Category: HEALTH

AMERICAN AMBITION

Keefe shows Arthur Sackler raised himself in America through grit and determination, i.e., little seems handed to him on a silver plate. This is not to suggest the drug industry or the Sackler’s of the world carry no responsibility for addiction but opportunity and a way to succeed in an American life is a choice.

Books of Interest
 Website: chetyarbrough.blog

Empire of Pain (The Secret History of the Sackler Dynasty)

Author: Patrick Radden Keefe

Narration by: Patrick Radden Keefe

Patrick Radden Keefe (Author, investigative journalist, staff writer for The New Yorker.)

Patrick Radden Keefe’s book is a detailed examination of the Sackler family, and more specifically, the dynasty that grew after the life and death of Arthur Mitchell Sackler who died in 1987. Arthur Sackler was a trained physician who specialized in biological psychiatry. Through hard work, he built a family fortune with a company specializing in medical advertising and pharmaceutical marketing. With wealth created by advertising, the Sackler patriarch acquired interests in specific drugs that added to the wealth of the Sackler empire. One of those investments is made by the sons of Arthur Sackler. It became known as OxyContin which became a huge revenue producer controlled by Arthur’s heirs. Dr. Paul Goldenheim and Dr. Robert Kaico were the scientists who invented OxyContin while working for Purdue Pharma, a company owned by Arthur’s brothers. Arthur Sackler is characterized by Keefe as secretive about his ownership interests while becoming a very rich man. The structure of his business interests and its conflicts of interest are passed on to his heirs.

Arthur M. Sackler (American psychiatrist and marketer of pharmaceuticals.)

Arthur dies nine years before OxyContin exists. Despite the difficult life Arthur Sadler had with the bankruptcy of his father, he works his way through school, becomes a licensed physician and starts a pharmaceutical advertising company. He worked as a physician, a medical researcher, and owner of a company that advertised his and other medically researched and discovered drugs. This opened the door to profiteering from drug promotions and conflicts of interest in groundbreaking and potentially harmful drugs. As a physician, it put Arthur and other research physicians in position to market drugs and influence prescriptions for drugs that may or may not be safe or effective. As an advertiser of a physician/scientists’ own drugs, they could skirt independent judgement of their effectiveness or possible side effects. The FDA is created to avoid that possibility, but Keefe illustrates how that roadblock is compromised. Keefe recounts how a leader of the FDA is compromised by his relationship with the drug industry.

The Family That Built an Empire of Pain - Strength and Hope

Arthur’s wealth and investment interests are inherited by his divorced wife, his new wife, and his brothers, i.e., Ramond, Mortimer, and Richard who led the company after Arthur’s death. The brothers sell their patent on OxyContin to Purdue Pharma. The brothers start two branches of their business, one of which retains control of OxyContin’s manufacture, marketing, sale, and profit. Patent law is a legal ownership “smoke” screen that protects company owners from liability for harm from patents a company holds. A company may own a patent independently, without recourse to its company’s owners. Purdue Pharma grows and uses its wealth to influence politicians, government officials and doctors to endorse drugs like OxyContin.

OxyContin dosages.

As is known by many Americans, OxyContin has had a catastrophic impact on America. It its launch in 1996, OxyContin is considered by some to be a gateway to addictive drugs like heroin and fentanyl. In 2026, it is estimated that 200 deaths per day were happening from fentanyl overdoses. What Keefe argues is that when the structural conflicts of interest were introduced by the Sackler family (especially with the creation of Purdue Pharma) the lines between drug efficacy and profits were breached by the medical profession.

What Keefe reveals in his research is that pharmaceutical-physician relationships cross the line of conflicts of interest.

Doctors receiving “speaker fees”, continuing-education events, consulting positions, and industry-funded clinical guidelines are being lured into prescribing drugs that may or may not be safe or effective. Funding for medical research frequently comes from companies more interested in profit then drug efficacy. Government regulators are influence by lobbyist for a drug industry that is mired in potential conflicts of interest. Keefe notes there is a revolving door between the FDA and pharma employment. Keefe notes marketing has become a part of medical education. He infers philanthropy by the drug industry may be a bribe to influence public acceptance of drug treatments that are not effective.

Coming away from Keefe’s analysis of the drug industry, one is troubled by its corruption vulnerabilities in a society that prides itself on freedom and rule-of-law.

In one sense, Arthur Sackler is a tribute to how America became one of the wealthiest and most powerful countries in the world. One doubts that the Sackler family planned to create a drug that would addict and kill so many Americans. The Sackler family played a role but how many Americans have made mistakes in their drive for success. Keefe shows Arthur Sackler raised himself in America through grit and determination, i.e., little seems handed to him on a silver plate. This is not to suggest the drug industry or the Sackler’s of the world carry no responsibility for addiction but opportunity and a way to succeed in an American life is a choice.

Decisions We Make

Our decisions, when faced with good and bad events, make us who we are in life.

Books of Interest
 Website: chetyarbrough.blog

The Midnight Library (A Novel)

Author: Matt Haig

Narration by: Carey Muligan

Matt Haig (Author, English journalist.)

Looking back at one’s life one wonders what our lives may have been if we chose differently. “The Midnight Library” cleverly explores that idea with a character named Nora. Nora decides to commit suicide by overdosing. With the effect of whatever drugs Nora has chosen, she enters a state between life and death. The reader/listener and Nora enter a surreal library filled with books about Nora’s many lives. It is called “The Midnight Library”. It is a library of books about an infinity of lives that Nora has lived and different decisions she has made when faced with good and bad events in her life.

The decisions we make as we grow older change our lives in an infinite number of ways. Every book in “The Midnight Library” is based on different lives Nora has lived. Her age and experience in each book differ based on decisions she has made during each life she has lived. Her decisions and their consequences are recorded in the books of her “…Midnight Library”.

Nora enters an in-between world managed by a librarian named Mrs. Elm. Elm is a guide or gatekeeper of Nora’s many lives based on decisions she has made in each singular life. Mrs. Elm is a re-creation of Nora’s school librarian who had given her attention, advice, and care as a schoolgirl. Mrs. Elm becomes Nora’s guide in “The Midnight Library”. The library is filled with books of an infinite number of Nora’s lives based on different personal decisions she has made in her nuclear family, i.e., in each library book, Nora is a daughter with the same mother, father, and brother.

History of one person’s life with many different outcomes.

One’s life experience has consequences.

Mrs. Elm appears to be the embodiment of Nora’s will to live and would undoubtedly disappear if Nora dies from her attempt at suicide. It seems Elm is trying to show Nora life’ opportunities are infinite based on the smallest and biggest decisions she makes in her life. Of course, this is meant to suggest a truth about all lives. However, one wonders how human beings can know their future based on decisions they have made in their life. Knowing that one will either regret, despair, or benefit from big and small decisions seems dependent on too many variables for our intelligence or nature to know or predict.

The author argues every decision we make has a consequence in our lives.

A midnight library illustrates the value of knowing the results of our decisions in life, but it tells little about the cumulative impact of regrets that accompany those decisions. Making decisions in life may end with regret because of unexpected consequences to ourselves or those close to us. The result of decisions we make in our lives unfold slowly. In that unfolding, we change our minds, we adapt to new circumstances that were unforeseen. There are too many things that happen in the course of one’s life to assure any end result we seek. Perfect understanding of the consequences of decisions we make is impossible to know. What Haig infers is that life and living are imperfect, often filled with pain, and unanticipated consequences. It is how we deal with good and bad events in our life that make us who we become.

Nora risks her life to enter “The Midnight Library”. The consequence of overdose can be incapacity, brain damage, or death.

One continues to listen to Haig’s story and wonders if Nora survives her overdose. One may think this is a novel about a “many worlds” hypothesis created by Hugh Everett III in 1957, but it is not a story about alternative universes. It is a story about human beings on earth with a point of view about human decision making and its consequence in our lives. One comes away from “The Midnight Library” knowing no life is perfect. Just being alive and learning how to cope with what is good and bad in life is all that counts.

All humans make decisions based on incomplete information. Our ability to cope, our curiosity, and participation in life keeps us connected with society. Haig implies being connected to our humanity is the best we can do as human beings. Our decisions, when faced with good and bad events, make us who we are in life.

Gender Inequality

Raising children is the responsibility of all, i.e., both mothers and fathers, and the society in which they live. The future depends on our children.

Books of Interest
 Website: chetyarbrough.blog

Lessons in Chemistry (A Novel)

Author: Bonnie Garmus

Narration by: Miranda Raison & 2 more

Bonnie Garmus (American author and former copywriter.)

Bonnie Garmus’s main character represents the truth of gender inequality in society. The author’s main character, Elisabeth Zott, is an example of a woman who achieves success despite gender discrimination. As an idealized character, Zott represents a brilliant woman who is smarter, more self-motivated, and confident than any other character in “Lessons in Chemistry”. Zott is a self-educated woman who overcomes the ignorance of personal and social inequality. She is an aspiring scientist who is derailed in her career by male associates who steal her research and claim it as their own. It is presumed by the research firm for which she works that her science papers come from association with her male partner’s accomplishments rather than her own work. Zott’s value is believed to be her attractive appearance rather than her intellect, personal work, and ambition.

Equal opportunity in society is a fiction.

Zott’s male partner is a renowned scientist in the same scientific research firm for which Zott is employed. They become an intimate couple with marriage on the mind of the man, but independence insisted upon by Zott. Her companion dies in an accident and Zott is left with what is an unexpected pregnancy. Alone with a child, Zott presumes she will continue to work at the research firm but is fired by the male director of the enterprise because of her having a baby out of wedlock. Zott uses what financial savings she has to create a research lab in her house, raise her child, and find another source of employment. The author illustrates how motherhood, particularly for a single woman, limit women’s opportunity in society. The responsibilities of life for a woman with child and no partner often trap women in poverty.

How Zott escapes a life of poverty is a meaningful fairy tale in Garmus’s story.

Zott is hired by a TV production manager to host a cooking show. Zott’s intelligence and experience as a chemist combine with her drive for independence to make the show a success. What Bonnie Garmus shows is the mountain for success one climbs as a single woman is steeper and more difficult than it is for men. The “Lessons in Chemistry” are that a woman’s right to think, work, and live independently are denied because equal opportunity and equal pay is thwarted by gender-related discrimination.

All in society, both male and female, need to step up to their responsibility for raising children.

The “Lessons in Chemistry” suggest men need to step up in society and take responsibility for gender inequality by providing an environment that allows women to achieve the same level of success as men–whatever that success may be to the individual. Raising children is the responsibility of all, i.e., both mothers and fathers, and the society in which they live. The future depends on our children.

CURING DISEASE

Green questions the profit motive of drug companies that ignore the benefits of drugs that poor societies cannot afford that would cure tuberculosis. At the same time, Green implies the political will of all nations fail to provide known curative drugs for tuberculosis.

Books of Interest
 Website: chetyarbrough.blog

Everything is Tuberculosis (The History and Persistence of Our Deadliest Infection)

Author: John Green

Narration by: John Green

John Green (Author, YouTuber, and philanthropist.)

“Everything is Tuberculosis” is an apt title for John Green’s book but unlikely to attract many listener/readers. However, those who have read John Green’s books are attracted to his story because of the humor and insight he offers to living life. Green offers an interesting human perspective about a disease that kills hundreds of thousands of people every year and is both preventable and curable. Recognizing this critic’s own biases, “Everything is Tuberculosis” is a belief that there are only two important issues for human species’ survival, i.e., world peace and personal health. “Everything is Tuberculosis” deals with the principal of health while others write about world peace.

Tuberculosis transmission.

Peace is only indirectly addressed in “Everything is Tuberculosis” while health is the primary focus of Green’s book. Today, approximately 1.23 million people die from tuberculosis every year. Surprisingly, it remains the deadliest curable infectious disease in the world. An estimated 10.7 million people are presently diagnosed with tuberculosis. This high infection rate is for a disease that is curable and preventable. Green explains in countries with high rates of poverty, undernutrition, overcrowding, high HIV infections, and poor medical services tuberculosis becomes a greater killer of human beings than any other infectious disease.

The fear and anxiety of Covid mimics the fear of tuberculosis.

Green personalizes his story by being its main character. He writes in the first person and uses his personal anxiety driven thoughts to explain tuberculosis’ illness and vulnerability. As a child, Green recalls his own illnesses and anxieties that required hospitalization. He contrasts his life of economic security with the lives of many people in the world that have little to no economic security. He views tuberculosis, not as a scientist or patient, but as an observer of poverty in Sierra Leone and the personal life of a young boy with the disease.

The cost of medication.

The young boy’s recovery experience is on-again/off-again, in part because of his father’s skepticism about the effectiveness of drugs and his belief in God, but also because of a failure of experimental drug treatments from other tuberculosis patients that die. There is a happy ending when a new drug cure is found and started; the boy recovers, resulting in eradication of the infection. He finishes high school and goes on to college. Other stories of the disease in Sierra Leone show distances patients have to travel, the cost of treatments, and different economically challenged families who are discouraged by continued treatment. Those patients that do not continue the medical treatment often see regrowth of the Tuberculosis bacteria which ends their sons, daughters, fathers, or mother’s lives.

Green’s point is that human beings are dying from tuberculosis, a curable disease that kills; not because it is often fatal, but because of a human-systems’ failure.

TB deaths are a predictable outcome of poverty, undernutrition, overcrowding, political neglect, and global indifference. Green gets at the heart of the problem of societal indifference. The indifference is both political and economic. The political indifference comes from every government that is only concerned about their country’s health and welfare. The economic difference is similar but more pronounced in capitalist countries that focus on profit more than societal benefit. Political difference is in nation-state’ leadership whether countries are democratic or other.

Green questions the profit motive of drug companies that ignore the benefits of drugs that poor societies cannot afford that would cure tuberculosis. At the same time, Green implies the political will of all nations fail to provide known curative drugs for tuberculosis.

BREATHING LIFE

Nestor’s book, “Breath” is worth a reader/listener’s time. Breathing exercises are not a cure-all for sleeplessness, snoring, or regulating blood pressure, but Nestor’s experience and Dr. Nayak’s research encourage reader/listeners to change the way they breath.

Books of Interest
 Website: chetyarbrough.blog

Breath (The New Science of the Lost Art)

Author: James Nestor

Narration by: James Nestor

James Nestor (Author, American science journalist.)

“Breath” is a surprising best-selling book about breathing through one’s nose rather than one’s mouth. Nestor’s participation in a 10-day Stanford experiment shows several negative medical symptoms associated with how we breath. Nestor experiences sleep apnea, raised blood pressure, high stress levels, and increased anxiety because of the way he breaths earth’s air. Nextor’s participation in a Stanford University experiment suggests nose breathing is a biological superpower because nasal passages filter and humidify the air we breathe. Exhalation from the way we breath releases nitric oxide and improves oxygen absorption.

“The story of CO2…” is that photosynthesis by plants converts sunlight into energy which makes CO2 the basis upon which all life exists on earth.

Stanford’s experiment reveals CO2 emissions from breathing are essential for all living things.

Experiment shows slow breathing for 5.5 seconds-in, and 5.5 seconds-out improves blood pressure, and heart rate variability that enhances calmness. Surprisingly, slow breathing increases carbon dioxide tolerance while aiding body absorption of oxygen. The consequence of breathing too fast surprisingly impairs oxygen delivery to our system. Oxygen deprivation is one of the causes of anxiety, fatigue, and poor physical performance. Practicing good breathing habits can help reduce anxiety and fatigue to improve physical performance. It is hard to believe changing our breathing habits can have so great an impact on our lives.

Changing how we breathe is not as easy as one might think.

In the past, when one could not breath on their own, they were placed in an iron tube to replace their natural lung function.

Not breathing through one’s mouth seems an easy change to make in one’s life but a 5.5 second inhale and exhale rule takes practice. The recommendation is to train yourself for 5-to-ten-minute periods until it becomes a learned goal, if not habit. Another suggestion is to alternate nostril breathing by covering one nostril and practicing the 5.5 second inhale/exhale cycle. One can alternate nostrils with breathing in with one nostril and out with the other. Nestor suggests a 4-7-8 technique of breathing. Using only your nose, inhale 4 seconds, hold for 7 seconds, exhale for 8 seconds. He believes it will help one fall asleep if they are having difficulty sleeping. In general, Nestor suggests one should become more aware of how they are breathing during the day.

Dr. Jayakar Nayak (MD, PhD, conducted the breathing experiment as a Professor of Otolaryngology at Stanford University.)

Nestor refers to Dr. Jayakar Nayak’s 10-day Stanford experiment in which Nestor participated. He wrote this book as evidence for the harm he was doing to himself and how mouth breathing for oxygen can be corrected by breathing through one’s nose. Patients, like Nestor, were trained in nose breathing exercises that show marked improvements from the symptoms of sleep apnea, sleep fragmentation, heavy snoring, and stress. Results of the experiment showed sleep apnea and snoring ceased, systolic blood pressure dropped, and heart rate variability improved in most patients who participated in the Stanford experiment.

Nestor’s recommendations are based on nasal breathing, slower breathing, and breath exercises supported by Dr. Nayak’s research. Nestor’s book, “Breath” is worth a reader/listener’s time. Breathing exercises are not a cure-all for sleeplessness, snoring, or regulating blood pressure, but Nestor’s experience and Dr. Nayak’s research encourage reader/listeners to change the way they breath.

LIFE’S MEANING

John Green explains in “The Anthropocene Reviewed” that learning how to cope with life when its hard or joyful is what it is to be human.

Books of Interest
 Website: chetyarbrough.blog

The Anthropocene Reviewed (Essays on a Human-Centered Planet)

Author: John Green

Narration by: John Green

John Michael Green (Author, Indianapolis native, raised in Florida, now living in Indianapolis, graduated from Kenyon College, with degrees in English and religious studies.)

“The Anthropocene…” is a clever series of essays that reveal a biography of John Green’s beliefs and how they have been affected by the world. Born in Indianapolis, he is raised in Florida and returns to Indianapolis when his wife is offered a job as an Art Director. These essays are drawn from his life experience, candidly revealing beliefs about himself and human activities that shape the earth’s climate, ecosystems, and geological processes. Green writes about his understanding of the diversity of things ranging from cosmic events like Halley’s comet to his obsessive consumption of Diet Dr Pepper. Along the way, Green reflects on the big and small events of life that reflect on many Americans lives.

Defining anxiety in oneself.

Green appears to be more anxiety driven than most people. His growth as a writer is shown to be related to his childhood memories, his personal illnesses, and his life encounters. That seems true for all human beings which is why his essays appeal to listener/readers of his famous stories like “The Fault in Our Stars” and “Turtles All the Way Down”. Of course, writing success in life, like all achievements, come with cost. Personal emotions and the environment in which we live shape our lives in good and bad ways. Greens self-analysis reflects on his anxieties, vulnerabilities, and wonderment. He writes of close relationships that helped him get through his school years. His illnesses are partly brought on by anxiety and depression which are not uncommon in any society. The difference is that Green is able to write about them with candor and humor to make reader/listeners more comfortable with their own experiences.

Life is life.

What Green reminds this listener of is a saying that my daughter hates to hear. “Life is life”. We deal with life in our own way, i.e., colored by who we are from our genetic inheritance, our personal strengths and weaknesses, and the way we deal with the circumstances in which we live. Green creates a 5 star rating system for experiences in his life. Histories of the bubonic plague and the world’s most recent experience with the covid pandemic receive 1 star. Natural sunsets, the song “You’ll Never Walk Alone”, and the Lascaux ancient cave paintings get 5 stars in Green’s opinion. These ratings are Green’s way of explaining suffering, healing, and the beauty of art in our lives. The beauty of nature, civilization’s artful adaptation, the closeness of family, professional help, and music have helped him cope with anxiety and depression. They also show what he finds beautiful, what he fears losing, and what he believes is worth saving.

What is the meaning of life?

The depth of a person’s feelings are not the same for all human beings, but we all have a rating system for what life means to us. Humans need to understand they are not alone in happiness or sorrow. John Green explains in “The Anthropocene Reviewed” that learning how to cope with life when its hard or joyful is what it is to be human.

DILANTTANTISM

As a reviewer of “The Great Deformation”, I am personally repelled by Stockman’s analysis but choose to rely on professional economists’ opinion, more than a politician/businessman who had a role in tanking the American economy.

Books of Interest
 Website: chetyarbrough.blog

The Great Deformation (The Corruption of Capitalism in America)

Author: David Stockman

Narration by: Willaim Hughes

David Stockman (Author, American politician, businessman, and former Director of the Office of Management and Budget for the Reagan Administration.)

David Stockman has written a troubling book about the American economy. Despite his having been an elected representative of Congress and a former Director of the Office of Management and Budget (OMB) in the Reagan administration, he argues the fiscal responsibility of America’s government has corrupted “…Capitalism in America”. This is a surprising comment from a former Republican congressman with Republican ties who is a graduate of theological studies, not economics, from Harvard.

On the one hand, self-interest and freedom have made America’s standard of living among the highest in the world.  On the other, it seems self-interest and freedom mitigate against fairness in the American economy.

Stockton is not educated as an economist. He derides Reagan for profligate spending while having been Reagan’s OMB Director. He feels qualified to argue the crises of 2008 was badly managed because it did not allow the market to allow bankruptcy of major corporations in America. Stockton suggests AIG (American International Group) and the major banking conglomerates of America that have bad debt on their books should file for bankruptcy if they cannot meet their financial obligations without a government bailout. Of course, this is the road not taken so no one can know whether Stockton is right or wrong.

GEORGE W. BUSH (43RD PRESIDENT OF THE U.S.)
BARACK OBAMA (44TH PRESIDENT OF THE U.S.)

Though the harm done to many Americans by the solution of the Bush’ and Obama’ administrations is fresh in most American’s minds, one cannot help but be skeptical of Stockton’s opinion. If bankruptcy had been allowed by those companies that could not meet their debt obligations, would American capitalism and its economy have been any better? How many Americans would have been harmed by those bankruptcies? The loss of jobs from bankruptcy would have been immense. Consider the number of people with no income who would be unable to pay their bills. What would happen to their ways of life? Would America’s government stand by and allow them to become homeless and hungry? Today’s homelessness suggests America’s government might stand by and do nothing.

Franklin Roosevelt shows America’s government can finance a solution for crisis through public works that would bring America back to prosperity. Is that different than bailing out employers of the American public to sustain family incomes from a potential financial melt-down. Are the ideals of capitalist greed worth continued impoverishment of the poor?

Stockton’s solution is to cut the defense budget, reduce Social Security, Medicare, and Medicaid and let the public fend for itself. Stockton argues to have corporate subsidies and tax expenditures reduced with deep cuts in domestic discretionary spending. He goes on to support binding spending caps, no new tax cuts without an equal offset in expenditures, no bail outs with a belief that nothing is too big to fail, a reversal of Trumps 2017 tax cuts, a balanced budget, no long-term deficit financing, no permanent emergency spending, and a smaller federal footprint on the economy. These seem easy solutions for one who is financially secure but draconian for those who have been unable to grasp the economic opportunities of American capitalism.

Of course, Stockton’s draconian policies will immediately hit the poor and unemployed first.

More people will die from inability to receive medical care, more will go hungry and suffer from malnutrition, and homelessness. Stockman believes the current system is unsustainable. Let’s accept that point but victimizing and creating more homeless and poorer Americans only cheapens democratic capitalism.

Stockman is right in explaining the U.S. debt increase is unsustainable.

Interest costs are creating extraordinary pressure as a line-item cost for America’s budget. Reform is immensely difficult because of political differences of opinion. According to most economists with education as economists, Stockman’s observations are true, but most economists do not believe that truth will lead to a sudden market collapse. The majority of economist suggest Stockman’s explanation of long-term fiscal challenges can be ameliorated to avoid a wide market collapse. Though Kenneth Rogoff, Carmen Reinhart, and Olivier Blanchard agree with Stockman’s diagnosis, they do not think his doom scenario is likely. Jason Furman, Douglas Elmendorf, and Ben Bernanke do not believe a bond-market revolt will crater government financing. Though all agree government debt is unsustainable, interest costs are rising too fast, and political discord is a problem. These “educated economists” believe entitlements can be gradually reformed, and a sudden collapse of the economy will be abated.

Carmen Reinhart
Ben Bernanke
Doug Elmendorf
Kenneth Rogoff

In general, most economists recognize America cannot continue to increase its debt but most economist believe the U.S. will adjust its economic policy to avoid collapse. As a reviewer of “The Great Deformation”, I am personally repelled by Stockman’s analysis but choose to rely on professional economists’ opinion, more than a politician/businessman who had a role in tanking the American economy.

A VIEW OF GENIUS

Like all world changing inventions and discoveries, iPhone came with costs ranging from children’ and adults’ addiction, to rare minerals depletion, to environmental pollution. The long-term effect of iPhones has changed the world with unexpected, often unforeseen, consequences.

Books of Interest
 Website: chetyarbrough.blog

The One Device (The Secret History of the iPhone)

Author: Brian Merchant

Narration by: Tristan Morris

Brian Merchant (Author, American technology journalist, writes for The New York Times, Wired, Slate, The Atlantic, and the Guardian.)

Brian Merchant works around the tech world but never quite in it. His understanding of today’s technology has made him a popular writer for national news outlets. Never having been employed by a tech company, his analysis of iPhone history, the role of Jobs, and the history of its development is as an outsider to the process of invention. As a writer about technology, there is a level of objectivity but also reservation about an outsider’s details. Merchant reports what others tell of iPhone’s history rather than as a person being there as a part of its development.

Merchant’s investigation explains the iPhone’s creation is a messy human process entailing the dangers of mining, involvement of other companies and individuals, patent questions, and labor struggles. The impact of the iPhone’s invention is world changing. In a fundamental way, Merchant discounts the mythology of iPhone’s invention by one person or company. There were decades of prior invention before the iPhone became more than an idea, let alone a world changing device.

The scope of manufacturing iPhones made Foxconn the leading international labor subcontractor in the world. Foxconn is estimated to employ 800,000 employees in China alone. Many have been contracted by Apple for iPhone product assembly.

The mining industry and assembly line development were in place before the raw material and labor that would be needed for iPhone development. Merchant suggests Apple became the central orchestrator rather than singular inventor of the iPhone. Merchant argues the iPhone is a synthesis of decades of technological improvement, unnamed engineers, labor and organizations of miners and factory workers, and innovations needed to produce Apple’s revolutionary product.

Genius and invention go hand in hand. However, Merchant explains in the early 20th century, much of the technology that became a part of the iPhone’s foundation were already invented. He notes touchscreens, voice recognition tools, motion tracking, and early iterations of what became Artificial Intelligence had already been discovered. Merchant’s intent is not to diminish the genius of Apple, Jobs, or its employees but to show the public that every extraordinary human invention has precursors and essential earlier discoveries. It took Apple’s leadership and employees to integrate the many technologies that had been discovered earlier to create what has become a handheld window to the world. Merchant explains no great inventions are created out of thin air. He suggests every invention of the present is dependent on thought, labor, experience, and invention of the past.

Thomas Kuhn suggests every revolution in science begins with a paradigm in conjunction with discoveries of the past.

Merchant discounts the idea of the “lone genius” because every genius depends on insight and events of the past to correlate what she/he invents in the present. The iPhone unifies decades of technological progress. The iPhones’ invention reorganizes global behavior, creates a new economic and industrial model, and gives the world a pocket supercomputer. The geniuses of Apple earned their reputations, but they relied on discoveries of the past.

Thinking of Curie, Einstein, Newton, and other giants of science, one wonders how Merchant’s belief about genius is valid. He would argue the brilliance of Curie, Einstein, and Newton are built on prior knowledge, their predecessors, and the tools of their time. Their genius is in connecting past knowledge and discovery of others with the present. Their genius is dependent on predecessors. Merchant is not diminishing Jobs’ or Apple’s genius, but their breakthroughs could only come from groundwork established by others.

INDUSTRIAL POLLUTION ON A BAD DAY IN BEJING,, CHINA

Like all world changing inventions and discoveries, iPhone came with costs ranging from children’ and adults’ addiction, to rare minerals depletion, to environmental pollution. The long-term effect of iPhones has changed the world with unexpected, often unforeseen, consequences.

SCHIZOPHRENIA REDUX

The boon and bane of a brilliant mind is that it can correlate facts with causes to reveal the mysteries of the universe but also the demons of false correlation and belief.

Books of Interest
 Website: chetyarbrough.blog

The Best Minds (A Story of Friendship, Madness, and the Tragedy of Good Intentions)

Author: Jonathan Rosen

Narration by: Jonathan Rosen

Jonathan Rosen (Author, Yale graduate, writes for The Jewish Daily Forward, and the Free Press.)

As a person who has lived through the same generation as Jonathan Rosen, his story is interesting partly because it tells what it is like to be born a Jew in America. In many ways, one finds life as a Jew is no different than it is for any American. Most Americans are born into a family that cares for them and influences who they become as adults. Children are born with innate abilities that are either cultivated or ignored by their parents. Some parents are too busy with their own lives to offer care a child may benefit from with more attention. It appears Jonathan Rosen is born into a family that cultivates his abilities despite their busy lives. One wonders if that is a matter of ethnic tradition or inherent nature. One suspects it is a little of both.

In “The Best Minds”, an important part of being raised a Jew is education that encourages and reinforces Jewish identity through rituals like the bar mitzva.

The bar mitzva and bat mitzva (for girls) is a coming-of-age ceremony at age 13 (sometimes 12 for girls) where a Jewish child memorizes and recites passages from the Torah. On the one hand it reinforces one’s identity with a particular ethnicity. On the other, it is one of many exercises of memory that reinforces one’s ability to succeed academically. Much of one’s success as an accomplished adult is recall of information whether a doctor, lawyer, or merchant chief. From a young age, memorization is an important skill for Jewish children. One wonders how much tradition has to do with the brilliance of Einstein, Oppenheimer, Salk and so many other Jews of the world. This is not to suggest being raised in a Jewish family is not as traumatic and unpredictable as any child born but to recognize ethnic customs make a difference in children’s lives. The great contributions to science and art by Jews makes one wish they might live life over again with more positively ritualized cultivation.

Michael Laudor (Yale graduate, subject of “The Best Minds)

However, there is much more to Rosen’s story. His life is intertwined with the life of Michael Laudor, a close childhood friend who is raised in a similar environment and recognized as a prodigy. However, Lauder succumbs to schizophrenia. This is not to suggest Jews or any ethnicity is prone to psychological imbalance. Psychiatric imbalance is not defined by ethnicity but exists as a potential for every human being. One doubts there is any defense against psychological abnormality whether Jew, gentile, or other.

Laudor and Rosen as childhood friends.

Laudor and Rosen were close friends. Rosen recognizes his friend has a superior mind, i.e., one of “The Best Minds” of Rosen’s high school’ years. Rosen struggles to understand what happened to his childhood friend. Both Rosen and Laudor are accepted at Yale. Laudor chooses law as his course of study. Rosen goes on to California to get a PhD in literature. Their dual biographies make Rosen’s story impactful. Rosen explains how intelligence, ambition, and success can be destroyed by mental illness.

Yale University in New Haven, Connecticut.

Laudor is a wunderkind who performs at a level far beyond his age group. He graduates from Yale and decides wealth is a goal to be achieved. He is hired by an investment consulting firm which offers him an opportunity to become super-rich. Rosen infers Laudor succeeds. From the outside, Laudor appears to be highly successful, but he becomes dissatisfied with his life and quits the firm that hired him. Rosen stays in touch with Laudor and writes “The Best Minds” to reveal what he thinks he knows about what happened to his childhood friend. The beginning of Laudor’s imbalance appears to Rosen when Laudor explains he is being followed, monitored and targeted by unknown malefactors. Before that conversation, the erratic behavior of Rosen’s friend seemed like a matter of burnout from his high-flying experience as an investment consultant. The intensity of Laudor’s paranoia makes Rosen believe something more serious is at the root of his friend’s behavior.

Rosen stays in touch with Laudor–talking to him about what is going on in his life. He tries to get Laudor to see the falseness of his delusions without triggering defensiveness. Rosen avoids contradicting Laudor by trying to be supportive and encouraging him to seek help. On the one hand one wonders what more could Rosen do. How else could he intervene in Laudor’s spiral into what is later diagnosed as schizophrenia? A reader/listener wonders what they would or could have done.

Michael Laudor murders his fiancée, Carrie Costello, in 1998. She is pregnant at the time of her death.

Laudor had grown to believe his girlfriend had become a part of a conspiracy to harm him and that he needed to defend himself despite her trying to care for him. His brilliant mind manufactured a false reality. His delusion leads to the fatal stabbing of Ms. Costello. After the homicide, Laudor calls 911. He is arrested and transferred to a psychiatric facility and later found guilty by reason of insanity. He died in 2022 at the age of 56 in a New York State psychiatric hospital, never recovering from severe schizophrenia.

“The Best Minds” is Rosen’s effort to understand how genius and madness can be intertwined. The boon and bane of a brilliant mind is that it can correlate facts with causes to reveal the mysteries of the universe but also the demons of false correlation and belief. Correlation is not causation without objective and repeatable experimental proof.

The question one asks oneself after finishing Rosen’s book is what one can do differently to keep someone from losing their way in life whether he/she is a genius or not?

SUICIDE

“We Are the Nerds” is a story about “Nerdom” and the tragic loss of Aaron Swartz to his loving family and the world of coding.

Books of Interest
 Website: chetyarbrough.blog

WE ARE THE NERDS (The Birth and Tumultuous Life of Reddit, the Internet’s Culture Laboratory)

Author: Christine Lagorio-Chafkin

Narration by: Chloe Cannon

Christine Lagorio-Chafkin (Author, reporter, podcaster based in New York.)

Relistening to “We are the Nerds” may be reviewed from a perspective of the future of newspapers but that diminishes the tragedy of Aaron Schwarz’s suicide.

The original founders of what became known as Reddit were Steve Huffman and Alexis Ohanian, graduates from the University of Virginia. A third partner, Aaron Swartz, is invited into the company because of his tech experience in creating a company called Infogami which merged with Reddit. With the addition of Infogami, the original founders of Reddit created a parent organization called “Not a Bug, Inc”. Schwartz insists on being called a co-founder because of his contribution to Reddit as a programmer. That insistence rankled Huffman and Ohanian which grew into a resentment that fills the pages of the author’s story.

Steve Huffman on the left with Alexis Ohanian and his wife, Serena Williams, and their daughter on the right.

The author seems to minimize Schwartz’s contribution to Reddit despite the framework he created that made Reddit scale more quickly because of its open access and community-driven cultural impact. Swartz’s contributed code appears to have been an important step in the useability of Reddit by the public. However, in fairness to the original founders, the author infers that contribution pales in respect to the extensive coding and work done by Huffman. The point is that this conflict becomes an irritant that leads to the departure of Swartz from Reddit in 2007, after it was acquired by Condé Nast in 2006. That acquisition made all three original coders millionaires.

Swartz’s life and premature death is a tragic encomium to the story of Reddit’s success as a public forum.

By some measure, Swartz is a brilliant human being, but his intelligence is accompanied by what might be characterized as a self-destructive personality. His ability as a computer nerd is evident in his High School days in Highland Park, Illinois. He goes on to Stanford, but its educational regimen leads him to leave after his first year. He preferred independent learning. Schwartz’s remarkable ability led him to become a research fellow at Harvard University in 2010. He became a self-taught intellectual with an activist belief in academic freedom that eventually led him to rebel against authority. He was arrested in 2011 for allegedly breaking into MIT’s computer network without authorization. He was charged for computer fraud and faced 34 years in prison and a million-dollar fine. At the age of 26, Swartz hung himself and died on January 11th, 2013.

An American mass media company founded in 1909.

Huffman and Ohanian believed Swartz’s contributions to Reddit were less than theirs in creating the company they sold to Condé Nast that made them millionaires. Swartz’s idealism and independence conflicted with the original founders of Reddit who seemed more interested in building a public platform that could make them rich. Though Ohanian believed they sold too soon, all three agreed to Condé Nast’s final offer that made them millionaires.

In retrospect, Ohanian may have been right about the future value of Reddit. Condé Nast spun Reddit out to an independent subsidiary under Advance Publications where it became a 42-billion-dollar success by 2025. Today, Huffman’s net worth is estimated at $1.2 billion as a result of his Reddit shares. Though Ohanian may not have held on to his shares, his net worth is estimated at $150-$170 million. Not bad for two University of Virginia graduates. However, as Plato observed, “The greatest wealth is to live content with little”. Swartz’s life seems to have had little to do with desire for wealth.

“We Are the Nerds” is a story about “Nerdom” and the tragic loss of Aaron Swartz to his loving family and the world of coding.