Public Health Needs to be Independent

 David Fisman posted a thread yesterday about problems when big money gets involved in public health.

"During Covid, I experienced firsthand how political pressure twisted science—and nearly destroyed reputations. A short thread on conflict-of-interest theatre, redacted emails, and lessons we still haven’t learned. 

In January 2021, I was publicly accused by Ontario’s Premier of having a conflict of interest due to paid consulting work I did for the Elementary Teachers’ Federation of Ontario (ETFO). The suggestion was that I’d influenced school closure advice. What wasn’t shared? Internal emails—later released via FOI—show this was a manufactured controversy. The allegations didn’t reflect what officials knew privately. And that story deserves to be told. 

On Jan 26, 2021, Heather Watt (Chief of Staff to Health Minister Christine Elliott) drafted messaging about the “conflict.” She sent it to Steini Brown—my dean at the University of Toronto, and chair of the Science Advisory Table—for input. Steini replied carefully. He pushed back, noting: “There’s no direct line between David working for ETFO, us giving you advice to close schools, and you following it.” His reply was initially redacted in FOI responses. Journalist Jack Hauen appealed the redaction—and won. He sent me the full, unredacted email when requesting comment. It showed that the internal view did not support the public claims being made about me. Steini also wrote: “He is merely one of dozens of scientists working on a volunteer basis and does not speak for the group in his work for ETFO.” That’s a very different story than what was spun publicly. 

Disappearance of the Rule of Law

Charlie Angus talked about Canada-US relations on Meidas Touch: "We're thinking, if we go down the road with this regime, we're talking about the disappearance of the rule of law, and that's deeply offensive to us." 

Rule of law goes at least as far back as the Magna Carta over 800 years ago. It means that everyone is under the law, including the king. Even a president! Even in the US they overtly seek "the government of laws and not of men," and make that clear in the 5th and 14th amendments. John Adams feared the "vulgar rich": To ennoble the new regime, the most talented must be made to serve their country, rather than their selfish desires. Adams thought offering fancy titles would satiate their quest for power, taking a page from Rousseau: "the role of illustrious offices and signs of rank in countering the popular passion for material wealth." But that's not enough for this crew. They have no respect for rule of law. 

Human rights will always be pushed by those who hope to exploit a situation or group of people, and we need to be there to push back. Over and over and over again. I used this 5 minute explanation of the history of human rights in my grade 10 civics classes:

The important bit is at the end, that we have to KEEP fighting for our rights. There will always be people trying to amass power and override the law, and we have to be ready for that, en masse, to stop it. 

Monbiot on Capitalism vs Commerce

 George Monbiot wrote today, 

"One of capitalism's greatest successes is to shut down our imaginations. With the help of its favoured tools - neoliberalism and fascism - it persuades us that 'there is no alternative'. Our first task is to re-ignite our moral imaginations and name our alternatives. I cannot count the number of times I've been told, 'if you're against capitalism, you must be a communist,' or 'you must be a feudalist'. In fact, as in my case, you can be fiercely oopposed to capitalism, to communism, and to feudalism. It helps if you undertstand what capitalism is. This means recognizing that it's true nature is endlessly disguised. It's a distinct economic system which arose around 600 years ago. In The Invisible Doctrine, we give this definition:

Capitalism is not the same as commerce. The Dutch VOC and the British East India Company were not trading with the people whose land, labour and resources they seized. Nor were the slavers in the Caribbean and the Americas. Nor is investor-state dispute settlement (ISDS) commerce: nations are forced to surrender resources to corporations or pay compensations. Nor is conversion of rainforests to cattle ranches or  extraction of deep-sea minerals. No one's freely trading or being properly remunerated in such cases. Yes, colonial looters might then trade the wealth they steal: capitalism can intersect with commerce, and can overrun commerce, but it is not the same. 

Bearing Witness

 Brandon Friedman wrote an important thread about what we do now. Here it is in full:

"This is a German woman being marched past the bodies of Holocaust victims. After World War II, it was common refrain among German civilians: They just didn't know. For that reason, many were forced by Allied troops to bear witness. Like this. 

I bring this up because fascism is now here, in America. 

If you're thinking, "but it doesn't feel like fascism, nothing in my life seems amiss," then congratulations, you have discovered what fascism is like. 

Avoiding the Sausage Machine

click to read

I attended an excellent masterclass on "Trans-Inclusive Philosophy" with Sophie Grace Chappell last week, put on by The Philosopher magazine. She wrote Epiphanies and Transfigured, and this paper will be coming out in a collection soon. She discussed system-building in a way that lit some lightbulbs for me. I was waiting for the video to be posted before writing about it, but, in lieu of that, here's my transcription of it. 

She starts by responding to a call to build a theory of what gender, transgender, and gender identity are, and she clarifies the problems with gate-keeping off the bat. People will demand that before anyone's allowed to claim they're trans, they first have to define male and female, and she likens this to saying before you can sit on a chair and drink some tea, you first need to establish the necessary and sufficient conditions for chair and for tea, which is just ridiculous and very dangerous.

More interesting to me is her second argument, that defining what counts as transgender butts up against bigger problems with any system building. She prioritizing experience over theory because any attempt at an overarching trans theory will inevitably leave someone out. She has her own idea of what fits her, but it won't fit everyone, and other people might have great definitions for themselves, but they don't entirely fit her, either. 

Things May Appear Bleak, And Yet...

Byung-Chul Han's The Spirit of Hope is a beautiful book, the kind you want to treat with care and won't dare dog-ear a page. Anselm Kiefer's illustrations throughout provide a place for contemplative moments between ideas. It's more immediately accessible than The Burnout Society, which took me weeks to wrap my head around, yet no less profound. 

A REVOLUTIONARY POLITICS OF HOPE

We like a secure illusion of control over the world, yet that hasn't gotten us much further along. We recognize something's missing. Han writes, "Amid problem-solving and crisis management, life withers. It becomes survival. … It is hope that opens up a meaningful horizon" (2). 

Han explains how a lack of hope furthers the current neoliberal capitalist trajectory: 

"Fear and resentment drive people into the arms of the right-wing populists. They breed hate. Solidarity, friendliness and empathy are eroded. … Democracy flourishes only in an atmosphere of reconciliation and dialogue. … Hope provides meaning and orientation. Fear, by contrast, stops us in our tracks. … Hope is eloquent. It narrates. Fear, by contrast, is incapable of speech, incapable of narration" (2-3). 

The Flies Have Conquered the Flypaper

Steinbeck's The Moon is Down was first published in 1942, before he was sent off to fight. As a journalist, he enlisted in order to be in the thick of thing to write with authenticity. This may be a book for our times, unfortunately. It's about a town invaded by enemy forces.

It's a short read, but also captured fairly well in the movie, made just the following year, with Henry Travers (Clarence in It's a Wonderful Life). Of course it's a hopeful read as the town fights back, but it's also terrifying for what they endure. 

 

And then I watched Shame, which might be a more realistic depiction of what it is to live with the beginnings of invasion as sides get confusing and people betray one another.  

Possibly I'm looking for instruction of how to be when another country threatens invasion, what it looks like to be courageous in the face of real danger, but I may well be just torturing myself! I'm also reading Byung-Chul Han's The Spirit of Hope as a healthy antidote to the gloom.

Still Not at the Finish Line

Jon Douglas, who wrote In It for the Long Haul, shared a series of papers that were discussed at the Conference on Retroviruses and Opportunistic Infections (CROI) that just wrapped up this week. A few caught my eye, but Douglas summarized tons at that link:

French researchers analyzed blood samples from 100 Long Covid patients, 60 recovered Covid cases, and 60 uninfected controls to identify immune and metabolic biolmarkers that diagnosed Long Covid with 99% accuracy. 

Researchers in the Netherlands treated 16 severely immunocompromised patients with persistent Covid-19 using off-label nirmatrelvir/ritonavir, and 75% had viral clearance within 28 days. 

Barcelona researchers studied 130 children and young people three months after Covid-19 and found that those with Long Covid had more autoantibodies and inflammatory markers, suggesting immune system involvement. 

Researchers in another study used brain MRI to compare 23 people with cognitive Long Covid to 19 without symptoms, and they found less gray matter in regions tied to memory, speech, and executive function, plus white matter changes in key memory pathways.

Beyond the conference, Pfizer is testing a new Covid-19 antiviral, Ibuzatrelvir, and is currently in Phase 3 trials. It doesn't taste as bad as Paxlovid, has fewer drug interactions, and is designed to be more stable, so easier to prescribe. Hopefully that means more than just those over 65 can access it in Ontario.

Never Again?

All this tariff talk is provoking a recession, which seems to be a feature, not a bug. As the economy falls, companies go bankrupt and are cheap to take over by the wealthy. The very rich will be able to take advantage of desperate times to buy businesses and property, and then are even further ahead when (or if) the economy rebounds. More power. More control. More stuff. The suffering of the citizens is not a concern. At all. 

This entire scheme was kick-started back in 1971 by the Powell Memorandum. Chomsky and Chris Hedges have been talking about this forever. And, of course, Ralph Nader. It's the precursor to disaster capitalism. Supreme Court Justice Lewis Powell wrote a memo attacking "extremists" like Nader who was doing things like trying to get cars to add seatbelts to improve traffic safety. The Memorandum is a push to allow unfettered capitalism without any regulations because, as far as Powell was concerned, businessmen really own the country. They pushed for more business involvement in colleges and universities way back then.  

A couple days ago, Senator Chris Murphy clearly outlined the corruption in the White House. It's all out in the open BECAUSE THEY CAN. Like in Russia, few in positions of power dare call them on it. 

"Trump and Elon Muck and their billionaire friends have engaged in a stunning rampage of open public corruption. It's not fundamentally different than what happened in Russia. These are efforts to steal from the American people to enrich themselves, and their strategy is to do it all out in the open. ...  

Over Five Years of Covid

David Wallace-Wells has a piece in the New York Times about hitting the five-year mark with Covid (although it started in 2019, and the first case in the US was reported on January 21st). 

He seems to blame Covid for making America more divisive, but that didn't happen everywhere. Curious. He says Covid turned Americans into hyper-individualists: 

"Isolated, we saw one another first as threats and then as something less than real. Covid unfolded on screens for most Americans, and although the experience was in many ways collective, everyone's screens were different: Some showed overflowing morgues, others revealing a sham. Soon, we began to worry less about how our actions affected others and more about how their affected us--a sense of interdependence giving way to anomie, atomization and entitlement."

On Weaponizing Empathy

Lots of people struggle with boundaries; luckily there are many little sayings along the lines of "not my circus, not my monkey" that help people remember not to get worked up about someone else's problems.

It's a useful strategy to notice when you're getting too invested in other people's lives. It's really handy to be able to let go of how people perceive you or whether or not they like you. We have a strong need for belonging, and we can sometimes be easily guilted into taking on the burdens of others just to get a little taste of perceived connection. So, sure, if it's not your fault or responsibility, then it's not your problem. 

There's a "Let Them" poem (by Cassie Phillips) that blew up then got somewhat plagiarized into a book deal for Mel Robbins. (I actually only clicked on that video because I somehow thought it was about the very funny comedian Mel Giedroyc! The thumbnail looked a bit like her, and, apparently, I didn't actually know her last name! But then I got hooked by the content.) Robbins' daughter used the phrase "let them" to talk her mom out of nosing in to her son's plans for prom. This is a great philosophy to shut down the busybodies in your life, but I can't imagine those two words flushed out into an entire book, and you could get this, and so much more, from books on Buddhism or Stoicism. I'm clearly not the target audience.

Accepting Difference

I recently watched the lovely film, A Real Pain, about two cousins (played by Jesse Eisenberg and Kieran Culkin) who travel to Poland to visit their departed grandmother’s home. In the first 20 minutes of the movie we’re shown two dramatically different personalities, both neurotic in their own way, but one more inward and the other laser focused on other people. It’s in our vernacular to understand the characters as introverted and extraverted, but there is still disagreement over what that means and, more importantly, what to do with that information.

I think we’ve veered off course since Jung’s Psychological Types, now over a century old, the precursor to the Myers-Briggs Type Indicator (MBTI) and more recently the Five-Factor Model (FFM) or “Big Five.” There are lots of other personality inventories like John Holland’s six Personal-Orientation types, Arthur Brooks’ mad scientists, cheerleaders, poets, and judges, and Martin Seligman’s top five strengths, but MBTI and FFM seem to have sticking power.