The United States In Free Fall

One to two hundred years from now, historians will point to the end of the Twentieth Century and the first half of the Twenty First as the time that the United States ceded its global leadership to China and a menagerie of other nations. Basically, the timeline of my life.

Why? Because we’re losing economic momentum and China and other countries are gaining it. It’s only a matter of time before the “X” and “Y” axes cross.

And with our loss of economic momentum, people and institutions are under ever greater pressure. Economic anxiety compels more and more people to prioritize their self interests to the detriment of the common good.

For the first time in a long time, parents worry that their children will not live as comfortably and securely as them. Add to that the recent damage done to our political institutions which were integral to our Twentieth Century rise. Peaceful transitions of power can’t be assumed any longer. Legislators cannot compromise to invest in green energy and physical and social infrastructure.

Consequently, our roads are rutted and many, many international airports lap our own aging ones. At the Winter Olympics, China showed off it’s new bullet trains that go 217 mph, not quite up to Japanese speeds, but give them time.

Don’t interpret this as idealizing China, because there’s a lot more to quality of life than economic growth. There’s a sense of safety, freedom of speech, freedom of movement, freedom to protest, equal opportunities, a healthy natural environment, physical and mental well-being, and support for the most vulnerable. China fails on many of those fronts. Increasingly, the U.S. does too.

Apart from our failing infrastructure, we imprison a larger percentage of our population than anyone. Our response to Covid has been “worst in the world” especially when adjusted for our economic status. Many use alcohol and drugs to escape and more and more of our children suffer from anxiety disorders and depression.

For the historically astute, this shouldn’t come as a surprise. Greatness has always been fluid. Tides rise and tides fall. Our aristocracy, the top ten percent who are thriving economically, don’t realize a lower tide lowers all boats. That it is in their enlightened self interest to reduce the income and wealth gap. To reduce the vulnerability of the least fortunate among us.

Our problem is we don’t think in terms of generations or hundreds of years. The aristocracy thinks they’ll be fine and they work tirelessly to make sure the same is true of their children. Talk of environmental degradation and climate change, is mostly just that, talk.

I’m not immune from that self-centered myopia. I think to myself, if I can just keep running in Priest Point Park, keep cycling on Mount Rainier, keep swimming in Ward Lake, keep eating healthy food, keep drinking craft beers with good friends, all is good. Which does nothing to slow the country’s decline.

But then again, history suggests the decline is inevitable.

The take-away for my international friends? If you have the United States on any sort of pedestal, update your thinking. If we ever were a light upon a hill, we are not now.

Should You Still Wear A Mask?

Should you still wear a mask?

Breathe. Press pause. Breathe some more. Then read it not just to figure out your own course of action, but even more importantly, to better understand why other people’s decisions are many times different than yours.

Imminently sensible.

My fave paragraph:

“But if you’re otherwise healthy and have received your vaccine and booster shots, your risk of getting seriously ill with Covid is extraordinarily small. It’s about in line with other risks people take every day, such as driving in a car.”

Another insight:

“. . . follow the norms and the rules of the business you’re entering. If the sign at the door says “Mask Required,” you don’t want to make retail workers have to enforce policies over which they have no control. Their jobs are hard enough, and everyone can wear a mask with little to no sacrifice.”

Alright, my work is done here, no more mask hostilities.

The Age Of ‘Anti-Ambition’

A phrase for our times by The New York Times’ Noreen Malone. Subtitle, “When 25 million people leave their jobs, it’s about more than just burnout.”

Among the insights:

“. . . last month a Business Insider article declared that companies ‘are actively driving their white-collar workers away by presuming that employees are still thinking the way they did before the pandemic: that their jobs are the most important things in their lives. . .'”

“. . . a Gallup poll that showed that last year only a third of American workers said they were engaged in their jobs.”

Malone adds:

“Recently, I stumbled across the latest data on happiness from the General Social Survey, a gold-standard poll that has been tracking Americans’ attitudes since 1972. It’s shocking. Since the pandemic began, Americans’ happiness has cratered. The graph looks like the heart rate has plunged and they’re paging everyone on the floor to revive the patient. For the first time since the survey began, more people say they’re not too happy than say they’re very happy.”

Given the constant updating of statistics, the physical devastation caused by the pandemic is obvious. In contrast, the negative mental health effects lurk below the surface. If like me, you’re firmly on the ‘happy side’ of the ledger, keep in mind that we’re in the minority. Consequently, let’s strive to grant others more grace than normal.

The Future Is Bright

Thanks to my fam for hijacking the humble blog this weekend. . . the Good Wife’s idea, the daughters’ execution. After editing the beginning of the post, youngest said to eldest, “It’s kinda creepy how well you mimic dad’s writing voice.”

There are an overwhelming number of intractable problems in the world. You being stuck with me as primary author again. A slow walk to possible war in Ukraine. Environmental degradation. Global poverty. Pandemic induced loneliness and related mental health challenges. Endless Super Bowl crypto commercials.

But there’s at least one glimmer of hope that has not been reported widely enough.

Rotterdam bridge to be dismantled so Jeff Bezos’ yacht can pass through.

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From DutchNews:

“Bezos’ three-masted yacht is being built by the Oceano shipyard in Alblasserdam but is too big to pass under the bridge when the central section is raised to its full height. Now Oceano and Bezos have approached the council about temporarily dismantling the bridge at their cost. According to Rijnmond, city officials are prepared to take that step, despite the opposition of local history experts and others.”

How wonderful that Bezos’ yacht will not be stuck in Alblasserdam. It makes you wonder what else is possible when city councils and others truly commit to the greater good.

Postscript: A reader just asked, “Is that sarcasm?” YES.

Psychology Quiz

Name an emerging field of therapy.

Treating eco-anxiety.

“Her goal is not to be released from her fears about the warming planet, or paralyzed by them, but something in between: She compares it to someone with a fear of flying, who learns to manage their fear well enough to fly.

‘On a very personal level,’ she said, ‘the small victory is not thinking about this all the time.’”

Geography Quiz

What does London, New York City, Milan, Oslo, Barcelona, and Paris have in common? I’m sure there are multiple correct answers, but it’s my quiz, and the one I’m looking for is they all are working to restrict automobile traffic.

Berlin Autofrei is seeking to one-up all of them.

“If successful, the law would limit vehicle use to those with special exemptions, such as delivery vehicles, emergency services or people with disabilities.

Visuals of car-free BerlinThe plans would restrict private cars within the Ringbahn

Residents would only be permitted to use a car or van up to 12 times a year, for special circumstances such as moving house.

Public transport networks would be expanded, and roads would be redesigned to increase space for pedestrians and cyclists.”

Two Years In

A doctor friend of mine has been a very careful, and I believe thoughtful, observer of all things ‘rona. This was today’s email message:
“The New York Times had information about the vaccine protection. This was October to November, so it was with Delta. Omicron death rates will be lower, but the vaccinated/unvaccinated difference is proportionally the same.
Screen Shot 2022-01-31 at 11.53.08 AM
The graph shows weekly deaths per 100,000, so annually, there are 5.2 deaths per 100,000 for boosted, 31.2 for vaccinated, and 405.6 for unvaccinated for the Delta variant.
Omicron is only 20% as lethal, so annually, there are 1.04 deaths per 100,000 for boosted, 6.24 for vaccinated, and 81.1 for unvaccinated.
By comparison, influenza causes 16.3 deaths per 100,000 annually. Except for the unvaccinated, covid is now less lethal than the flu.
There are also major studies from all of 2021, so it includes the various covid variants, and it also showed that covid was less lethal than the flu. They didn’t separate out the fully vaccinated from the boosted and boosting only was present for the last 3 months of the year, yet the flu was still more deadly.
The unvaccinated are 25 times more likely to die from Delta than the flu and 5 times more likely to die from Omicron than the flu.”
His take-away:
“I’m tired of all the restrictions that are basically in place to protect those that chose not to get vaccinated. They made their bed and now they can lie in it, but I don’t see why I need to lie in it with them.”
Me too.

We Know the Real Cause of the Crisis in Our Hospitals.

It’s greed. That’s the headline of this powerful six and a half minute long New York Times documentary. I concede, given the Gray Lady’s size and stature, it’s important to read and/or view her with a certain skepticism, but as this short video illustrates, the “paper of record” continues to produce a lot of outstanding journalism.  

When it comes to the New York Times, I am in the habit of reading the top “reader picks” comments. At present, this video has generated 1,562 comments. Here’s a portion of the top rated one, from someone living outside the (dis)United States:

“Hey, your politicians passed and signed federal law 9 years ago to allow private equity (wall street) to buy and own healthcare systems and physician groups. Prior to that it was illegal. Now private equity is the largest employer of emergency room physicians in America and as owners of healthcare system employees many many doctors and nurses of all specialties. Private equity is buy a company reduce costs increase profit and sell it in 5-7 years. That is who owns many of your doctors and hospitals. Federal law was changed to allow that to happen and where was the objection from the people. My guess probably almost no one knew. How funny to watch your media avoid these topics when they happen and fill it with the latest on the celebrity politicians over there.”  

The nurses in the video confirm that our fetishization of corporations is the root cause of their untenable work conditions. And the reason people admitted to U.S. hospitals often receive poor care. 

It reminds me of how powerfully later seasons of “Orange Is The New Black” depicts the negative consequences of private prisons.

Because we’re complexity adverse, we don’t connect dots, like our “avoid taxes at all costs” myopia and our near religious beliefs in “free” markets. Those neoliberal pillars are as solid as they’ve ever been. To question them is to be labelled a “socialist”. 

In the end, we have the public health system we deserve. A public health system that an increasing percentage of nurses don’t want anything to do with.