That’s a decrease in life expectancy of 1.8 years from 2019. Here are some more of the report’s significant findings:
In 2020, life expectancy at birth was 77.0 years for the total U.S. population — a decrease of 1.8 years from 78.8 years in 2019. For males, life expectancy decreased 2.1 years from 76.3 in 2019 to 74.2 in 2020. For females, life expectancy decreased 1.5 years from 81.4 in 2019 to 79.9 in 2020.
In 2020, the difference in life expectancy between females and males was 5.7 years, an increase of 0.6 year from 2019.
The age-adjusted death rate for the total population increased 16.8% from 715.2 per 100,000 standard population in 2019 to 835.4 in 2020. Age-adjusted death rates increased in 2020 from 2019 for all race-ethnicity-sex groups, increasing 42.7% for Hispanic males, 32.4% for Hispanic females, 28.0% for non-Hispanic Black males, 24.9% for non-Hispanic Black females, 13.4% for non-Hispanic White males, and 12.1% for non-Hispanic White females.
In 2020, 9 of the 10 leading causes of death remained the same as in 2019. The top leading cause was heart disease, followed by cancer. COVID-19, newly added as a cause of death in 2020, became the 3rd leading cause of death. Of the remaining leading causes in 2020 (unintentional injuries, stroke, chronic lower respiratory diseases, Alzheimer disease, diabetes, influenza and pneumonia, and kidney disease), 5 causes changed ranks from 2019. Unintentional injuries, the 3rd leading cause in 2019, became the 4th leading cause in 2020. Chronic lower respiratory diseases, the 4th leading cause in 2019, became the 6th. Alzheimer disease, the 6th leading cause in 2019, became the 7th. Diabetes, the 7th leading cause in 2019, became the 8th. Kidney disease, the 8th leading cause in 2019, became the 10th leading cause in 2020. Stroke, and influenza and pneumonia, remained the 5th and 9th leading causes, respectively. Suicide dropped from the list of 10 leading causes in 2020.
And from the report’s summary:
From 2019 to 2020, the age-adjusted death rate for the total population increased 16.8%. This single-year increase is the largest since the first year that annual mortality data for the entire United States became available. The decrease in life expectancy for the total population of 1.8 years from 2019 to 2020 is the largest single-year decrease in more than 75 years.
Since more people in the US died of Covid in 2021 than in 2020, I’d expect the decline life expectancy and the rise in death rate to continue.
My kids and I went to the local toy store yesterday to do some holiday shopping for Toys for Tots. When we took our purchases to the counter, the woman thanked us for contributing and said that individual donations are much more important this year because big corporate donations to the program were way down. She said that the toy companies don’t have excess inventory to donate (I’m assuming because of supply chain issues and a desire for more corporate efficiency).
I posted about this on Instagram and heard from folks in other parts of the country that both individual and corporate donations to community toy drives are down. A quick check of Google News reveals several articles around the country about toy drive shortages; here’s a good piece from the Associated Press:
Similar worries are being felt across the country as COVID-related supply chain snafus — produced by clogged U.S. ports, a lack of workers to move the cargo and skyrocketing shipping costs — lead to empty store shelves and higher prices on some products.
The supply chain slowdown is one of the main reasons why donations of new toys to The Toy Foundation have declined by nearly 80% in dollar value this year compared to 2019, according to Pamela Mastrota, the executive director of the group, which was formed by a toy industry trade association to act as an industry-wide charitable collective for manufacturers.
The lack of trade shows due to the COVID-19 pandemic also put a wrench in their collection efforts for the second year in a row, straining their ability to get gifts for sick, impoverished or other vulnerable children who are in need.
“It’s been a real challenge this year, and last year,” Mastrota said. “But this year especially.”
With Christmas just 8 days away, I know it’s late in the game but if you can swing it this year, consider a big donation to your local toy drive. Kids from low-income families have borne the brunt of the pandemic in America — parents/caregivers losing their jobs, erratic education, upheaval, loved ones dying of Covid, sickness and death all around. Let’s do what we can do to help give these kids a happy holiday.
But on a more long-term note (and supply chain & pandemic issues aside), programs like this should be unnecessary in a country as rich as the United States. Remember, feel-good news stories in America are often signs of societal failure and nothing is more feel-good than helping low-income kids during the holidays. Supporting programs and leaders who want to build a much stronger and more robust social safety net is essential if we want to eliminate make needless scarcity like this in America.
America was not prepared for COVID-19 when it arrived. It was not prepared for last winter’s surge. It was not prepared for Delta’s arrival in the summer or its current winter assault. More than 1,000 Americans are still dying of COVID every day, and more have died this year than last. Hospitalizations are rising in 42 states. The University of Nebraska Medical Center in Omaha, which entered the pandemic as arguably the best-prepared hospital in the country, recently went from 70 COVID patients to 110 in four days, leaving its staff “grasping for resolve,” the virologist John Lowe told me. And now comes Omicron.
Will the new and rapidly spreading variant overwhelm the U.S. health-care system? The question is moot because the system is already overwhelmed, in a way that is affecting all patients, COVID or otherwise. “The level of care that we’ve come to expect in our hospitals no longer exists,” Lowe said.
The real unknown is what an Omicron cross will do when it follows a Delta hook. Given what scientists have learned in the three weeks since Omicron’s discovery, “some of the absolute worst-case scenarios that were possible when we saw its genome are off the table, but so are some of the most hopeful scenarios,” Dylan Morris, an evolutionary biologist at UCLA, told me. In any case, America is not prepared for Omicron. The variant’s threat is far greater at the societal level than at the personal one, and policy makers have already cut themselves off from the tools needed to protect the populations they serve. Like the variants that preceded it, Omicron requires individuals to think and act for the collective good — which is to say, it poses a heightened version of the same challenge that the U.S. has failed for two straight years, in bipartisan fashion.
The main point:
Here, then, is the problem: People who are unlikely to be hospitalized by Omicron might still feel reasonably protected, but they can spread the virus to those who are more vulnerable, quickly enough to seriously batter an already collapsing health-care system that will then struggle to care for anyone — vaccinated, boosted, or otherwise. The collective threat is substantially greater than the individual one. And the U.S. is ill-poised to meet it.
If someone got sick, I know others could too. A week later, many of my friends will spend Christmas with their own families. At best, a cluster of infections at the birthday party would derail those plans, creating days of anxious quarantine or isolation, and forcing the people I love to spend time away from their loved ones. At worst, people might unknowingly carry the virus to their respective families, which might include elderly, immunocompromised, unvaccinated, partially vaccinated, or otherwise vulnerable people. Being born eight days before Christmas creates almost the perfect conditions for one potential super-spreader event to set off many more.
As has been the case the entire pandemic, our political and public health systems are not equipped to collectively combat this virus, so it falls to individuals to make good choices for our communities. It’s a nearly impossible thing to ask to pandemic-weary folks to focus in again on making good personal choices and even harder to achieve if few are willing to do it, but goddammit we have to try.
Science is the foundation for our success. 150 years ago nobody knew where diseases came from. Or more precisely, people thought they knew, but they were wrong. The widely accepted idea at the time was the ‘Miasma’ theory of disease. Miasma, the theory held, was a form of “bad air” that causes disease. The word malaria is testament to the idea that ‘mal aria’ — ‘bad air’ in medieval Italian — is the cause of the disease.
Thanks to the work of a number of doctors and chemists in the second half of the 19th century humanity learned that not noxious air, but specific germs cause infectious diseases. The germ theory of disease was the breakthrough in the fight against the microbe. Scientists identified the pathogens that cause the different diseases and thereby laid the foundation for perhaps the most important technical innovation in our fight against them: vaccines.
Here’s what vaccines did for us, in three charts:
Even among those who accept and understand how good vaccines are at stopping disease, it’s difficult to truly appreciate just how incredible and transformative they have been. By one estimate, vaccines saved between 150 & 200 million lives from 1980 & 2018…and that’s just for smallpox. Covid-19 vaccines have saved hundreds of thousands of lives in Europe and the US in the first year of their availability. Truly a miraculous invention.
This is such an interesting article on vaccine avoidance in America by a primary care doctor & sociologist who have studied the phenomenon in America and other places. As more data has come in about the pandemic and vaccination program, the main differentiator in whether someone is willing to get a vaccine or not is class.
Over the past four decades, governments have slashed budgets and privatized basic services. This has two important consequences for public health. First, people are unlikely to trust institutions that do little for them. And second, public health is no longer viewed as a collective endeavor, based on the principle of social solidarity and mutual obligation. People are conditioned to believe they’re on their own and responsible only for themselves. That means an important source of vaccine hesitancy is the erosion of the idea of a common good.
Americans began thinking about health care decisions this way only recently; during the 1950s polio campaigns, for example, most people saw vaccination as a civic duty. But as the public purse shrunk in the 1980s, politicians insisted that it’s no longer the government’s job to ensure people’s well-being; instead, Americans were to be responsible only for themselves and their own bodies. Entire industries, such as self-help and health foods, have sprung up on the principle that the key to good health lies in individuals making the right choices.
Almost more than anything else, the pandemic has shown how damaged the US is from decades of neglect of the common good and how vulnerable we are to things like disease and political coups.
In this excellent piece for the NY Times, African American historian Martha S. Jones travels to Paris to search for the signs of someone who came to France as part of a delegation to broker a peace to end the Revolutionary War, an enslaved woman named Abigail who was owned by Founding Father John Jay.
I’ve searched for Abigail a long time now, nearly 10 years. I first puzzled over her life and death as a newcomer to Paris when I stumbled upon the city’s many tributes to American founders. Exiting the Musée d’Orsay and heading to the Right Bank across the Passerelle Léopold-Sédar-Senghor, with the bateaux-mouches tourist boats passing below, I met up with a 10-foot-tall bronze likeness of Thomas Jefferson, another U.S. founder, plans for his Virginia estate, Monticello, in hand.
Hiking along the 16th arrondissement’s rue Benjamin-Franklin, I ventured to the tiny Square de Yorktown to discover that the figure seated high atop a stone plinth was Franklin himself. Fresh from people-watching from a sidewalk table at cafe Les Deux Magots, once the haunt of the 20th-century luminaries James Baldwin and Richard Wright, I made my way around the corner on rue Jacob. Pausing at number 56, I read the pink marble plaque that marks the site of the Hôtel d’York, where three of the men who shaped America’s independence — U.S. Peace Commissioners Benjamin Franklin, John Adams and John Jay — finalized the Treaty of Paris.
These fabled places are, I recognized, whitewashed. There is no mention of the enslaved people, like Abigail, who were bound to labor in the founders’ Parisian households. No site explains that during John Jay’s time in the French capital, while he brokered the new nation’s freedom, he also dealt in the unfreedom of others.
Krug’s goal for this project was to use her medium to echo Snyder’s call for action. “While it was important to me to create images that would highlight the contemporary relevance of Snyder’s message,” she writes, “the use of historic images was clearly essential. At moments in the book that refer to a particular event in time — such as this one about Hitler’s annexation of Austria, when Austrian Nazis captured Jews and forced them to scrub the streets clean — I felt that rather than showing my own visual representation of that event, it was more powerful to feature a historic photograph because of the immediacy of the medium that would make that moment in history come to life.”
Combining Krug’s drawings with historic materials gave her the license to contrast the documentary with the imagined, the factual with the poetic, and to create a narrative tension that emphasizes historical relationships. “More importantly,” she explains, “this combination of mediums allows me to admit to the fact that we don’t exist in a vacuum, that we can only exist in relationship to the past, that everything we think and feel is thought and felt in reference to it, that our future is deeply rooted in our history, and that we will always be active contributors to shaping how the past is viewed and what our future will look like.”
Ed Yong: We’re Already Barreling Toward the Next Pandemic. The US is throwing too little money at high-tech, ultimately private sector solutions but much of the problem comes down to our underfunded public health system and “profoundly unequal society”.
“To be ready for the next pandemic, we need to make sure that there’s an even footing in our societal structures,” Seema Mohapatra, a health-law expert at Indiana University, told me. That vision of preparedness is closer to what 19th-century thinkers lobbied for, and what the 20th century swept aside. It means shifting the spotlight away from pathogens themselves and onto the living and working conditions that allow pathogens to flourish. It means measuring preparedness not just in terms of syringes, sequencers, and supply chains but also in terms of paid sick leave, safe public housing, eviction moratoriums, decarceration, food assistance, and universal health care. It means accompanying mandates for social distancing and the like with financial assistance for those who might lose work, or free accommodation where exposed people can quarantine from their family. It means rebuilding the health policies that Reagan began shredding in the 1980s and that later administrations further frayed. It means restoring trust in government and community through public services. “It’s very hard to achieve effective containment when the people you’re working with don’t think you care about them,” Arrianna Marie Planey, a medical geographer at the University of North Carolina at Chapel Hill, told me.
In Living While Black, in Japan, directed by Keith Bedford and Shiho Fukada, a group of African-Americans talk about what it’s like to live in Japan as Black people versus their experiences living in the United States.
“I didn’t leave because I was running away from anything. I left because I felt I could be more myself in Japan.”
“Living in Japan, as an African-American, I’ve honestly never felt more free.”
“You know, I can do things here in Japan that I can’t do back at home, in the U.S.”
“I can catch a cab when I’m not trying to catch a cab. People in stores that are supposed to serve you, serve you, like they serve everybody else.”
Well, the leaves are starting to change up here in ol’ Vermont,1 so it’s time to take a peek at the 2021 Fall Foliage Map from smokymountains.com. Apple pie is just around the corner!
One fucker of a tree near my house has turned completely bright red already. Like, slow down mate.↩
It may seem like sometimes that with the pandemic, we’re back to square one. With the much more contagious Delta variant in play and an increasing number of breakthrough infections, the efficacy of these vaccines that we thought were amazing maybe aren’t? (Or maybe we just need to readjust our expectations?) But in terms of what these vaccines were specifically developed for — reducing & preventing severe disease and death — they are still very much doing their job. Just take a look at this graph from a White House Covid-19 press briefing yesterday:
Even with Delta endemic in the country, the vaccines are providing extraordinary protection against infections severe enough to land folks in the hospital. In a recent CDC study of infections and hospitalizations in Los Angeles County, they report that on July 25, the hospitalization rate of unvaccinated people was 29.2 times that of fully vaccinated persons. 29 times the protection is astounding for a medical intervention. These vaccines work, we’re lucky to have them, and we need to get as many people worldwide as we can vaccinated as quickly as we can. Period.
By making public health central to their health care system, Costa Rica has achieved a higher life expectancy than the US for a fraction of the cost. How did they do it? The New Yorker’s Atul Gawande investigates.
Life expectancy tends to track national income closely. Costa Rica has emerged as an exception. Searching a newer section of the cemetery that afternoon, I found only one grave for a child. Across all age cohorts, the country’s increase in health has far outpaced its increase in wealth. Although Costa Rica’s per-capita income is a sixth that of the United States — and its per-capita health-care costs are a fraction of ours — life expectancy there is approaching eighty-one years. In the United States, life expectancy peaked at just under seventy-nine years, in 2014, and has declined since.
People who have studied Costa Rica, including colleagues of mine at the research and innovation center Ariadne Labs, have identified what seems to be a key factor in its success: the country has made public health — measures to improve the health of the population as a whole — central to the delivery of medical care. Even in countries with robust universal health care, public health is usually an add-on; the vast majority of spending goes to treat the ailments of individuals. In Costa Rica, though, public health has been a priority for decades.
The Covid-19 pandemic has revealed the impoverished state of public health even in affluent countries — and the cost of our neglect. Costa Rica shows what an alternative looks like. I travelled with Álvaro Salas to his home town because he had witnessed the results of his country’s expanding commitment to public health, and also because he had helped build the systems that delivered on that commitment. He understood what the country has achieved and how it was done.
In the US, the pandemic has revealed a public health system that is underfunded, underutilized, undervalued, and disconnected from the largely private health care system. As with many other aspects of American life, private individuals who can afford it get access to better lives, at the expense of everyone else.
The concern with the U.S. health system has never been about what it is capable of achieving at its best. It is about the large disparities we tolerate. Higher income, in particular, is associated with much longer life. In a 2016 study, the Harvard economist Raj Chetty and his research team found that the difference in life expectancy between forty-year-olds in the top one per cent of American income distribution and in the bottom one per cent is fifteen years for men and ten years for women.
You might want to take a deep breath or do a couple of laps around the house before watching this video about a community in the Ozarks with a very low Covid-19 vaccination rate. Here’s a sample. An ICU patient wearing an oxygen mask on why he didn’t get vaccinated:
I’m more of a libertarian and I don’t like being told what I have to do. I’m still not completely 100% sold on the inoculation.
Video narrator:
It was eerie to hear Christopher insist on his individual freedoms even as he struggled to breathe.
Can you hear me screaming all the way from my desk to wherever you are? I don’t like being told what I have to do?! Fucking hell. And this:
There’s no better place to see the impact of this political rhetoric than in the hospital. Only about 50 percent of the staff are vaccinated. None of the unvaccinated staffers were willing to talk.
Dan Sinker writes for The Atlantic about how navigating Covid risks, politically motivated bullshit, and America’s failing infrastructure has broken parents during the pandemic: Parents Are Not Okay.
Instead it was a year in limbo: school on stuttering Zoom, school in person and then back home again for quarantine, school all the time and none of the time. No part of it was good, for kids or parents, but most parts of it were safe, and somehow, impossibly, we made it through a full year. It was hell, but we did it. We did it.
Time collapsed and it was summer again, and, briefly, things looked better. We began to dream of normalcy, of trips and jobs and school. But 2021’s hot vax summer only truly delivered on the hot part, as vaccination rates slowed and the Delta variant cut through some states with the brutal efficiency of the wildfires that decimated others. It happened in a flash: It was good, then it was bad, then we were right back in the same nightmare we’d been living in for 18 months.
And suddenly now it’s back to school while cases are rising, back to school while masks are a battleground, back to school while everyone under 12 is still unvaccinated. Parents are living a repeat of the worst year of their lives-except this time, no matter what, kids are going back.
Almost every parent I know is struggling with exactly this: trying to keep their kids (and family and friends) safe from Covid-19 while balancing the social & emotional wellbeing of everyone concerned and not getting a lot of help from their governments or communities. Remote school is no longer an option, few infrastructure upgrades have been made to improve ventilation in schools, no vaccine mandates for teachers or staff, parents fighting administrators about vaccine & mask mandates, and everyone is trying to do complex risk calculations about sending their can’t-yet-be-vaccinated kids into buildings with other kids whose parents, you suspect, are not vaccinated and aren’t taking any precautions in states where Delta is endemic. All while trying to work and remain sane somehow? And most of the parents I know have resources — they have steady income & savings, live in safe communities, and have friends & family to fall back on when times get tough. Those who don’t? I truly do not know how they are doing any of this without incurring significant, long-term trauma for parents and kids. We, inasmuch as we’re still a “we” in America, are failing them all.
I’m just going to go ahead and say it right up front here: if you had certain expectations in May/June about how the pandemic was going to end in the US (or was even thinking it was over), you need to throw much of that mindset in the trash and start again because the Delta variant of SARS-CoV-2 has changed the game. I know this sucks to hear,1 but Delta is sufficiently different that we need to reset and stop assuming we can solely rely on the vaccines to stop Covid-19 from spreading. Ed Yong’s typically excellent piece on how delta has changed the pandemic’s endgame is helping me wrap my head around this.
But something is different now — the virus. “The models in late spring were pretty consistent that we were going to have a ‘normal’ summer,” Samuel Scarpino of the Rockefeller Foundation, who studies infectious-disease dynamics, told me. “Obviously, that’s not where we are.” In part, he says, people underestimated how transmissible Delta is, or what that would mean. The original SARS-CoV-2 virus had a basic reproduction number, or R0, of 2 to 3, meaning that each infected person spreads it to two or three people. Those are average figures: In practice, the virus spread in uneven bursts, with relatively few people infecting large clusters in super-spreading events. But the CDC estimates that Delta’s R0 lies between 5 and 9, which “is shockingly high,” Eleanor Murray, an epidemiologist at Boston University, told me. At that level, “its reliance on super-spreading events basically goes away,” Scarpino said.
In simple terms, many people who caught the original virus didn’t pass it to anyone, but most people who catch Delta create clusters of infection. That partly explains why cases have risen so explosively. It also means that the virus will almost certainly be a permanent part of our lives, even as vaccines blunt its ability to cause death and severe disease.
And a reminder, as we “argue over small measures” here in the US, that most of the world is in a much worse place:
Pandemics end. But this one is not yet over, and especially not globally. Just 16 percent of the world’s population is fully vaccinated. Many countries, where barely 1 percent of people have received a single dose, are “in for a tough year of either lockdowns or catastrophic epidemics,” Adam Kucharski, the infectious-disease modeler, told me. The U.S. and the U.K. are further along the path to endemicity, “but they’re not there yet, and that last slog is often the toughest,” he added. “I have limited sympathy for people who are arguing over small measures in rich countries when we have uncontrolled epidemics in large parts of the world.”
Where I think Yong’s piece stumbles a little is in its emphasis of the current vaccines’ protection against infection from Delta. As David Wallace-Wells explains in his piece Don’t Panic, But Breakthrough Cases May Be a Bigger Problem Than You’ve Been Told, vaccines still offer excellent protection against severe infection, hospitalization, and death, but there is evidence that breakthrough infections are more common than many public health officials are saying. The problem lies with the use of statistics from before vaccines and Delta were prevalent:
Almost all of these calculations about the share of breakthrough cases have been made using year-to-date 2021 data, which include several months before mass vaccination (when by definition vanishingly few breakthrough cases could have occurred) during which time the vast majority of the year’s total cases and deaths took place (during the winter surge). This is a corollary to the reassuring principle you might’ve heard, over the last few weeks, that as vaccination levels grow we would expect the percentage of vaccinated cases will, too — the implication being that we shouldn’t worry too much over panicked headlines about the relative share of vaccinated cases in a state or ICU but instead focus on the absolute number of those cases in making a judgment about vaccine protection across a population. This is true. But it also means that when vaccination levels were very low, there were inevitably very few breakthrough cases, too. That means that to calculate a prevalence ratio for cases or deaths using the full year’s data requires you to effectively divide a numerator of four months of data by a denominator of seven months of data. And because those first few brutal months of the year were exceptional ones that do not reflect anything like the present state of vaccination or the disease, they throw off the ratios even further. Two-thirds of 2021 cases and 80 percent of deaths came before April 1, when only 15 percent of the country was fully vaccinated, which means calculating year-to-date ratios means possibly underestimating the prevalence of breakthrough cases by a factor of three and breakthrough deaths by a factor of five. And if the ratios are calculated using data sets that end before the Delta surge, as many have been, that adds an additional distortion, since both breakthrough cases and severe illness among the vaccinated appear to be significantly more common with this variant than with previous ones.
Vaccines are still the best way to protect yourself and your community from Covid-19. The vaccines are still really good, better than we could have hoped for. But they’re not magic and with the rise of Delta (and potentially worse variants on the horizon if the virus is allowed to continue to spread unchecked and mutate), we need to keep doing the other things (masking, distancing, ventilation, etc.) in order to keep the virus in check and avoid lockdowns, school closings, outbreaks, and mass death. We’ve got the tools; we just need to summon the will and be in the right mindset.
In a tweet introducing his piece, Yong says “Many folks are upset & confused by the last month” and that’s right where I am with this. Maybe you are too. I’m expecting to get angry email about this post, calling it alarmist. But Covid is different now and thinking our same March 2021 thoughts about it isn’t going to help ourselves, our families, or our communities. The sooner we can regroup, the better.↩
In the 1980s SUVs were a rarity. It was only in 2015 that they started outselling sedans. In 2018 they accounted for just under half of new vehicle sales, more than any other category of car. The height of American SUVs makes it harder for drivers to see pedestrians and means the hit comes higher on the body — and backed by extra mass — which makes organ damage and death two to three times more likely for adults, and four times more likely for children. More SUVs than ever are “overpowered” — that is, equipped with a high horsepower-to-weight ratio; this makes speeding more likely, which, like increased height and weight, increases the chances of pedestrians being hit and killed. More cars on the road, taller and heavier than ever before, going faster: each factor alone presents a serious problem. Together, they are a recipe for disaster.
And pedestrian deaths are also not equally distributed across population groups, both because of who owns cars but also shifts in where people are living:
Low-income pedestrians, Black and Hispanic pedestrians, elderly pedestrians, and disabled pedestrians are all disproportionately affected. Black and Hispanic men are twice as likely as white men to die while walking, and four times more likely than the average member of the population. Native American men are almost five times more likely.
The piece is interesting throughout, as is Schmitt’s book I’m sure.
For Vox, Emily Stewart writes about the shortcomings of the, er, system we’ve developed here in America of outsourcing public needs to private industry: Corporations aren’t going to save America.
Across various segments of American life, the private sector has begun to take on tasks big and small that one might think should be tackled by the public sector. Domino’s filled in potholes. Dawn’s dish soap saved ducks. American Express pitched in on historic preservation. Walmart started selling low-priced insulin. A slew of companies help workers pay for school. Much of America’s health care system is still handled through private insurers and your job. As people lose faith in government to act on sweeping issues such as climate change and guns, they’re increasingly looking to corporate America and asking whether there’s something they can do about it. If Congress won’t tackle gun violence, maybe Dick’s Sporting Goods can try.
It’s not a bad thing for brands and companies to try to make the world better. Starting a business often involves identifying a problem to solve, and it’s much better for companies to help than to do harm. Corporate social responsibility is fine. There are, however, limits.
“Of course we want businesses to be responsible,” said Suzanne Kahn, managing director of research and policy at the Roosevelt Institute. But she emphasized that this does not constitute a plan for how to organize society. “Private companies don’t, can’t, or won’t plan with the same values that we demand and expect the government to.”
This piece by Wright Thompson on how the murder of Emmett Till has been remembered and forgotten is a difficult, compelling, and important read. The story centers around the still-little-known barn where Till was tortured and murdered by a group of several white men in 1955.
But the way Till’s name exists in the firmament of American history stands in opposition to the gaps in what we know about his killing. No one knows, for instance, how many people were involved. Most historians think at least seven were present. Only two were tried: half brothers J. W. Milam and Roy Bryant. Another half brother, Leslie Milam, was there that night too. He lived in an old white farmhouse a few dozen steps from the barn, next to where Jeff Andrews’s house now stands.
In 1955 an all-white, all-male jury, encouraged by the defense to do their duty as “Anglo-Saxons,” acquitted J. W. Milam and Roy Bryant. Because the defendants couldn’t be tried again, they got paid to make a confession to a national magazine — a heavily fictionalized account stage-managed by their lawyers — and Leslie Milam and his barn were written out of the story. Ask most people where Till died and they’ll say Money, Mississippi, the town where Till whistled at Bryant’s wife outside the family’s store. An Equal Justice Initiative monument in Montgomery says Money. Wikipedia does too. The Library of Congress website skips over the barn, which is just outside the town of Drew, about 45 minutes from the store.
I learned about the barn last year and have since made repeated visits, alone and with groups, once with members of Till’s family. Over and over, I drove from my home in the Mississippi hill country back into the gothic flatland where I was born. The barn’s existence conjures a complex set of reactions: It is a mourning bench for Black Americans, an unwelcome mirror for white Americans. It both repels and demands attention.
Americans are, of course, the most thoroughly and passively indoctrinated people on earth. They know next to nothing as a rule about their own history, or the histories of other nations, or the histories of the various social movements that have risen and fallen in the past, and they certainly know little or nothing of the complexities and contradictions comprised within words like “socialism” and “capitalism.” Chiefly, what they have been trained not to know or even suspect is that, in many ways, they enjoy far fewer freedoms, and suffer under a more intrusive centralized state, than do the citizens of countries with more vigorous social-democratic institutions. This is at once the most comic and most tragic aspect of the excitable alarm that talk of social democracy or democratic socialism can elicit on these shores. An enormous number of Americans have been persuaded to believe that they are freer in the abstract than, say, Germans or Danes precisely because they possess far fewer freedoms in the concrete. They are far more vulnerable to medical and financial crisis, far more likely to receive inadequate health coverage, far more prone to irreparable insolvency, far more unprotected against predatory creditors, far more subject to income inequality, and so forth, while effectively paying more in tax (when one figures in federal, state, local, and sales taxes, and then compounds those by all the expenditures that in this country, as almost nowhere else, their taxes do not cover). One might think that a people who once rebelled against the mightiest empire on earth on the principle of no taxation without representation would not meekly accept taxation without adequate government services. But we accept what we have become used to, I suppose. Even so, one has to ask, what state apparatus in the “free” world could be more powerful and tyrannical than the one that taxes its citizens while providing no substantial civic benefits in return, solely in order to enrich a piratically overinflated military-industrial complex and to ease the tax burdens of the immensely wealthy?
After an inept coronavirus response, will the United States do better when the next pandemic strikes? Experts generally agree that America learned from the past year, and that the next public-health crisis won’t be quite as bewildering. But America’s pandemic preparedness still has major gaps, some of which are too big for any one administration to fix. In recent weeks, I’ve called back many of the experts I interviewed over the past 18 months about masks, testing, contact tracing, quarantine, and more. I asked them, “Are we ready for another one?” The short answer is “Not quite.” The long answer is that being truly “ready” will be harder than anyone realizes.
The Trump administration mishandled the American response to Covid-19 so completely that it’s tempting to pin most of the pandemic carnage on him. But the more I read about the pandemic (Michael Lewis’s The Premonition is a recent example), the more I have come to believe that the majority of the American pandemic deaths were baked in, no matter who was President. Trump was definitely a worst-case scenario, but even a more competent person in the White House in Jan 2020 (like Clinton or Sanders or Romney) would not have done so much better. Poor public health infrastructure, politicized government agencies, no mandatory paid leave, an overpriced healthcare system that only works for some, uncoordinated national response (+ federalism), years of defunding government programs, a reactive (rather than proactive) CDC, unhealthy populace, poverty, systemic racism in medicine, entitled individualism, high rate of uninsured people, growing anti-science sentiment — the pandemic was destined to race through the United States like a brush fire no matter what.
Even the European Union, whose member nations do not share many of America’s aforementioned challenges (but have other issues), did only marginally better than the US in preventing Covid deaths. The UK did worse:
This isn’t a story about Elon Musk, or Tesla, or a contrarian take about how “oil is good, actually.” I unconditionally support electric vehicles in their quest to take over the primacy of gasoline-powered vehicles in the market. But I don’t save that enthusiasm for their prospects on society broadly. From the perspective of the built environment, there is nothing functionally different between an electric vehicle and a gasoline propelled one. The relationship is the same, and it’s unequivocally destructive. Cars, however they’re powered, are environmentally cataclysmic, break the tethers of community, and force an infrastructure of dependency that is as financially ruinous to our country as it is dangerous to us as people. In order to build a more sustainable future and a better world for humanity, we need to address the root problems that have brought us to where we so perilously lie today.
From its founding, the United States has cultivated a national mythos around the capacity of individuals to pull themselves up by their bootstraps, ostensibly by their own merits. This particular strain of individualism, which valorizes independence and prizes personal freedom, transcends administrations. It has also repeatedly hamstrung America’s pandemic response. It explains why the U.S. focused so intensely on preserving its hospital capacity instead of on measures that would have saved people from even needing a hospital. It explains why so many Americans refused to act for the collective good, whether by masking up or isolating themselves. And it explains why the CDC, despite being the nation’s top public-health agency, issued guidelines that focused on the freedoms that vaccinated people might enjoy. The move signaled to people with the newfound privilege of immunity that they were liberated from the pandemic’s collective problem. It also hinted to those who were still vulnerable that their challenges are now theirs alone and, worse still, that their lingering risk was somehow their fault. (“If you’re not vaccinated, that, again, is taking your responsibility for your own health into your own hands,” Walensky said.)
The pandemic demonstrated, in plain and easily understandable numbers of Covid deaths, that America is a place where the swift leave the stragglers to the wolves. I hope against hope that’ll change for the better in the future.
America experienced 246 years of slavery before it was officially ended with the passage of the 13th Amendment. That was followed by decades of legal segregation and oppression under Jim Crow, followed by a period of willful blindness and denial. A tourist from a foreign land might well conclude that the Confederacy had actually won the Civil War, based on the number of monuments, buildings and boulevards still named for heroes of its defeated army. The real truth of our shared history was a casualty of that war and, like any wound left untended, the results can be catastrophic.
A full accounting of slavery is one of terror and trauma, and for decades the natural inclination was to ask, why would anyone want to claim that history? But at a moment when the United States is dangerously divided, when we are having bitter and overdue conversations about policing, inequality and voting rights, when marauders fueled by white-nationalist rhetoric can overwhelm the Capitol, proudly waving the Confederate battle flag, the more important question is this: What happens if we don’t?
She uses Germany’s remembrance and examination of Nazism and the Holocaust as an example of a country that has properly faced up to its terrible past in order to move fully forward.
Vergangenheitsaufarbeitung refers to Germany’s efforts to interrogate the horrors of the Holocaust and the rise of Nazism. It has been a decades-long exercise, beginning in the 1960s, to examine, analyze and ultimately learn to live with an evil chapter through monuments, teachings, art, architecture, protocols and public policy. The country looks at its Nazi past by consistently, almost obsessively, memorializing the victims of that murderous era, so much so that it is now a central feature of the nation’s cultural landscape. The ethos of this campaign is “never forget.”
In particular, as a nation the US has never properly come to terms with the horrors it inflicted on African Americans and Native Americans. We build monuments to Confederate soldiers but very few to the millions enslaved and murdered. Our country committed genocide against native peoples, herded them onto reservations like cattle, and we’re still denying them the right to vote.
As Norris convincingly argues, “it is long past time to face where truth can take us”.
Over the weekend, Snyder published a short piece about what he believes will happen as a result of the 1/6 insurrection and the Republicans’ ongoing effort to push their Big Lie about election fraud — basically the end of democracy in America.
I have the Cassandra feeling this spring because it is so obvious where all of this is heading. President Trump tells a big lie that elections are rigged. This authorizes him and others to seek power in extra-democratic ways. The lie is institutionalized by state legislation that suppresses voting, and that gives state legislatures themselves the right to decide how to allocate the electoral vote in presidential elections.
The scenario then goes like this. The Republicans win back the House and Senate in 2022, in part thanks to voter suppression. The Republican candidate in 2024 loses the popular vote by several million and the electoral vote by the margin of a few states. State legislatures, claiming fraud, alter the electoral count vote. The House and Senate accept that altered count. The losing candidate becomes the president. We no longer have “democratically elected government.” And people are angry.
No one is seeking to hide that this is the plan. It is right there out in the open. The prospective Republican candidates for 2024, Donald Trump, Ted Cruz, and Josh Hawley, are all running on a big lie platform. If your platform is that elections do not work, you are saying that you intend to come to power some other way. The big lie is designed not to win an election, but to discredit one. Any candidate who tells it is alienating most Americans, and preparing a minority for a scenario where fraud is claimed. This is just what Trump tried in 2020, and it led to a coup attempt in January 2021. It will be worse in January 2025.
Like he says, so obvious and out in the open. As far as I’m concerned, this is a done deal and there’s not a lot that can be done to stop it. The horse left the barn some time ago and most people can’t even tell the door is open, much less that it needs closing.
This piece on alcohol and the human fixation on it is interesting throughout — and/because it includes the sentence: “For an illustration of what followed, I direct you to the film Dazed and Confused.”
But even presuming that this story of natural selection is right, it doesn’t explain why, 10 million years later, I like wine so much. “It should puzzle us more than it does,” Edward Slingerland writes in his wide-ranging and provocative new book, Drunk: How We Sipped, Danced, and Stumbled Our Way to Civilization, “that one of the greatest foci of human ingenuity and concentrated effort over the past millennia has been the problem of how to get drunk.” The damage done by alcohol is profound: impaired cognition and motor skills, belligerence, injury, and vulnerability to all sorts of predation in the short run; damaged livers and brains, dysfunction, addiction, and early death as years of heavy drinking pile up. As the importance of alcohol as a caloric stopgap diminished, why didn’t evolution eventually lead us away from drinking-say, by favoring genotypes associated with hating alcohol’s taste? That it didn’t suggests that alcohol’s harms were, over the long haul, outweighed by some serious advantages.
Versions of this idea have recently bubbled up at academic conferences and in scholarly journals and anthologies (largely to the credit of the British anthropologist Robin Dunbar). Drunk helpfully synthesizes the literature, then underlines its most radical implication: Humans aren’t merely built to get buzzed-getting buzzed helped humans build civilization. Slingerland is not unmindful of alcohol’s dark side, and his exploration of when and why its harms outweigh its benefits will unsettle some American drinkers. Still, he describes the book as “a holistic defense of alcohol.” And he announces, early on, that “it might actually be good for us to tie one on now and then.”
But hard liquor and solitary drinking changed the game.
Southern Europe’s healthy drinking culture is hardly news, but its attributes are striking enough to bear revisiting: Despite widespread consumption of alcohol, Italy has some of the lowest rates of alcoholism in the world. Its residents drink mostly wine and beer, and almost exclusively over meals with other people. When liquor is consumed, it’s usually in small quantities, either right before or after a meal. Alcohol is seen as a food, not a drug. Drinking to get drunk is discouraged, as is drinking alone. The way Italians drink today may not be quite the way premodern people drank, but it likewise accentuates alcohol’s benefits and helps limit its harms. It is also, Slingerland told me, about as far as you can get from the way many people drink in the United States.
For this video, the NY Times talked to several people from around the world (Britain, Zimbabwe, Norway, India, etc.) about what they think about how the United States is approaching climate change and other environmental challenges. Spoiler alert: there is a lot of incredulity about how shitty America is doing in this area. And that matters because what happens here affects everyone around the world.
If you’ve followed recent Democratic messaging, you’ll have heard that American democracy is under serious attack by the Republican Party, representing an existential threat to the country. If you’ve followed Democratic lawmaking, you’d be forgiven for thinking that the threat is actually a rather piddling one. The disconnect, in this case, isn’t attributable to Democratic embellishment, but to inexcusable complacency.
Without meaningfully reforming the rules of the Senate, the Biden administration & Congressional Democratic leadership basically gets to pass one substantial bill per year (through budget reconciliation). That’s it. If Democrats lose the House in 2022, which seems likely or even certain without the passage of a federal voting rights bill, then it’s only one or two bills. And then maybe Democrats don’t see the White House, a Senate majority, and a House majority for a generation and we’ll all have to ask ourselves whether we actually like living in a de facto nationalistic one-party state.
Using data from the United States Geological Survey, River Runner visualizes the path taken by a raindrop from its landing spot to its eventual endpoint. Just click on any spot in the US and it maps out the path the drop would take, complete with a satellite fly-through of the route. I spent many happy minutes playing with this, although the endpoint of “Canada” for a raindrop that lands in my Vermont yard was somewhat unsatisfying.
From Flowing Data, a stacked bar chart showing the relative population distribution of age generations from 1920 to the present. The thing that’s really apparent to me in this graph is how the size, increased life expectancy, and better quality of life of the Silent and (especially) Baby Boomer generations really shifted the social order in America. It’s a triple whammy: this large group of very healthy people stuck around so much longer than the previous generations that they were able to keep their wealth and political/corporate power instead of handing it off to the next generations. It’s a generational firewall — they didn’t leave any room for their children or grandchildren. Instead, Gen X and Millennials got branded as lazy/apathetic and financially careless. (via @mikey_two)
Because of the remarkable Covid-19 vaccines, the pandemic is easing in America. In many parts of the country, things are returning to some semblance of normal, whatever that means. But many will continue to struggle and come to terms with what happened for awhile longer. Ed Yong, What Happens When Americans Can Finally Exhale:
But there is another crucial difference between May 2020 and May 2021: People have now lived through 14 months of pandemic life. Millions have endured a year of grief, anxiety, isolation, and rolling trauma. Some will recover uneventfully, but for others, the quiet moments after adrenaline fades and normalcy resumes may be unexpectedly punishing. When they finally get a chance to exhale, their breaths may emerge as sighs. “People put their heads down and do what they have to do, but suddenly, when there’s an opening, all these feelings come up,” Laura van Dernoot Lipsky, the founder and director of the Trauma Stewardship Institute, told me. Lipsky has spent decades helping people navigate the consequences of natural disasters, mass shootings, and other crises. “As hard as the initial trauma is,” she said, “it’s the aftermath that destroys people.”
And it wasn’t just the pandemic:
Not everyone will feel this way. Perhaps most Americans won’t. In past work, Silver, the UC Irvine psychologist, found that even communities that go through extreme traumas, such as years of daily rocket fire, can show low levels of PTSD. Three factors seem to protect them: confidence in authorities, a sense of belonging, and community solidarity. In the U.S., the pandemic eroded all three. It reduced trust in institutions, separated people from their loved ones, and widened political divisions. It was something of a self-reinforcing disaster, exacerbating the conditions that make recovery harder.
Also, let’s not forget: “Globally, the pandemic is set to kill more people in 2021 than in 2020.”
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