MEDICINE

A government designed to use public funds to pick winners and losers in the drug industry threatens human health. Only with the truth of science discoveries and honest reporting of drug efficacy can a physician offer hope for human recovery from curable diseases.

Books of Interest
 Website: chetyarbrough.blog

Rethinking Medications (Truth, Power, and the Drugs You Take)

By: Jerry Avorn

Narrated By: Jerry Avorn MD

Jerry Avorn (Author, professor of medicine at Harvard Medical School where he received his MD, Chief Emeritus of the Division of Pharmacoepidemiology and Pharmacoeconomics)

Doctor Avorn enlightens listener/readers about drug industry’ costs, profits, and regulation. Avorn explains how money corrupts the industry and the FDA while encouraging discovery of effective drug treatments. The cost, profits, and benefits of the industry revolve around research, discovery, medical efficacy, human health, ethics, and regulation.

Drug manufacture is big business.

Treatments for human maladies began in the dark ages when little was known about the causes of disease and mental dysfunction. Cures ranged from spirit dances to herbal concoctions that allegedly expelled evil, cured or killed its followers and users. The FDA (Food and Drug Administration) did not come into existence until 1930, but its beginnings harken back to the 1906 Pure Food and Drug Act signed into law by Theodore Roosevelt. The FDA took on the role of reviewing scientific drug studies for drug treatments that could aid health recovery for the public. The importance of review was proven critical by incidents like that in 1937, when 107 people died from a Sulfanilamide drug which was found to be poisonous. From that 1937 event forward, the FDA required drug manufacturers to prove safety of a drug before selling it to the public. The FDA began inspecting drug factories while demanding drug ingredient labeling. However, Avorn illustrates how the FDA was seduced by Big Pharma’ to offer drug approvals based on flawed or undisclosed research reports.

Dr. Martin Makary (Dr. Makary was confirmed as the new head of the FDA on March 25, 2025. He is the 27th head of the Department. He is a British-American surgeon and professor.)

What Dr. Avorn reveals is how the FDA has either failed the public or been seduced by drug manufacturers to approve drugs that have not cured patients but have, in some cases, harmed or killed patients. It will be interesting to see what Dr. Marin Makary can do to improve FDA’s regulation of drugs. Avorn touches on court cases that have resulted in huge financial settlements by drug manufacturing companies and their stockholders. However, he notes the actual compensation received by individually harmed patients or families is miniscule in respect to the size of the fines; not to mention many billions of dollars the drug companies received before unethical practices were exposed. Avorn notes many FDA’ research and regulation incompetencies allowed drug companies to hoodwink the public about drug companies’ discovered but unrevealed drug side-effects.

A few examples can be easily found in an internet search:

1) Vioxx (Rofecoxib), a pain killer, had to be withdrawn from use in 2004 because it was linked to increased risk of heart attacks and strokes. It was removed from the market in 2004.

2) Fen-Phen (Fenfluramine/Phentermine), a weight-loss drug had to be taken off the market in 1997 because of severe heart and lung complications.

3) Accutane was used to cure acne but was found to be linked to birth defects and had to be withdrawn in 2009.

4) Thalidomide was found to cause birth defects to become repurposed for treatment of certain cancers.

5) A more recent failure of the FDA is their failure to regulate opioids like OxyContin that resulted in huge fines to manufacturers and distributors of the drug.

Lobbyists are hired by drug companies to influence politicians to gain support of drug companies. In aggregate, this chart shows the highest-spending lobbyists in the 3rd Qtr. of 2020 were in the medical industry.

Dr. Avorn argues Big Pharma’s lobbying power has unduly influenced FDA to approve drugs that are not effective in treating patients for their diagnosed conditions. Avorn infers Big Pharma is more focused on increasing revenue than effectively reviewing drug manufacturer’ supplied studies. Avorn argues the FDA has become too dependent on industry fees that are paid by drug manufacturers asking for expedited drug approvals. Avorn infers the FDA fails to demand more documentation from drug manufacturers on their drug’ research. The author suggests many approved opioids, cancer treatment drugs, and psychedelics have questionable effectiveness or have safety concerns. Misleading or incomplete information is provided by drug companies that makes applications an approval process, not a fully relevant or studied action on the efficacy of new drugs.

Avorn is disappointed in the Trump administrations’ selection of Robert Kennedy as the U.S. Secretary of Health and Human Services because of his lack of qualification.

The unscientific bias of Kennedy and Trump in regard to vaccine effectiveness reinforces the likelihood of increased drug manufacturers’ fees that are just a revenue source for the FDA. Trump will likely reward Kennedy for decreasing the Departments’ overhead by firing research scientists and increasing the revenues they collect from drug manufacturers seeking drug approvals.

Trump sees and uses money as the only measure of value in the world.

It is interesting to note that Avorn is a Harvard professor, a member of one of the most prestigious universities in the world. Harvard is being denied government grants by the Trump administration, allegedly because of Harvard’s DEI policy. One is inclined to believe diversity, equity, and inclusion are ignored by Trump because he is part of the white ruling class in America. Trump chooses to stop American aid to the world to reduce the cost of government. American government’s decisions to starve the world and discriminate against non-whites is a return to the past that will have future consequences for America.

Next, Avorn writes about the high cost of drugs, particularly in the United States. Discoveries are patented in the United States to incentivize innovation, but drug companies are gaming that Constitutional right by slightly modifying drug manufacture when their patent rights are nearing expiration. They renew their patent and control the price of the slightly modified drug that has the same curative qualities. As publicly held corporations, they are obligated to keep prices as high as the market allows. The consequence leaves many families at the mercy of their treatable diseases because they cannot afford the drugs that can help them.

Martin Shkreli, American investor who rose to fame and infamy for using hedge funds to buy drug patents and artificially raise their prices to only increase revenues.

The free market system in America allows an investor to buy a drug patent and arbitrarily raise its price. Avorn suggests this is a correctable problem with fair regulation and a balance between government sponsored funding for drug research in return for public funding. Of course, there are some scientists like Jonas Salk in 1953 who refused to privately patent the polio vaccine because it had such great benefit to the health of the world.

Avorn notes the 1990’s drug costs in the U.S. are out of control.

Only the rich are able to pay for newer drugs that cost hundreds of thousands of dollars per year. Americans spend over $13,000 per year per person while Europe is around $5,000 and low-income countries under $500 per year. These expenditures are to extend life which one would think make Americans live longest. Interestingly, America is not even in the top 10. Hong Kong’s average life expectancy is 85.77 years, Japan 85. South Korea 84.53. The U.S. average life expectancy is 79.4. To a cynic like me, one might say what’s 5 or 6 more years of life really worth? On the other hand, billionaires and millionaires like Peter Thiel and Bryan Johnson have invested millions into anti-aging research.

Avorn reinforces the substance of Michael Pollan’s book “How to Change Your Mind” which reenvisions the value of hallucinogens in this century.

Avorn notes hallucinogens efficacy is reborn in the 21st century to a level of medical and social acceptance. Avorn is a trained physician as opposed to Pollan who is a graduate with an M.A. in English, not with degrees in science or medicine.

In reviewing Avorn’s informative history, it is apparent that patients should be asking their doctors more questions about the drugs they are taking.

Drugs have side effects that can conflict with other drugs being taken. In this age of modern medicine, there are many drugs that can be effective, but they can also be deadly. Drug manufacturers looking at drug creation as only revenue producers is a bad choice for society.

Avorn’s history of the drug industry shows failure in American medicines is more than the mistake of placing an incompetent in charge of the U.S.

Taking money away from research facilities diminishes American innovation in medicine and other important sciences. However, research is only as good as the accuracy of its proof of efficacy for the treatment of disease and the Hippocratic Oath of “First, do no harm”. A government designed to use public funds to pick winners and losers in the drug industry threatens human health. Only with the truth of science discoveries and honest reporting of drug efficacy can a physician offer hope for human recovery from curable diseases.

RISK/REWARD

AI is only a tool of human beings and will be misused by some leaders in the same way Atom bombs, starvation, disease, climate, and other maladies have harmed the sentient world. AI is more of an opportunity than threat to society.

Books of Interest
 Website: chetyarbrough.blog

A Brief History of Artificial Intelligence (What It Is, Where We Are, and Where We Are Going)

By: Michael Wooldridge

Narrated By: Glen McCready

Michael Wooldridge (Author, British professor of Computer Science, Senior Research Fellow at Hertford College University of Oxford.)

Wooldridge served as the President of the International Joint Conference in Artificial Intelligence from 2015-17, and President of the European Association for AI from 2014-16. He received a number of A.I. related service awards in his career.

Alan Turing (1912-1954, Mathematician, computer scientist, cryptanalyst, philosopher, and theoretical biologist.)

Wooldridge’s history of A.I. begins with Alan Turing who has the honorific title of “father of theoretical computer science and artificial intelligence”. Turing is best known for breaking the German Enigma code in WWII with the development of an automatic computing engine. He went on to develop the Turing test that evaluated a machine’s ability to provide answers to questions that exhibited human-like behavior. Sadly, he is equally well known for being a publicly persecuted homosexual who committed suicide in 1954. He was 41 years old at the time of his death.

Wooldridge explains A.I. has had a roller-coaster history of highs and lows with new highs in this century.

Breaking the Enigma code is widely acknowledged as a game changer in WWII. Enigma’s code breaking shortened the war and provided strategic advantage to the Allied powers. However, Wooldridge notes computer utility declined in the 70s and 80s because applications relied on laborious programming rules that introduced biases, ethical concerns, and prediction errors. Expectations of A.I.’s predictability seemed exaggerated.

The idea of a neuronal connection system was thought of in 1943 by Warren McCulloch and Walter L Pitts.

In 1958, Frank Rosenblatt developed “Perception”, a program based on McCulloch and Pitt’s idea that made computers capable of learning. However, this was a cumbersome programming process that failed to give consistent results. After the 80s, machine learning became more usefully predictive with Geoffrey Hinton’s devel0pment of backpropagation, i.e., the use of an algorithm to check on programming errors with corrections that improved A.I. predictions. Hinton went on to develop a neural network in 1986 that worked like the synapse structure of the brain but with much fewer connections. A limited neural network for computers led to a capability for reading text and collating information.

Geoffrey Hinton (the “Godfather of AI” won the 2018 Turing Award.)

Then, in 2006 Hinton developed a Deep Belief Network that led to deep learning with a type of a generative neural network. Neural networks offered more connections that improved computer memory with image recognition, speech processing, and natural language understanding. In the 2000s, Google acquired a deep learning company that could crawl and index the internet. Fact-based decision-making, and the accumulation of data, paved the way for better A.I. utility and predictive capability.

Face recognition capability.

What seems lost in this history is the fact that all of these innovations were created by human cognition and creation.

Many highly educated and inventive people like Elon Musk, Stephen Hawking, Bill Gates, Geoffrey Hinton, and Yuval Harari believe the risks of AI are a threat to humanity. Musk calls AI a big existential threat and compares it to summoning a demon. Hawking felt Ai could evolve beyond human control. Gates expressed concern about job displacement that would have long-term negative consequences with ethical implications that would harm society. Hinton believed AI would outthink humans and pose unforeseen risks. Harari believed AI would manipulate human behavior and reshape global power structures and undermine governments.

All fears about AI have some basis for concern.

However, how good a job has society done throughout history without AI? AI is only a tool of human beings and will be misused by some leaders in the same way atom bombs, starvation, disease, climate, and other maladies have harmed the sentient world. AI is more of an opportunity than threat to society.

FUTURE A.I.

Human nature will not change but A.I. will not destroy humanity but insure its survival and improvement.

Books of Interest
 Website: chetyarbrough.blog

Human Compatible (Artificial Intelligence and the Problem of Control)

By: Stuart Russell

Narrated By: Raphael Corkhill

Stuart Johnathan Russell (British computer scientist, studied physics at Wadham College, Oxford, received first-class honors with a BA in 1982, moved to U.S. and received a PhD in computer science from Stanford.)

Stuart Russell has written an insightful book about A.I. as it currently exists with speculation about its future. Russell in one sense agrees with Marcus’s and Davis’s assessment of today’s A.I. He explains A.I. is presently not intelligent but argues it could be in the future. The only difference between the assessments in Marcus’s and Davis’s “Rebooting AI” and “Human Compatible” is that Russell believes there is a reasonable avenue for A.I. to have real and beneficial intelligence. Marcus and Davis are considerably more skeptical than Russell about A.I. ever having the equivalent of human intelligence.

Russell infers A.I. is at a point where gathered information changes human culture.

Russell argues A.I. information gathering is still too inefficient to give the world safe driverless cars but believes it will happen. There will be a point where fewer deaths on the highway will come from driverless cars than those that are under the control of their drivers. The point is that A.I. will reach a point of information accumulation that will reduce traffic deaths.

A.I. will reach a point of information accumulation that will reduce traffic deaths.

After listening to Russell’s observation, one conceives of something like a pair of glasses on the face of a person being used to gather information. That information could be automatically transferred by improvements in Wi-Fi to a computing device that would collate what a person sees to become a database for individual human thought and action. The glasses will become a window of recallable knowledge to its wearer. A.I. becomes a tool of the human mind which uses real world data to choose what a human brain comprehends from his/her experience in the world. This is not exactly what Russell envisions but the idea is born from a combination of what he argues is the potential of A.I. information accumulation. The human mind remains the seat of thought and action with the help of A.I., not the direction or control by A.I.

Russell’s ideas about A.I. address the concerns that Marcus and Davis have about intelligence remaining in the hands of human’s, not a machine that becomes sentient.

Russell agrees with Marcus, and Davis–that growth of A.I. does have risk. However, Russell goes beyond Marcus and Davis by suggesting the risk is manageable. Risk management is based on understanding human action is based on knowledge organized to achieve objectives. If one’s knowledge is more comprehensive, thought and action is better informed. Objectives can be more precisely and clearly formed. Of course, there remains the danger of bad actors with the advance of A.I., but that has always been the risk of one who has knowledge and power. The minds of a Mao, Hitler, Beria, Stalin, and other dictators and murderers of humankind will still be among us.

The competition and atrocities of humanity will not disappear with A.I. Sadly, A.I. will sharpen the dangers to humanity but with an equal resistance by others that are equally well informed. Humanity has managed to survive with less recallable knowledge so why would humanity be lost with more recallable knowledge? As has been noted many times in former book reviews, A.I. is, and always will be, a tool of human beings, not a controller.

The world will have driverless cars, robotically produced merchandise, and cultures based on A.I.’ service to others in the future.

Knowledge will increase the power and influence of world leaders to do both good and bad in the world. Human nature will not change but A.I. will not destroy humanity. Artificial Intelligence will insure human survival and improvement. History shows humanity has survived famine, pestilence, and war with most cultures better off than when human societies came into existence.

ABSOLUTION

History of the world has shown all forms of government are “equal opportunity” inhibitors, if not destroyers.

Books of Interest
 Website: chetyarbrough.blog

Secondhand Time (The Last of the Soviets)

By: Svetlana Alexievich

Narrated By: Amanda Carlin, Mark Bramhall, Cassandra Campbell & 8 more.

Svetlana Alexievich (Author, Belarusian investigative journalist, winner of the Nobel Prize in Literature in 2015.)

Svetlana Alexievich’s “Secondhand Time” is a remarkable and informative explanation of why Putin believes he is right and why many citizens of Russia seem to continue in their support of his administration.

Map of the former U.S.S.R.

Alexievich conducts a series of interviews with Russian citizens of different generations about the U.S.S.R. and its return to the world stage as a Russian nation. The narrators of her book recite those interviews to give listener/readers a complex and enlightening picture of Russian culture. The clash of communist and capitalist ideals is at the foundation of the interviews and the narrators dramatically told stories.

The Russian Soviet Army is the first to arrive in the Battle of Berlin on April 16, 1945. Their flag was hoisted on May 1, 1945.

The citizens of Russia are justifiably proud of their role in WWII that turned the tide of Germany’s war of aggression. (Of course, that is putting aside Stalin’s Machiavellian decision to join Hitler at the beginning of the war.) Some Russian soldiers who fought in that war were disgusted with what they feel was a betrayal by Mikhail Gorbachev of communist ideals for which they lived and died for in the 20th century.

The rejection of communist ideals for capitalism is viewed by some Russians as a tyranny of greed that lays waste to the poor and creates a class of haves and have-nots.

Some Russian veterans of WWII see the seduction of capitalism destroying the ideal of a classless society. Some citizens see the ideal of a government is to demand the wealth of life be spread equally according to individual need. To these believers, enforcement of communist ideals would eliminate private property and greed that would create a classless society. Some believed Stalin exemplified leadership that would achieve that ideal. The hardship of life during Stalin’s rule is considered by some as justified means for the achievement of the Marxist ideal of communism.

Statue of the “Circle of Life” in Norway.

Cultures may be different, but all human life is the same.

The underlying point of these interviews is to show Russian culture is not monolithic, just as culture is not in any nation. All cultures are filled with diversity. There is no singular cultural mind but a range of interests among many factions that establish a nation’s culture. The evidence of that is the contrast of Gorbachev and Putin in Russia and FDR and Trump in America. All four leaders led their countries but represent completely different cultural beliefs.

Conservatives, New York Governor Al Smith, Southern Democrats, and isolationists like Charles Beard opposed FDR in America. Putin and Trump have their cultural supporters in today’s national governments, but they also have their critics. The difference is that in Putin’s world, being killed or put in prison for opposition is culturally acceptable. In America, one is reminded of Trump’s deportation and imprisonment of migrants without due process.

The author’s interviews are not suggesting that either Russia or the West have good or bad governments but that every culture tests their leaders.

Many Russians, undoubtedly blame American Democracy for the dismantling of the U.S.S.R. Alexievich interviews Russians who believe the hardship that countries within the U.S.S.R. experienced were not the fault of Stalinist policies but the failure of citizens to live up to the ideals of communism. To anyone who has traveled to the Baltics, that opinion is founded on ignorance of the hostility expressed by citizens of the Baltics who were starved, displaced, jailed, and murdered during their occupation by Russia.

The other part of the story is the rise of the oligarchs in Russia as a result of the greed associated with capitalism.

The gap between rich and poor is accelerated in Russia just as it has been in America. Democracy does not have clean hands when it comes to equality of opportunity. Like the Jewish pogroms in Russia, America’s enslavement, murder, and discrimination of Blacks is proven history.

Siberian Exile during Stalin’s reign in Russia.

Alexievich draws from all sides of Russian beliefs. Those interviewed note the terrible conditions of those exiled to Siberia. Many Russians became disillusioned by the redistribution of wealth and privilege after Gorbachev and Yeltsin showed themselves to not be up to the task of leadership change. In fairness, one wonders who could have been up to the task when Russia had a long history of monarchal and tyrannical leadership?

A few Russians became immensely wealthy while the majority were somewhat better off but some struggled with the loss of State benefits and fewer jobs. The rising gap between rich and poor soured communist idealists. Even those who had been sent to Siberia by Stalin who toiled and suffered the experience of isolation, slave labor, and frigid weather felt they were no better off because of the loss of a socialist future.

The frightening truth of Alexievich’s book about the culture of Russia is that Putin may be absolved for his atrocities just as leaders of America have been absolved for their mistakes. History of the world has shown all forms of government are “equal opportunity” inhibitors, if not destroyers.

CHOICE

A listener/reader comes away from Pollan’s book with a feeling that there is as much at risk as reward in experimenting with hallucinogens without the aid of professionals. A bad trip can kill you.

Books of Interest
 Website: chetyarbrough.blog

How to Change Your Mind (What the New Science of Psychedelics Teaches Us About Consciousness, Dying, Addiction, Depression, and Transcendence)

By: Michael Pollan

Narrated By: Michael Pollan

Michael Pollan (Author, journalist, professor and lecturer at Harvard and UC Berkeley, received a B.A. in English from Bennington College and M.A. in English from Columbia University.)

“How to Change Your Mind” is a slippery slope examination of hallucinatory drugs. The slipperiness comes from a concern about drug use even though hallucinatory drugs are not addictive. Written by a liberal art’s graduate rather than a physician, psychiatrist, or scientist makes one skeptical of the author’s review and perspective on LSD and other hallucinatory drugs. However, his story is interesting and has an appeal to anyone who has experimented with hallucinogens.

RISKS AND EFFECTS OF HALLUCINOGENS

Pollan’s subject is partly about mushroom drug derivatives, like psilocybin and psilocin, that have hallucinogenic effects. But he also reviews the history of LSD which is a semi-synthetic compound accidentally discovered by a chemist named Albert Hofmann in 1938. LSD is derived from ergot, a type of fungus that grows on rye and other grains.

Albert Hofmann (1906-2008, chemist who synthesized, ingested and studied the effects of LSD.)

Pollan recalls the history of hallucinogenic drugs that evolved from ancient native rituals to public experimentation. Today, medical analysis and treatment with hallucinogenic drugs is being recommended. The revised belief of hallucinogens as a scourge of society is reborn to a level of medical and social acceptance.

One who has lived a long life in the 20th and now 21st century recalls Pollan’s rollercoaster history. Pollan falls on the side of acceptance of the hallucinogenic experience as an aid to society. His reported revisionist belief begins at the age of 60 when he tries a hallucinogenic drug and begins a study of its history. One is somewhat skeptical of Pollan’s objectivity because he is in the business of making a living from writing.

Pollan features several experts in the field of psychedelic research. He refers to Roland Griffiths (upper left corner) now deceased, neuroscientist at Johns Hopkins University who conducted studies on psilocybin’s effect on consciousness and mental health. He meets with Paul Stamets (lower left corner), a mycologist who is a fungi guru who explains where psilocybin mushrooms can be found, how they can be identified, while selling hallucinatory mushrooms to become a wealthy entrepreneur. He writes about James Fadiman (right), a psychologist and researcher who conducted hallucinogenic microdosing experiments on patients to show their potential benefits.

Pollan’s history persuasively argues the benefits of hallucinogenic drugs. However, a bad trip can kill you. On the other hand, Pollan notes recent research shows hallucinogenic drugs have alleviated anxiety, depression, PTSD, addiction, and the fear of dying. He notes psychedelics disrupt the brain’s default modes that negatively affect human behavior.

A listener/reader comes away from Pollan’s book with a feeling that there is as much at risk as reward in experimenting with hallucinogens without the aid of professionals.

HUMAN HOPE

Migration is the movement of people to new areas of the world for work, better living conditions, and safety. In that process the world economy is strengthened. .

Books of Interest
 Website: chetyarbrough.blog

The Shortest History of Migration

By: Ian Goldin

Narrated By: Julian Elfer

Ian Andrew Goldin (South African born professor at the University of Oxford, specializes in globalization and development.)

Professor Goldin has written a history of migration that reminds one of the well-known phrases attributed to Socrates: “I know that I know nothing”. Goldin is born in South Africa to a Lithuanian father who fled his home country to escape political and social upheaval in Europe during the early 20th century. In retrospect, that migration saved the future of the Goldin’s from Stalinist suppression after WWII. It is ironic that Ian Goldin is raised in South Africa where white suppression of native South Africans was common. “The Shortest History of Migration” is no apologia, but it is a forthright history of the ubiquity of world migration.

Migration is an essential characteristic of civilization believed to have begun in Africa.

The obvious irony of human origin is the darker skin tone of our first ancestors who had higher levels of skin melanin to protect them from the harsh effects of the sun. Humanity began as a species of a black ancestor, an estimated 6 to 7 million years ago.

Neanderthal precursor of human beings.

Goldin implies humans moved from Africa to explore the world. They may have left to escape the harshness of their existence or because of the nature of species’ curiosity. Their change in environment led to changes in their physiognomy (facial features and expressions) caused by the evolutionary nature of life and the exigencies of environment. The point is that migration has been a part of history since the beginning of life on earth.

What may be forgotten by some is that migration was largely unregulated until WWI according to Goldin.

That seems largely true except the United States passed the Naturalization Act of 1790 that established rules for citizenship and an Immigration Act of 1891 that created the U.S. Bureau of Immigration; both of which implied regulation. Nevertheless, the fundamental point is that migration has been a part of society from the beginning of human life.

WWI generated many new laws and policies about migration.

Wartime measures required passports and border crossing cards to manage migration. National security increased scrutiny of immigrants. Broader societal and political concerns about migration spread across the world. Migration became more complicated.

Goldin argues the benefit of migration is misunderstood and misrepresented by leaders like Donald Trump.

Goldin suggests the economic impact of Trump’s anti-migrant beliefs and policies will undermine both the world and American economies. In 2023, an estimated 18% of the economic output of the American economy came from migration. The two industries most impacted are agriculture and construction but many immigrants work in caregiving and medical professions, all of which will be impacted by labor shortages. Goldin notes that migrants working in other countries send money back to their home countries that amount to more revenue than is provided by tourism and foreign aid. Many, if not most, economists would argue migration is a cornerstone of economic growth and stability. Trump’s false statements about migrant criminality are overblown and unsupported by economic statistics that show migrants contributed an estimated $25.7 billion in 2022 to the Social Security system in taxes that benefit aged American citizens (like myself).

Trump policies will not return American to the manufacturing prosperity of the twentieth century but to a possible depression like that of the 1930s or, at the very least, a recession like that of 2007-2009.

Migration is the movement of people to new areas of the world for work, better living conditions, and safety. In that process the world economy is strengthened.

WAR

The only hope for Ukraine is a change in Russia’s leadership as a result of Putin’s foolish effort to return Russia to its past. It is the same effort and mistake Trump is making in trying to return America to the 20th century.

Books of Interest
 Website: chetyarbrough.blog

The Evil Hours: A Biography of Post-Traumatic Stress Disorder

By: David J. Morris

Narrated By: Mike Chamberlain

David J. Morris (Author, former Marine, reporter in Iraq, received Navy-Marine Corps Commendation Medal, M.A. from San Diego State University and the University of California, Irvine.)

In listening to “The Evil Hours”, the refrain “War, what is it good for, ABSOLUTLY NOTHING” from Edwin Starr’s song comes to mind. Ukraine’s and America’s current political position in ending the war are irreconcilable. Anyone who has read this blog knows I am not a fan of President Trump but his position on the war is sadly correct. It is sad because it is only Ukranian people who will suffer, not we who are isolated from the European continent.

Having recently visited the Baltics, and hearing of their experience under Stalin from a family we had dinner with makes one understand how horrible Trump’s decision will be for Ukraine’s citizens.

Trump’s decision is a Hobson’s choice because there seems no alternative. The potential for nuclear war is a threat from Putin who has an ego like Trump’s that cannot be assuaged. Putin appears not to be deterred by his followers or the Russian citizens.

What is left is the domination of a portion of Ukraine that will be forced to live under a dictatorship.

Hearing from Baltic citizens of how horrible their lives were under Stalin; one’s heart goes out to Ukrainian citizens who will have to live under Putin. Putin and Russia will pay a high price for their occupation because of citizen opposition that will take many forms. Though there is no comfort to the Ukranian people, Russia’s occupation will eventually end. The cost of Russia’s invasion of Ukraine has been high. It will be a reminder of the folly of unjust invasion and dictatorial control of an independent people.

America’s foolish Vietnam’ belief in a domino theory of Vietnam was wrong, just as the belief that Russia’s success in Ukraine will lead to further Russian expansion.

The relevance of “The Evil Hours” is the stress Ukrainians will face with Russian occupation. One hopes Russian occupation will not take as long as it did for the Baltic countries to regain independence.

PTSD is shown as the horrible consequence of internecine conflict that will continue after Russia’s occupation.

The only hope for Ukraine is a change in Russia’s leadership as a result of Putin’s foolish effort to return Russia to its past. It is the same effort and mistake Trump is making in trying to return America to the 20th century.

SOCIAL CROSSROAD

There is enough abundance in the world to create opportunity for all, but Ernaux’s history implies people must change their ways.

Books of Interest
 Website: chetyarbrough.blog

The Years

By: Annie Ernaux

Narrated by: Anna Bentinck

Annie Ernaux (Author, French writer, 2022 Nobel Prize winner, born in 1940.)

Annie Ernaux offers a perspective on history from the experience of her life as a French woman in the mid 20th to 21st century. Though born before the beginning of World War II, Ernaux matures as a young woman in the 1950s. A striking difference between the history of this time is the difference between Algeria’s drive for independence and American’s mistakes in Vietnam. French Algeria is less understood in American memories than its troubled history in Vietnam. Aside from misunderstanding France’s Algerian experience, the social changes Ernaux’s notes are similar to many Americans’ experiences in Vietnam.

Eisenhower’s, Kennedy’s, and Johnson’s leadership in the Vietnam war seem, in some respects, similar to Ernaux’s memory of Charles de Gaulle’s leadership in Algeria.

Eisenhower and Kennedy were veterans of war who became leaders of their countries. Though Eisenhower and Kennedy believed Vietnam was a threat as a communist Domino, de Gaulle believed Algeria was a threat to France’s right to colonize. These famous nationalist leaders were wrong. Southeast Asian countries had a right to choose their own form of government, and Algeria had a right to choose self-government.

Though Annie Ernaux was born just before 1946, she matured during great changes in the world.

Her experience of post-war reconstruction, the rise of consumerism, women’s rights, sexual liberation, social class differentiation, and societal norms changed in America, France, and most nations of the world.

George Marshall was Secretary of State from 1947 to 49 and headed the Marshall Plan to reconstruct Europe after the war.

America played a great part in the financial reconstruction of Europe, Japan, and Germany after the end of WWII. America’s goal was to prevent future conflicts, promote economic recovery, and counter the influence of communism, but in that process, America influenced social norms throughout the world. Some of the influences created clear lines of opposition between communism, socialism, and capitalism. However, all economic systems influenced societal change. Whether communist, socialist, or capitalist there were changes in normative social values. Societies increased consumerism, instituted policies for equal rights to some degree, and made class distinctions based on money, or its equivalent, i.e., power. In capitalist and socialist societies, social position became more about money and the power of its influence. In communist societies, it was more about power and the influence of money. Political differences remained sharply divided in ways that influenced social norms, but the general direction was similar. Communism, socialism, capitalism, and all its derivations focused on consumerism, women’s rights, and class differences that changed the world during Annie Ernaux’s “…Years” of life.

Feckless leaders, deluded authoritarians, and a few truly service-oriented leaders rose in every system of government, including American, English, Japanese, Chinese, French, Russian, and other nations. The main differences lay in leader’s longevity, and their economic policies. Leaders of China and Russia having fewer leadership changes between 1946 and 2006 than most nations were largely authoritarian. There were 6 leadership changes in China and 9 in the Soviet Union. Only 1 of 6 in China and only 1 of 9 in the Soviet Union leaned toward capitalism.

From 1946 to 2006, there were 11 presidents in America, 13 prime ministers in England, 32 prime ministers in Japan, and 6 presidents in France. All of these democratic nations exclusively leaned toward capitalism.

However, Ernaux’s history infers every nation shows social norms changing in similar ways. Even China and Russia show changes in consumerism, women’s rights, sexual liberation, and class differentiation. Unquestionably, the societal changes did not change to the same degree, but they were similar. Maladies of society are common in all forms of government, only the degree of change in societal norms is different. All nations have more or less consumer opportunities, more or less human equality, all have class distinctions, but normative change is a work in progress, not an end but a beginning process.

Annie Ernaux in earlier years of her life.

Ernaux’s trip down memory lane is interesting but not particularly revelatory. Her remembrance of the past is helpful because she shows how social change evolved in both good and bad ways in her own life. Consumerism seems on the edge of being out of control with money and wealth being the “sine qua non” of the good life. Without money, life seemed not worth living to some. Ernaux suggests America has become an arrogant example of wealth and privilege that diminishes civility. Ernaux is not suggesting she is above the fray of wealth as privilege and reveals her own character flaws by noting affairs with younger men in what seems a wasted attempt to reclaim youth. She implies a prejudice against Arabs and Africans who she believes wrongly consider themselves as French. She infers they are not French because they are not white Christians, even if they are born in France.

One comes away from “The Years” with a feeling that societies of the world are at a crossroad.

Wealth should not be the measure of one’s social value and privilege. Inequality is a sin against humanity. Prejudice is the cause of much of the world’s conflict. Immigration is a misunderstood value of societal comity. Tolerance of all religious beliefs has been an unresolvable puzzle but a desirable societal goal. There is enough abundance in the world to create opportunity for all, but Ernaux’s history implies people must change their ways.

PAST & PRESENT

Only with education and understanding of the past can society or the individual change their future.

Books of Interest
 Website: chetyarbrough.blog

Cowboy Apocalypse (Religion and the Myth of the Vigilante Messiah)

By: Rachel Wagner

Narrated by: Dina Pearlman

Rachel Wagner (Author, professor of religion and philosophy at Ithaca College in Ithaca New York.)

Rachel Wagner has written a highly personal book about American gun culture that will resonate with some and appall others. As an academic philosopher and professor of religion, Wagner analyzes gun violence and sexism and how belief in “might makes right” is deeply ingrained in American character.

There are so many stories of death and injury from gun violence in America that one becomes numbed by Wagner’s apocalyptic story.

We were living in Las Vegas when 59 people were killed, and 527 were injured by one gunman in a hotel room less than 3 miles from our home. When one looks at statistics of children murdered in school rooms since 2010, a solution for gun violence should be urgent, but it appears not.

Rise in school shootings between 2010 and 2o19.

Wagner argues gun violence in the U.S. is viewed by much of the public as a belief in the myth of the “good guy with a gun” that is embedded in the history of America and reinforced by fictional stories, books, television, and the movies. She argues detective fiction like “The Big Sleep”, TV series like “Have Gun Will Travel”, and movies like “Die Hard” have lone heroes who defeat dastardly villains.

Think Alan Ladd in “Shane” or John Wayne in any of his westerns, and one believes gun-toting man-gods keep the world safe.

Wagner shows how malleable society is and why the gun lobby is rewarded and sustained by the myth of the “good guy with a gun”. Wagner argues gun-toting Americans have become gods in their own mind. What they really are is examples to potential killers of school children and unsuspecting tourists.

Wagner believes American gun obsession has wheedled its way into a religious narrative based on Christian apocalypticism and romanticization of American history. She notes the myths of armed vigilantes who are seen as saviors who can reset society when it goes astray. This myth seeps into American cultural shibboleths of white supremacy and patriarchal dominance that pervade video games, movies, and novels.

Wagner argues sexual and racial inequality are exacerbated by America’s gun culture. Wagner notes an experience in her personal life and her education in religion show how “might makes right” has been, and still is, a danger to society.

Wagner argues America needs to look in the mirror and quit glorifying firearms and vigilante justice. She suggests the January 6th attack on the capitol shows how widespread belief in vigilante justice is in America.

January 6, 2021, insurrection when a mob of supporters of then-President Trump stormed the U.S. Capitol.

The philosophical and religious beliefs of the author are made clear in her final chapters. Only with education and understanding of the past can society or the individual change their future.

MODERATION

Unless homelessness is addressed with affordable housing, America’s future looks bleak. A land of have and have-nots will grow to crush American prosperity.

Books of Interest
 Website: chetyarbrough.blog

Abundance 

By: Ezra Klein, Derek Thompson

Narrated by: The Authors

These two young Americans offer an insightful view of politics and American government in the 21st century.

Klein or Thompson could have voted for either Trump or Harris in America’s last election. Their book argues American government is both a boon and bane for citizen “Abundance” in the 21st century. They note America has contradictory economic policies that have created great abundance among Americans while exacerbating inequality. Evidence for their opinion is growing homelessness, an immigration crisis, loss of manufacturing jobs, and government’s failure to creatively adjust public policies to provide solutions.

Those who have shared in the abundance of America have voted for candidates to preserve their privileges.

The authors note homelessness is a function of affordable housing that is denied by government policies that regulate zoning and construction requirements. Government policies make affordable housing too costly to build and impossible to locate because of zoning restrictions. The number of people living on the street is a self-inflicted American tragedy. Some of the homeless are young, some are old, some have mental or physical problems, and others are victims of drugs or their own weaknesses. What they have in common is unaffordable housing.

Historically, immigration has been a great boon to American economic growth.

Klien and Thompson note restrictive immigration policies have created obstacles for workers needed for manufacturing in key industries like agriculture, auto industry assembly, housing construction, and clean energy infrastructure. Rather than wasting money on building walls and deporting workers, the authors advocate immigration reform that meets the needs of American business. One can imply the authors meaning is that to “Make America Great Again” requires immigrants willing to work in agricultural and manufacturing jobs. The end of the baby boom requires help from immigrants to meet the needs of increased manufacturing and construction in the United States.

Some believe what Trump is doing is good for the American economy in the long run.

The criticism is that in the short run, the economy may collapse. Tariffs being used as a ham-fisted way of negotiating fair international trade is a fool’s errand. America needs labor and material in the short run to achieve equal and greater prosperity than it had in the 1970s. Added manufacturing will aid American prosperity, but it will be surpassed in the long run by automation. It is the automation race America needs to win or compete with to remain a world leader. Competing in that race depends on education, and scientific research. The irony is that Trump is firing government employees who have responsibility for public education, research, and funding that have been the engines of America’s prosperity.

The government employees discharged by the Trump administration to solely reduce costs is short sighted.

In the 1980s, 60% of basic research in the U.S. was funded by the government. In 2022 that funding dropped to 40%. Advances in semiconductors, global positions systems, biotechnology, and aeronautics were government-funded discoveries in the 1980s. American government-funded scientific research gave America the internet, GPS technology, mass production of penicillin, Space exploration, human genome project discoveries, and renewable energy innovations. The Department of Health and Human Services has lost 20,000 employees, the Department of Education 1,300, the National Oceanic and Atmospheric Administration 800, and the National Institutes of Health 1,200. One wonders how many of these employees may have been on the edge of scientific discoveries that could change the world.

The truth of “Abundance” is that America has caused many negative ecological impacts and aggravated the gap between rich and poor.

Klein and Thompson have written a provocative book. However, the truth of “Abundance” in America has caused many negative ecological impacts and aggravated the gap between rich and poor. Looking only to abundance does not address either social inequality or the environment. The NIMBY (not in my back yard) resistance to affordable housing aggravates inequality and increases homelessness. Unquestionably, higher density housing impacts the environment.

Klein and Thompson fail to address the increased power of corporations in America.

The 2010 Citizens United v. Federal Election Commission gave corporations the power to spend unlimited amounts of money on political campaigns. The influence of corporations on elections has disproportionate power in the election of government policy makers. That decision by the Court is a distortion of one person, one voter’s influence on public policy.

Aristotle emphasized the importance of “All things in moderation”. NIMBY communities must open their minds and hearts to homelessness and moderate their resistance to neighborhood accommodation. Government agencies must supervise and service higher density housing impacts wherever they are built and after they are completed.

Unless homelessness is addressed with affordable housing, America’s future looks bleak. A land of have and have-nots will grow to crush American prosperity.