All posts filed under: Health

At the NHS and BBC, Important Steps Toward Restoring Balance in the Gender Debate

In recent months, a sense has emerged that the tide might finally be starting to turn in the gender debate: Things that most everyone believes to be true, but that no one has been allowed to say, are now increasingly being said by writers, lawmakers, and litigants. Certainly, the battle is still far from over. CNN is referring to women as “individuals with a cervix.” Last month, J.K. Rowling was trolled yet again for stating ordinary views about men and women (though thankfully, the media is no longer getting away with defaming her). And best-selling children’s author Gillian Phillip has been sacked by her publisher, Working Partners, because she added the hashtag #IStandWithJKRowling to her Twitter bio. But at least now, in mid-2020, these acts attract growing criticism. We are no longer in 2018, when the most militant gender activists could still pretend that they spoke for the entire LGBT community, with the “debate,” such as it then was, consisting mostly of endless mobbing campaigns against so-called “TERFs.” One reason it has taken time to …

Why Have So Many American Conservatives Embraced COVID-19 Pseudoscience?

With almost 150,000 COVID-19 deaths, the United States, putative leader of the free world, now is competing with Brazil and Russia for global supremacy in pandemic mismanagement. Not only does the United States lack any kind of coherent federal leadership on this issue, but even state and city leaders have fallen into bickering—and even lawsuits—over the correct response. While many Western nations have all but extinguished COVID-19 within their borders, the American pandemic is raging with a new ferocity. Yet some conservatives continue to protest even basic public-health measures, including masks. How could some of America’s best and brightest abet their country’s collapse into dysfunction in the face of a once-in-a-century pandemic? The most obvious answer lies with their president, Donald Trump, who has continued to hold large rallies even into July. He and his most fervent supporters boosted the patchwork of conspiracy theories, crank medical science, and plain apathy that informed much of the American response. At the Conservative Political Action Conference (CPAC) conference in Washington, D.C. back in February, the president’s then acting …

To Be Useful, Health Data Must Go Deeper Than ‘Black’ and ‘White’

All over the world, the COVID-19 pandemic has disproportionately affected patients based on a variety of identifiable factors, from age to sex to occupation. Data such as these are crucial to public-health officials and researchers tasked with improving care for all citizens. But in some cases, the quest for data seems driven as much by political factors as by the need to protect public health. In Canada, where I work as a resident physician in the field of head and neck surgery, the federal government has proposed that racial data be tracked as part of our national response to the COVID-19 pandemic, as is already the case in the United States. On the surface, there would seem to be an obvious parallel with the need to collect race-based policing data, especially in the wake of George Floyd’s death and the worldwide protests that followed. Collecting such data makes sense in the context of policing, since race corresponds to a visible marker that can prompt radically different responses from police officers. But the situation is different when …

Reducing the Chance of New Pandemics

It has been months since the novel coronavirus hit Western countries, and many are now wondering how and when normality will return and what a new normal might look like. Some expect that a second wave of infection will be avoided by seasonal properties inherent in the virus, while others contend that this will only happen if strong action is taken to contain it. Some expect that a vaccine will allow a rapid return to the world we had before, while others argue that even if such a vaccine were to be developed, it would permit no such thing. Absent from many of these discussions is how to avoid another situation like this one. The argument can be framed in simple economic terms or in more complex terms related to existential risk and the very future of our species on Earth. The current pandemic is estimated to have cost nations on average a third of the world’s GDP—over 30 trillion US dollars—so spending billions on even a marginal reduction of the probability of another such …

COVID-19 and the College Football Debate

Why should we have to go to class if we come here to play FOOTBALL, we ain’t come to play SCHOOL, classes are POINTLESS. ~Ohio State University football quarterback Cardale Jones, October 2012 tweet Last week, the question of whether or not the American college football season would start on time in the early fall got complicated. Some schools (with enrollments of up to about 50,000 students in total) had already opened for voluntary workouts. Now, the National Collegiate Athletic Association (NCAA) has approved a six-week plan that would allow student athletes to return to campus for pre-season workouts, and so testing for COVID-19 has begun. The results so far have been stark. Clemson University had 23 players test positive. There were 13 players with COVID-19 at the University of Texas in Austin. Ten athletes at Iowa State tested positive. The University of Alabama had eight, as did Kansas State University. University of Houston had six, Texas A&M had five, and Mississippi State had four. The list went on and on with more schools reporting …

Rethinking Health Disparities

In the last few decades, the proliferation of diversity, inclusivity, and equity literature throughout the medical profession has become institutionalized. Medical organizations such as the World Health Organization (WHO), the National Institute of Health (NIH), and the American College of Cardiology (ACC) have embraced this ideology and its accompanying bureaucracies and web-based material, and have called for cultural changes in some of our most important fields of study. Reforms are ostensibly intended to address healthcare disparities between groups, and new initiatives are frequently justified with reference to what the Sullivan Commission called the “ghosts of discrimination.” 1 The authors of reports like these will invariably go on to talk about implicit bias, the need for diversity in the healthcare workforce, and an examination of structural forces and power distributions that shape group disparities in health outcomes. In January 2020, the ACC published a cover story stating that healthcare group disparities and the lack of diversity in healthcare were a “national emergency” and strongly promoted the use of the Implicit Association Test (IAT).2 Even as late as …

Reassessing the Guidance on Face Masks

The efficacy of face masks for limiting the spread of SARS-CoV-2 remains uncertain and hotly contested. Recommendations vary between countries as do the reasons given. In Norway, where I live, masks are not considered necessary because very few people are infected, and efforts to contain the spread of the virus have been quite successful without mandating their use by the general public. But the debate about whether or not masks “work” is complicated and requires attention to numerous variables and contingencies. Even if we can agree that masks do help limit the spread of the virus to some degree, the conditions under which they are most effective can differ enormously, and recommendations to wear masks “in public” can actually mislead more than they illuminate and even cause some harm. We now know more than we did even a few weeks ago about how the virus spreads. In a blog post inspired by a Quillette essay analysing superspreader events, immunologist Erin Bromage delineates the salient principle as “Successful Infection = Exposure to Virus x Time.” Exposure …

Moving Away from Meat Means Welcoming the New ‘Flexitarians’

Author and animal-rights activist Jonathan Safran Foer recently argued in a New York Times essay that the COVID-19 pandemic represents a turning point in society’s attitude to eating meat. “Animal agriculture is now recognized as a leading cause of global warming,” writes Foer. “A quarter of Americans between the ages of 25 and 34 say they are vegetarians or vegans, which is perhaps one reason sales of plant-based ‘meats’ have skyrocketed… Our hand has been reaching for the doorknob for the last few years. Covid-19 has kicked open the door.” I agree the pandemic presents the best opportunity in a generation for animal-rights advocates to win over skeptics. But if and when vegetarian and vegan diets become truly mainstream, it will not be for the reasons Foer emphasizes. Foer provides three main rationales for rejecting meat: (1) “We cannot protect our environment while continuing to eat meat regularly,” (2) we can live “longer, healthier lives” without animal protein, and (3) many forms of animal farming are both cruel and unhygienic. These are valid arguments that …

How New Zealand Is Beating COVID-19

Things are getting back to normal in New Zealand. In the past two months, every time I have been to my local supermarket the rules have changed. At the start of Lockdown Level 4, a two-meter spaced queue had been marked out and a long tent had been erected to accommodate it. There was a “one trolley, one person” rule, an insistence on a single “designated shopper” per household, and a ban on bringing recyclable bags into the supermarket. Contactless payment was preferred and cash was discouraged. Customers were required to maintain two meters distance from the person in front of them at the checkout. All staff wore some kind of PPE, and some wore face visors. Perspex barriers appeared at the deli counter and the checkout. There were shortages of baking products, yeast was for some reason unobtainable, customers could purchase no more than two packets of pasta or tins of tomatoes, and messages were broadcast over the Tannoy system instructing customers to shop normally. In response to the sudden outbreak of the COVID-19 …

After the Virus: The Way We Live Next

How will we live, or be forced to live, after the pandemic? “I don’t know” is—according to Paul Collier, the famed development economist—the most honest answer to this question and others related to the cause, rise, treatment, and decline of the current pandemic. This is, after all, an unprecedented disease of rare speed and communicability, for which there is no cure and no agreed political and social response. Yet, contradicting himself within weeks, Collier wrote a similarly powerful essay in which he argued that centralisation had failed, and devolution from those who pronounce from on high to those who practice on the ground is necessary. Perhaps he was merely demonstrating that, in this maelstrom of conflicting arguments, no-one, no matter how distinguished, can wholly know his own mind from day to day. In any case, agnosticism is as unwelcome to journalism as it is to governance. And journalists, who operate under fewer constraints than governments, can at least consider some likely alternatives, while remaining alive to the possibility that unknown unknowns will continue to turn up, …