Quotulatiousness

April 2, 2023

Ozempic versus the make-believe world of “Healthy at Every Size”

Filed under: Health, Media, USA — Tags: , , , , , — Nicholas @ 03:00

Poor Americans are being propagandized that being fat — even to the point of being unable to carry on ordinary tasks — is “perfectly healthy” at the same time that the glitterati, the wealthy, and the mediagenic are getting thinner thanks to diet, exercise, and (it’s an open secret) drugs and cosmetic surgery. Along comes an antidiabetic drug that was found to have an interesting off-schedule property:

If you, a commoner, encountered a feudal lord in the year 1200, the latter would likely be wearing fine armour, carrying a well-polished sword, and riding a horse. Upon seeing these visual cues, you would address him properly, lest he punish you for failing to show proper deference. But as the centuries passed, particularly in the years following the American and French revolutions, this notion of privilege faded; the rich might be a class apart, but at times they might be dressed much like you, even if their apparel was slightly better-made.

Today, however, the rich are separating themselves in perhaps the most obvious way of all: by perfecting their bodies, rather than what they put on them. The rich are fit and the poor are fat: reams of research confirms that the prevalence of obesity decreases as income increases. In the United States, where 41% of the entire population is obese — compared with 25% in the United Kingdom — it is a rare wealthy person who is morbidly overweight (blimp-sized Illinois governor J.B. Pritzker and portly former New Jersey governor Chris Christie are outliers). Increasingly, the rich in late middle age have come to resemble Jeff Bezos and Sarah Jessica Parker: ripped to shreds and almost certainly “enhanced” with various anti-ageing drugs and techniques, ranging from steroids and growth hormones to Botox injections and liposuction.

Into this mix comes semaglutide, an antidiabetic medication better known by its trade name Ozempic. Sold by pharmaceutical manufacturer Novo Nordisk, the drug, which reduces food intake by curbing appetite and slowing digestion, was approved by the US Food and Drug Administration to treat obesity in 2021. Since then, celebrities and fitness influencers have routinely shared before-and-after pics captioned with details of their courageous weight-loss journeys, which entailed jabbing themselves with a 1.5ml pen that contains a month’s worth of doses and costs roughly $900 without insurance.

Predictably, stories about Ozempic have proliferated in the tabloids and on social media. Some see the drug as a challenge to the celebrity movement that touts “fat acceptance”, and brought us the “slim-thick” era of curvy female superstars. They argue that Ozempic may work hand-in-hand with the return of the “heroin chic” look of the late Nineties. As interesting as it is to consider where these mixed messages might lead us — to a culture in which poor people are told it’s fabulous to be obese, while the rich get ever thinner and fitter — if this is a conspiracy, it’s not a new one. The rich have lusted after youth, beauty and fitness, in others and themselves, since time immemorial, always keeping the poor as downtrodden as possible while pacifying them with bromides about equality, liberty and fraternity. Ozempic, then, is not simply the key to thinness; those who pay for it are buying even more distance between themselves and the hoi polloi.

In short, this appears to be yet another sign that the elite are headed toward some sort of crude transhumanist utopia, complete with gene therapy and designer-baby selection. Some may scoff that this is science fiction, but this future looms: once they’re sufficiently fine-tuned, gene editing tools will likely eradicate heart disease, muscle wasting, neurodegenerative disorders, and other conditions in embryos that are still in utero — but their price will be nothing short of staggering. Similarly expensive gene therapies will enhance the overall performance of already-healthy humans, raising ethical questions about whether these procedures should “improve” a person or merely “fix” a condition. The rich, of course, will leave those debates to the philosophers and pay upfront for the best bodies that their considerable resources can buy. Already, news stories abound of billionaires pursuing immortality, with a few commentators trying to sanitise the pursuit by arguing that the research will somehow benefit even the least of us.

March 30, 2023

“Nothing is as permanent as a temporary government program” … except those few that make your life easier

Filed under: Bureaucracy, Government, Health, Technology, USA — Tags: , , , — Nicholas @ 03:00

At Astral Codex Ten, Scott Alexander reacts to the US government’s new moves to make telehealth less useful for as many people as possible:

“Live telehealth demonstration” by CiscoANZ is licensed under CC BY 2.0 .

Telemedicine is when you see a doctor (or nurse, PA, etc) over a video call. Medical regulators hate new things, so for its first decade they ensured telemedicine was hard and inconvenient.

Then came COVID-19. Suddenly important politicians were paying attention to questions about whether people could get medical care without leaving their homes. They yelled at the regulators, and the regulators grudgingly agreed to temporarily make telemedicine easy and convenient.

They say “nothing is as permanent as a temporary government program”, but this only applies to government programs that make your life worse. Government programs that make your life better are ephemeral and can disappear at any moment. So a few months ago, the medical regulators woke up, realized the pandemic was over, and started plotting ways to make telemedicine hard and inconvenient again.

The first fruit of their labor is DEA-407, which makes it hard for telemedicine doctors to prescribe controlled substances. Controlled substances are drugs like Adderall, Ritalin, Xanax, or Ambien that the government has declared to be potentially addictive. The new rules say that telemedicine doctors can no longer prescribe these (or, in some cases, can prescribe them one time in an emergency).

Why don’t I like this decision? I am a telepsychiatrist. I work with about a hundred psychiatric patients who, for one reason or another, prefer online to physical appointments:

  • Some live in small towns that don’t have psychiatrists of their own
  • Some have agoraphobia, chronic pain, or some other condition that makes it hard for them to go to an office.
  • Some move around a lot and like to be able to see their psychiatrist whether they’re in LA or SF.
  • Some live hundreds of miles away from me, but know and trust me for some reason, and would rather see me than someone closer to them.
  • Some appreciate the fact that I charge lower rates than psychiatrists who have offices, because I don’t have to pay for Bay Area commercial real estate and pass those costs on to my patients.
  • Some work during work hours, and like being able to see me from their office instead of taking half the day off to travel to my location.
  • Some like convenience and dislike inconvenience

As a psychiatrist, a big part of my job is prescribing controlled substances. For example, most guidelines agrees that the first-line treatment for severe ADHD is stimulant medications (eg Adderall or Ritalin). And although psychiatrists hate to admit it, the first-line treatment for temporary crisis anxiety, especially when it’s so bad that the patient isn’t able to listen to your clever plans to solve it with therapy, is benzodiazepines (eg Valium or Klonopin). You can’t be a good well-rounded psychiatrist without the option to sometimes prescribe these drugs.

“Well, your patients will have to find a different psychiatrist, or transition off of them”. Nobody ever finds different psychiatrists. Some of my patients are a bad match for my style or areas of expertise, and I’ve tried very hard to find them different psychiatrists, and it never works. Maybe there are no other psychiatrists in their area. Maybe the psychiatrists in their area don’t take the right insurance, or are too far away from mass transit. Maybe the psychiatrists have six month long wait lists. Sometimes it’s just that my ADHD patients get distracted and forget they were supposed to find new psychiatrists, and I can’t hold their hand literally all the time. As for transitioning off the medications, some patients absolutely cannot function at all without them. Did I mention that if you come off of some of them too quickly, you can literally die?

QotD: Revealed preference in the teenage hellscape of high school

Filed under: Health, Politics, Quotations, USA — Tags: , , , , — Nicholas @ 01:00

This demonization of masculinity conflicts with the reality that any boy can see with his own two eyes: The cutest girls in school are attracted to the most masculine boys, and masculine not just in terms of physical traits, but also in terms of personality traits — confidence, assertiveness, “swagger”. Here we see a problem with what Rational Male author Rollo Tomassi calls the feminine-primary social order. Every observant man knows that there is a yawning chasm between (a) what women say they value most in a man and (b) the kind of man women actually go for. Listen to what women say, and you’d think they are magnetically attracted to “sensitive” guys. Watch what women actually do, and you can see that women obviously don’t actually care about “sensitivity”. Women want men who are tall and muscular and, ceteris parabus, rich, although no amount of money is going to make a short chubby guy sexy. As for the claim that women go for “sensitive” guys, anyone with two eyes and a brain knows this is nonsense. You don’t see throngs of lovestruck college girls chasing after guys who major in sociology or English literature (unless, of course, these guys are also tall, muscular and rich). No, it’s the jocks and frat boys who get the best action on campus, and if you pay attention to the choices women make, you’ll begin to suspect that their professed preference for “sensitive” men is the exact opposite of truth. That girl who was lecturing you about your need to be more “sensitive” will, with surprising regularity, end up falling head-over-heels for some selfish creep or dimwit brute who can’t even spell the word “sensitivity”.

Robert Stacy McCain, “Conflicting Signals”, The Other McCain, 2019-05-23.

March 26, 2023

Plandemic? Manufactured crisis? Mass formation psychosis?

Filed under: Britain, China, Government, Health, Media, USA — Tags: , , , , , , — Nicholas @ 05:00

In The Conservative Woman, James Delingpole lets his skeptic flag fly:

“Covid 19 Masks” by baldeaglebluff is licensed under CC BY-SA 2.0

Tell me about your personal experiences of Covid 19. Actually, wait, don’t. I think I may have heard it already, about a million times. You lost all sense of smell or taste – and just how weird was that? It floored you for days. It gave you a funny dry cough, the dryness and ticklishness of which was unprecedented in your entire coughing career. You’ve had flu a couple of times and, boy, when you’ve got real flu do you know it. But this definitely wasn’t flu. It was so completely different from anything you’ve ever known, why you wouldn’t be surprised to learn that it had been bioengineered in a lab with all manner of spike proteins and gain-of-function additives, perhaps even up to and including fragments of the Aids virus …

Yeah, right. Forgive me for treading on the sacred, personal domain of your lived experience. But might I cautiously suggest that none of what you went through necessarily validates lab-leak theory. Rather what it may demonstrate is the power of susceptibility, brainwashing and an overactive imagination. You lived – we all did – through a two-year period in which health-suffering anecdotes became valuable currency. Whereas in the years before the “pandemic”, no one had been much interested in the gory details of your nasty cold, suddenly everyone wanted to compare notes to see whether they’d had it as bad as you – or, preferably, for the sake of oneupmanship, even worse. This in turn created a self-reinforcing mechanism of Covid panic escalation: the more everyone talked about it, the more inconvertible the “pandemic” became.

Meanwhile, in the real world, hard evidence – as opposed to anecdotal evidence – for this “pandemic” remained stubbornly non-existent. The clincher for me was a landmark article published in January 2021 by Simon Elmer at his website Architects For Social Housing. It was titled “Lies, Damned Lies and Statistics: Manufacturing the Crisis”.

In it Elmer asked the question every journalist should have asked but which almost none did: is this “pandemic” really as serious as all the experts, and government ministers and media outlets and medics are telling us it is? The answer was a very obvious No. As the Office for National Statistics data cited by Elmer clearly showed, 2020 – Year Zero for supposedly the biggest public health threat since “Spanish Flu” a century earlier – was one of the milder years for death in the lives of most people.

Let’s be clear about this point, because something you often hear people on the sceptical side of the argument say is, “Of course, no one is suggesting that Covid didn’t cause a horrific number of deaths.” But that’s exactly what they should be suggesting: because it’s true. Elmer was quoting the Age Standardised Mortality statistics for England and Wales dating back to 1941. What these show is that in every year up to and including 2008, more people died per head of population than in the deadly Covid outbreak year of 2020. Of the previous 79 years, 2020 had the 12th lowest mortality rate.

Covid, in other words, was a pandemic of the imagination, of anecdote, of emotion rather than of measured ill-health and death. Yet even now, when I draw someone’s attention to that ONS data, I find that the most common response I get is one of denial. That is, when presented with the clearest, most untainted (this was before ONS got politicised and began cooking the books), impossible-to-refute evidence that there was NO Covid pandemic in 2020, most people, even intelligent ones, still choose to go with their feelings rather with the hard data.

This natural tendency many of us have to choose emotive narratives over cool evidence makes us ripe for exploitation by the cynical and unscrupulous. We saw this during the pandemic when the majority fell for the exciting but mendacious story that they were living through a new Great Plague, and that only by observing bizarre rituals – putting strips of cloth over one’s face, dancing round one another in supermarkets, injecting unknown substances into one’s body – could one hope to save oneself and granny. And we’re seeing it now, in a slightly different variant, in which lots of people – even many who ought to know better – are falling for some similarly thrilling but erroneous nonsense about lab-leaked viruses.

It’s such a sexy story that I fell for it myself. In those early days when all the papers were still dutifully trotting out World Health Organisation-approved propaganda about pangolins and bats and the apparently notorious wet market (whatever the hell that is) in Wuhan, I was already well ahead of the game. I knew, I just knew, as all the edgy, fearless seekers of truth did that it was a lab leak wot done it. If you knew where to dig, there was a clear evidence trail to support it.

We edgy, fearless truth seekers knew all the names and facts. Dodgy Peter Daszak of the EcoHealth Alliance was in it up to the neck; so too, obviously, was the loathsomely chipper and smugly deceitful Anthony Fauci. We knew that all this crazy, Frankenvirus research had initially been conducted in Chapel Hill, North Carolina, but had been outsourced to China after President Obama changed the regulations and it became too much of a hot potato for US-based labs. And let’s not forget Ukraine – all those secret bio-research labs run on behalf of the US Deep State, but then exposed as the Russians unhelpfully overran territory such as Mariupol.

March 25, 2023

South Africa – from bad to indescribably worse

Filed under: Africa, Economics, Education, Government, Health, Politics — Tags: , , , , , , — Nicholas @ 03:00

John Psmith reviews South Africa’s Brave New World: The Beloved Country Since The End Of Apartheid by R.W. Johnson. It isn’t a pretty picture at all:

    The whole world had come to Pretoria to see the inauguration of Nelson Mandela as the first democratically elected South African President. It was the greatest assemblage of heads of state since John F. Kennedy’s funeral … But it was the flight of nine SAAF [South African Air Force] Mirages overhead, dipping their wings in salute, which brought tears to many eyes. It said so many things: the acceptance of, indeed, the deference to, Mandela by the white establishment, the acknowledgement that he was fully President, able to command all the levers of power — and, for many black people in the crowd, it meant that for the first time the Mirages’ awesome power and white pilots were on their side, part of the same nation … All the products of that white power, including South Africa’s sophisticated economy and infrastructure, were being handed over intact.

A little over a decade later and that same South African Air Force was no longer able to fly. It wasn’t for lack of planes: new ones were procured from European arms manufacturers in an astonishingly expensive and legendarily corrupt deal. But once purchased the planes rotted from lack of maintenance and languished in hangers for lack of anybody able to fly them. Most of the qualified pilots and technicians had been purged, and most of the remainder had resigned. The air force did technically still have pilots, after all it would be a bit embarrassing not to, but those pilots were chosen for patronage reasons and didn’t technically have any idea how to fly a fighter jet.

It isn’t just the air force. That whole “sophisticated economy and infrastructure” that got “handed over intact” now by and large no longer exists. Consider something as basic as running water: in 1994, South Africa had some of the most sophisticated water infrastructure on earth, with a whole system of dams, reservoirs, and long-distance inter-basin conduits working together to conquer the geographical challenges of having several major cities and mining centers located on an arid plateau. All of this water was safe, drinkable, and actually came out of the tap when you turned the handle. This picture was marred of course by poor delivery to black rural communities and squatter camps, but in the early 90s the government was making rapid progress towards serving more of those people too.

Like the air force, that water system is now basically non-functional. It’s estimated that something like 10 million people no longer have reliable access to running water. When the water does run, it’s frequently filthy and contaminated with human sewage. South Africa had its first urban cholera outbreak in the year 2000, and they are now a regular occurrence. Again, like the air force, this isn’t for lack of money or effort. The state has spent billions on trying to fix the water problems, and the government’s water bureaucracy has tripled in size since 1994. Something else has gone wrong.

Neither of these examples is cherry-picked. Ask about literally any of the necessities for human life, and the picture is the same: basically first-world quality under the apartheid Nationalist government, and basically post-apocalyptic today. The electric grid is failing, with rolling blackouts consuming the country on a daily basis. The rail network, once one of the finest on earth, is now so degraded that mines in the North of the country prefer to truck their products overland to ports in Mozambique rather than risk the rail journey to Durban. The medical system was once the jewel of Africa and now teeters on the brink of collapse, with qualified doctors and nurses fleeing the country in droves. As for education, one South African author notes: “When Anthony Sampson’s authorized biography of Mandela appeared one of its more embarrassing asides was that all the educational institutions which had nourished Mandela had since collapsed. A Mandela could be produced in colonial times, but no longer.”

Had enough yet? At last count between a third and a half of the population is unemployed. Public order is non-existent outside gated communities and tourist areas patrolled by private security. The murder rate in South Africa exceeds that of many active war zones. Every major city in South Africa is among the most dangerous cities on earth, and the countryside is much worse than the cities. The reported cases of rape alone establish South Africa as the worst country on earth for rape, and the vast majority of cases are likely unreported, since the police have essentially stopped prosecuting this crime.

Something has gone very wrong. What happened? That’s the subject of this book by R.W. Johnson, an ultra-detailed examination of the 10 or so years following the end of apartheid in 1994. Johnson is the right guy to write this book — he’s lived in South Africa since the 1960s, and was active in the movement against apartheid from its earliest days, so he personally knows most of the players who’ve been running the country. And now he has the bittersweet task of writing a book documenting how what happened is “just what white racists predicted and what white radicals like myself scorned”.

March 24, 2023

From “railway spine” to “shell shock” to PTSD

Filed under: Health, History, Military, Railways, WW1, WW2 — Tags: , , , , , — Nicholas @ 05:00

At Founding Questions, Severian discusses how our understanding of what we now label “Post-Traumatic Stress Disorder” evolved from how doctors visualized bodily ailments over a century ago:

A shell-shocked and physically wounded soldier in the First World War.

I mentioned “shell shock” yesterday, so let’s start there. Medicine in 1914 was still devoted to the “Paris School,” which assumed nothing but organic etiology for all syndromes. Sort of a reverse Descartes — as Descartes (implicitly) “solved” the mind-body problem by disregarding the body, so the “Paris School” of medicine solved it by disregarding the mind. So when soldiers started coming back from the front with these bizarre illnesses, naturally doctors began searching for an organic cause. (That’s hardly unique to the Paris School, of course; I’m giving you the context to be fair to the 1914 medical establishment, whose resistance to psychological explanations otherwise seems so mulish to us).
They’d noticed something similar in the late 19th century, with industrial accidents and especially train crashes. When a train crashed, the people in the first few cars were killed outright, those in the next few wounded, but the ones in the back were often physically fine. But within a few hours to weeks, they started exhibiting all kinds of odd symptoms. Hopefully you’ve never been in a train crash, but if you’ve ever been in a fender-bender you’ve no doubt experienced a minor league version of this.

I hit a deer on the highway once. Fortunately I was at highway speed, and hit it more or less dead on (it jumped out as if it were committing suicide), so it got thrown away from the car instead of coming through the windshield. The car’s front end was wrecked, naturally, but I was totally fine. I don’t think the seatbelt lock even engaged, much less the airbag, since I didn’t even have time to hit the brakes.

The next few hours to days were interesting, physiologically. It felt like my body was playing catch up. I had an “oh shit, I’m gonna crash!!!” reaction about 45 minutes after I’d pulled off to the side of the road, duct-taped the bumper back on as best I could, and continued to my destination. All the stuff I would have felt had I seen the deer coming came flooding in. Had I not already been where I was going, I would’ve needed to pull over, because that out of the blue adrenaline hit had my hands shaking, and my vision fuzzed out briefly.

The next morning I was sore. I had all kinds of weird aches, as if I’d just played a game of basketball or something. I assume part of it actually was the impact — it didn’t feel like much in the moment, but if it’s enough to crumple your car’s front end (and it was trashed), it’s enough to give you a pretty good jolt. That would explain soreness in the arms, elbows, and shoulders — a stiff-armed, white-knuckle grip on the steering wheel, followed by a big boom. But I was also just kinda sore all over, plus this generalized malaise. I felt not-quite-right for the next few days. Nothing big, no one symptom I can really put my finger on, but definitely off somehow — a little twitchy, a little jumpy, and really tired.

Having done my WWI reading, I knew what it was, and that’s when I really understood the doctors’ thought processes. I really did take some physical damage, because I really did receive a pretty good full-body whack. It just wasn’t obvious to the naked eye. And since everyone has experienced odd physical symptoms from being rattled around, or even sleeping on a couch or sprung mattress, it makes sense — the impact obviously jiggled my spine, which probably accounts for a great many of the physical symptoms. Hence, “railway spine”. And from there, “shell shock” — nothing rattles your back like standing in a trench or crouching in a dugout as thousands of pounds of high explosive go off around you. It must be like going through my car crash all day, every day.

Skip forward a few decades, and we now have a much better physiological understanding of what we now call (and I will henceforth call) Post-Traumatic Stress Disorder (PTSD). There’s a hypothesis that I personally believe, that “shell shock” is also a whole bunch of micro-concussions as well as “classic” PTSD, but let’s leave that aside for now. The modern understanding of PTSD is largely about chemistry. Cortisol and other stress chemicals really fuck you up. They have systemic physical and mental effects. If those chemicals don’t get a chance to flush out of your system — if you’re in a trench for weeks on end, let’s say — the effects are cumulative, indeed exponential.

Returning to my car crash: I was “off” for a few days because my body got a huge jolt of stress chemicals. That odd not-quite-right thing I felt was those chemicals flushing through. Had I gone to a shrink at that moment, he probably would’ve diagnosed me with PTSD. But I didn’t have PTSD. I had a perfectly normal physiological reaction to a big shot of stress chemicals. If I’d gotten into car crash after car crash, though, day in and day out, that would’ve been PTSD. I’d be having nightmares about that deer every night, instead of just the once. And all that would have cumulative, indeed exponential, effects.

He then goes on to cover similar physical reactions to stimuli in modern life, so I do recommend you RTWT.

A very different take on the Wuhan Coronavirus pandemic

Filed under: Britain, China, Government, Health, Science, USA — Tags: , , , , , — Nicholas @ 03:00

At The Conservative Woman, Dr. Mike Yeadon lays out his case for doubting that there ever actually was a novel coronavirus in the first place:

Wuhan Institute of Virology.
Wikimedia Commons.

I’ve grown increasingly frustrated about the way debate is controlled around the topic of origins of the alleged novel virus, SARS-CoV-2, and I have come to disbelieve it’s ever been in circulation, causing massive scale illness and death. Concerningly, almost no one will entertain this possibility, despite the fact that molecular biology is the easiest discipline in which to cheat. That’s because you really cannot do it without computers, and sequencing requires complex algorithms and, importantly, assumptions. Tweaking algorithms and assumptions, you can hugely alter the conclusions.

This raises the question of why there is such an emphasis on the media storm around Fauci, Wuhan and a possible lab escape. After all, the “perpetrators” have significant control over the media. There’s no independent journalism at present. It is not as though they need to embarrass the establishment. I put it to readers that they’ve chosen to do so.

So who do I mean by “they” and “the perpetrators”? There are a number of candidates competing for this position, with their drug company accomplices, several of whom are named in Paula Jardine’s excellent five-part series for TCW, Anatomy of the sinister Covid project. High on the list is the “enabling” World Economic Forum and their many political acolytes including Justin Trudeau and Jacinda Ardern.

But that doesn’t answer the question why are they focusing on the genesis of the virus. In my view, they are doing their darnedest to make sure you regard this event exactly as they want you to. Specifically, that there was a novel virus.

I’m not alone in believing that myself at the beginning of the “pandemic”, but over time I’ve seen sufficient evidence to cast strong doubt on that idea. Additionally, when considered as part of a global coup d’état, I have put myself in the position of the most senior, hidden perpetrators. In a Q&A, they would learn that the effect of a released novel pathogen couldn’t be predicted accurately. It might burn out rapidly. Or it might turn out to be quite a lot more lethal than they’d expected, demolishing advanced civilisations. Those top decision-makers would, I submit, conclude that this natural risk is intolerable to them. They crave total control, and the wide range of possible outcomes from a deliberate release militates against this plan of action: “No, we’re not going to do this. Come back with a plan with very much reduced uncertainty on outcomes.”

The alternative I think they’ve used is to add one more lie to the tall stack of lies which has surrounded this entire affair. This lie is that there has ever been in circulation a novel respiratory virus which, crucially, caused massive-scale illness and deaths. In fact, there hasn’t.

Instead, we have been told there was this frightening, novel pathogen and ramped up the stress-inducing fear porn to 11, and held it there. This fits with cheating about genetic sequences, PCR test protocols (probes, primers, amplification and annealing conditions, cycles), ignoring contaminating genetic materials from not only human and claimed viral sources, but also bacterial and fungal sources. Why for example did they need to insert the sampling sticks right into our sinuses? Was it to maximise non-human genetic sequences?

Notice the soft evidence that our political and cultural leaders, including the late Queen, were happy to meet and greet one another without testing, masking or social distancing. They had no fear. In the scenario above, a few people would have known there was no new hazard in their environment. If there really was a lethal pathogen stalking the land, I don’t believe they’d have had the courage or the need to act nonchalantly and risk exposure to the virus.

Most convincingly for me is the US all-cause mortality (ACM) data by state, sex, age and date of occurrence, as analysed by Denis Rancourt and colleagues. The pattern of increased ACM is inconsistent with the presence of a novel respiratory virus as the main cause.

If I’m correct that there was no novel virus, what a genius move it was to pretend there was! Now they want you only to consider how this “killer virus” got into the human population. Was it a natural emergence (you know, a wild bat bit a pangolin and this ended up being sold at a wet market in Wuhan) or was it hubristically created by a Chinese researcher, enabled along the way by a researcher at the University of North Carolina funded by Fauci, together making an end run around a presidential pause on such work? Then there’s the question as to whether the arrival of the virus in the general public was down to carelessness and a lab leak, or did someone deliberately spread it?

March 14, 2023

Social media, selfies, and depression

Filed under: Health, Technology, USA — Tags: , , , , , , — Nicholas @ 04:00

In The Free Press, Jonathan Haidt notes the inflection point at which young liberal women started to become depressed at a much higher rate than the rest of the population — a trend that has continued for over a decade:

In September 2020, Zach Goldberg, who was then a graduate student at Georgia State University, discovered something interesting in a dataset made public by Pew Research. Pew surveyed about 12,000 people in March 2020, during the first month of the COVID shutdowns. The survey included this item: “Has a doctor or other healthcare provider EVER told you that you have a mental health condition?” Goldberg graphed the percentage of respondents who said “yes” to that item as a function of their self-placement on the liberal-conservative 5-point scale and found that white liberals were much more likely to say yes than white moderates and conservatives. (His analyses for non-white groups generally found small or inconsistent relationships with politics.)

I wrote to Goldberg and asked him to redo it for men and women separately, and for young vs. old separately. He did, and he found that the relationship to politics was much stronger for young (white) women. You can see Goldberg’s graph here, but I find it hard to interpret a three-way interaction using bar charts, so I downloaded the Pew dataset and created line graphs, which make it easier to interpret.

Here’s the same data, showing three main effects: gender (women higher), age (youngest groups higher), and politics (liberals higher). The graphs also show three two-way interactions (young women higher, liberal women higher, young liberals higher). And there’s an important three-way interaction: it is the young liberal women who are highest. They are so high that a majority of them said yes, they had been told that they have a mental health condition.

Data from Pew Research, American Trends Panel Wave 64. The survey was fielded March 19–24, 2020.
Graphed by Jon Haidt.

In recent weeks — since the publication of the CDC’s report on the high and rising rates of depression and anxiety among teens — there has been a lot of attention to a different study that shows the gender-by-politics interaction — Gimbrone, Bates, Prins & Keyes (2022), titled: “The politics of depression: Diverging trends in internalizing symptoms among US adolescents by political beliefs”. Gimbrone et al. examined trends in the Monitoring the Future dataset, which is the only major U.S. survey of adolescents that asks high school students (seniors) to self-identify as liberal or conservative (using a 5-point scale). The survey asks four items about mood/depression. Gimbrone et al. found that prior to 2012 there were no sex differences and only a small difference between liberals and conservatives. But beginning in 2012, the liberal girls began to rise, and they rose the most. The other three groups followed suit, although none rose as much, in absolute terms, as did the liberal girls (who rose .73 points since 2010, on a 5-point scale where the standard deviation is .89).

Data from Monitoring the Future, graphed by Gimbrone et al. (2022). The scale runs from 1 (minimum) to 5 (maximum).

The authors of the study try to explain the fact that liberals rise first and most in terms of the terrible things that conservatives were doing during Obama’s second term, e.g.,

    Liberal adolescents may have therefore experienced alienation within a growing conservative political climate such that their mental health suffered in comparison to that of their conservative peers whose hegemonic views were flourishing.

The progressive New York Times columnist Michelle Goldberg took up the question and wrote a superb essay making the argument that teen mental health is not and must not become a partisan issue. She dismissed Gimbrone et al.’s explanation as having a poor fit with their own data:

    Barack Obama was re-elected in 2012. In 2013, the Supreme Court extended gay marriage rights. It was hard to draw a direct link between that period’s political events and teenage depression, which in 2012 started an increase that has continued, unabated, until today.

After examining the evidence, including the fact that the same trends happened at the same time in Britain, Canada, and Australia, Goldberg concluded that “Technology, not politics, was what changed in all these countries around 2012. That was the year that Facebook bought Instagram and the word ‘selfie’ entered the popular lexicon.”

March 9, 2023

Want to feel more depressed? Spend more time with your smartphone

Filed under: Health, Media, Technology, USA — Tags: , , , , , — Nicholas @ 03:00

Freddie deBoer is convinced that much of the reason for widespread depression among teenagers can be traced directly to their obsessive devotion to the online world through their smartphones:

Are smartphones to blame for the mental health crisis among teens? The debate has picked up steam lately, in part because of the steady accumulation of evidence that they are indeed, at least partially. (As you know, I’m a believer.) Jonathan Haidt has done considerable work marshaling this evidence. But there’s an attendant question of how phones make kids miserable, if indeed they do. In this post I offer some plausible answers. This is mostly just speculation and I don’t know if the proffered explanations can be tested empirically.

I want to start by establishing a sort of meta-layer on which a lot of these problems rest. We might be inclined to say that these problems are inherently problems of the internet/online life/digital culture, rather than smartphones as such; you can be hurt by what I’m going to describe from a laptop as well as from a smartphone. And I think that’s right, except for one key difference: ubiquity. No matter how portable and light it is, you’re not reflexively checking your laptop on the subway platform or in the bathroom. The iPhone took all of the various pathologies of the internet, made it possible for them to be experienced repetitively and at zero cost morning and night, and dramatically scaled up the financial incentives for companies to exploit those pathologies for gain. You can certainly have an unhealthy relationship with the internet when it’s confined to your desktop. But phones make relentless conditioning and reflexive engagement a mass phenomenon.

The other overriding factor here is the fact that adolescents are still developing mentally, and thus are likely more susceptible to these problems.

Constant exposure to unachievable conditions. Back in my youth, you might watch an MTV show about how rich people lived, or leaf through a magazine like US Weekly, and be exposed to opulence and material excess. Or you might go on vacation and see how the other half lives if you took a tour of the Hollywood hills or whatever. You were perfectly well aware that rich people and their privileged lives existed. But then you turned off the show or you put down the magazine or your vacation ended, and unless you were born rich, you lived in an environment that of necessity was modest and real. Your friends might have lived in nice houses, but you didn’t see riches everywhere you looked, and your definition of what a hot girl looked like was mostly derived from the girls you went to school with. Your environment conditioned the scope of your desires.

Now, exposure to lifestyles that are completely unachievable is constant. Instagram is a machine for making you feel like whatever you’ve got isn’t enough. (That’s how it functions financially, through advertising idealized lives.) There are young people out there who have arranged their various feeds such that they’re always a few seconds away from seeing concerts they can’t attend, cars they can’t drive, houses they can’t live in, clothes they can’t wear, women they can’t fuck or whose bodies they can’t have, places they can’t travel to, food they can’t eat, and lives they can’t live. When I was young, if I wanted to see a picture of a Ferrari, I had to seek out a picture of a Ferrari. It was hard to see suggestive photos of intimidatingly hot women, which is why the Sports Illustrated swimsuit edition was a big deal. Mostly, the world around you was quotidian and its pleasures attainable. What can it be doing to these generations of young people, having completely unrealistic visions of what life is like being shoved into their brains all the time? How could their actual lives ever compare?

(Incidentally, I am thoroughly convinced that a majority of self-described incels are men who could find meaningful and fulfilling sexual and romantic success, both short-term and long, but who have developed such a wildly unrealistic idea about what actual human women look like that their standards are laughably high. And it’s easy to make fun of that, but I also think that the conditioning inherent to constantly looking at filtered and photoshopped pictures is powerful.)

March 7, 2023

The lab leak in Wuhan was bad, but the cover-up after the fact is much worse

Filed under: China, Government, Health, Media, USA — Tags: , , , , — Nicholas @ 03:00

Jon Miltimore outlines some of the recent confirmations of so many conspiracy theorists’ speculations about the origin of the Wuhan Coronavirus:

Wuhan Institute of Virology.
Wikimedia Commons.

More than three years after the Covid-19 outbreak, the world is still reeling from the virus and the global response to it.

Some 6.8 million people have already died from the virus, according to official statistics, including an estimated 1.1 million Americans. Each day the toll climbs higher; globally, more than 10,000 people die each week.

A bevy of government assessments now indicate that the likely source of the virus was not a wet market, but the Wuhan Institute of Virology, which for years has dabbled in the creation of chimeric coronaviruses.

Last Sunday, the Wall Street Journal reported that the US Department of Energy had concluded the Wuhan lab was likely the origin of the pandemic. Days later the FBI chimed in, declaring that “the Bureau has assessed that the origins of the COVID-19 pandemic likely originated from a lab incident in Wuhan, China”.

If true, it’s not hyperbole to say this would be the greatest scandal of the century.

As the Washington Post reported nearly two years ago, State Department cables had previously warned of safety issues at the WIV, where researchers were studying bat coronaviruses. The cables were sent after science diplomats made a January 2018 visit to the Wuhan lab on behalf of the US embassy in Beijing. What the officials found at the lab, which in 2015 had become China’s first facility to achieve the maximum level of international bioresearch safety, shocked them.

Bad, even shocking, to those who refused to listen to the whistleblowers early in the pandemic. Worse, however, is the complicity of western government and media in the cover-up:

While the US government’s involvement in the Wuhan lab leak scandal may have been inadvertent, its attempt to avoid potential responsibility and conceal the truth is now apparent.

From the beginning of the pandemic, Dr. Fauci — the same Dr. Fauci whose agency awarded a $3.7 million grant to EcoHealth Alliance, which funded coronavirus research at the Wuhan lab — became the leading voice denying the possibility that Covid-19 could have emerged from the WIV.

It was “molecularly impossible” for viruses at Wuhan to have mutated into the current viral strain, he claimed in October 2021. In April the previous year he called the lab-leak-theory “a shiny object that will go away soon”, later noting that the virus’ “mutations” were “totally consistent with a jump of a species from an animal to a human”. In May 2020, he told National Geographic that “everything … strongly indicates” that the virus “evolved in nature”, calling the lab-leak theory a “circular argument”.

Scientists are of course entitled to their opinions, but there are two big problems that accompany Fauci’s public statements.

The first problem is that while these statements were being issued publicly, a different conversation was taking place privately, The New York Times noted Tuesday.

“… in 2020, many of those scientists who would become the most stalwart critics of the lab-leak theory privately acknowledged that the origins of the pandemic were very much up for debate”, writes David Wallace-Wells, “and that a laboratory leak was a perfectly plausible — perhaps even the most likely — explanation for the emergence of SARS-CoV-2 in Wuhan a few months earlier.”

We know this because a series of emails obtained by BuzzFeed through FOIA requests show that some of the world’s top virologists initially believed that the lab-leak hypothesis was at least as plausible as natural evolution theory. Specifically, the virologist and natural biologist Kristian Andersen described the new virus as “inconsistent with expectations from evolutionary theory”. In another email, Jeremy Farrar, the incoming head scientist of the World Health Organization, summarized the perspectives of scientists who concluded the “accidental release theory” was the likeliest scenario — “70:30” or “60:40” in favor. (Farrar put the odds at 50-50.)

These views were not made public, however. And following a Feb. 1 conference call arranged by Fauci, scientists published a paper in Nature expressing their belief that the most likely scenario was that the virus naturally evolved on its own.

“Our analyses clearly show that SARS-CoV-2 is not a laboratory construct or a purposefully manipulated virus”, the scientists, including the initially skeptical Andersen, emphatically noted.

So just a few months into the pandemic, scientific researchers were raising concerns in private, but governments pushed legacy media and social media platforms to police public discourse and to actively suppress public doubts of exactly the same sort that the experts were discussing among themselves.

March 6, 2023

How the powers-that-be got drunk on (practically unlimited) power with the pandemic lockdowns

Filed under: Britain, Bureaucracy, Government, Health, Liberty — Tags: , , , , , , — Nicholas @ 04:00

Brendan O’Neill on the revelations from the release of British government officials’ informal chats on WhatsApp as the initial lockdowns were imposed:

“Covid 19 Masks” by baldeaglebluff is licensed under CC BY-SA 2.0

They were laughing at us. They didn’t only lock us down. They didn’t only suspend virtually every one of our civil liberties, including a right none of us ever expected to lose: the right to leave our own homes. They didn’t only spy on us with drones, and encourage us to snitch on that neighbour going for a sneaky second jog, and fine teenagers life-ruining sums of money for holding house parties. They also chuckled about it. It was funny to them. In one of the most startling WhatsApp chats revealed in the Daily Telegraph‘s Lockdown Files, a senior civil servant says the following about Brits returning from trips abroad who were forced to quarantine in a stuffy hotel room for 10 days: “Hilarious“.

It was Simon Case, the UK’s top mandarin. In February 2021 he had a breezy virtual chat with Matt Hancock, the then health secretary. A policy had just been introduced stipulating that any Briton returning from a “red list” country – which eventually included 50 states around the world, including India and vast swathes of Africa – would have to quarantine in a hotel at a cost of £1,750 per person, later rising to £2,285. A total of 200,000 British citizens and residents endured this painful, expensive quarantine. To Hancock and his civil-service pals it was all a big laugh. “I just want to see some of the faces of people coming out of first class and into a premier inn shoe box”, chortled Mr Case. He later asked Hancock: “Any idea how many people we locked up in hotels yesterday?” Locked up in hotels. Hancock replied that 149 people “are now in Quarantine Hotels due to their own free will!”. “Hilarious”, said Case.

Hilarious? Tell that to the people whose lives were ruined by this policy. The idea that it was just reckless rich folk jetting off to exotic destinations that were on the “red list” is ridiculous, as academic Aleksandra Jolkina has explained. Consider the NHS worker who travelled to Ethiopia to visit his dying uncle and look after his sick mother. While he was there Ethiopia was added to the “red list”, meaning he could not return to the UK; he couldn’t afford to. Or the Briton who travelled to Pakistan to visit his terminally ill father. He was forced to raid the family savings to pay the return quarantine fee. As a result, his “family’s ability to survive financially” was put “at risk”. Or think about the many Brits who did not go abroad, to one of those supposedly toxic countries, because they didn’t have the funds for that stay in a “premier inn shoe box”. People who, as Jolkina describes it, could not “visit their ill relatives or wish them a final farewell”. Hilarious, right?

The sinister cruelty of lockdown is laid bare in this grotesque vision of officials laughing over a policy that caused so much heartache and hardship among often low-earning Brits whose only crime is that their families live overseas. You couldn’t have asked for a better snapshot of the feudalistic authoritarianism that underpinned the ideology of lockdown. Civil servants working from their plush homes having a giggle about a policy that inflicted severe financial pain on the diverse working classes. A health secretary breaking his own guidelines to snog his mistress while sending snide WhatsApp messages about a policy that prevented poorer citizens from kissing the cheek of a dying relative. For me, this is the most important thing about the Lockdown Files – their revelation of just how morally cavalier and even inhuman the political elites can become when they are drunk on power, when they are liberated from democratic accountability to pursue whatever extreme policies they like.

The Telegraph‘s Lockdown Files are based on more than 100,000 WhatsApp messages sent and received by Matt Hancock in the pandemic years. Hancock gave the messages to Isabel Oakeshott when she was co-writing his book, Pandemic Diaries, and now Ms Oakeshott has given them to the Telegraph. They provide only a partial insight into the machinations of lockdown, of course. Hancock is not the centre of the universe, whatever he might think to the contrary. And he says some of the messages are being taken out of context. Perhaps. Nonetheless, the Lockdown Files represent our first serious reckoning with lockdown, our first glimpse at what was happening behind the scenes of this unprecedented exercise in social control. And it’s not a pretty picture.

QotD: The pastries of the wider paradonut family

Filed under: Food, Health, Humour, Quotations, USA — Tags: — Nicholas @ 01:00

When people say “I’d like a donut”, #Science indicates that Actually, they don’t want a donut at all. They say donut, but they really mean a pastry from the paradonut family.

Exhibit A: The Coffee Roll — Phasers on Star Trek have three settings: Stun, Kill, and Coffee Roll.

Exhibit B: The Eclair — From the French for “lightning”, the eclair was invented by a psychiatrist as a delicious alternative to electroshock therapy for schizophrenics. Because when you’re eating an eclair, you can’t deny the marvelous cream-filled reality you’re actually present in.

Exhibit C: The Cheese Danish — Cheese Danishes have a mix of flavors and textures that make them, in scientific terms, “a gang-bang for your face”.

Exhibit D: The Bear Claw — The bear claw is the ugly, bewarted King Pimp of the pastry shop window, with a dozen smaller, more effeminate donuts it’s turned into its sad little bitches and tricks following behind it.

Exhibit E: The Apple Fritter — The so-called “Emperor of Pastries” makes your stupid little glazed donut look sad and weak like Barack Obama’s gay arms.

Exhibit F: The Cinnamon Bun — Cinnamon Buns have been proven to be responsible for America’s obesity epidemic and diabetic crisis, and also totally worth it.

Bonus: Worst Donuts

1. Jelly Donuts — Jelly donuts are always what’s left after people eat the real donuts. Jelly donuts are consolation prizes for losers who came late. They taste like failure for a reason. If you’re eating a jelly donut, that’s because you’re not a competitor and you don’t have any friends to set aside a good donut for you.

2. Plain Donuts — Plain donuts are also called “not donuts” or “ring-shaped bread”. Plain donuts were invented for parents who don’t love their children. They are also sometimes put out as bait for poisoning rats, though they have a 75% failure rate. Rats don’t like them either. Sometimes a poisoned plain donut will be found intact, with a dead rat next to it — rats will lick the poison off the plain donut while avoiding the plain donut itself. According to Leviticus, you are supposed to pay the dowry of an ugly woman in plain donuts.

3. Powdered Sugar Donuts — Powdered sugar donuts are made primarily by mental degenerates employed by donut shops as charity hires. They are sometimes called “Retard Donuts”. To compare powdered sugar donuts to the Holocaust would be to trivialize the horror of powdered sugar donuts.

Ace, “Science Proves That The Best Donuts Are Actually Non-Donuts”, Ace of Spades H.Q., 2017-06-17.

February 27, 2023

The instinct to protect

Filed under: Health, Science — Tags: , , , — Nicholas @ 05:00

Rob Henderson on the way that women react to men who demonstrate protective instincts toward them:

Human psychology evolved in environments far more violent than even the most dangerous modern U.S. cities. Overall, in the U.S., the average death rates from interpersonal violence are less than 1 in 10,000.

In contrast, in hunter-gatherer societies, 15 percent of deaths were the result of physical violence.

Our violent evolutionary past has shaped our minds. Even peaceable people in developed countries who have never even been in a fight can still readily estimate men’s physical strength from their face, body, and voice. These estimations tightly correlate with men’s actual physical strength.

A 2022 paper (preprint link here) investigated whether people prefer romantic partners who are willing and able to protect them from violence.

Considering the frequency and intensity of violence in the human ancestral environment, affiliating with people who were able to protect you would have been advantageous. The authors of the paper suggest such preferences have shaped human mating psychology.

The authors (Barlev, Arai, Tooby, and Cosmides) explore the question of whether a potential partner’s ability to protect you from violence is valued. It seems obvious that the answer (especially for women) is almost certainly yes.

However, they also explore whether a potential partner’s willingness (independent of ability) is also considered attractive.

When a woman judges a man, does learning that he is willing to protect her from violence make him more attractive, even if he isn’t particularly effective at doing so?

What about when a woman learns that a man is able but unwilling to protect her? Imagine a muscular guy who, upon seeing his date get mugged, just stands there and does nothing, or runs away.

Is he still more attractive than a guy who is unable but willing to protect her? Picture a scrawny guy who, upon seeing his date get mugged, physically tries but is unsuccessful in his attempt to stop the mugger.

The paper explores these questions.

[…]

Here you see that women rate male dates (described in this particular version of the study as average in physical strength and average in physical attractiveness) who make no attempt to protect them as a 2 out of 10 in attractiveness. Women rate a man who attempts to protect them but fails as a 7.5 out of 10. And a man who attempts to protect them and succeeds is an 8 out of 10.

So the major bump in attractiveness comes from willingness, rather than ability.

QotD: Sigmund Freud’s insights

Filed under: Health, History, Quotations, WW1 — Tags: , , — Nicholas @ 01:00

Sigmund Freud was a perverted old cokehead, but he had some useful insights. One of them is that anxiety works like a spring (my paraphrase). You need a spring to have a certain tension in order to work, but if you compress it too tightly, it breaks. Anxiety that can’t be discharged (his term) in healthy, socially beneficial ways instead gets discharged in unhealthy, neurotic ways.

That’s what happened with Anna O., history’s most famous psychiatric patient. She had a very turbulent love/hate relationship with her father, as tightly wound girls do. When he became deathly ill on a family vacation, the unresolvable tension caused a whole host of physical symptoms, including hysterical paralysis. Pioneering psychologist Josef Breuer “talked her through” it, finally resolving the emotional conflict and “curing” the patient.

All this would’ve been interesting, but largely irrelevant, were it not for World War I. The world at large didn’t care about the problems of overprivileged Jewish girls, but they did care about their soldiers suddenly going crazy in the trenches. Once military doctors finally ruled out a physical cause, they were left with Freudian explanations: A soldier can’t stop fighting, because he’s an honorable, dutiful soldier. Yet that soldier must stop fighting. The only honorable way out is a wound. If the enemy doesn’t wound him, then, his subconscious will. Hence the bizarre “conversion disorders” — hysterical blindness, paralysis, mutism, etc. — characteristic of “shell shock.”

But a funny thing happened. While everyone now acknowledged the real power of the subconscious mind, we sort of … forgot … about it. Psychology, particularly psychotherapy, went back to being a ghetto Jewish preoccupation. Bored, over-privileged housewives might go to a shrink to talk through their “issues”, but as for the rest of us, well, if we weren’t going into combat anytime soon, why bother? Outside of a few crusty old reactionaries (like yours truly) making fun of SJWs, when was the last time you heard the word “neurotic”?

But that’s the thing: either the subconscious is real, or it isn’t. When we say “neurotic” (the few of us who still do), we usually mean people like Anna O. — rich, cosseted, politically active human toothaches who try to force the entire world into the all-encompassing drama of their Daddy Issues (see also: Virginia Woolf). But that’s not how Freud meant it. According to him, we’re all neurotic to some degree or another, because that’s just how anxiety works.

We all have strong emotional impulses that run counter our self-image. Hence the entire panoply of pop-Freudianism: The preacher who constantly rails against homosexuality from the pulpit is secretly gay (“projection”). The strict, controlling, everything-in-its-place type is a sadist (“anal-retentive”). The player who can’t settle down with any woman is actually trying to find a Mommy figure (“Oedipus complex”). And, of course, the — ahem — daddy of them all, the crippling Daddy Issues that make feminists such fun.

But that’s just the thing: Either anxiety works that way or it doesn’t. Just because we don’t see a specific syndrome in ourselves doesn’t mean we don’t have a whole bunch of anxiety we need to discharge. Just because it’s subclinical, in other words, doesn’t mean it’s not real, or unimportant. See for example the legions of keyboard commandos who show up in the comments of any blog with more than fourteen readers. Yeah, sure, it’s possible that those guys all got kicked out of SEAL Team 6 for being too badass … but it’s probably classic identification. They’re deeply uneasy about the world and their place in it, so they construct themselves an identity as the Rambo of Evergreen Terrace.

Severian, “High Anxiety”, Rotten Chestnuts, 2020-03-16.

February 26, 2023

QotD: Scientology versus psychiatry

Filed under: Health, Quotations, Religion — Tags: , , — Nicholas @ 01:00

Scientology has a long-standing feud with psychiatry, with the psychiatrists alleging that Scientology is a malicious cult, and the Scientologists alleging that psychiatry is an evil pseudoscience that denies the truth of dianetics. And that psychiatrists helped inspire Hitler. And that the 9/11 was masterminded by Osama bin Laden’s psychiatrist. And that psychiatrists are plotting to institute a one-world government. And that psychiatrists are malevolent aliens from a planet called Farsec. Really they have a lot of allegations.

Scott Alexander, “The APA Meeting: A Photo-Essay”, Slate Star Codex, 2019-05-22.

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