ReasonTV
Published 28 Jun 2022The agency will never be controlled by fact-driven experts shielded from politics.
——————-
The Centers for Disease Control and Prevention (CDC) was once widely viewed as the gold standard in public health, considered an apolitical, science-driven bulwark against all pathogen threats, foreign and domestic.Today, trust in the agency has plummeted because COVID-19 exposed the truth: The CDC is thoroughly corruptible, and federal regulators will never be impartial experts. They respond to political incentives just like everyone else, and a fact-driven, purely technocratic state is an impossible dream.
The Trump administration pressured the CDC to narrow the scope of testing so case counts would drop, blocked officials from doing interviews, and edited its flagship scientific reports. The CDC provided a scientifically dubious public health rationale for rejecting migrants at the southern border. President Joe Biden continued that policy, and under his purview, CDC guidance on school closures was surreptitiously written by leaders of the country’s second-largest teachers union.
Tom Frieden, a former CDC director, co-authored a 2021 op-ed with three other former agency heads expressing hope that Biden’s incoming CDC Director Rochelle Walensky would “restore the public’s confidence in the CDC’s scientific objectivity,” with its reputation “a shadow of what it once was.” Yet, Frieden endorsed large-scale protests against racial injustice two months after writing in The Washington Post that “the faucet of everyday activities needs to be turned on slowly. We cannot open the floodgates.” Meanwhile, public health officials were keeping people from attending the funerals of their loved ones.
And could it be pure coincidence that the CDC chose the Friday before President Biden’s State of the Union address to drop its indoor mask recommendation for the majority of Americans, even though the supporting data were months old?
In other words, it doesn’t matter who occupies the White House — political incentives mean that, no matter how dedicated or competent the career scientists who work at the CDC are, the agency will never be controlled by fact-driven experts shielded from the “hurry and strife of politics,” as Woodrow Wilson wrote. After decades of mission creep, the CDC’s role should be strictly narrowed, limited to surveillance and coordination, leaving the heavy lifting to local officials and private and academic researchers who are more reactive to direct feedback from their communities.
Written and produced by Justin Monticello. Edited by Isaac Reese. Graphics by Reese, Tomasz Kaye, and Nodehaus. Audio production by Ian Keyser.
Music: “Robotic Butterflies” by Evgeny Bardyuzha; “We Fall” by Stanley Gurvich; “Free Radicals” by Stanley Gurvich.
Photos: BSIP/Newscom; BSIP/Newscom; Sarah Silbiger/UPI/Newscom; Shawn Thew – Pool via CNP/ZUMAPRESS/Newscom; Alex Edelman/ZUMA Press/Newscom; SMG/ZUMA Press/Newscom; Simon Shin/ZUMA Press/Newscom; Michael Brochstein/ZUMAPRESS/Newscom; Adam Schultz/White House/Newscom; Brazil Photo Press / SplashNews/Newscom; Tom Williams/CQ Roll Call/Newscom; Polaris/Newscom; Jonathan Alpeyrie/Polaris/Newscom; Aimee Melo/dpa/picture-alliance/Newscom; Julian Stratenschulte/dpa/picture-alliance/Newscom; Sven Hoppe/dpa/picture-alliance/Newscom; CNP/AdMedia/Newscom
June 29, 2022
COVID Exposed the Truth About the CDC
June 27, 2022
QotD: Perfectionism
Perfectionism should be classified as a disability.
It has blighted more lives than autism, destroyed more potential work than brain damage, stopped more achievement than mis-education. It can devour entire civilizations, and arguably has. […] If you’re an artist or even just a “creator” or worker: a writer, an artist, a programmer, a cook, holy heck, even a house cleaner, you know exactly what I’m talking about.
There’s this odd tendency to be more dissatisfied with our work the better we do and then to decide not to do things because, what the heck, it will never be good enough.
The way it blights lives is … interesting. As in I’ve seen perfectionists utterly ruin themselves by doing nothing. Oh, you want to write/create/climb your work ladder? But you look at your work and you know you’re not good enough because you can see flaws, so why even try. And then you do nothing. And then … and then you’re 65 and you’ve done nothing and achieved nothing in your life, and it’s a miracle if you came close to supporting yourself. (And the only reason you’ve done so is because you did some job you considered was menial and didn’t matter, so your perfectionism didn’t infect THAT.)
If you’re a true perfectionist, you also never had any relationships. Because even though you’re far from the ideal mate, you judge every potential by tagging up defects. If you can’t have perfection, why bother.
The very smart are extremely susceptible to this, but everyone can fall into the trap. If you care or know enough about any field, the flaws in your own (and others) work will stand out glaringly and in relief and then you can’t do ANYTHING.
Of course, the more you practice and know the more flaws you see. And it eventually shuts you down. I catch myself in this trap frequently to the point of being amazed when semi-pro anthos buy my work, because I’m sure it’s the worst thing ever written. And I can shut myself down for years. (I’m not alone, I know you know other writers with this problem.)
Sarah Hoyt, “The Flaw in Flawless”, According to Hoyt, 2019-02-27.
June 24, 2022
“… most of the ‘mental health crisis’ is just loneliness”
Ed West believes we’re suffering so many social ailments because we’re social creatures, evolutionarily speaking, and modern society has reduced or eliminated so many traditional community social gatherings — made far, far worse by arbitrary lockdown rules and harsh enforcement during the Wuhan Coronavirus panicdemic. He’s talking specifically about Britain and Europe, but the same definitely applies here in North America:

“Procession for Corpus Christi” attributed to Master of James IV of Scotland (Flemish, before 1465 – about 1541), illuminator.
Original illumination in the Getty Center Collection via Wikimedia Commons.
Last week, for example, most of continental Europe got a holiday to mark Corpus Christi, once a huge event in England but killed off by the Reformation. Why can’t we have a holiday too? It was 27 degrees in London last Thursday — it would have been great.
We’re all aware, on some subconscious level, that there is a need for communal feasts and holidays, and in some ways the idea of a June procession to celebrate the official religion has made a comeback with Pride. The feast-shaped hole in our lives is why, from time to time, the great and the good come up with very boring ideas for substitutes feasts, the latest being “Celebration Day”. The idea is for “one day in the year when we can all take a pause in our busy lives to reflect, remember and celebrate the lives of people no longer here”. You mean, like the feast of All Saints’ and All Souls’, which again was a huge part of our calendar once and is still marked in Catholic countries? Like that one?
[…]
Contrary to the fashionable Noughties takes about the evils of supernatural belief, religion has huge psychological benefits. There is a vast array of evidence showing that attending religious ceremonies increases dopamine responses in the brain. Overcoming our fear of death is not even the key part; it is meeting other people and taking part in a common ritual, which has huge benefits, including reduced risk of suicide or addiction. Religious attendance is “associated with lower psychological distress” and “related to higher well-being”.
Modernity, diet and substance abuse may have slightly increased rates of extreme mental illness such as schizophrenia, while social media has allowed people with personality disorders to become prevalent, especially in politics. But most of the “mental health crisis” is just loneliness. People attend fewer communal events because of the decline of religion, they see other people less regularly and they have fewer friends — of course they’re unhappy! Humans are not just social mammals, we are ultra-social by the standards of other species; that’s why we need common rituals and why we’re chasing that religious feeling everywhere and can’t find it. It is why, as Madeline Grant wrote in the Telegraph this week, that as well as progressive institutions adopting religious-type feasts, even exercise classes increasingly resemble Mass.
Lockdown, traumatic though it was, was merely an extreme version of the trend towards solitude already underway (with working from home, online shopping and various other lockdown activities on the rise before 2020). Most traditional societies would consider our everyday lives in non-Covid times to be a form of lockdown, with historically very unusual levels of isolation. That is why the extreme loneliness of lockdown gave rise to ersatz rituals such as Clap for Carers.
Yet you just can’t beat the real thing. As Parker wrote at the time, ritual decline was a real sadness in our lives: “From the Middle Ages until the first half of the 20th century, Whitsun and the week that followed was the chief summer holiday of the year in Britain. It was a time for all kinds of communal merry-making, varying over the centuries but consistent in spirit: the season for feasts and fairs, dancing and drinking, school and church processions, and generally having a good time.”
What happens when the proles stop listening to elite Chicken Littles?
Chris Bray suggests that we should call it “class formation psychosis” instead of “mass”, because it’s the kakistocrats who are doing everything they can to induce “the masses” to feel the fear and obey:
… here’s a picture of a recent panel discussion among public health experts in Los Angeles County, which I wrote about here:
So the normals are just living their lives, and appearing to enjoy it, while the status-projecting elite are engaged in an effort to signal fear and control.
I encourage you to read [Mattias Desmet’s new book] The Psychology of Totalitarianism, especially as an account from an early adopter of the view that our pandemic hysteria has been irrational. But I’m surprised to find myself not buying the argument. Desmet gets the dynamic, but misses the subject: He sees what’s happening, but not who’s doing it. The book is about “the masses”, as in this passage from Chapter 6:
We have to add one more important characteristic to the problematic psychological properties of mass formation: radical intolerance of other opinions and a strong tendency toward authoritarianism. To the masses, dissident voices appear 1) antisocial and devoid of solidarity, because they refuse to participate in the solidarity that the mass formation creates; 2) completely unfounded, as critical arguments are not assigned any cognitive or emotional weight within the narrow circle of attention of the masses; 3) extremely aversive because they threaten to break the intoxication, and in this way confront the masses again with the negative situation that preceded the mass formation (lack of social bond and meaning, indefinable fear and unease); 4) extremely frustrating because they threaten to remove the venting of latent aggression.
This radical intolerance ensures that the masses are convinced of their superior ethical and moral intentions and of the reprehensibility of everything and everyone who resists them: Whoever does not participate is a traitor of the collective.
As someone who spent every moment of the pandemic traveling all over the place, family camping our way through a dozen states and visiting national parks and other tourist-centered destinations, I’ve never met the masses who were consumed with this fearful aggression. In South Dakota in the summer of 2020, I was sitting next to my tent in a state park when some dads on another campsite saw my license plate, then marched over and said that holy shit, man, did you really drive all the way here from California? I hadn’t seen a mask in days, and no one maintained six feet of social distance. As I experienced all over the state, we shook hands and talked. A few days before, at a state park in eastern Wyoming, the couple in the neighboring campsite walked over and offered us dinner, then got trashed on Bud Light — which I didn’t know was possible, on the grounds of “making love in a canoe” — while they hung out by our campfire.
But where we found intolerance and enforced fearfulness was in space controlled by government, as when we got in line outside the Jenny Lake store and quickly drew the attention of the, I am not making this up, line monitor. Masks! Masks! Masks! she helpfully explained, pointing at her masked face to show us what a mask was. Maskless people swarmed around us on all sides, a fact I mentioned to her. “But they’re not in line,” she explained, finding the explanation complete.
Our mass formation psychosis didn’t form in the masses; it formed in policy, and as a social performance among people who wish to be perceived as cultural elites, sniffing at the trash who don’t believe in science. Professors and politicians were highly mask-compliant, and wanted you to know it. My impression is that a quarter to a third of the population locked arms with them and fought proudly for their fear performance, while another third-plus went along to get along, and the balance — especially outside the Blue Zones — just completely ignored the whole mess.
June 22, 2022
June 17, 2022
June 16, 2022
Among GenZ adults, LGBT identification tracks far higher than LGBT behaviour
In conversation on social media the other day, I speculated that in years gone by, some possibly significant proportion of self-identified lesbians would probably identify as asexuals today. Coming of age long before more relaxed modern attitudes toward non-heterosexual relationships, women who were not attracted to men would probably assume that this lack of attraction meant they must be lesbians. Similarly, Eric Kaufmann discusses a recent survey that shows some interesting divergence among GenZ adults between their declared sexual orientation and their actual behaviour:
A granular look at survey data on same-sex behaviour and LGBT identity shows that identification is increasingly diverging from behaviour. More importantly, those who adopt an LGBT identity but display conventionally heterosexual behaviour are a growing and distinct group, who lean strongly to the left politically and experience considerably greater mental health problems than the rest of the population.
By contrast, those who engage in same-sex behaviour are more politically moderate and psychologically stable. These facts sit awkwardly with the progressive view that the rise in LGBT identity, like left-handedness, is explained by people increasingly feeling that they can come out of the closet because society is more liberal. My analysis of these data raise another interesting question: Has some of the increase in anxiety and depression among young people, like the LGBT identity surge, arisen from a culture that values divergence and boundary-transgression over conformity to traditional norms and roles?
[…]
But has the LGBT share of young people really tripled in a decade? It has not. First, a growing share of LGBT identifiers engage in purely heterosexual behaviour. Figure 1, drawn from the General Social Survey (GSS), shows that, in 2008, about five percent of Americans under the age of 30 identified as LGBT and a similar number had a same-sex partnership in that year. By 2021, the proportion identifying as LGBT had increased 11 points to 16.3 percent but the share reporting same-sex relations had only risen four points, to 8.6 percent. LGBT identity had become twice as prevalent as LGBT behaviour. We must also bear in mind that 20 percent of young people now report no sex in the previous year, which means the four-point rise in same-sex partnering since 2008 is actually closer to a three-point rise: not nothing, but hardly a sexual revolution.
The trend towards greater LGBT identification has been particularly pronounced for young women, among whom there are three bisexuals for every lesbian in the 2018–21 period. Among young men, on the other hand, gays outnumber bisexuals and the LGBT total is only half as large as it is for women. Other large major surveys conducted by the Foundation for Individual Rights in Education (FIRE) and by Cooperative Congressional Election Study (CCES) find a similar pattern.
Furthermore, the GSS data show that bisexual women are the fastest-growing category, accounting for a disproportionate share of the post-2010 rise. A closer look at trends among female bisexuals in figure 2 shows that an increasing share of them display conventional sexual behaviour. In 2008–10, just 13 percent of female bisexuals said they only had male partners during the past five years. By 2018 this was up to 53 percent, rising to 57 percent in 2021. Most young female bisexuals today are arguably LGBT in name only.
June 14, 2022
Gender dysphoria and body dysmorphia
Once upon a time, in the dark recesses of ancient history (say, 2015 or so), most of the people expressing dissatisfaction with their birth gender were male. Shortly after that, the numbers inverted significantly and today it’s predominantly females demanding “gender affirming” treatment:
Girls who reject femininity or self identify as male or “non-binary” actually have a form of body dysmorphia. Rejecting their feminine body parts, for instance by flattening their chests, shows repulsion toward the areas they feel are not fit for acceptance. The trend of “binding” to produce a flat, androgynous body is dangerous, cutting off the air supply and possibly causing permanent damage, but it is encouraged as a precursor to transitioning from female to male.
In fact, transgendered people who were born women tend to suffer from eating disorders in an “extremely high proportion”, according to the Duke University Health System.
Make no mistake, a young woman who is dieting obsessively does not wish to look feminine or capable of having children. Many women who achieve their desired weight by extreme dieting cease to have periods and even grow downy hair on the face which resembles the incoming beard of a pre-pubescent man.
So is gender dysphoria essentially interchangeable with body dysmorphia? The woke people working at the NHS and gender reassignment clinics would never admit it, and would deny any correlation despite the statistics. But they are seeing more gender dysphoric young women than ever.
According to this article, entitled “Why Are So Many Females Coming out as Trans/Non-Binary?” in recent years the proportion of young women coming out as trans as opposed to men has increased dramatically. This shows a reversal from the previous trend years ago of more men wishing to become the opposite sex. But the incidence of actual transitions carried out does not show a corresponding rise for women, and that should prove many young women eventually grow out of identifying as trans, or “desist” from the desire to become male. “Desistance” refers to the situation where a young person who experiences gender dysphoria eventually “grows out of it” and decides not to go through with a sex change.
The occurrence of desistance among youngsters supports the position that they should not be allowed to undergo irreversible operations such as mastectomy or be pumped full of hormones (including puberty blocking “treatments”) which they are likely later to regret. Sadly, many medical “experts” don’t believe the figures cited for desistance among young people and discount them as flawed due to the looser criteria for diagnosing gender dysphoria used in the past. In other words, young boys who liked to wear dresses and would have been diagnosed as transgendered in previous years would not so qualify today, but young girls who hate their bodies and want to mutilate their breasts would be eligible for such “treatments”. The reasoning goes on that a whole raft subsisted of boys who were merely “gay boys who may have been experimenting with different ways of expressing gender but who were never really transgender in the first place”.
Such conclusions defy common sense or any logic or human decency. This article cites the findings of one Thomas Steensma, a clinician and researcher at the Centre of Expertise on Gender Dysphoria at the VU University Medical Centre in Amsterdam. He conveniently found in a study that desistance rates were lower in older, female children than in young boys.
H/T to Blazing Cat Fur for the link.
June 13, 2022
Justin Trudeau’s sadism is visible at Toronto’s Pearson International Airport
It’s been more than a decade since the last time I had to travel by air … and even then it was still a far worse experience than it was before 9/11. Canada is among the last few countries to loosen Wuhan Coronavirus restrictions on international travel — along with two of Justin Trudeau’s favourite nations, the cuddly North Korean sole proprietorship and the “admirable” “basic dictatorship” in China. In the free-to-cheapskates weekly round-up of The Line, the editors have recent travel experiences at Canadian airports to discuss:

CBC News report on delays at Pearson International Airport in Toronto, 9 June, 2022.
Screencap from https://www.youtube.com/watch?v=pkgmWWY2SDc
… Why couldn’t your Line editor browse the aisle? Well, because duty free is only for international travellers, and hanging around was forbidden due to “COVID protocols,” the clerk explained.
Now, was your Line editor going to stand around and pick a fight with some underpaid store clerk who was just following the rules? Absolutely not.
But she thought about it.
Look, we understand that not being able to browse is, on the list of first-world problems, really far down, but we had to admit that this stupid little non-incident made us angry. Just stupid, irrationally, bug-eyed angry for a solid minute or two.
Why? Because our entire lives have been eaten by a compounding collection of nonsensical COVID rules and restrictions that have added up to make everybody crazy and miserable, and this was just another. Everyone we know now has a story of peaking on COVID hysteria; experiencing a moment so surreal, inhumane and paranoid that it had the effect of fundamentally breaking trust in the judgement of public health and in broader institutional authority. Whether it was the moment they covered the outdoor playgrounds with police tape; the librarian who refused to let the potty-training toddler use the bathroom; the umpteenth school closure; the triple-masked mom screaming hysterically at her ward for touching other kids; to stories of being trapped for hours on end in airplanes or terminals. There was a moment when nearly all of us broke and took someone else’s head off. When we stopped clapping for health-care workers and instead grew quietly resentful, or found ways to silently flout COVID protocols — or abandoned the mainstream altogether and lost ourselves to fringe politics and conspiracy theories.
Upon arrival at one airport, one of your Line editors spotted a kids’ play area containing nothing more than a cartoonish carpet depicting a fun little airport runway. It was still closed. It is, apparently, still too dangerous to let kids burn off steam by pretending to be airplanes for a few minutes.
Even the Liberal backbench has been reported to be demanding that Justin Trudeau make some vague gestures to reduce the arbitrary and unscientific civil liberty restrictions we’ve been living under for what seems like forever … but he seems to like making Canadians miserable where and when he can.
Keeping up unnecessary mandates is not a cost-free political solution. You are teaching your population to distrust you. Yeah, we mean that quite literally: you, Liberals, are also responsible for the declining social cohesion and failing institutional trust that is fuelling populist movements across the country.
We realize that the mandates are small potatoes. But in a way, they’re also really not. Keeping up historic restrictions on Canadians movement, slowing a desperately desired return to normal, purely for political reasons, is only further corroding the social contract between electorate and government. Further, you’re falling into exactly the same trap as the Conservatives — you’re riding the dragon that will eat you, allowing your loudest, fringiest members to dictate policy.
The Liberals seem to be getting this, at least a little bit. Probably because they perceive the political threat this presents to them. On Friday, they announced that random COVID-19 testing of certain arrivals would be suspended, temporarily, until the end of the month. This is intended to reduce backlogs and crowding at our arrival gates, particularly in Toronto. We’ll see how much it helps, but as a political decision, it’s revealing: the Liberals are now alarmed enough to do something, but not to actually just scrap the screening, at least not yet. For now, it’s just a pause.
June 10, 2022
The common male delusion that they “age like fine wine”, unlike women who “hit the wall”
Ed West considers the brutal truth that while beauty may indeed be fleeting, ugliness is life-long:

George Clooney at the White House, 12 September, 2016.
Official White House photo by Pete Souza via Wikimedia Commons.
The male psyche is filled with delusions, forming a sort of psychological protection against real life. Just as men tend to overestimate how competent they are at any given task, they are programmed to wildly overestimate their value in the mating market. The brutal truth of dating apps has shown that around 80% of men are basically unattractive and, in many societies, a significant chunk would fail to find a mate at all, forced to set out on a longship in the hope of winning glory and a girlfriend. We don’t contemplate this, because reality would be just too much to take for most of us.
Among the many delusions males have is the idea that, unlike women, they don’t become less attractive with age; in the minds of many men, female attractiveness peaks early and, while most men don’t improve with age, looks are less important for us so female preference doesn’t really change.
That explains the popularity of a certain genre of feature piece, usually in the Daily Mail, in which women in their 30s lament that there aren’t any available men left, and they can’t get a date despite being beautiful and wealthy and having their own career. Many quite embittered men take pleasure in these pieces, gleeful that the shoe is now on the other foot, and that the women who spurned them have hit “The Wall”.
The Wall is the name given to the drop in female attractiveness that comes with age, the decline beginning quite early, around 20 or 21, as judged by searches on dating sites and the number of approaches a woman receives. There are even cruder measurements, such as the average hourly earnings of strippers, lap dancers or prostitutes, and which again show a decline from the early 20s which becomes steep after 30. If you think that’s a depressing measurement, there are even bleaker ones highlighted by Louise Perry in her new book, on rape victims, which show a very similar pattern.
These are all quite horrible measurements, but then science is an empty moral void and the data only has deeper meaning if you choose to give it any. It doesn’t measure attractiveness as most of us feel it; people become more interesting as they get older, and as men mature their interests change, too. What’s strange about our species is that men’s prefrontal cortex — the part of the brain concerned with judgement — doesn’t fully mature until around 25. As women enter their peak for male attention, their male contemporaries have not even finished maturing yet, and are at the pinnacle of stupid behaviour (as measured by things like car accidents).
Some men take pleasure in female contemporaries hitting the Wall, because while those contemporaries became very desirable in their late teens, they struggled to find a date, and so convinced themselves that they were playing a long game. But it just isn’t true — men hit the Wall, too, and it’s not even that much later.
Many men seem blissfully unaware that, while the dating game may seem brutal and unfair in adolescence, it’s going to remain brutal and unfair later, just in different ways. They’re not going to mature into a debonair George Clooney-type who has the women gushing over his overgrown ear hair. They’re just going to become increasingly repulsive as they age.
May 28, 2022
Scott Alexander on the “Hearing Voices Movement”
I’d never heard of the Hearing Voices Movement, but I don’t read the [spit] New York Times [spit]. Scott Alexander almost certainly also avoids reading the NYT, but he responds to a recent article there on the phenomenon that some of his psychiatric patients have reported:
The New York Times has an article out on the Hearing Voices Movement — ie people with hallucinations and delusions who want this to be treated as normal and okay rather than medicalized. Freddie deBoer has a pretty passionate response here. Other people have differently passionate responses:
I’ve met some Hearing Voices members. My impression is that everyone on every side of this discussion is a good person trying to make the best of a bad situation (except of course New York Times journalists, who are evil people destroying America). Some specific thoughts:
2:
Plenty of people hear voices. Some of these people are your typical homeless schizophrenic, but many aren’t. One of my patients was a successful computer programmer who had near-daily auditory hallucinations. He realized they weren’t real, did his best to ignore them, and got on with his successful life — just like he had been doing for the past twenty years. He was seeing me for unrelated depression.
This guy kept his condition secret from his friends and co-workers. I don’t blame him for this choice at all. But when everybody who can hide it does, we only hear about the people who can’t keep it hidden, who are usually worst-case scenarios. Also (as a bunch of 1980s gay people can tell you) keeping a basic fact about yourself hidden from everyone you know sucks.
I recommended Hearing Voices Movement to this guy. I can’t remember whether he took me up on it or not. But I thought it would be helpful for him to have people he could talk to about his situation who wouldn’t think he was crazy, or try to get him locked up.
3:
People hate admitting that some cases are mild, and others are severe. Especially the kind of people who work at the New York Times
I talked about this a while back in the context of the autism rights movement. Many autistic people live great lives, enjoy the beneficial parts of their condition, and find it annoying or oppressive when psychiatrists keep trying to medicate them. Many other autistic people can’t live outside of institutions and constantly try to chew off their own body parts. A reasonable conclusion might be “the first group seem mild and should be left alone, the second group seem severe and probably need intensive treatment”, but it’s surprisingly hard to convince people of this.
Calling some cases “mild” sounds trivializing. Calling other cases “severe” sounds stigmatizing. Whatever your criteria for a mild case are, there will be someone who fits those criteria, but says the condition ruined their life and you are dismissing their pain. Whatever your criteria for a severe case are, there will be someone who fits those criteria but is thriving and living their best life and accuses you of wanting to imprison them in a hospital 24-7.
And that’s just the activists! We psychiatrists have the same problem from a different direction: we have seen some crazy @#!$. No matter how mild your case is, we’ve seen some case that looked like that at first glance, then slowly descended into a horror movie premise. Our instinct is naturally to round off the person who uses Xanax once a month to the lifetime drug abuser, the mildly depressed housewife to the gory suicide victim, and the occasional voice-hearer to the guy who needs to be in a straitjacket.
Still, some cases are mild and others are severe. People with mild psychosis — like my patient the programmer — probably don’t need to be on really strong medications with severe side effects. They probably just need support. In a perfect world, expert psychiatrists would have a major role in providing that support. In the real world, a lot of these patients expect their psychiatrist to freak out, overmedicate them, and maybe even commit them to a hospital. This being the real world, many of those patients are right. So they look elsewhere.
May 27, 2022
The cognitive dissonance of the elites
Chris Bray on yet another example of our kakistocrats congratulating themselves after presiding over failure:
[Los Angeles County Public Health Director Barbara] Ferrer is a relentless and enthusiastic interventionist, one of the highest-profile lockdowners and mask fetishists in the country, and here she is still wearing a mask — in the third year of a pandemic that hasn’t been ended by the widespread mask-wearing that has prevailed, and still largely prevails, in Los Angeles. Do X to cause Y, she says, doing X for a third straight year but still rather obviously not causing Y. Again, here’s Ferrer’s chart showing the effect of her bold public health interventions:
You can really see how that infections trendline came right down as Barbara Ferrer boldly threw herself in front of the virus.
But here’s the part that I find most telling: After Ferrer offers a long presentation on mitigations showing clearly that they haven’t worked as advertised, and after she says repeatedly and explicitly that the available Covid-19 vaccines “don’t work so great at preventing infection”, and that vaccinated people will be infected, Ferrer sits down for a discussion with several members of an expert panel. One of the panelists is Michele Kipke, a psychology PhD who serves as a clinical professor at USC and the vice-chair of research at Children’s Hospital Los Angeles (and as a school board member in my own small town in the suburbs). Having heard repeated statements about the unmistakably limited effectiveness of the available Covid-19 vaccines, Kipke offers this as a question:
“So, first of all, I just need to say, it is such an honor to be on the same stage with you. Barbara, you are my hero, and I am so glad that you have been our leader through these extremely difficult two years. So thank you.” And then there’s a long round of applause from the panel and the audience. You can just feel the scholarly skepticism and clinical rigor in that auditorium. This, ladies and gentlemen, is obviously the room where the tough questions are asked.
And then she goes on: “And so, as I think about this, I’ve really been asking the questions, what are, just picking up on the, I think, the discussion here, what are those lessons learned? There are, you know, sort of obviously a very difficult couple of years, but we’ve seen some really phenomenal successes that have come out of the last couple years. As Dr. Hu mentioned earlier, I had the good fortune of being a part of leading Vaccinate L.A., where we brought fourteen schools and programmatic units within USC together, and all harmonized our efforts, to get out there and support our communities, and to think about how to support vaccinations. And we engaged local artists. We — it was a community driven initiative, we wanted to listen and learn from the community, and then partner with them …”
And so on, but you get the point. “But through that work we’ve achieved so much,” she eventually says. The video is cued to the start of her “question”, if you want to see it all, but her question, in short, is, Why, in your view, did we do such an amazing job? Pivoting from Ferrer’s extremely open and direct discussion about the obvious limits of the vaccines — again, that actual direct quote is, “Vaccinated people are very likely to get infected” — Kipke asks about the success of the vaccination program.
May 20, 2022
High and low “state capacity” illustrated
In Law & Liberty, Helen Dale recounts a miserable experience getting out of a major US airport and says this is an example of America’s low state capacity:

“TSA Checkpoint” by phidauex is licensed under CC BY-NC-SA 2.0
At the other end, I found a stretch limo waiting for me. Getting ferried about in a limo after The Trip from Hell is something I’ve experienced before, in Damascus, before the Syrian civil war. Classic third world. Like Syrians, American hosts send limousines to the airport to pick you up because they know you flew in from JFK and will need to be appeased.
My experience is illustrative of something not confined to airports, however. Indeed, if it were only confined to airports, then the phrase I’m about to use (about the US) would be unfair (to the US). America’s dysfunctional airports are instances of widespread low state capacity. And this is bigger than airports. Low state capacity can only be used to describe a country when it is true of multiple big-ticket items, not just one.
State capacity is a term drawn from economic history and development economics. It refers to a government’s ability to achieve policy goals in reference to specific aims, collect taxes, uphold law and order, and provide public goods. Its absence at the extremes is terrifying, and often used to illustrate things like “fragile states” or “failed states”. However, denoting calamitous governance in the developing world is not its only value. State capacity allows one to draw distinctions at varying levels of granularity between developed countries, and is especially salient when it comes to healthcare, policing, and immigration. It has a knock-on effect in the private sector, too, as business responds to government in administrative kind.
Think, for example, of Covid-19. The most reliable metric — if you wish to compare different countries’ responses to the pandemic — is excess deaths per 100,000 people over the relevant period. That is, count how many extra people died beyond the pre-pandemic mortality rate on a country-by-country basis. For the sake of argument, drop the five countries leading this grim pack. Four of them are developing countries, and the fifth is Russia, which while developed, is both an autocracy and suffers from chronic low state capacity.
At the other end of the scale, ignore China, too. It may be lying about its success or, more plausibly, may have achieved it by dint of being an authoritarian state with high state capacity (notably, the latest round of draconian lockdowns in Shanghai commenced after the WHO collated that data).
The US has the worst excess death rate in the developed world (140 per 100,000). Australia has the best: –28 per 100,000. Yes, you read that right. Australia increased its life expectancy and general population health during the pandemic. So did Japan, albeit less dramatically. The rest of the developed world falls in between those two extremes: Italy and Germany are on 133 and 116 per 100,000 respectively, with the UK (109 per 100,000) doing a bit better. France and Sweden knocked it out of the park (63 and 56 per 100,000 excess deaths).
Recall, too, that not only did different countries adopt different approaches to pandemic management; sometimes there were large differences within countries. Like the US, Australia is a federal system, and as in the US, different states did things differently. Melbourne, capital of the state of Victoria, had the longest lockdown of any major city in the developed world. Other Australian states, meanwhile, locked down sparingly or not at all. In a European context, Sweden rejected most over-the-top Covid responses, the UK was somewhere in the middle, and Italy was thoroughly draconian, even barring unvaccinated people from supermarkets and groceries.
May 9, 2022
Canada has no abortion law on the books: this is extremely convenient for the federal Liberals
In the free-to-cheapskate-freeloading readers portion of The Line‘s weekly dispatch, the editors explain why we should expect exactly zero change to Canadian law on the abortion issue regardless of what happens in the United States in the wake of a leaked US Supreme Court draft decision that has agitated and carbonated the debate there all over again:
… given the extent to which Canadian media and politics has become thoroughly Americanized in the past few years, it was inevitable that the draft ruling immediately took over the front pages of our national papers and became the dominant topic of debate in the House of Commons. And while we are loath to contribute to what we see as a very unhelpful trend, there are some Canada-relevant aspects of this that at least one of your editors thinks are worth discussing.
The first is the obvious glee with which the Liberal party greeted the leak. Of course they all acted appalled, with a parade of cabinet ministers taking to Twitter to talk about the “concerning” news out of the U.S. and to make it clear that they would never allow anything like this to happen in Canada.
But for all their bluster, the Liberals long ago perfected a curious little two-step here. On the one hand, they never tire of asserting that the debate over abortion is “settled”, and that the pro-choice position is and will always be the law of the land. Yet on the other hand, Liberals are constantly acting as if we’re just one private member’s bill away from Canada becoming the Republic of Gilead. But as Chris Selley pointed out in a recent column, if abortion rights are so fragile and tenuous, why haven’t the Liberals done anything about it? Perhaps the imminent overthrow of Roe v. Wade in the U.S. might provide the government with the perfect occasion to finally put abortion rights on Canada on a proper legislative footing. Or, at the very least, define and defend the status quo.
That will never happen, for two reasons.
The first reason the Liberals won’t move to do something has to do with a philosophical equivocation at the heart of Canada’s pro-choice movement. In some guises, the pro-choice position is framed as a harm reduction policy, not completely dissimilar to needle exchange programs or safe injection sites for drug users. That is, while we may legitimately debate and disagree over the moral worth of the activity itself, there is no question that it is something that is going to happen regardless. Given that, the best thing for the state to do is make sure that the circumstances under which it takes place are as safe and accessible as possible, while withholding moral judgment.
But there’s another position, which holds that abortion is akin to a victimless crime: the fetus simply deserves no moral standing, so getting an abortion is no more morally controversial than getting your appendix removed.
The advantage to the status quo is that it allows the government, as well as pro-choice supporters, to remain formally agnostic on this question. There is no law, so the law needs to take no position. But any attempt to put a legal framework around abortion would probably require that the fetus be given some status at some point in development. And that opens a huge can of worms, not least for someone like Justin Trudeau who, at times, has claimed to be personally opposed to abortion but a pro-choice practicing Catholic. Why would he be against abortion personally, unless he believed that it was, at some level, wrong?
This brings us to our second point. In his column, Selley called on Trudeau to “grow up” and defend the status quo on its principles. But why would he do that? The Liberals benefit enormously from the status quo, including the lack of clarity around it. Abortion is legal (in the sense that there is nothing in the criminal code forbidding it), and reasonably accessible, depending on which part of the country you live in. But it’s also tenuous, which means the Liberals get to spend a good part of every election campaign wedging the ever-loving crap out of the Conservatives, whose benches are chock full of people who are anti-abortion, or at least, anti-the-status-quo on abortion.
Given how successful this strategy has been, there is no reason for the Liberals to change it, since for them the tenuous status of abortion is a feature of the current regime, not a bug.














