kottke.org posts about USA
Ed Yong: We’re Already Barreling Toward the Next Pandemic. The US is throwing too little money at high-tech, ultimately private sector solutions but much of the problem comes down to our underfunded public health system and “profoundly unequal society”.
“To be ready for the next pandemic, we need to make sure that there’s an even footing in our societal structures,” Seema Mohapatra, a health-law expert at Indiana University, told me. That vision of preparedness is closer to what 19th-century thinkers lobbied for, and what the 20th century swept aside. It means shifting the spotlight away from pathogens themselves and onto the living and working conditions that allow pathogens to flourish. It means measuring preparedness not just in terms of syringes, sequencers, and supply chains but also in terms of paid sick leave, safe public housing, eviction moratoriums, decarceration, food assistance, and universal health care. It means accompanying mandates for social distancing and the like with financial assistance for those who might lose work, or free accommodation where exposed people can quarantine from their family. It means rebuilding the health policies that Reagan began shredding in the 1980s and that later administrations further frayed. It means restoring trust in government and community through public services. “It’s very hard to achieve effective containment when the people you’re working with don’t think you care about them,” Arrianna Marie Planey, a medical geographer at the University of North Carolina at Chapel Hill, told me.
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In Living While Black, in Japan, directed by Keith Bedford and Shiho Fukada, a group of African-Americans talk about what it’s like to live in Japan as Black people versus their experiences living in the United States.
“I didn’t leave because I was running away from anything. I left because I felt I could be more myself in Japan.”
“Living in Japan, as an African-American, I’ve honestly never felt more free.”
“You know, I can do things here in Japan that I can’t do back at home, in the U.S.”
“I can catch a cab when I’m not trying to catch a cab. People in stores that are supposed to serve you, serve you, like they serve everybody else.”
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Well, the leaves are starting to change up here in ol’ Vermont,1 so it’s time to take a peek at the 2021 Fall Foliage Map from smokymountains.com. Apple pie is just around the corner!
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It may seem like sometimes that with the pandemic, we’re back to square one. With the much more contagious Delta variant in play and an increasing number of breakthrough infections, the efficacy of these vaccines that we thought were amazing maybe aren’t? (Or maybe we just need to readjust our expectations?) But in terms of what these vaccines were specifically developed for — reducing & preventing severe disease and death — they are still very much doing their job. Just take a look at this graph from a White House Covid-19 press briefing yesterday:
Even with Delta endemic in the country, the vaccines are providing extraordinary protection against infections severe enough to land folks in the hospital. In a recent CDC study of infections and hospitalizations in Los Angeles County, they report that on July 25, the hospitalization rate of unvaccinated people was 29.2 times that of fully vaccinated persons. 29 times the protection is astounding for a medical intervention. These vaccines work, we’re lucky to have them, and we need to get as many people worldwide as we can vaccinated as quickly as we can. Period.
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By making public health central to their health care system, Costa Rica has achieved a higher life expectancy than the US for a fraction of the cost. How did they do it? The New Yorker’s Atul Gawande investigates.
Life expectancy tends to track national income closely. Costa Rica has emerged as an exception. Searching a newer section of the cemetery that afternoon, I found only one grave for a child. Across all age cohorts, the country’s increase in health has far outpaced its increase in wealth. Although Costa Rica’s per-capita income is a sixth that of the United States — and its per-capita health-care costs are a fraction of ours — life expectancy there is approaching eighty-one years. In the United States, life expectancy peaked at just under seventy-nine years, in 2014, and has declined since.
People who have studied Costa Rica, including colleagues of mine at the research and innovation center Ariadne Labs, have identified what seems to be a key factor in its success: the country has made public health — measures to improve the health of the population as a whole — central to the delivery of medical care. Even in countries with robust universal health care, public health is usually an add-on; the vast majority of spending goes to treat the ailments of individuals. In Costa Rica, though, public health has been a priority for decades.
The Covid-19 pandemic has revealed the impoverished state of public health even in affluent countries — and the cost of our neglect. Costa Rica shows what an alternative looks like. I travelled with Álvaro Salas to his home town because he had witnessed the results of his country’s expanding commitment to public health, and also because he had helped build the systems that delivered on that commitment. He understood what the country has achieved and how it was done.
In the US, the pandemic has revealed a public health system that is underfunded, underutilized, undervalued, and disconnected from the largely private health care system. As with many other aspects of American life, private individuals who can afford it get access to better lives, at the expense of everyone else.
The concern with the U.S. health system has never been about what it is capable of achieving at its best. It is about the large disparities we tolerate. Higher income, in particular, is associated with much longer life. In a 2016 study, the Harvard economist Raj Chetty and his research team found that the difference in life expectancy between forty-year-olds in the top one per cent of American income distribution and in the bottom one per cent is fifteen years for men and ten years for women.
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You might want to take a deep breath or do a couple of laps around the house before watching this video about a community in the Ozarks with a very low Covid-19 vaccination rate. Here’s a sample. An ICU patient wearing an oxygen mask on why he didn’t get vaccinated:
I’m more of a libertarian and I don’t like being told what I have to do. I’m still not completely 100% sold on the inoculation.
Video narrator:
It was eerie to hear Christopher insist on his individual freedoms even as he struggled to breathe.
Can you hear me screaming all the way from my desk to wherever you are? I don’t like being told what I have to do?! Fucking hell. And this:
There’s no better place to see the impact of this political rhetoric than in the hospital. Only about 50 percent of the staff are vaccinated. None of the unvaccinated staffers were willing to talk.
Absolutely maddening. I want off this ride.
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Dan Sinker writes for The Atlantic about how navigating Covid risks, politically motivated bullshit, and America’s failing infrastructure has broken parents during the pandemic: Parents Are Not Okay.
Instead it was a year in limbo: school on stuttering Zoom, school in person and then back home again for quarantine, school all the time and none of the time. No part of it was good, for kids or parents, but most parts of it were safe, and somehow, impossibly, we made it through a full year. It was hell, but we did it. We did it.
Time collapsed and it was summer again, and, briefly, things looked better. We began to dream of normalcy, of trips and jobs and school. But 2021’s hot vax summer only truly delivered on the hot part, as vaccination rates slowed and the Delta variant cut through some states with the brutal efficiency of the wildfires that decimated others. It happened in a flash: It was good, then it was bad, then we were right back in the same nightmare we’d been living in for 18 months.
And suddenly now it’s back to school while cases are rising, back to school while masks are a battleground, back to school while everyone under 12 is still unvaccinated. Parents are living a repeat of the worst year of their lives-except this time, no matter what, kids are going back.
Almost every parent I know is struggling with exactly this: trying to keep their kids (and family and friends) safe from Covid-19 while balancing the social & emotional wellbeing of everyone concerned and not getting a lot of help from their governments or communities. Remote school is no longer an option, few infrastructure upgrades have been made to improve ventilation in schools, no vaccine mandates for teachers or staff, parents fighting administrators about vaccine & mask mandates, and everyone is trying to do complex risk calculations about sending their can’t-yet-be-vaccinated kids into buildings with other kids whose parents, you suspect, are not vaccinated and aren’t taking any precautions in states where Delta is endemic. All while trying to work and remain sane somehow? And most of the parents I know have resources — they have steady income & savings, live in safe communities, and have friends & family to fall back on when times get tough. Those who don’t? I truly do not know how they are doing any of this without incurring significant, long-term trauma for parents and kids. We, inasmuch as we’re still a “we” in America, are failing them all.
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I’m just going to go ahead and say it right up front here: if you had certain expectations in May/June about how the pandemic was going to end in the US (or was even thinking it was over), you need to throw much of that mindset in the trash and start again because the Delta variant of SARS-CoV-2 has changed the game. I know this sucks to hear,1 but Delta is sufficiently different that we need to reset and stop assuming we can solely rely on the vaccines to stop Covid-19 from spreading. Ed Yong’s typically excellent piece on how delta has changed the pandemic’s endgame is helping me wrap my head around this.
But something is different now — the virus. “The models in late spring were pretty consistent that we were going to have a ‘normal’ summer,” Samuel Scarpino of the Rockefeller Foundation, who studies infectious-disease dynamics, told me. “Obviously, that’s not where we are.” In part, he says, people underestimated how transmissible Delta is, or what that would mean. The original SARS-CoV-2 virus had a basic reproduction number, or R0, of 2 to 3, meaning that each infected person spreads it to two or three people. Those are average figures: In practice, the virus spread in uneven bursts, with relatively few people infecting large clusters in super-spreading events. But the CDC estimates that Delta’s R0 lies between 5 and 9, which “is shockingly high,” Eleanor Murray, an epidemiologist at Boston University, told me. At that level, “its reliance on super-spreading events basically goes away,” Scarpino said.
In simple terms, many people who caught the original virus didn’t pass it to anyone, but most people who catch Delta create clusters of infection. That partly explains why cases have risen so explosively. It also means that the virus will almost certainly be a permanent part of our lives, even as vaccines blunt its ability to cause death and severe disease.
And a reminder, as we “argue over small measures” here in the US, that most of the world is in a much worse place:
Pandemics end. But this one is not yet over, and especially not globally. Just 16 percent of the world’s population is fully vaccinated. Many countries, where barely 1 percent of people have received a single dose, are “in for a tough year of either lockdowns or catastrophic epidemics,” Adam Kucharski, the infectious-disease modeler, told me. The U.S. and the U.K. are further along the path to endemicity, “but they’re not there yet, and that last slog is often the toughest,” he added. “I have limited sympathy for people who are arguing over small measures in rich countries when we have uncontrolled epidemics in large parts of the world.”
Where I think Yong’s piece stumbles a little is in its emphasis of the current vaccines’ protection against infection from Delta. As David Wallace-Wells explains in his piece Don’t Panic, But Breakthrough Cases May Be a Bigger Problem Than You’ve Been Told, vaccines still offer excellent protection against severe infection, hospitalization, and death, but there is evidence that breakthrough infections are more common than many public health officials are saying. The problem lies with the use of statistics from before vaccines and Delta were prevalent:
Almost all of these calculations about the share of breakthrough cases have been made using year-to-date 2021 data, which include several months before mass vaccination (when by definition vanishingly few breakthrough cases could have occurred) during which time the vast majority of the year’s total cases and deaths took place (during the winter surge). This is a corollary to the reassuring principle you might’ve heard, over the last few weeks, that as vaccination levels grow we would expect the percentage of vaccinated cases will, too — the implication being that we shouldn’t worry too much over panicked headlines about the relative share of vaccinated cases in a state or ICU but instead focus on the absolute number of those cases in making a judgment about vaccine protection across a population. This is true. But it also means that when vaccination levels were very low, there were inevitably very few breakthrough cases, too. That means that to calculate a prevalence ratio for cases or deaths using the full year’s data requires you to effectively divide a numerator of four months of data by a denominator of seven months of data. And because those first few brutal months of the year were exceptional ones that do not reflect anything like the present state of vaccination or the disease, they throw off the ratios even further. Two-thirds of 2021 cases and 80 percent of deaths came before April 1, when only 15 percent of the country was fully vaccinated, which means calculating year-to-date ratios means possibly underestimating the prevalence of breakthrough cases by a factor of three and breakthrough deaths by a factor of five. And if the ratios are calculated using data sets that end before the Delta surge, as many have been, that adds an additional distortion, since both breakthrough cases and severe illness among the vaccinated appear to be significantly more common with this variant than with previous ones.
Vaccines are still the best way to protect yourself and your community from Covid-19. The vaccines are still really good, better than we could have hoped for. But they’re not magic and with the rise of Delta (and potentially worse variants on the horizon if the virus is allowed to continue to spread unchecked and mutate), we need to keep doing the other things (masking, distancing, ventilation, etc.) in order to keep the virus in check and avoid lockdowns, school closings, outbreaks, and mass death. We’ve got the tools; we just need to summon the will and be in the right mindset.
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In the last decade, the number of pedestrians hit by cars in the United States has increased by almost 50%, even as that rate has decreased in Europe and other wealthy nations (“thanks primarily to new street and crosswalk designs, implemented in the belief that most road deaths are avoidable”). In a review of Angie Schmitt’s 2020 book Right of Way: Race, Class, and the Silent Epidemic of Pedestrian Deaths in America for the New York Review of Books, Peter Baker explores why America is increasingly hostile to pedestrians. Part of the reason is the rise of SUVs (and one would assume, trucks) in the US:
In the 1980s SUVs were a rarity. It was only in 2015 that they started outselling sedans. In 2018 they accounted for just under half of new vehicle sales, more than any other category of car. The height of American SUVs makes it harder for drivers to see pedestrians and means the hit comes higher on the body — and backed by extra mass — which makes organ damage and death two to three times more likely for adults, and four times more likely for children. More SUVs than ever are “overpowered” — that is, equipped with a high horsepower-to-weight ratio; this makes speeding more likely, which, like increased height and weight, increases the chances of pedestrians being hit and killed. More cars on the road, taller and heavier than ever before, going faster: each factor alone presents a serious problem. Together, they are a recipe for disaster.
And pedestrian deaths are also not equally distributed across population groups, both because of who owns cars but also shifts in where people are living:
Low-income pedestrians, Black and Hispanic pedestrians, elderly pedestrians, and disabled pedestrians are all disproportionately affected. Black and Hispanic men are twice as likely as white men to die while walking, and four times more likely than the average member of the population. Native American men are almost five times more likely.
The piece is interesting throughout, as is Schmitt’s book I’m sure.
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For Vox, Emily Stewart writes about the shortcomings of the, er, system we’ve developed here in America of outsourcing public needs to private industry: Corporations aren’t going to save America.
Across various segments of American life, the private sector has begun to take on tasks big and small that one might think should be tackled by the public sector. Domino’s filled in potholes. Dawn’s dish soap saved ducks. American Express pitched in on historic preservation. Walmart started selling low-priced insulin. A slew of companies help workers pay for school. Much of America’s health care system is still handled through private insurers and your job. As people lose faith in government to act on sweeping issues such as climate change and guns, they’re increasingly looking to corporate America and asking whether there’s something they can do about it. If Congress won’t tackle gun violence, maybe Dick’s Sporting Goods can try.
It’s not a bad thing for brands and companies to try to make the world better. Starting a business often involves identifying a problem to solve, and it’s much better for companies to help than to do harm. Corporate social responsibility is fine. There are, however, limits.
“Of course we want businesses to be responsible,” said Suzanne Kahn, managing director of research and policy at the Roosevelt Institute. But she emphasized that this does not constitute a plan for how to organize society. “Private companies don’t, can’t, or won’t plan with the same values that we demand and expect the government to.”
(via the morning news)
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This piece by Wright Thompson on how the murder of Emmett Till has been remembered and forgotten is a difficult, compelling, and important read. The story centers around the still-little-known barn where Till was tortured and murdered by a group of several white men in 1955.
But the way Till’s name exists in the firmament of American history stands in opposition to the gaps in what we know about his killing. No one knows, for instance, how many people were involved. Most historians think at least seven were present. Only two were tried: half brothers J. W. Milam and Roy Bryant. Another half brother, Leslie Milam, was there that night too. He lived in an old white farmhouse a few dozen steps from the barn, next to where Jeff Andrews’s house now stands.
In 1955 an all-white, all-male jury, encouraged by the defense to do their duty as “Anglo-Saxons,” acquitted J. W. Milam and Roy Bryant. Because the defendants couldn’t be tried again, they got paid to make a confession to a national magazine — a heavily fictionalized account stage-managed by their lawyers — and Leslie Milam and his barn were written out of the story. Ask most people where Till died and they’ll say Money, Mississippi, the town where Till whistled at Bryant’s wife outside the family’s store. An Equal Justice Initiative monument in Montgomery says Money. Wikipedia does too. The Library of Congress website skips over the barn, which is just outside the town of Drew, about 45 minutes from the store.
I learned about the barn last year and have since made repeated visits, alone and with groups, once with members of Till’s family. Over and over, I drove from my home in the Mississippi hill country back into the gothic flatland where I was born. The barn’s existence conjures a complex set of reactions: It is a mourning bench for Black Americans, an unwelcome mirror for white Americans. It both repels and demands attention.
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This is quite a paragraph from David Bentley Hart’s Three Cheers for Socialism in Commonweal:
Americans are, of course, the most thoroughly and passively indoctrinated people on earth. They know next to nothing as a rule about their own history, or the histories of other nations, or the histories of the various social movements that have risen and fallen in the past, and they certainly know little or nothing of the complexities and contradictions comprised within words like “socialism” and “capitalism.” Chiefly, what they have been trained not to know or even suspect is that, in many ways, they enjoy far fewer freedoms, and suffer under a more intrusive centralized state, than do the citizens of countries with more vigorous social-democratic institutions. This is at once the most comic and most tragic aspect of the excitable alarm that talk of social democracy or democratic socialism can elicit on these shores. An enormous number of Americans have been persuaded to believe that they are freer in the abstract than, say, Germans or Danes precisely because they possess far fewer freedoms in the concrete. They are far more vulnerable to medical and financial crisis, far more likely to receive inadequate health coverage, far more prone to irreparable insolvency, far more unprotected against predatory creditors, far more subject to income inequality, and so forth, while effectively paying more in tax (when one figures in federal, state, local, and sales taxes, and then compounds those by all the expenditures that in this country, as almost nowhere else, their taxes do not cover). One might think that a people who once rebelled against the mightiest empire on earth on the principle of no taxation without representation would not meekly accept taxation without adequate government services. But we accept what we have become used to, I suppose. Even so, one has to ask, what state apparatus in the “free” world could be more powerful and tyrannical than the one that taxes its citizens while providing no substantial civic benefits in return, solely in order to enrich a piratically overinflated military-industrial complex and to ease the tax burdens of the immensely wealthy?
I mean, when you put it like that…
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Olga Khazan writing for The Atlantic:
After an inept coronavirus response, will the United States do better when the next pandemic strikes? Experts generally agree that America learned from the past year, and that the next public-health crisis won’t be quite as bewildering. But America’s pandemic preparedness still has major gaps, some of which are too big for any one administration to fix. In recent weeks, I’ve called back many of the experts I interviewed over the past 18 months about masks, testing, contact tracing, quarantine, and more. I asked them, “Are we ready for another one?” The short answer is “Not quite.” The long answer is that being truly “ready” will be harder than anyone realizes.
The Trump administration mishandled the American response to Covid-19 so completely that it’s tempting to pin most of the pandemic carnage on him. But the more I read about the pandemic (Michael Lewis’s The Premonition is a recent example), the more I have come to believe that the majority of the American pandemic deaths were baked in, no matter who was President. Trump was definitely a worst-case scenario, but even a more competent person in the White House in Jan 2020 (like Clinton or Sanders or Romney) would not have done so much better. Poor public health infrastructure, politicized government agencies, no mandatory paid leave, an overpriced healthcare system that only works for some, uncoordinated national response (+ federalism), years of defunding government programs, a reactive (rather than proactive) CDC, unhealthy populace, poverty, systemic racism in medicine, entitled individualism, high rate of uninsured people, growing anti-science sentiment — the pandemic was destined to race through the United States like a brush fire no matter what.
Even the European Union, whose member nations do not share many of America’s aforementioned challenges (but have other issues), did only marginally better than the US in preventing Covid deaths. The UK did worse:
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From Electric Vehicles Won’t Save Us by Coby Lefkowitz:
This isn’t a story about Elon Musk, or Tesla, or a contrarian take about how “oil is good, actually.” I unconditionally support electric vehicles in their quest to take over the primacy of gasoline-powered vehicles in the market. But I don’t save that enthusiasm for their prospects on society broadly. From the perspective of the built environment, there is nothing functionally different between an electric vehicle and a gasoline propelled one. The relationship is the same, and it’s unequivocally destructive. Cars, however they’re powered, are environmentally cataclysmic, break the tethers of community, and force an infrastructure of dependency that is as financially ruinous to our country as it is dangerous to us as people. In order to build a more sustainable future and a better world for humanity, we need to address the root problems that have brought us to where we so perilously lie today.
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Ed Yong writing in The Atlantic, Individualism Is Still Sabotaging the Pandemic Response:
From its founding, the United States has cultivated a national mythos around the capacity of individuals to pull themselves up by their bootstraps, ostensibly by their own merits. This particular strain of individualism, which valorizes independence and prizes personal freedom, transcends administrations. It has also repeatedly hamstrung America’s pandemic response. It explains why the U.S. focused so intensely on preserving its hospital capacity instead of on measures that would have saved people from even needing a hospital. It explains why so many Americans refused to act for the collective good, whether by masking up or isolating themselves. And it explains why the CDC, despite being the nation’s top public-health agency, issued guidelines that focused on the freedoms that vaccinated people might enjoy. The move signaled to people with the newfound privilege of immunity that they were liberated from the pandemic’s collective problem. It also hinted to those who were still vulnerable that their challenges are now theirs alone and, worse still, that their lingering risk was somehow their fault. (“If you’re not vaccinated, that, again, is taking your responsibility for your own health into your own hands,” Walensky said.)
The pandemic demonstrated, in plain and easily understandable numbers of Covid deaths, that America is a place where the swift leave the stragglers to the wolves. I hope against hope that’ll change for the better in the future.
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For the Washington Post, Michele Norris wonders what it will take for the US to finally and fully acknowledge its history of slavery.
America experienced 246 years of slavery before it was officially ended with the passage of the 13th Amendment. That was followed by decades of legal segregation and oppression under Jim Crow, followed by a period of willful blindness and denial. A tourist from a foreign land might well conclude that the Confederacy had actually won the Civil War, based on the number of monuments, buildings and boulevards still named for heroes of its defeated army. The real truth of our shared history was a casualty of that war and, like any wound left untended, the results can be catastrophic.
A full accounting of slavery is one of terror and trauma, and for decades the natural inclination was to ask, why would anyone want to claim that history? But at a moment when the United States is dangerously divided, when we are having bitter and overdue conversations about policing, inequality and voting rights, when marauders fueled by white-nationalist rhetoric can overwhelm the Capitol, proudly waving the Confederate battle flag, the more important question is this: What happens if we don’t?
She uses Germany’s remembrance and examination of Nazism and the Holocaust as an example of a country that has properly faced up to its terrible past in order to move fully forward.
Vergangenheitsaufarbeitung refers to Germany’s efforts to interrogate the horrors of the Holocaust and the rise of Nazism. It has been a decades-long exercise, beginning in the 1960s, to examine, analyze and ultimately learn to live with an evil chapter through monuments, teachings, art, architecture, protocols and public policy. The country looks at its Nazi past by consistently, almost obsessively, memorializing the victims of that murderous era, so much so that it is now a central feature of the nation’s cultural landscape. The ethos of this campaign is “never forget.”
I visited Germany back in 2018 and its efforts to engage with past horrors were quite noticeable and stood in stark contrast to American activity along similar lines.
In particular, as a nation the US has never properly come to terms with the horrors it inflicted on African Americans and Native Americans. We build monuments to Confederate soldiers but very few to the millions enslaved and murdered. Our country committed genocide against native peoples, herded them onto reservations like cattle, and we’re still denying them the right to vote.
As Norris convincingly argues, “it is long past time to face where truth can take us”.
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Yale historian Timothy Snyder has been one of the most prominent & insistent voices warning against the rise of authoritarianism & fascism in the United States in recent years — you may remember his 20 lessons from the 20th century on fighting authoritarianism from November 2016 and his more recent piece on the right’s coup attempt on January 6th.
Over the weekend, Snyder published a short piece about what he believes will happen as a result of the 1/6 insurrection and the Republicans’ ongoing effort to push their Big Lie about election fraud — basically the end of democracy in America.
I have the Cassandra feeling this spring because it is so obvious where all of this is heading. President Trump tells a big lie that elections are rigged. This authorizes him and others to seek power in extra-democratic ways. The lie is institutionalized by state legislation that suppresses voting, and that gives state legislatures themselves the right to decide how to allocate the electoral vote in presidential elections.
The scenario then goes like this. The Republicans win back the House and Senate in 2022, in part thanks to voter suppression. The Republican candidate in 2024 loses the popular vote by several million and the electoral vote by the margin of a few states. State legislatures, claiming fraud, alter the electoral count vote. The House and Senate accept that altered count. The losing candidate becomes the president. We no longer have “democratically elected government.” And people are angry.
No one is seeking to hide that this is the plan. It is right there out in the open. The prospective Republican candidates for 2024, Donald Trump, Ted Cruz, and Josh Hawley, are all running on a big lie platform. If your platform is that elections do not work, you are saying that you intend to come to power some other way. The big lie is designed not to win an election, but to discredit one. Any candidate who tells it is alienating most Americans, and preparing a minority for a scenario where fraud is claimed. This is just what Trump tried in 2020, and it led to a coup attempt in January 2021. It will be worse in January 2025.
Like he says, so obvious and out in the open. As far as I’m concerned, this is a done deal and there’s not a lot that can be done to stop it. The horse left the barn some time ago and most people can’t even tell the door is open, much less that it needs closing.
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This piece on alcohol and the human fixation on it is interesting throughout — and/because it includes the sentence: “For an illustration of what followed, I direct you to the film Dazed and Confused.”
But even presuming that this story of natural selection is right, it doesn’t explain why, 10 million years later, I like wine so much. “It should puzzle us more than it does,” Edward Slingerland writes in his wide-ranging and provocative new book, Drunk: How We Sipped, Danced, and Stumbled Our Way to Civilization, “that one of the greatest foci of human ingenuity and concentrated effort over the past millennia has been the problem of how to get drunk.” The damage done by alcohol is profound: impaired cognition and motor skills, belligerence, injury, and vulnerability to all sorts of predation in the short run; damaged livers and brains, dysfunction, addiction, and early death as years of heavy drinking pile up. As the importance of alcohol as a caloric stopgap diminished, why didn’t evolution eventually lead us away from drinking-say, by favoring genotypes associated with hating alcohol’s taste? That it didn’t suggests that alcohol’s harms were, over the long haul, outweighed by some serious advantages.
Versions of this idea have recently bubbled up at academic conferences and in scholarly journals and anthologies (largely to the credit of the British anthropologist Robin Dunbar). Drunk helpfully synthesizes the literature, then underlines its most radical implication: Humans aren’t merely built to get buzzed-getting buzzed helped humans build civilization. Slingerland is not unmindful of alcohol’s dark side, and his exploration of when and why its harms outweigh its benefits will unsettle some American drinkers. Still, he describes the book as “a holistic defense of alcohol.” And he announces, early on, that “it might actually be good for us to tie one on now and then.”
But hard liquor and solitary drinking changed the game.
Southern Europe’s healthy drinking culture is hardly news, but its attributes are striking enough to bear revisiting: Despite widespread consumption of alcohol, Italy has some of the lowest rates of alcoholism in the world. Its residents drink mostly wine and beer, and almost exclusively over meals with other people. When liquor is consumed, it’s usually in small quantities, either right before or after a meal. Alcohol is seen as a food, not a drug. Drinking to get drunk is discouraged, as is drinking alone. The way Italians drink today may not be quite the way premodern people drank, but it likewise accentuates alcohol’s benefits and helps limit its harms. It is also, Slingerland told me, about as far as you can get from the way many people drink in the United States.
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For this video, the NY Times talked to several people from around the world (Britain, Zimbabwe, Norway, India, etc.) about what they think about how the United States is approaching climate change and other environmental challenges. Spoiler alert: there is a lot of incredulity about how shitty America is doing in this area. And that matters because what happens here affects everyone around the world.
See also What Does U.S. Health Care Look Like Abroad? and What Do U.S. Elections Look Like Abroad?
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For The Atlantic, Luke Savage writes that Democrats have to put their money where their mouth is when it comes to protecting American democracy.
If you’ve followed recent Democratic messaging, you’ll have heard that American democracy is under serious attack by the Republican Party, representing an existential threat to the country. If you’ve followed Democratic lawmaking, you’d be forgiven for thinking that the threat is actually a rather piddling one. The disconnect, in this case, isn’t attributable to Democratic embellishment, but to inexcusable complacency.
Without meaningfully reforming the rules of the Senate, the Biden administration & Congressional Democratic leadership basically gets to pass one substantial bill per year (through budget reconciliation). That’s it. If Democrats lose the House in 2022, which seems likely or even certain without the passage of a federal voting rights bill, then it’s only one or two bills. And then maybe Democrats don’t see the White House, a Senate majority, and a House majority for a generation and we’ll all have to ask ourselves whether we actually like living in a de facto nationalistic one-party state.
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Using data from the United States Geological Survey, River Runner visualizes the path taken by a raindrop from its landing spot to its eventual endpoint. Just click on any spot in the US and it maps out the path the drop would take, complete with a satellite fly-through of the route. I spent many happy minutes playing with this, although the endpoint of “Canada” for a raindrop that lands in my Vermont yard was somewhat unsatisfying.
See also The Marvelous Mississippi River Meander Maps and a map of all of the rivers in the US. (via waxy)
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From Flowing Data, a stacked bar chart showing the relative population distribution of age generations from 1920 to the present. The thing that’s really apparent to me in this graph is how the size, increased life expectancy, and better quality of life of the Silent and (especially) Baby Boomer generations really shifted the social order in America. It’s a triple whammy: this large group of very healthy people stuck around so much longer than the previous generations that they were able to keep their wealth and political/corporate power instead of handing it off to the next generations. It’s a generational firewall — they didn’t leave any room for their children or grandchildren. Instead, Gen X and Millennials got branded as lazy/apathetic and financially careless. (via @mikey_two)
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Because of the remarkable Covid-19 vaccines, the pandemic is easing in America. In many parts of the country, things are returning to some semblance of normal, whatever that means. But many will continue to struggle and come to terms with what happened for awhile longer. Ed Yong, What Happens When Americans Can Finally Exhale:
But there is another crucial difference between May 2020 and May 2021: People have now lived through 14 months of pandemic life. Millions have endured a year of grief, anxiety, isolation, and rolling trauma. Some will recover uneventfully, but for others, the quiet moments after adrenaline fades and normalcy resumes may be unexpectedly punishing. When they finally get a chance to exhale, their breaths may emerge as sighs. “People put their heads down and do what they have to do, but suddenly, when there’s an opening, all these feelings come up,” Laura van Dernoot Lipsky, the founder and director of the Trauma Stewardship Institute, told me. Lipsky has spent decades helping people navigate the consequences of natural disasters, mass shootings, and other crises. “As hard as the initial trauma is,” she said, “it’s the aftermath that destroys people.”
And it wasn’t just the pandemic:
Not everyone will feel this way. Perhaps most Americans won’t. In past work, Silver, the UC Irvine psychologist, found that even communities that go through extreme traumas, such as years of daily rocket fire, can show low levels of PTSD. Three factors seem to protect them: confidence in authorities, a sense of belonging, and community solidarity. In the U.S., the pandemic eroded all three. It reduced trust in institutions, separated people from their loved ones, and widened political divisions. It was something of a self-reinforcing disaster, exacerbating the conditions that make recovery harder.
Also, let’s not forget: “Globally, the pandemic is set to kill more people in 2021 than in 2020.”
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Since yesterday’s announcement, I’d been feeling uneasy about the CDC’s decision to update its guidance to state that fully vaccinated people don’t need to wear masks in most situations indoors or out. Zeynep Tufekci’s piece in the Times nails why.
It’s difficult for officials to issue rules as conditions evolve and uncertainty continues. So I hesitate to question the agency’s approach. But it’s not clear whether it was responding to scientific evidence or public clamor to lift state and local mandates, which the C.D.C. said could remain in place.
It might have been better to have kept up indoor mask mandates to help suppress the virus for maybe as little as a few more weeks.
The C.D.C. could have set metrics to measure such progress, saying that guidelines would be maintained until the number of cases or the number vaccinations reached a certain level, determined by epidemiologists.
The vaccine is on its way to controlling Covid-19 in the US — but we’re not there yet. We’re not the UK or Israel…they’re further along in their vaccination campaigns and their daily cases and deaths are way down, warranting behavioral changes. In the US, over 600 people/day are still dying of Covid-19 and our case positivity rate is still above 3%. Too many people, including almost all children, are still vulnerable and as Tufekci says, the CDC could have waited a few more weeks to more quickly drive down the virus levels.
Update: The CDC’s move has been sharply condemned by National Nurses United, the nation’s largest union of registered nurses:
“The union noted that more than 35,000 new cases of coronavirus were being reported each day and that more than 600 people were dying each day. “Now is not the time to relax protective measures, and we are outraged that the C.D.C. has done just that while we are still in the midst of the deadliest pandemic in a century,” Ms. Castillo said.”
And Ken Schultz notes that the needle the CDC is trying to thread here might not work out the way that they’d hoped.
Imagine the social preference ordering is:
1. Unvaccinated wear masks, vaccinated don’t.
2. Everyone wears masks.
3. No one wears masks.
Selfish, short-sighted behavior and the inability to monitor vaccination status mean that, in trying to get #1, you can end up at #3.
So I trust the CDC’s position that #1 is socially desirable from a scientific perspective. But by undermining mask mandates, they have made it more likely that we end up in #3, which science says is still risky. Living with #2 for now respects both science and social science.
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Starting in 2022, the US Mint will release into circulation 20 quarters featuring notable American women as part of the American Women Quarters Program. From the US Mint:
The American Women Quarters may feature contributions from a variety of fields, including, but not limited to, suffrage, civil rights, abolition, government, humanities, science, space, and the arts. The women honored will be from ethnically, racially, and geographically diverse backgrounds. The Public Law requires that no living person be featured in the coin designs.
The Mint recently announced that the first two women to be featured are astronaut Sally Ride and writer Maya Angelou. The designs for the two new coins were revealed in the NY Times yesterday.
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When large, seemingly sudden systemic failures occur, Michael Lewis is one of those writers who’s just waiting to pounce on it and tell us all about it. So it’s not a surprise to see that his new book comes out tomorrow: The Premonition: A Pandemic Story (ebook). From a Time interview with Lewis:
The Premonition makes sense of the COVID-19 pandemic through three people, each of whom knows a great deal about how to stop it-and none of whom is ever approached by the U.S. government: A “redneck epidemiologist” named Carter Mercher who had written the closest thing the government had to a pandemic strategy; Joe DeRisi, a McArthur Fellow who once built a chip containing all the world’s viruses; and Dr. Chastity Dean, an obscure local health official in California.
And from a mainly positive review by the NY Times’ Jennifer Szalai:
True to form, Lewis makes few grand claims for what he finds, preferring instead to let the curated details speak for themselves. “I like to think that my job is mainly to find the story in the material,” he writes in the prologue. “I think this particular story is about the curious talents of a society, and how those talents are wasted if not led. It’s also about how gaps open between a society’s reputation and its performance.”
The main question running through “The Premonition” is how, when it came to the initial Covid response, a very rich country that was ranked first globally in pandemic readiness in 2019 managed to incentivize almost all the wrong things.
Of course, this is the reality that all of us have been living for the past year, so the failures of the system don’t come as much of a surprise. Still, Lewis finds ways not just to showcase the brokenness of the system writ large but to zoom in on the sand in the gears.
But Szalai also notes the drawback of most of Lewis’s books:
This method of hewing so tightly to his characters’ perspectives gives Lewis’s narrative its undeniable propulsion, but it also comes at a cost. He doesn’t supply any endnotes, or even a sense of how many people he talked to. His main characters are presented to us as they would undoubtedly like to appear: charmingly obsessive, unwaveringly principled and unfailingly right.
You can listen to a brief interview with Lewis on NPR’s Morning Edition.
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The excellent 1619 Project, developed by Nikole Hannah-Jones at the NY Times, is being released in book form this fall: The 1619 Project: A New Origin Story (ebook). The book “substantially expands” on the original project, and will include new & expanded essays and works by Hannah-Jones and contributors.
The essays show how the inheritance of 1619 reaches into every part of contemporary American society, from politics, music, diet, traffic, and citizenship to capitalism, religion, and our democracy itself. This legacy can be seen in the way we tell stories, the way we teach our children, and the way we remember. Together, the elements of the book reveal a new origin story for the United States, one that helps explain not only the persistence of anti-Black racism and inequality in American life today, but also the roots of what makes the country unique.
They’re doing a children’s book too: The 1619 Project: Born on the Water (ebook).
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Anne Helen Peterson noticed a bunch of reports about fast food & retail businesses around the US having trouble finding employees, which difficulty the business owners are blaming on lazy American workers whose unemployment benefits have been extended/expanded during the pandemic. But what if, she writes, those benefits are actually providing a safety net to American workers so that they do not need to take terrible jobs for low wages at terrible companies under terrible management? The ‘Capitalism is Broken’ Economy:
Stick with me here, but what if people weren’t lazy — and instead, for the first time in a long time, were able to say no to exploitative working conditions and poverty-level wages? And what if business owners are scandalized, dismayed, frustrated, or bewildered by this scenario because their pre-pandemic business models were predicated on a steady stream of non-unionized labor with no other options? It’s not the labor force that’s breaking. It’s the economic model.
Unemployment benefits have offered a steady paycheck while you figure out your options. Put differently: a version of the safety net that’s been missing from most American employment, and, by extension, the ability to say no. No, I don’t have to work for a restaurant that only gives me my hours three days ahead of time, thus making it nearly impossible to find reliable childcare. No, I don’t have to work clopen shifts. No, I don’t have to expect a job without sick leave or paid time off. No, I don’t have to deal with asshole customers or managers who degrade me without consequence. No, I don’t have to work in a job with significant, accumulating health risks.
Her question near the end of the piece is worth considering: “If a business can’t pay a living wage, should it be a business?”
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Like many of you, I read the news of a single person killing at least 8 people in Indianapolis, Indiana yesterday, which comes on the heels of several other mass shootings in 2021. While these are outrageous and horrifying events, they aren’t surprising or shocking in any way in a country where more than 33,000 people die from gun violence each year.
America is a stuck in a Groundhog Day loop of gun violence. We’ll keep waking up, stuck in the same reality of oppression, carnage, and ruined lives until we can figure out how to effect meaningful change. I’ve collected some articles here about America’s dysfunctional relationship with guns, most of which I’ve shared before. Change is possible — there are good reasons to control the ownership of guns and control has a high likelihood of success — but how will our country find the political will to make it happen?
An armed society is not a free society:
Arendt offers two points that are salient to our thinking about guns: for one, they insert a hierarchy of some kind, but fundamental nonetheless, and thereby undermine equality. But furthermore, guns pose a monumental challenge to freedom, and particular, the liberty that is the hallmark of any democracy worthy of the name — that is, freedom of speech. Guns do communicate, after all, but in a way that is contrary to free speech aspirations: for, guns chasten speech.
This becomes clear if only you pry a little more deeply into the N.R.A.’s logic behind an armed society. An armed society is polite, by their thinking, precisely because guns would compel everyone to tamp down eccentric behavior, and refrain from actions that might seem threatening. The suggestion is that guns liberally interspersed throughout society would cause us all to walk gingerly — not make any sudden, unexpected moves — and watch what we say, how we act, whom we might offend.
We’re sacrificing America’s children to “our great god Gun”:
Read again those lines, with recent images seared into our brains — “besmeared with blood” and “parents’ tears.” They give the real meaning of what happened at Sandy Hook Elementary School Friday morning. That horror cannot be blamed just on one unhinged person. It was the sacrifice we as a culture made, and continually make, to our demonic god. We guarantee that crazed man after crazed man will have a flood of killing power readily supplied him. We have to make that offering, out of devotion to our Moloch, our god. The gun is our Moloch. We sacrifice children to him daily — sometimes, as at Sandy Hook, by directly throwing them into the fire-hose of bullets from our protected private killing machines, sometimes by blighting our children’s lives by the death of a parent, a schoolmate, a teacher, a protector. Sometimes this is done by mass killings (eight this year), sometimes by private offerings to the god (thousands this year).
The gun is not a mere tool, a bit of technology, a political issue, a point of debate. It is an object of reverence. Devotion to it precludes interruption with the sacrifices it entails. Like most gods, it does what it will, and cannot be questioned. Its acolytes think it is capable only of good things. It guarantees life and safety and freedom. It even guarantees law. Law grows from it. Then how can law question it?
Roger Ebert on the media’s coverage of mass shootings:
Let me tell you a story. The day after Columbine, I was interviewed for the Tom Brokaw news program. The reporter had been assigned a theory and was seeking sound bites to support it. “Wouldn’t you say,” she asked, “that killings like this are influenced by violent movies?” No, I said, I wouldn’t say that. “But what about ‘Basketball Diaries’?” she asked. “Doesn’t that have a scene of a boy walking into a school with a machine gun?” The obscure 1995 Leonardo Di Caprio movie did indeed have a brief fantasy scene of that nature, I said, but the movie failed at the box office (it grossed only $2.5 million), and it’s unlikely the Columbine killers saw it.
The reporter looked disappointed, so I offered her my theory. “Events like this,” I said, “if they are influenced by anything, are influenced by news programs like your own. When an unbalanced kid walks into a school and starts shooting, it becomes a major media event. Cable news drops ordinary programming and goes around the clock with it. The story is assigned a logo and a theme song; these two kids were packaged as the Trench Coat Mafia. The message is clear to other disturbed kids around the country: If I shoot up my school, I can be famous. The TV will talk about nothing else but me. Experts will try to figure out what I was thinking. The kids and teachers at school will see they shouldn’t have messed with me. I’ll go out in a blaze of glory.”
In short, I said, events like Columbine are influenced far less by violent movies than by CNN, the NBC Nightly News and all the other news media, who glorify the killers in the guise of “explaining” them. I commended the policy at the Sun-Times, where our editor said the paper would no longer feature school killings on Page 1. The reporter thanked me and turned off the camera. Of course the interview was never used. They found plenty of talking heads to condemn violent movies, and everybody was happy.
Jill Lepore on the United States of Guns:
There are nearly three hundred million privately owned firearms in the United States: a hundred and six million handguns, a hundred and five million rifles, and eighty-three million shotguns. That works out to about one gun for every American. The gun that T. J. Lane brought to Chardon High School belonged to his uncle, who had bought it in 2010, at a gun shop. Both of Lane’s parents had been arrested on charges of domestic violence over the years. Lane found the gun in his grandfather’s barn.
The United States is the country with the highest rate of civilian gun ownership in the world. (The second highest is Yemen, where the rate is nevertheless only half that of the U.S.) No civilian population is more powerfully armed. Most Americans do not, however, own guns, because three-quarters of people with guns own two or more. According to the General Social Survey, conducted by the National Policy Opinion Center at the University of Chicago, the prevalence of gun ownership has declined steadily in the past few decades. In 1973, there were guns in roughly one in two households in the United States; in 2010, one in three. In 1980, nearly one in three Americans owned a gun; in 2010, that figure had dropped to one in five.
A Land Without Guns: How Japan Has Virtually Eliminated Shooting Deaths:
The only guns that Japanese citizens can legally buy and use are shotguns and air rifles, and it’s not easy to do. The process is detailed in David Kopel’s landmark study on Japanese gun control, published in the 1993 Asia Pacific Law Review, still cited as current. (Kopel, no left-wing loony, is a member of the National Rifle Association and once wrote in National Review that looser gun control laws could have stopped Adolf Hitler.)
To get a gun in Japan, first, you have to attend an all-day class and pass a written test, which are held only once per month. You also must take and pass a shooting range class. Then, head over to a hospital for a mental test and drug test (Japan is unusual in that potential gun owners must affirmatively prove their mental fitness), which you’ll file with the police. Finally, pass a rigorous background check for any criminal record or association with criminal or extremist groups, and you will be the proud new owner of your shotgun or air rifle. Just don’t forget to provide police with documentation on the specific location of the gun in your home, as well as the ammo, both of which must be locked and stored separately. And remember to have the police inspect the gun once per year and to re-take the class and exam every three years.
Australia’s gun laws stopped mass shootings and reduced homicides, study finds:
From 1979 to 1996, the average annual rate of total non-firearm suicide and homicide deaths was rising at 2.1% per year. Since then, the average annual rate of total non-firearm suicide and homicide deaths has been declining by 1.4%, with the researchers concluding there was no evidence of murderers moving to other methods, and that the same was true for suicide.
The average decline in total firearm deaths accelerated significantly, from a 3% decline annually before the reforms to a 5% decline afterwards, the study found.
In the 18 years to 1996, Australia experienced 13 fatal mass shootings in which 104 victims were killed and at least another 52 were wounded. There have been no fatal mass shootings since that time, with the study defining a mass shooting as having at least five victims.
From The Onion, ‘No Way To Prevent This,’ Says Only Nation Where This Regularly Happens:
At press time, residents of the only economically advanced nation in the world where roughly two mass shootings have occurred every month for the past eight years were referring to themselves and their situation as “helpless.”
But America is not Australia or Japan. Dan Hodges said on Twitter a few years ago:
In retrospect Sandy Hook marked the end of the US gun control debate. Once America decided killing children was bearable, it was over.
This can’t be the last word on guns in America. We have to do better than this for our children and everyone else whose lives are torn apart by guns. But right now, we are failing them miserably, and Hodges’ words ring with the awful truth that all those lives and our diminished freedom & equality are somehow worth it to the United States as a society.
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In 1955, epidemiologist Thomas Francis Jr. announced the results of a field trial of the polio vaccine that Jonas Salk had developed. America erupted in joy.
Now a phalanx of bulky television cameras focussed on Francis as he prepared to report on the efficacy of the vaccine. He had good news to share: to cheers from the audience, he explained that the Salk vaccine was sixty to seventy per cent effective against the most prevalent strain of poliovirus, and ninety per cent effective against the other, less common strains. All this had been shown through what was, at that time, the largest vaccine trial ever conducted.
All afternoon and evening, church bells rang out across America. People flooded into the streets, kissing and embracing; parents hugged their kids with joy and relief. Salk became an instant national hero, turning down the offer of a ticker-tape parade in New York City; President Dwight D. Eisenhower invited him to the White House and, later, asked Congress to award him a Congressional Gold Medal. That night, from the kitchen of a colleague’s house, Salk — whose name was being touted in newspapers, magazines, radio reports, and television news broadcasts around the world — gave his first network-TV interview to Edward R. Murrow, whose show “See It Now” had exposed the tactics of Senator Joseph McCarthy a year earlier. Blushing in admiration, Murrow asked the doctor, “Who owns the patent on this vaccine?” “The people,” Salk said, nobly. “There is no patent. Could you patent the sun?”
In the days that followed, schoolchildren were instructed by their teachers to write thank-you notes to Salk. Universities lined up to offer him honorary degrees. Millions of American doctors, nurses, and parents got down to the serious business of vaccinating their children against polio, using a shot they’d been anticipating for seventeen years.
But the polio vaccine rollout had its challenges, including a manufacturing negligence & oversight failure that resulted in tens of thousands of polio cases in otherwise healthy children.
In May, the polio vaccination drive was temporarily suspended. Leonard Scheele, the U.S. Surgeon General, inspected the facilities of all six vaccine companies and fired the government officials he considered to be culpable; the director of the N.I.H. and the Secretary of Health voluntarily resigned. New safety procedures were developed, including an improved means of filtering the viral mix just before the formaldehyde was added. Better tests were developed to detect live virus, and stricter record-keeping was instituted. The incident could have created a vaccine-hesitancy crisis. But, incredibly, the American public readily accepted the medical establishment’s explanation for the failure, and its pledges to right the situation. The nation’s trust in medical progress and in Dr. Salk was so resolute that, when it was announced that a new, safe polio vaccine was available, parents pushed their children back to the head of the line. It’s hard to imagine such an outcome today.
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