recently accused multiple women at his church of being witches (his source: a demon he encountered during an exorcism). That makes it easy for evangelicals to dismiss Global Vision as an outlier, the same way they did Westboro Baptist. It’s much harder to scrutinize the extremism that has infiltrated their own church and ponder its logical end point. Ten years ago, Global Vision would have been dismissed as a blip on Christianity’s radar. These days, Locke preaches to 2.2 million Facebook followers and has posed for photos with Franklin Graham at the White House.
  • Bolin says FloodGate and churches like it have grown in direct proportion to how many Christians “felt betrayed by their pastors.” That trend looks to be holding steady. More people will leave churches that refuse to identify with a tribe and will find pastors who confirm their own partisan views. The erosion of confidence in the institution of American Christianity will accelerate. The caricature of evangelicals will get uglier. And the actual work of evangelizing will get much, much harder.
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Opinion | The Right Don't Need No Education - The New York Times - 0 views

  • It’s easy to get drawn into debating accusations about particular courses or institutions, but that’s missing the fundamental context: the extraordinary rise in right-wing hostility to higher education in general.
  • It is true that college faculty members are much more likely to identify themselves as liberal and vote Democratic than the public at large. But this needn’t be evidence of anti-conservative bias. Much of it surely reflects self-selection: What kind of person decides to pursue academics as a career? To make a comparison: The police skew Republican, but I presume that everyone accepts that this mainly involves who wants to be a police officer.
  • So what’s really driving the attacks on higher education?
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  • Not that long ago most Americans in both parties believed that colleges had a positive effect on the United States. Since the rise of Trumpism, however, Republicans have turned very negative. Recent polling shows an overwhelming majority of Republicans agreeing that both college professors and high schools are trying to “teach liberal propaganda.”
  • Did America’s colleges — which a large majority of Republicans considered to have a positive influence as recently as 2015 — suddenly become centers of left-wing indoctrination? Did the same thing happen to high schools, run by local boards, across the nation?
  • What happened was that MAGA politicians began peddling scare stories about education — notably, denouncing high schools for teaching critical race theory, even though they don’t. And right-wingers also greatly expanded their definition of what counts as “liberal propaganda.”
  • Thus, when one points out that schools don’t actually teach critical race theory, the response tends to be that while they may not use the term, they do teach students that racism was long a major force in America, and its effects linger to this day.
  • I don’t know how you teach our nation’s history honestly without mentioning these facts — but in the eyes of a substantial number of voters, teaching uncomfortable facts is indeed a form of liberal propaganda.
  • once that’s your mind-set, you see left-wing indoctrination happening everywhere, not just in history and the social sciences
  • If a biology class explains the theory of evolution, and why almost all scientists accept it — or, for that matter, the theory of how vaccines work — well, that’s liberal propaganda.
  • If a physics class explains how greenhouse gas emissions can change the climate — well, that’s more liberal propaganda.
  • so a large segment of the population — the segment DeSantis is courting — has become hostile to higher education as a whole.
  • it’s a familiar fact that U.S. politics is increasingly polarized along educational lines, with the highly educated supporting Democrats and the less-educated supporting Republicans. This polarization is often portrayed as a symptom of Democratic failure — why can’t the party win over working-class white voters
  • it’s equally valid to ask how Republicans have managed to alienate educated voters who might benefit from tax cuts. And the party’s growing hostility to education is surely part of the answer.
  • In any case, one sad thing is that this turn against education is taking place precisely at a time when highly educated workers are becoming ever more crucial to the economy.
  • For now, the important thing to understand is that people like DeSantis are attacking education, not because it teaches liberal propaganda, but because it fails to sustain the ignorance they want to preserve.
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A new low for global democracy | The Economist - 0 views

  • LOBAL DEMOCRACY continued its precipitous decline in 2021, according to the latest edition of the Democracy Index from our sister company, EIU.
  • The global score fell from 5.37 to a new low of 5.28 out of ten. The only equivalent drop since 2006 was in 2010 after the global financial crisis.
  • For the second year in a row, the pandemic was the biggest source of strain on democratic freedom around the world.
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  • North America fared only slightly better. Despite riots in the Capitol and attempts by the departing president Donald Trump to overturn the election results, the inauguration of Joe Biden proceeded smoothly and America’s democracy score only fell by 0.07 points.
  • Pedro Castillo’s narrow victory in Peru in June was contested for weeks by his opponent, Keiko Fujimori, and the Nicaraguan poll in November was a sham. Chile was downgraded to a “flawed democracy” partly because of low voter turnout in its deeply polarised elections, and Haiti is still in political crisis after the assassination of the president, Jovenel Moïse.
  • Through lockdowns and travel restrictions, civil liberties were again suspended in both developed democracies and authoritarian regimes.
  • Canada suffered a far bigger setback, of 0.37 points. Again, pandemic restrictions were the main cause of frustration and disaffection. According to the World Value Survey, which is used in some of the quantitative sections of the EIU’s survey, just 10.4% of Canadians felt that they had “a great deal” of freedom of choice and control. More alarming, 13.5% expressed a preference for military rule.
  • The fall in Canada’s index score reflected popular disaffection with the status quo and a turn to non-democratic alternatives.
  • The trucker blockade in Ottawa may presage more political upheaval. But the biggest challenge to the Western model of democracy over the coming years will come from China
  • After four decades of rapid growth it is the world’s second-biggest economy; within a decade the EIU forecasts that it will overtake America. If China’s absence from Mr Biden’s recent Summit for Democracy is anything to go by, the West is not looking to engage it. China’s response to being snubbed was to declare the state of American democracy “disastrous”.
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Getting 'More Christians Into Politics' Is the Wrong Christian Goal - 0 views

  • If I could distill the anger about that essay down to a single sentence (besides simply, “Shut up!”) it would be this: “You talk about the problems in Christian conservatism too much. Talk about the Left more.” 
  • And I get it. I really do. In a deeply divided nation where millions of people have convinced themselves that the church is under unprecedented siege, you want Christians who possess a public platform to “defend the church.” There is a deep and profound human desire for advocacy.
  • Yet that’s not remotely the model of biblical discourse, especially of how believers talk to each other.
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  • As I wrote in my book, at my most partisan moment I once gave a speech in which I said words that shame me to this day. 
  • we forget a fundamental truth—our own maladies often make us unable to see the world clearly. Or, as Jesus said, “You hypocrite, first take the plank out of your own eye, and then you will see clearly to remove the speck from your brother’s eye.” In so many ways, we’ve become the People of the Plank, blind to the pain we’ve inflicted on the public even as we try desperately to protect ourselves from them.
  • Early church fathers were far, far more concerned with the faith and virtue of the church than the maladies of the Romans. 
  • I didn’t exactly become post-partisan upon my return (that came later), but I gained the perspective that permitted me to start the process of pulling the plank from my own eye.
  • In Iraq, the reality was so profoundly different that words can barely begin to describe all the distinctions
  • “I believe the two greatest threats to the United States are university leftists at home and jihadists abroad.”
  • it’s opened my eyes to many truths that were new to me. Among them, the church should be focused much more on its own virtue than the virtue of the rest of the world.
  • In addition, if there were no grounds for Christians to live with a “spirit of fear” at the height of the Roman Empire, there are no grounds for us to live with a spirit of fear in our nation today. Yet fear seems to dominate Christian political activism—including fear of the left, of CRT, and sometimes even fear for the very existence of a free church in the United States of America.
  • sad experience with Christian leaders teaches us that their professed identity tells us little to nothing about their actual virtue, and virtue should be the guiding concern of Christians in politics, not identity. 
  • I now see that my young desire for “more Christians in politics” and “more respect for Christians in public life” was part of the plank in my eye. Indeed, it helped make me gullible and tribal.
  • I was often eager to critique secular cultures and slow to respond when my own narratives came under credible attack. 
  • While some of the most important fights for justice have been led by Christians—including the civil rights and pro-life movements—some of the most destructive political and cultural forces have been loudly and proudly led by Christians as well. 
  • In fact, two of the most destructive political and cultural movements of this new century—vaccine refusal that has cost hundreds of thousands of lives, and an effort to overturn an election that could have ruptured our republic—were disproportionately dominated by the most outspoken Christian voices.
  • Here’s what’s hard. Refusing to lie for a president. Refusing to yield to a mob. Resisting the fury of a furious time. And if Christians can’t succeed in that most basic, though often profoundly dangerous, task, then no, we don’t need more Christians in politics. We need more people who possess and demonstrate character and moral courage.
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Why Conservative Parts of the U.S. Are So Angry - YES! Magazine - 0 views

  • Racially and politically, Antlers is typical of much of rural Oklahoma, a state forged from the 19th century territory set aside for Native American tribes forcibly removed from other parts of the United States. Antlers is now 75% White and 22% Native American or mixed race, but with very few Latino, Asian, or Black residents. In 2020, Antlers and its county, Pushmataha—which supported former President Bill Clinton in 1996 and even Jimmy Carter over Ronald Reagan in 1980—voted for Republicans, 85% to the Democrats’ 14%, up from an 80% share for Republicans in 2016, 54% in 2000, and 34% in 1996.
  • Antlers’ social statistics are beyond alarming. Nearly one-third of its residents live in poverty. The median household income, $25,223, is less than half Oklahoma’s $55,557, which in turn is well below the national median of $74,099 in January 2022.
  • The best-off ethnic group in Antlers is Native Americans (median household income, $35,700; 48% with education beyond high school; 25% living in poverty)
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  • That’s still well below the national median, but the conditions of the White population are dismal: a median household income of $24,800, only 41% with any post-high school education, and 30% living in poverty.
  • In a growing nationwide trend, the median household incomes of people of color, according to the U.S. Census Bureau, now exceed those of White people in nearly 200 of the 1,500 Republican-trifecta counties—those in which the party controls the governor’s office and both legislative chambers of state government (see Figure 1)
  • In the most telling statistics, White people in Antlers are nearly twice as likely to die by guns as Native Americans (see Figure 2). Compared with Whites nationally, Antlers Whites suffer excessive death rates from drugs and alcohol (1.3 times the national average), suicide (1.5 times), all violent deaths (1.8 times), homicide (2.5 times), and gunfire (2.6 times).
  • When I was growing up in Antlers 60 years ago and visited it 20 years ago, my family’s old block consisted of well-kept middle-class homes fronting yards for chickens and horses. On my latest visit in January 2022, I found the houses all boarded up or blowing open in the wind (see photo at top). There are hundreds of abandoned dwellings with collapsing roofs and walls and junk-filled empty lots alongside barely intact, yet still occupied, houses.
  • Antlers is not all devastation, however. It sports a gleaming Choctaw-built travel center financed by casino revenues, which are also invested in local Native Americans’ well-being.
  • Across America, the partisan gap in gross domestic product per capita is also huge and growing: $77,900 in Democratic-voting areas, compared with $46,600 in Republican-voting areas
  • 444 Republican counties have a GDP per capita of under $30,000, and 10 times as many people live in those counties than in the seven similarly low-GDP Democratic counties.
  • Whites in about 40% of all Republican counties lost income over the past two decades. And Trump’s administration was no help to his base. During his presidency, the overall Democrat–Republican GDP per capita gap widened by another $1,800.
  • For the largest urbanized states, the three with Democratic control of all branches of government (California, New York, and Illinois) had GDPs per capita vastly higher than the three biggest Republican-controlled states (Texas, Florida, and Ohio).
  • The right-wing canard that hardworking White people subsidize welfare-grubbing cities is backward. Democrat-voting counties, with 60% of America’s population, generate 67% of the nation’s personal income, 70% of the nation’s GDP, 71% of federal taxes, 73% of charitable contributions, and 75% of state and local taxes.
  • Mirroring Antlers, White Republican America also suffers violent death rates, including from suicide, homicide, firearms, and drunken driving crashes, far higher than Whites in Democratic America and higher than non-White people everywhere.
  • To top it off, Republican-governed Americans are substantially more likely to die from COVID-19.
  • As the death gap between Republican and Democratic areas widens over time, the life expectancy for Whites in Republican-voting areas (77.6 years) is now three years shorter than that of Whites in Democratic areas (80.6 years), shorter than those of Asians and Latino people everywhere, and only a few months longer than Black and Native Americans in Democratic areas.
  • That White people are falling behind across key economic, health, and safety indexes is not due to victimization by immigrants and liberal conspiracies, however, but to victimization by other Whites and self-inflicted alcoholism, drug overdose, and suicide.
  • Aside from the problem that Republican members of congress (and two recalcitrant Democrats) have sabotaged beneficial initiatives, former President Barack Obama already tried that. From 2010 to 2016, the Obama administration’s economic recovery measures fostered millions of new jobs and thousands of dollars in real median income growth for Whites in urban and most rural areas alike, reversing the recession under Republican George W. Bush’s presidency.
  • Is the solution to undividing America massive federal programs to improve Republican America’s struggling economies and troubled social conditions, then?
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Bill Gates Says AI Is the Most Revolutionary Technology in Decades - WSJ - 0 views

  • “The development of AI is as fundamental as the creation of the microprocessor, the personal computer, the Internet, and the mobile phone,” he wrote in a blog post on Tuesday. “Entire industries will reorient around it. Businesses will distinguish themselves by how well they use it.”
  • “The rise of AI will free people up to do things that software never will—teaching, caring for patients, and supporting the elderly, for example,”
  • AI could also help scientists develop vaccines, teach students math and replace jobs in task-oriented fields like sales and accounting
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  • “We should keep in mind that we’re only at the beginning of what AI can accomplish,” he wrote. “Whatever limitations it has today will be gone before we know it.”
  • “We should try to balance fears about the downsides of AI—which are understandable and valid—with its ability to improve people’s lives.”
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Opinion | At the Waco Rally and Beyond, Trump's Movement Now Commands Him - The New Yor... - 0 views

  • virtually every speaker at Trump’s marathon rally. One after another, they looked at a seething, conspiracy-addled crowd and indulged, fed, and stoked every element of their furious worldview. I didn’t see a single true leader on Trump’s stage, not even Trump himself. I saw a collection of followers, each vying for the affection of the real power in Waco, the coddled populist mob.
  • To understand the social and political dynamic on the modern right, you have to understand how millions of Americans became inoculated against the truth
  • every time Trump faced pushback, he and his allies called critics “elitist” or “fake news” or “weak” or “cowards.” It was much easier to say the Trump skeptics had “Trump derangement syndrome,” or were “just establishment stooges,” than to engage with substantive critique
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  • Disagreement on the right quickly came to be seen as synonymous with disrespect. If “we the people” (the term Trump partisans apply to what they call the “real America”) believe something, then the people deserve to have that view reflected right back to them by their politicians and pundits.
  • Thus began the coddling of the populist mind
  • Repeatedly, Fox leaders and personalities who did not seem to believe the 2020 election was stolen referred to the need to “respect” their audience by telling them otherwise. For these Fox staffers, respecting the audience didn’t mean relaying the truth (a true act of respect). Instead, it meant feeding viewers’ insatiable hunger for confirmation of their conspiracy theories.
  • Politicians are always tempted to pander, but rarely do you see such a complete abdication of anything approaching true moral or political leadership as what transpired at the Waco rally
  • It’s common to critique the Trumpist movement as a Donald Trump cult, but that’s not quite right anymore. He’s still immensely influential, but do true cultists boo their leader when he deviates from the approved script? Yet that’s what happened in December 2021, when parts of a Dallas rally crowd booed Trump when he said he’d received a Covid vaccine booster. And does anyone think that Trump is a QAnon aficionado? Yet in 2022 he boosted explicit Q content on Truth Social, his social media platform of choice.
  • There may have been a time when Trump truly commanded his movement. That time is past. His movement now commands him. Fed by conspiracies, it is hungry for confrontation, and rallies like Waco demonstrate its dominance
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Carlos Moreno Wanted to Improve Cities. Conspiracy Theorists Are Coming for Him. - The ... - 0 views

  • For most of his 40-year career, Carlos Moreno, a scientist and business professor in Paris, worked in relative peace.Many cities around the world embraced a concept he started to develop in 2010. Called the 15-minute city, the idea is that everyday destinations such as schools, stores and offices should be only a short walk or bike ride away from home. A group of nearly 100 mayors worldwide embraced it as a way to help recover from the pandemic.
  • In recent weeks, a deluge of rumors and distortions have taken aim at Mr. Moreno’s proposal. Driven in part by climate change deniers and backers of the QAnon conspiracy theory, false claims have circulated online, at protests and even in government hearings that 15-minute cities were a precursor to “climate change lockdowns” — urban “prison camps” in which residents’ movements would be surveilled and heavily restricted.
  • Many attacked Mr. Moreno, 63, directly. The professor, who teaches at the University of Paris 1 Panthéon-Sorbonne, faced harassment in online forums and over email. He was accused without evidence of being an agent of an invisible totalitarian world government. He was likened to criminals and dictators.
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  • he started receiving death threats. People said they wished he and his family had been killed by drug lords, told him that “sooner or later your punishment will arrive” and proposed that he be nailed into a coffin or run over by a cement roller.
  • Mr. Moreno, who grew up in Colombia, began working as a researcher in a computer science and robotics lab in Paris in 1983; the career that followed involved creating a start-up, meeting the Dalai Lama and being named a knight of the Légion d’Honneur. His work has won several awards and spanned many fields — automotive, medical, nuclear, military, even home goods.
  • Many of the recent threats have been directed at scientists studying Covid-19. In a survey of 321 such scientists who had given media interviews, the journal Nature found that 22 percent had received threats of physical or sexual violence and 15 percent had received death threats
  • Last year, an Austrian doctor who was a vocal supporter of vaccines and a repeated target of threats died by suicide.
  • increasingly, even professors and researchers without much of a public persona have faced intimidation from extremists and conspiracy theorists.
  • The idea owes much to its many predecessors: “neighborhood units” and “garden cities” in the early 1900s, the community-focused urban planning pioneered by the activist Jane Jacobs in the 1960s, even support for “new urbanism” and walkable cities in the 1990s. So-called low-traffic neighborhoods, or LTNs, have been set up in several British cities over the past few decades.
  • Around 2010, he started thinking about how technology could help create sustainable cities. Eventually, he refined his ideas about “human smart cities” and “living cities” into his 2016 proposal for 15-minute cities.
  • Critics of 15-minute cities have been outspoken, arguing that a concept developed in Europe may not translate well to highly segregated American cities. A Harvard economist wrote in a blog post for the London School of Economics and Political Science in 2021 that the concept was a “dead end” that would exacerbate “enormous inequalities in cities” by subdividing without connecting them.
  • Jordan Peterson, a Canadian psychologist with four million Twitter followers, suggested that 15-minute cities were “perhaps the worst imaginable perversion” of the idea of walkable neighborhoods. He linked to a post about the “Great Reset,” an economic recovery plan proposed by the World Economic Forum that has spawned hordes of rumors about a pandemic-fueled plot to destroy capitalism.
  • A member of Britain’s Parliament said that 15-minute cities were “an international socialist concept” that would “cost us our personal freedoms.” QAnon supporters said the derailment of a train carrying hazardous chemicals in Ohio was an intentional move meant to push rural residents into 15-minute cities.
  • “Conspiracy-mongers have built a complete story: climate denialism, Covid-19, anti-vax, 5G controlling the brains of citizens, and the 15-minute city for introducing a perimeter for day-to-day life,” Mr. Moreno said. “This storytelling is totally insane, totally irrational for us, but it makes sense for them.”
  • The multipronged conspiracy theory quickly became “turbocharged” after the Oxford protest, said Jennie King, head of climate research and policy at the Institute for Strategic Dialogue, a think tank that studies online platforms.
  • “You have this snowball effect of a policy, which in principle was only going to affect a small urban population, getting extrapolated and becoming this crucible where far-right groups, industry-sponsored lobbying groups, conspiracist movements, anti-lockdown groups and more saw an opportunity to insert their worldview into the mainstream and to piggyback on the news cycle,”
  • The vitriol currently directed at Mr. Moreno and researchers like him mirrors “the broader erosion of trust in experts and institutions,”
  • Modern conspiracy theorists and extremists turn the people they disagree with into scapegoats for a vast array of societal ills, blaming them personally for causing the high cost of living or various health crises and creating an “us-versus-them” environment, she said.
  • “I am not a politician, I am not a candidate for anything — as a researcher, my duty is to explore and deepen my ideas with scientific methodology,” he said. “It is totally unbelievable that we could receive a death threat just for working as scientists.”
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Health Experts Warily Eye XBB.1.5, the Latest Omicron Subvariant - The New York Times - 0 views

  • Most recombinant SARS-CoV-2 viruses have dwindled away in a matter of weeks or months, unable to outcompete other lineages. XBB, on the other hand, got a winning ticket in the genetic lottery.
  • Yunlong Cao of Peking University and his colleagues tested out XBB.1.5 in dishes of cells, comparing how it fared against earlier forms of XBB. The researchers found that the F486P mutation allowed XBB.1.5 to grab tightly to cells again. But the new subvariant could still evade antibodies as well as earlier forms of XBB.
  • “XBB literally picked up the most possible mutations that it could possibly pick up from those two parents,” said Thomas Peacock, a virologist at Imperial College London. The new combination made XBB one of the most evasive Omicron subvariants in existence last summer.
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  • Recent experiments suggest that XBB paid a steep price for its power to evade immunity. The mutations allow it to escape antibodies by altering the shape of the protein, called spike, that covers its surface. But some of those mutations also make it harder for XBB spike proteins to grab tightly to cells — the first step required for an infection.
  • That loose grip may have lessened XBB’s advantage against other forms of the virus. In late 2022, it jostled alongside a number of other Omicron subvariants. In Singapore, XBB caused a surge in October, for example, while remaining rare in many other parts of the world.
  • As XBB multiplied, it continued to mutate into new forms. The earliest samples of XBB.1.5 were isolated in October in New York. The new subvariant gained one crucial mutation, known as F486P.
  • From one parent, it gained a set of mutations that helped it evade antibodies from previous infections and vaccinations. From the other parent, it gained a separate set of mutations that made it even more evasive.
  • In Connecticut, for example, Nathan Grubaugh at Yale University and his colleagues found that by mid-December, other Omicron subvariants were falling. Only XBB.1.5 cases were growing. Dr. Grubaugh estimates that it is about 20 percent more transmissible than BQ.1, which had been the dominant form.
  • How severe XBB.1.5 infections are compared with other forms of the coronavirus is not yet clear. “It’s serious,” Dr. Grubaugh said. “I just don’t necessarily know if it’s really more serious than some of the other Omicron lineages in terms of the overall impact.”
  • XBB.1.5 has already spread to other countries, and is growing rapidly in Germany, Denmark and elsewhere in Europe
  • Scientists are already scanning new sequences being uploaded to an international database called GISAID in the hopes of spotting an upgraded version of XBB.1.5. But their job is getting harder because governments are pulling back on sequencing efforts. “Worldwide, sequencing has taken a real hit,” Dr. Peacock said.
  • The United States, which once lagged behind other nations, has managed to maintain a fairly strong sequencing effort. Without it, Dr. Peacock said, XBB.1.5 might have stayed below the radar for much longer. If XBB.1.5’s next generation is evolving somewhere with little sequencing, it may go undetected for some time to come.
  • Dr. Lemieux said that paring back on sequencing was a mistake, given how many infections and deaths the virus is still causing. “This is a part of public health,” he said.
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'Tragic Battle': On the Front Lines of China's Covid Crisis - The New York Times - 0 views

  • China was the first country to experience the panic of Covid when it emerged from Wuhan in 2019. Then, for the past three years, the country largely suppressed the virus with a costly mix of mass testing, strict lockdowns and border closures. The government could have used the time to bolster its health system by stockpiling medicine and building more critical care units. It could have launched a major vaccination drive targeting the millions of vulnerable older adults who were reluctant to receive a jab or booster. China did little of that, however, plunging into crisis mode again like in the early days of Wuhan.
  • A Shanghai hospital predicted half of Shanghai’s 25 million residents would eventually be infected and warned its staff of a “tragic battle” in the coming weeks, according to a now-deleted statement the hospital posted last week on the social media platform WeChat.
  • “In this tragic battle, all of Shanghai will fall, and all the staff of the hospital will be infected! Our whole families will be infected! Our patients will all be infected!” the statement read. “We have no choice, and we cannot escape.”
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  • Medical staff say they could have avoided the medicine shortages that have forced some facilities to ration drugs. There also could have been more time to set up a more effective triage system to avoid overcrowding
  • ne of the fundamental problems with China’s health system is its overreliance on hospitals for even the most basic care.
  • “In the U.S. people have their own primary physicians, but there are few ways in China to get care from the medical system except to go to an E.R. at a big hospital,” said Dr. Qiao Renli, a pulmonary and critical care doctor at the University of Southern California, who has taught and practiced medicine in both China and the United States.
  • The deluge of Covid patients is not the only challenge hospitals are facing. One of the ripple effects of the outbreak has been a widespread shortage of blood for transfusions because of the shrinking pool of eligible donors.In the southwestern city of Kunming, a blood bank said in a statement that the city was getting a fraction of the 500 donors per day it needs to keep up with demand, and that the shortage had started to affect pregnant women and patients in intensive care units.
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How the cult of Xi Jinping stopped China admitting zero-Covid didn't work | World | The... - 0 views

  • Vaccinations were simply not a priority of zero-Covid policy, whose primary aim was to contain if not eliminate the virus. The health system remains ill equipped and underfunded, with a shortage of critical care facilities. There is also a chronic shortage of fever-reducing drugs such as ibuprofen, even though China is the world’s biggest producer of them.
  • Why was China so ill prepared? The answer lies in the nature of Xi’s increasingly autocratic rule. Zero-Covid was part of the cult of Xi. It defined everything in China, and to question it was to question him — dangerous in today’s China. It is hard to say what precisely triggered his abrupt reversal at the height of winter when the dangers of rapid spread are greatest. The economy is certainly faltering badly, but the popular conclusion in China is that the protests forced Xi’s hand. That could have profound consequences, since an emboldened population will be potentially troubling for a party whose survival relies in part on fear of challenging its rule.
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Opinion | Biden's Approval Is Low, Except Compared With Everyone Else's - The New York ... - 0 views

  • Q. What do you call someone who speaks only one language?A. An American.
  • in general, Americans’ lack of language skills is less important than their insularity, their relative unfamiliarity with what happens and how things work in other nations.
  • Other countries, especially wealthy ones that more or less match the United States in technological development and general ability to get things done, are a sort of mirror that helps us see ourselves more clearly. Yet many Americans, even supposedly knowledgeable commentators, often seem unaware of both the ways other nations are similar to us and the ways they are different.
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  • how many are aware that President Biden is among the more popular — well, less unpopular — leaders in the Western world?
  • First, let’s talk about some other international comparisons that seem relevant to the current situation.
  • But public perception of our economic performance is strongly colored by rising prices. Inflation — the rate at which prices are rising — has subsided a lot, but prices haven’t and won’t come down
  • No matter what we did, many people were going to die — but the death toll was affected by politics, perhaps especially by the way vaccines became a front in the culture war. And America had a really bad pandemic, even compared with its peers. U.S. life expectancy was already lagging behind comparable countries’ by 2019, but the gap widened after Covid-19 struck.
  • On the other hand, the U.S. economy experienced an exceptionally strong bounce back from the pandemic recession. Even after adjusting for inflation, U.S. gross domestic product per capita is up 7 percent since the eve of the pandemic, greatly exceeding growth in other major wealthy economies
  • This would seem on the face of it to say something good about Biden’s economic policies.
  • Although we hear politicians on the campaign trail trying to make hay with the old Reagan-era question — Are you better off than you were four years ago? — there’s a lot of amnesia about what was actually happening in 2020, namely a deadly, terrifying pandemic
  • there have been huge recriminations against policymakers, both the Biden administration and the Federal Reserve, either for supposedly causing the bout of inflation or at any rate failing to prevent it.
  • the similarities between the wealthiest nations are more revealing than their differences.
  • Inflation surged almost everywhere after the pandemic. And if you take care to compare “apples to Äpfel” — to use the same consumer price measures — inflation has been remarkably similar in different countries.
  • Since the eve of the pandemic, the Harmonized Index of Consumer Prices has risen 19.6 percent in the United States and 19.8 percent in the euro area.
  • This strongly suggests that pandemic-related disruptions, rather than national policies, were inflation’s main driver.
  • Still, inflation rankles voters. Even when income growth exceeds inflation, as it has in the United States, people tend to feel that they earned their higher wages only to have them snatched away by higher prices
  • this is probably the most important reason that, according to tracking polls conducted by Morning Consult, every single leader of a Group of 7 nation is underwater, with more voters disapproving than approving of their leadership.
  • So who’s the winner of this unpopularity contest? Who has the least bad net approval? The answer is Joe Biden, with Giorgia Meloni of Italy a close second. The other Group of 7 leaders are even more unpopular
  • this has political consequences
  • every political analysis that says the fault for Biden’s low approval lies with the president and his campaign — that he’s too old (although that narrative, after suddenly peaking, mostly faded away after his State of the Union address) or is out of touch with the concerns of “real” Americans — needs to explain why he’s doing less badly than his foreign peers.
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In defense of science fiction - by Noah Smith - Noahpinion - 0 views

  • I’m a big fan of science fiction (see my list of favorites from last week)! So when people start bashing the genre, I tend to leap to its defense
  • this time, the people doing the bashing are some serious heavyweights themselves — Charles Stross, the celebrated award-winning sci-fi author, and Tyler Austin Harper, a professor who studies science fiction for a living
  • The two critiques center around the same idea — that rich people have misused sci-fi, taking inspiration from dystopian stories and working to make those dystopias a reality.
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  • [Science fiction’s influence]…leaves us facing a future we were all warned about, courtesy of dystopian novels mistaken for instruction manuals…[T]he billionaires behind the steering wheel have mistaken cautionary tales and entertainments for a road map, and we’re trapped in the passenger seat.
  • t even then it would be hard to argue exogeneity, since censorship is a response to society’s values as well as a potential cause of them.
  • Stross is alleging that the billionaires are getting Gernsback and Campbell’s intentions exactly right. His problem is simply that Gernsback and Campbell were kind of right-wing, at least by modern standards, and he’s worried that their sci-fi acted as propaganda for right-wing ideas.
  • The question of whether literature has a political effect is an empirical one — and it’s a very difficult empirical one. It’s extremely hard to test the hypothesis that literature exerts a diffuse influence on the values and preconceptions of the citizenry
  • I think Stross really doesn’t come up with any credible examples of billionaires mistaking cautionary tales for road maps. Instead, most of his article focuses on a very different critique — the idea that sci-fi authors inculcate rich technologists with bad values and bad visions of what the future ought to look like:
  • I agree that the internet and cell phones have had an ambiguous overall impact on human welfare. If modern technology does have a Torment Nexus, it’s the mobile-social nexus that keeps us riveted to highly artificial, attenuated parasocial interactions for every waking hour of our day. But these technologies are still very young, and it remains to be seen whether the ways in which we use them will get better or worse over time.
  • There are very few technologies — if any — whose impact we can project into the far future at the moment of their inception. So unless you think our species should just refuse to create any new technology at all, you have to accept that each one is going to be a bit of a gamble.
  • As for weapons of war, those are clearly bad in terms of their direct effects on the people on the receiving end. But it’s possible that more powerful weapons — such as the atomic bomb — serve to deter more deaths than they cause
  • yes, AI is risky, but the need to manage and limit risk is a far cry from the litany of negative assumptions and extrapolations that often gets flung in the technology’s directio
  • I think the main problem with Harper’s argument is simply techno-pessimism. So far, technology’s effects on humanity have been mostly good, lifting us up from the muck of desperate poverty and enabling the creation of a healthier, more peaceful, more humane world. Any serious discussion of the effects of innovation on society must acknowledge that. We might have hit an inflection point where it all goes downhill from here, and future technologies become the Torment Nexuses that we’ve successfully avoided in the past. But it’s very premature to assume we’ve hit that point.
  • I understand that the 2020s are an exhausted age, in which we’re still reeling from the social ructions of the 2010s. I understand that in such a weary and fearful condition, it’s natural to want to slow the march of technological progress as a proxy for slowing the headlong rush of social progress
  • And I also understand how easy it is to get negatively polarized against billionaires, and any technologies that billionaires invent, and any literature that billionaires like to read.
  • But at a time when we’re creating vaccines against cancer and abundant clean energy and any number of other life-improving and productivity-boosting marvels, it’s a little strange to think that technology is ruining the world
  • The dystopian elements of modern life are mostly just prosaic, old things — political demagogues, sclerotic industries, social divisions, monopoly power, environmental damage, school bullies, crime, opiates, and so on
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Who's Afraid of Early Cancer Detection? - WSJ - 0 views

  • A diagnosis of pancreatic cancer usually means a quick death—but not for Roger Royse, who was in Stage II of the disease when he got the bad news in July 2022. The five-year relative survival rate for late-stage metastatic pancreatic cancer is 3%—which means that patients are 3% as likely to live five years after their diagnosis as other cancer-free individuals. But if pancreatic cancer is caught before it has spread to other organs, the survival rate is 44%.
  • some public-health experts think that’s just as well. They fret that widespread use of multicancer early-detection tests would cause healthcare spending to explode. Those fears have snarled Galleri and similar tests in a web of red tape.
  • Early diagnosis is the best defense against most cancers,
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  • But only a handful of cancers—of the breast, lung, colon and cervix—have screening tests recommended by the U.S. Preventive Services Task Force
  • Many companies are developing blood tests that can detect cancer signals before symptoms occur, and Grail’s is the most advanced. A study found it can identify more than 50 types of cancer 52% of the time and the 12 deadliest cancers in Stages I through III 68% of the time.
  • There’s a hitch. The test costs $949 and isn’t covered by Medicare or most private insurance.
  • The trouble is that this cancer is almost never caught early. There’s no routine screening for it, and symptoms don’t develop until it is advanced. Mr. Royse, 64, had no idea he was sick until he took a blood test called Galleri, produced by the Menlo Park, Calif., startup Grail. He had surgery and chemotherapy and is now cancer-free.
  • Mr. Royse visited Grail’s website, which referred him to a telemedicine provider who ordered a test. Another telemedicine doctor walked him through his results, which showed a cancer signal likely emanating from the pancreas, gallbladder, stomach or esophagus.
  • An MRI revealed a suspicious mass on his pancreas, which a biopsy confirmed was cancerous. Mr. Royse had three months of chemotherapy, surgery and another three months of chemotherapy, which ended last February. Because pancreatic cancer often recurs, he gets CT and MRI scans every three months. In addition, he has signed up for startup Natera’s Signatera customized blood test, which checks DNA specific to the patient’s cancer and can signal its return before signs are visible on the scans
  • Grail’s test likewise looks for DNA shed by cancer cells, which is tagged by molecules called methyl groups that are specific to a cancer’s origin. Grail uses genetic sequencing and machine learning to recognize links between DNA methyl groups and particular cancers
  • The test “is based on how much DNA is being shed by tumor,” Grail’s president, Josh Ofman, says. “Some tumors shed a lot of DNA. Some shed almost none.
  • ut slow-growing tumors typically aren’t shedding a lot of DNA.” That reduces the probability that Grail’s test will identify indolent cancers that pose no immediate danger.
  • Grail’s test has a roughly 0.5% false-positive rate, meaning 1 in 200 patients who don’t have cancer will get a positive signal
  • Its positive predictive value is 43%, so that of every 100 patients with a positive signal, 43 actually have cancer
  • the legislation’s price tag could reduce political support. According to one private company’s estimate, the test could cost the government $39 billion to $145 billion over a decade. Mr. Goldman counters that analysts usually overestimate the costs and underestimate the benefits of medical interventions.
  • Because Grail uses machine learning to detect DNA-methylation cancer linkages, the Grail test’s accuracy should improve as more tests and patient data are collected
  • regulators may balk at approving the test, and insurers at covering it, until it becomes cheaper and more reliable.
  • How would the FDA weigh the risk that a false positive on a test like Grail’s could require invasive follow-up testing against the dire but hard-to-quantify risk that a deadly cancer wouldn’t be caught until it’s much harder to treat? It’s unclear.
  • some experts urge the FDA to require large randomized controlled trials before approving blood cancer tests. “Multicancer screening would entail tremendous costs and potentially substantial harms,” H. Gilbert Welch and Tanujit Dey of Brigham and Women’s Hospital wrote
  • Dr. Welch and Mr. Dey also suggested that companies should be required to prove their tests reduce overall mortality, even though the FDA doesn’t require drugmakers to prove their products reduce deaths or extend life. Clinical trials for the mRNA Covid vaccines didn’t show they reduced deaths.
  • One alternative is to rely on real-world studies, which Grail is already doing. One study of patients 50 and older without signs of cancer showed that the test doubled the number of cancers detected.
  • One recurring problem he has seen: “Epidemiologists are always getting cancer wrong,” he says. “Epidemiologists a decade ago said U.S. overtreats cancers. Well, no, the EU undertreats cancer.”
  • A 2012 study that he co-authored found that the higher U.S. spending on cancer care relative to Europe between 1983 and 1999 resulted in significantly higher survival rates for American patients than for those in Europe
  • By his study’s calculation, U.S. spending on cancer treatments during that period resulted in $556 billion in net benefits owing to reduced mortality.
  • He expects Galleri and other multicancer early-detection tests to reduce deaths and produce public-health and economic benefits that exceed their monetary costs
  • Expanding access to multicancer early-detection tests could also help solve the chicken-and-egg problem of drug development. Because few patients are diagnosed at early stages of some cancers, it’s hard to develop treatments for them
  • the positive predictive value for some recommended cancer screenings is far lower. Fewer than 1 in 10 women with an abnormal finding on a mammogram are diagnosed with breast cancer.
  • Mr. Royse makes the same point with personal force. “I would be dead right now if not for multicancer early-detection testing,” Mr. Royse told an FDA advisory committee last fall. “The longer the FDA waits, the more people are going to die. It’s that simple.”
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Immigration powered the economy, job market amid border negotiations - The Washington Post - 0 views

  • There isn’t much data on how many of the new immigrants in recent years were documented versus undocumented. But estimates from the Pew Research Center last fall showed that undocumented immigrants made up 22 percent of the total foreign-born U.S. population in 2021. That’s down compared to previous decades: Between 2007 and 2021, the undocumented population fell by 14 percent, Pew found. Meanwhile, the legal immigrant population grew by 29 percent.
  • immigrant workers are supporting tremendously — and likely will keep powering for years to come.
  • The economy is projected to grow by $7 trillion more over the next decade than it would have without new influxes of immigrants, according to the CBO.
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  • Fresh estimates from the Congressional Budget Office this month said the U.S. labor force in 2023 had grown by 5.2 million people, thanks especially to net immigration
  • economy grow. But today’s snapshot still represents a stark turnaround from just a short time ago.
  • he flow of migrants to the United States started slowing during the Trump administration, when officials took hundreds of executive actions designed to restrict migration.
  • Right before the pandemic, there were about 1.5 million fewer working-age immigrants in the United States than pre-2017 trends would have predicted, according to the San Francisco Fed. By the end of 2021, that shortfall had widened to about 2 million
  • But the economy overall wound up rebounding aggressively from the sudden, widespread closures of 2020, bolstered by historic government stimulus and vaccines that debuted faster than expected.
  • The sudden snapback in demand sent inflation soaring. Supply chain issues were a main reason prices rose quickly. But labor shortages posed a problem, too, and economists feared that rising wages — as employers scrambled to find workers — would keep price increases dangerously high.
  • That’s because the labor force that emerged as the pandemic ebbed was smaller than it had been: Millions of people retired early, stayed home to take over child care or avoid getting sick, or decided to look for new jobs entirely
  • In the span of a year or so, employers went from having businesses crater to sprinting to hire enough staff to keep restaurants, hotels, retail stores and construction sites going. Wages for the lowest earners rose at the fastest pace.
  • About the same time, the path was widening for migrants to cross the southern border, particularly as the new Biden administration rolled back Trump-era restrictions.
  • In normal economic times, some analysts note, new immigrants can drag down wages, especially if employers decide to hire them over native-born workers. Undocumented workers, who don’t have as much leverage to push for higher pay, could lower average wages even more.
  • But the past few years were extremely abnormal because companies were desperate to hire.
  • lus, it would be exceedingly difficult for immigration to affect the wages of enormous swaths of the labor force,
  • “What it can do is lower the wages of a specific occupation in a specific area, but American workers aren’t stupid. They change jobs. They change what they specialize in,” Nowrasteh said. “So that’s part of the reason why wages don’t go down.”
  • Experts argue that the strength of the U.S. economy has benefited American workers and foreign-born workers alike. Each group accounts for roughly half of the labor market’s impressive year-over-year growth since January 2023
  • Particularly for immigrants fleeing poorer countries, the booming U.S. job market and the promise of higher wages continue to be an enormous draw.
  • “More than any immigration policy per se, the biggest pull for migrants is the strength of the labor market,” said Catalina Amuedo-Dorantes, an economics professor at the University of California at Merced. “More than any enforcement policy, any immigration policy, at the end of the day.”
  • Upon arriving in Denver in October, Santander hadn’t acquired a work permit but needed to feed his small children. Even without authorization, he found a job as a roofer for a contractor that ultimately pocketed his earnings, then one cleaning industrial refrigerators on the overnight shift for $12 an hour. Since receiving his work permit in January, Santander has started “a much better job” at a wood accessories manufacturer making $20 an hour.
  • But for the vast majority of migrants who arrive in the United States without prior approval, including asylum seekers and those who come for economic reasons, getting a work permit isn’t easy.
  • Federal law requires migrants to wait nearly six months to receive a work permit after filing for asylum. Wait times can stretch for additional months because of a backlog in cases.
  • While they wait, many migrants find off-the-books work as day laborers or street vendors, advocates say. Others get jobs using falsified documents, including many teenagers who came into the country as unaccompanied minors.
  • Still, many migrants miss the year-long window to apply for asylum — a process that can cost thousands of dollars — leaving them with few pathways to work authorization, advocates say. Those who can’t apply for asylum often end up working without official permission in low-wage industries where they are susceptible to exploitation.
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Stanford's top disinformation research group collapses under pressure - The Washington ... - 0 views

  • The collapse of the five-year-old Observatory is the latest and largest of a series of setbacks to the community of researchers who try to detect propaganda and explain how false narratives are manufactured, gather momentum and become accepted by various groups
  • It follows Harvard’s dismissal of misinformation expert Joan Donovan, who in a December whistleblower complaint alleged he university’s close and lucrative ties with Facebook parent Meta led the university to clamp down on her work, which was highly critical of the social media giant’s practices.
  • Starbird said that while most academic studies of online manipulation look backward from much later, the Observatory’s “rapid analysis” helped people around the world understand what they were seeing on platforms as it happened.
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  • Brown University professor Claire Wardle said the Observatory had created innovative methodology and trained the next generation of experts.
  • “Closing down a lab like this would always be a huge loss, but doing so now, during a year of global elections, makes absolutely no sense,” said Wardle, who previously led research at anti-misinformation nonprofit First Draft. “We need universities to use their resources and standing in the community to stand up to criticism and headlines.”
  • The study of misinformation has become increasingly controversial, and Stamos, DiResta and Starbird have been besieged by lawsuits, document requests and threats of physical harm. Leading the charge has been Rep. Jim Jordan (R-Ohio), whose House subcommittee alleges the Observatory improperly worked with federal officials and social media companies to violate the free-speech rights of conservatives.
  • In a joint statement, Stamos and DiResta said their work involved much more than elections, and that they had been unfairly maligned.
  • “The politically motivated attacks against our research on elections and vaccines have no merit, and the attempts by partisan House committee chairs to suppress First Amendment-protected research are a quintessential example of the weaponization of government,” they said.
  • Stamos founded the Observatory after publicizing that Russia has attempted to influence the 2016 election by sowing division on Facebook, causing a clash with the company’s top executives. Special counsel Robert S. Mueller III later cited the Facebook operation in indicting a Kremlin contractor. At Stanford, Stamos and his team deepened his study of influence operations from around the world, including one it traced to the Pentagon.
  • Stamos told associates he stepped back from leading the Observatory last year in part because the political pressure had taken a toll. Stamos had raised most of the money for the project, and the remaining faculty have not been able to replicate his success, as many philanthropic groups shift their focus on artificial intelligence and other, fresher topics.
  • In supporting the project further, the university would have risked alienating conservative donors, Silicon Valley figures, and members of Congress, who have threatened to stop all federal funding for disinformation research or cut back general support.
  • The Observatory’s non-election work has included developing curriculum for teaching college students about how to handle trust and safety issues on social media platforms and launching the first peer-reviewed journal dedicated to that field. It has also investigated rings publishing child sexual exploitation material online and flaws in the U.S. system for reporting it, helping to prepare platforms to handle an influx of computer-generated material.
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