Month: August 2024

The Absence of a Randomized Double-Blind Clinical Trial Is Used as an Excuse to Ignore an Emergency Procedure That Saves Lives

In an urgent emergency the son and wife of a man with a stopped heart, improvised the use of a toilet plunger to get his heart to start pumping again. In his wonderful account of the sources of insight, Gary Klein told a different example of urgent emergency improvisation: “Wag” Dodge saved himself from a massive wildfire racing toward him by lighting a match to the grass at his feet to pre-burn a patch he could lie down in. When the wildfire reached him, it passed on both sides, avoiding the patch that now had no fuel. Neither the son-and-mother, nor Wag Dodge, got their insight from collaboration or a randomized double-blind controlled trial.

(p. D5) In 1988, a 65-year-old man’s heart stopped at home. His wife and son didn’t know CPR, so in desperation they grabbed a toilet plunger to get his heart going until an ambulance showed up.

Later, after the man recovered at San Francisco General Hospital, his son gave the doctors there some advice: Put toilet plungers next to all of the beds in the coronary unit.

The hospital didn’t do that, but the idea got the doctors thinking about better ways to do CPR, or cardiopulmonary resuscitation, the conventional method for chest compressions after cardiac arrest. More than three decades later, at a meeting of emergency medical services directors this week in Hollywood, Fla., researchers presented data showing that using a plunger-like setup leads to remarkably better outcomes for reviving patients.

. . .

The new procedure, known as neuroprotective CPR, has three components. First, a silicone plunger forces the chest up and down, not only pushing blood out to the body, but drawing it back in to refill the heart. A plastic valve fits over a face mask or breathing tube to control pressure in the lungs.

The third piece is a body-positioning device sold by AdvancedCPR Solutions, a firm in Edina, Minn., that was founded by Dr. Lurie. A hinged support slowly elevates a supine patient into a partial sitting position. This allows oxygen-starved blood in the brain to drain more effectively and to be replenished more quickly with oxygenated blood.

. . .

. . ., a study carried out in four states found . . . [p]atients who received neuroprotective CPR within 11 minutes of a 911 call were about three times as likely to survive with good brain function as those who received conventional CPR.

. . .

Dr. Karen Hirsch, a neurologist at Stanford University and a member of the CPR standards committee for the American Heart Association, said that the new approach was interesting and made physiological sense, but that the committee needed to see more research on patients before it could formally recommend it as a treatment option.

“We’re limited to the available data,” she said, adding that the committee would like to see a clinical trial in which people undergoing cardiac arrests are randomly assigned to conventional CPR or neuroprotective CPR. No such trials are happening in the United States.

Dr. Joe Holley, the medical director for the emergency medical service that serves Memphis and several surrounding communities, isn’t waiting for a larger trial. Two of his teams, he said, were getting neurologically intact survival rates of about 7 percent with conventional CPR. With neuroprotective CPR, the rates rose to around 23 percent.

His crews are coming back from emergency calls much happier these days, too, and patients are even showing up at fire stations to thank them for their help.

“That was a rare occurrence,” Dr. Holley said. “Now it’s almost a regular thing.”

For the full story see:

Joanne Silberner. “How a Plunger Improved CPR.” The New York Times (Tuesday, June 27, 2023 [sic]): D5.

(Note: ellipses added.)

(Note: the online version of the story has the date June 15, 2023 [sic], and has the title “How a Toilet Plunger Improved CPR.”)

The Gary Klein book that I praised above is:

Klein, Gary. Seeing What Others Don’t: The Remarkable Ways We Gain Insights. Philadelphia, PA: PublicAffairs, 2013.

The “study carried out in four states,” and mentioned above, is:

Moore, Johanna C., Paul E. Pepe, Kenneth A. Scheppke, Charles Lick, Sue Duval, Joseph Holley, Bayert Salverda, Michael Jacobs, Paul Nystrom, Ryan Quinn, Paul J. Adams, Mack Hutchison, Charles Mason, Eduardo Martinez, Steven Mason, Armando Clift, Peter M. Antevy, Charles Coyle, Eric Grizzard, Sebastian Garay, Remle P. Crowe, Keith G. Lurie, Guillaume P. Debaty, and José Labarère. “Head and Thorax Elevation During Cardiopulmonary Resuscitation Using Circulatory Adjuncts Is Associated with Improved Survival.” Resuscitation 179 (2022): 9-17.

Some Variants of One Mitochondrial Gene Double Your Odds of Living to 100

(p. D3) . . . what made the great blooming of biodiversity possible? Dr. Lane, building on ideas developed with the evolutionary biologist William Martin, traces its origins to a freak accident billions of years ago, when one microbe took up residence inside another. This event was not a branching of the evolutionary tree but a fusion with, he argues, profound consequences.

The new tenant provided energy for its host, paying chemical rent in exchange for safe dwelling. With this additional income, the host cell could afford investments in more complex biological amenities. The pairing thrived, replicated and evolved.

Today we call these inner microbes mitochondria; nearly every cell in our body has thousands of these energy factories. Dr. Lane and Dr. Martin have argued that because of mitochondria, complex cells have nearly 200,000 times as much energy per gene, setting the stage for larger genomes and unfettered evolution.

. . .

With age, mitochondrial mutations accumulate. Elsewhere, Dr. Lane has pointed to research showing that variants in a single mitochondrial gene halved the prospect of being hospitalized for age-related disease in patients who have them, and doubled the prospect of living to 100. This finding, Dr. Lane believes, could lead to medical advances if we understood how to protect mitochondrial DNA.

“How can we hope to understand disease,” he asks, “if we have no idea why cells work the way they do?”

. . .

Whether research will bear him out remains to be seen, but Dr. Lane’s many predictions, however incredible they seem, are testable and could keep scientists busy for years. As Sherlock Holmes remarked, “When you have eliminated the impossible, then whatever remains, however improbable, must be the truth.”

For the full review see:

Tim Requarth. “Rethinking the Textbook on Life.” The New York Times (Tuesday, July 21, 2015 [sic]): D3.

(Note: ellipses added.)

(Note: the online version of the review was updated July 20, 2015 [sic], and has the title “Book Review: Taking on ‘The Vital Question’ About Life.”)

The book under review is:

Lane, Nick. The Vital Question: Energy, Evolution, and the Origins of Complex Life. New York: W. W. Norton & Company, 2015.

“People Will Die” from Blackouts Caused by Walz’s Net-Zero Climate Policies

(p. A13) Minnesota Gov. Tim Walz last year signed one of America’s most aggressive climate laws, mandating that 100% of the state’s electricity come from carbon-free sources by 2040. Even if he doesn’t ascend to national office, he may end up leaving not only Minnesota but other states in the dark. As we show in a new paper, politicians like Mr. Walz are destroying the electricity markets that are essential to economic success and even individual survival.

We analyzed seven Great Lakes states with connected electricity grids—Illinois, Indiana, Minnesota, Michigan, Ohio, Pennsylvania and Wisconsin. For decades, these states have bought and sold electricity in regional markets, benefiting from the abundance of reliable power generated from sources like coal, natural gas and nuclear. But through a combination of state mandates and utility company decisions, all of them are moving away from those reliable sources toward unreliable wind and solar power, in pursuit of net-zero greenhouse gas emissions.

. . .

When subzero temperatures sweep across the Great Lakes every January, states will increasingly ask each other for power that doesn’t exist. Ditto when heat waves crest in July and August. Factories will lose power—a death knell for competitiveness—while families will lose air conditioning or heat. In Michigan, we estimate that a wind-, solar- and battery-based grid will cause blackouts lasting as long as three days during extreme winter weather. People will die.

For the full commentary see:

Joshua Antonini and Jason Hayes. “Cross Country; Walz’s Climate Policies Could Leave the Midwest in the Dark.” The Wall Street Journal (Saturday, Aug. 10, 2024): A13.

(Note: ellipsis added.)

(Note: the online version of the commentary has the date August 9, 2024, and has the same title as the print version.)

The “new paper” by Antonini and Hayes mentioned above is:

Antonini, Joshua, and Jason Hayes. “Shorting the Great Lakes Grid: How Net Zero Plans Risk Energy Reliability.” The Mackinac Center for Public Policy, 2024.

Orangutan Effectively Self-Medicates to Heal Facial Wound

The Food and Drug Administration (FDA) is currently investigating whether Rakus the orangutan conducted a randomized double-blind clinical trial to prove the safety and efficacy of akar kuning before he applied it to his wound.

(p. D3) Scientists observed a wild male orangutan repeatedly rubbing chewed-up leaves of a medicinal plant on a facial wound in a forest reserve in Indonesia.

. . .

“Once I heard about it, I got extremely excited,” said Isabelle Laumer, a primatologist with the Max Planck Institute of Animal Behavior in Germany, in part because records of animals medicating themselves are rare — even more so when it comes to treating injuries. She and colleagues detailed the discovery in a study published Thursday [May 2, 2024] in the journal Scientific Reports.

The plant Rakus used, known as akar kuning or yellow root, is also used by people throughout Southeast Asia to treat malaria, diabetes and other conditions. Research shows it has anti-inflammatory and antibacterial properties.

. . .

Orangutans rarely eat the plant. But in this case, Rakus ingested a small amount and also coated the wound several times. Five days after the wound was noticed, it had closed, and less than a month later “healed without any signs of infection,” Dr. Laumer said.

Michael Huffman, a visiting professor at the Institute of Tropical Medicine at Nagasaki University in Japan, who wasn’t involved in the study, said, “This is to the best of my knowledge the first published study to demonstrate an animal using a plant with known biomedical properties for the treatment of a wound.”

Primates have been observed appearing to treat wounds in the past, but not with plants. A group of more than two dozen chimpanzees in Gabon in Central Africa have been seen chewing up and applying flying insects to their wounds, said Simone Pika, an expert on animal cognition at Osnabrück University in Germany who documented that observation.

For the full story see:

Douglas Main. “Primate Self-Medicates To Heal His Wound.” The New York Times (Tuesday, May 7, 2024): D3.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the story has the date May 2, 2024, and has the title “Orangutan, Heal Thyself.”)

Laumer’s co-authored academic paper mentioned above is:

Laumer, Isabelle B., Arif Rahman, Tri Rahmaeti, Ulil Azhari, Hermansyah, Sri Suci Utami Atmoko, and Caroline Schuppli. “Active Self-Treatment of a Facial Wound with a Biologically Active Plant by a Male Sumatran Orangutan.” Scientific Reports 14, no. 1 (2024): article #8932.

Seeds of Plant Mostly Used for Pain Relief in Roman Era, Found Stashed in Buried Bone in “Far-Flung” Province

A couple of thousand years ago some humans had figured out how to use a medicinal plant for effective pain relief. And they did so without having conducted randomized double-blind clinical trials. And no agency of the government blocked them from easing their pain.

(p. D2) . . ., Mr. van Haasteren was cleaning the mud from yet another bone when something unexpected happened: Hundreds of black specks the size of poppy seeds came pouring out from one end.

The specks turned out to be seeds of black henbane, a potently poisonous member of the nightshade family that can be medicinal or hallucinogenic depending on the dosage.  . . .

This “very special” discovery provides the first definitive evidence that Indigenous people living in such a far-flung Roman province had knowledge of black henbane’s powerful properties, said Maaike Groot, an archaeozoologist at the Free University of Berlin and a co-author of a paper published in the journal Antiquity last month describing the finding.

The plant was mostly used during Roman times as an ointment for pain relief, although some sources also reference smoking its seeds or adding its leaves to wine.

For the full story see:

Rachel Nuwer. “Psychedelic Stash: Ancient Seeds Courtesy of a Doctor, or a Doctor Feel Good.” The New York Times (Tuesday, April 9, 2024): D2.

(Note: ellipses added.)

(Note: the online version of the story has the date March 21, 2024, and has the title “Long Before Amsterdam’s Coffee Shops, There Were Hallucinogenic Seeds.”)

The academic paper co-authored by Groot and mentioned above is:

Groot, Maaike, Martijn van Haasteren, and Laura I. Kooistra. “Evidence of the Intentional Use of Black Henbane (Hyoscyamus niger) in the Roman Netherlands.” Antiquity 98, no. 398 (2024): 470-85.

During Black Death Only 7 of 21 Regions of Europe Had Catastrophic Decline in Agricultural Activity

(p. D4) In the mid-1300s, a species of bacteria spread by fleas and rats swept across Asia and Europe, causing deadly cases of bubonic plague. The “Black Death” is one of the most notorious pandemics in historical memory, with many experts estimating that it killed roughly 50 million Europeans, the majority of people across the continent.

“The data is sufficiently widespread and numerous to make it likely that the Black Death swept away around 60 percent of Europe’s population,” Ole Benedictow, a Norwegian historian and one of the leading experts on the plague, wrote in 2005. When Dr. Benedictow published “The Complete History of the Black Death” in 2021, he raised that estimate to 65 percent.

But those figures, based on historical documents from the time, greatly overestimate the true toll of the plague, according to a study published on Thursday [Feb. 10, 2022]. By analyzing ancient deposits of pollen as markers of agricultural activity, researchers from Germany found that the Black Death caused a patchwork of destruction. Some regions of Europe did indeed suffer devastating losses, but other regions held stable, and some even boomed.

. . .

Losing half the population would have turned many farms fallow. Without enough herders to tend livestock, pastures would have become overgrown. Shrubs and trees would have taken over, eventually replaced by mature forests.

If the Black Death did indeed cause such a shift, Dr. Izdebski and his colleagues reasoned, they should be able to see it in the species of pollen that survived from the Middle Ages. Every year, plants release vast amounts of pollen into the air, and some of it ends up on the bottom of lakes and wetlands. Buried in the mud, the grains can survive sometimes for centuries.

To see what pollen had to say about the Black Death, Dr. Izdebski and his colleagues picked out 261 sites across Europe — from Ireland and Spain in the west to Greece and Lithuania in the east — that held grains preserved from around 1250 to 1450.

In some regions, such as Greece and central Italy, the pollen told a story of devastation. Pollen from crops like wheat dwindled. Dandelions and other flowers in pastureland faded. Fast-growing trees like birch appeared, followed by slow-growing ones like oaks.

But that was hardly the rule across Europe. In fact, just seven out of 21 regions the researchers studied underwent a catastrophic shift. In other places, the pollen registered little change at all.

. . .

Monica Green, an independent historian based in Phoenix, speculated that the Black Death might have been caused by two strains of the bacteria Yersinia pestis, which could have caused different levels of devastation. Yersinia DNA collected from medieval skeletons hints at this possibility, she said.

In their study, Dr. Izdebski and his colleagues did not examine that possibility, but they did consider a number of other factors, including the climate and density of populations in different parts of Europe. But none accounted for the pattern they found.

“There is no simple explanation behind that, or even a combination of simple explanations,” Dr. Izdebski said.

. . .

“What we show is that there are a number of factors, and it’s not easy to predict from the beginning which factors will matter,” he said, referring to how viruses can spread. “You cannot assume one mechanism to work everywhere the same way.”

For the full essay see:

Carl Zimmer. “Questioning the Toll Of a 1300s Pandemic.” The New York Times (Tuesday, February 15, 2022 [sic]): D4.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the essay was updated Feb. 15, 2022 [sic], and has the title “Did the ‘Black Death’ Really Kill Half of Europe? New Research Says No.”)

The book cited above as over-estimating the death toll of the Black Death is:

Benedictow, Ole J. The Complete History of the Black Death. Martlesham, UK: Boydell Press, 2021.

The academic article co-authored by Izdebski and mentioned above is:

Izdebski, A., P. Guzowski, R. Poniat, L. Masci, J. Palli, C. Vignola, M. Bauch, C. Cocozza, R. Fernandes, F. C. Ljungqvist, T. Newfield, A. Seim, D. Abel-Schaad, F. Alba-Sánchez, L. Björkman, A. Brauer, A. Brown, S. Czerwiński, A. Ejarque, M. Fiłoc, A. Florenzano, E. D. Fredh, R. Fyfe, N. Jasiunas, P. Kołaczek, K. Kouli, R. Kozáková, M. Kupryjanowicz, P. Lagerås, M. Lamentowicz, M. Lindbladh, J. A. López-Sáez, R. Luelmo-Lautenschlaeger, K. Marcisz, F. Mazier, S. Mensing, A. M. Mercuri, K. Milecka, Y. Miras, A. M. Noryśkiewicz, E. Novenko, M. Obremska, S. Panajiotidis, M. L. Papadopoulou, A. Pędziszewska, S. Pérez-Díaz, G. Piovesan, A. Pluskowski, P. Pokorny, A. Poska, T. Reitalu, M. Rösch, L. Sadori, C. Sá Ferreira, D. Sebag, M. Słowiński, M. Stančikaitė, N. Stivrins, I. Tunno, S. Veski, A. Wacnik, and A. Masi. “Palaeoecological Data Indicates Land-Use Changes across Europe Linked to Spatial Heterogeneity in Mortality During the Black Death Pandemic.” Nature Ecology & Evolution 6, no. 3 (March 2022): 297-306.

So-Called “Progressives” Block Progress Toward School Choice

(p. A15) I was wrong to think that Democrats would support school choice to help their constituents out of poverty. Although polling consistently shows that a majority of minority parents want school choice, progressive politicians consistently oppose all such programs.

To understand why, consider who’s funding their campaigns: teachers unions. For unions, choice means competition, and urban public schools with low proficiency ratings can’t compete. Unions know the only way to keep their political power is to keep children trapped in failing schools. Give parents access to other educational options, and they’ll ditch the schools that take them for granted.

. . .

I have discussed school choice with Mr. Trump, and I’m encouraged by what he said. I’m likewise impressed by his actions to advance the cause in real time—namely, by endorsing several of the pro-school choice Republicans in Texas’s legislative primaries. If Mr. Trump uses his bully pulpit to build support for school choice across the country, as he did in Texas, I believe he’ll help improve the lives of many generations of Americans.

I’ve never given financial support to Mr. Trump’s campaign, and I don’t plan to. But on the issue I care about most deeply, the stakes are high.  . . .  . . . the choice is clear.

For the full commentary see:

Jeff Yass. “Trump Is Best for School Choice, Even if I Won’t Donate to Him.” The Wall Street Journal (Tuesday, April 9, 2024): A15.

(Note: ellipses added.)

(Note: the online version of the commentary has the date April 8, 2024, and has the title “Trump Is Best for School Choice, Even if I Won’t Donate to His Campaign.”)

Akunin Bravely Says Russians “Obediently Follow” the “Paranoia” of a “Deranged Dictator”

(p. A4) Hundreds of Russians packed an auditorium in central London on a recent warm evening to listen as Boris Akunin, the author of a wildly popular detective series, told them that when it came to the Ukraine war, “I believe that the actions of the Russian Army are criminal.”

Mr. Akunin’s series, set in late czarist times, made him rich and famous, but outspoken statements like that one have made him more infamous of late back home in Russia. The Kremlin recently labeled the author — who went into self-imposed exile in London a decade ago — a “terrorist” and effectively banned his works.

When President Vladimir V. Putin ordered the invasion of Ukraine in February 2022, Mr. Akunin wrote on Facebook, “Russia is ruled by a psychologically deranged dictator and worst of all, it obediently follows his paranoia.” At that time, he began contemplating how cultural figures fleeing abroad might still reach their domestic audience and perhaps help to spur change at home. Being cut off from his own readers lent the project special urgency.

“I have to say, the amount of work and writing I’ve been doing over these two terrible years, never in my life have I written so much,” he told the audience members, who laughed when he said that a writing binge trumped a drinking binge. “It is a form of escapism.”

. . .

Born Grigory Chkhartishvili in Georgia, he grew up in Moscow, where his mother’s family were ardent Communists. As a boy, he once complained to his grandmother that he disliked porridge, and she told him: “You don’t have to like porridge, you have to eat it. You have to like Lenin and the Communist Party.”

. . .

Mr. Akunin’s lecture, on May 9 [2024], coincided with the release of the latest volume, “The Destruction and Resurrection of the Empire,” about the Lenin and Stalin years. His basic thesis is that Russia has considered centralized empire-building to be something sacred since the 15th century. The Ukraine war is Mr. Putin’s striving to do it again, he said.

. . .

In May [2024], he introduced an online platform where writers, filmmakers, theater directors, musicians and other artists could stream their work, charging viewers a small fee. He also expanded the website for selling his books to include many other authors banned in Russia. After he refused to stop selling “Heritage,” a new novel by the best-selling author Vladimir Sorokin, also living in exile, the site was blocked in Russia in late June.

For the full story see:

Neil MacFarquhar. “Exiled in London, but Still Focused on His Russian Audience.” The New York Times (Monday, July 15, 2024): A4.

(Note: ellipses, and bracketed years, added.)

(Note: the online version of the story has the date July 14, 2024, and has the title “From Exile in London, a Crime Novelist Works to Transform Russia.”)

Babies’ Curiosity Leads Them to Prefer Persons Who Inform

(p. C2) . . . Katarina Begus of Birkbeck, University of London and her colleagues . . . started out exploring the origins of curiosity. When grown-ups think that they are about to learn something new, their brains exhibit a pattern of activity called a theta wave. The researchers fitted out 45 11-month-old babies with little caps covered with electrodes to record brain activity. The researchers wanted to see if the babies would also produce theta waves when they thought that they might learn something new.

The babies saw two very similar-looking people interact with a familiar toy like a rubber duck. One experimenter pointed at the toy and said, “That’s a duck.” The other just pointed at the object and instead of naming it made a noise: She said “oooh” in an uninformative way.

Then the babies saw one of the experimenters pick up an unfamiliar gadget. You would expect that the person who told you the name of the duck could also tell you about this new thing. And, sure enough, when the babies saw the informative experimenter, their brains produced theta waves, as if they expected to learn something. On the other hand, you might expect that the experimenter who didn’t tell you anything about the duck would also be unlikely to help you learn more about the new object. Indeed, the babies didn’t produce theta waves when they saw this uninformative person.

. . .

Babies leap at the chance to learn something new—and can figure out who is likely to teach them. The babies did prefer the person in their own group, but that may have reflected curiosity, not bias. They thought that someone who spoke the same language could tell them the most about the world around them.

For the full commentary see:

Alison Gopnik. “Mind & Matter; Babies Show a Clear Bias—To Learn New Things.” The Wall Street Journal (Saturday, Oct. 29, 2016 [sic]): C2.

(Note: ellipses added.)

(Note: the online version of the commentary was updated Oct. 26, 2016 [sic], and has the same title as the print version.)

Begus’s co-authored academic paper is:

Begus, Katarina, Teodora Gliga, and Victoria Southgate. “Infants’ Preferences for Native Speakers Are Associated with an Expectation of Information.” Proceedings of the National Academy of Sciences 113, no. 44 (2016): 12397-402.

Conservatives Are Better Than Liberals at “the Separation of Facts from Feelings”

(p. A13) I don’t know who’s going to win the presidential election, and neither do you. Neither, for that matter, does Nate Silver, notwithstanding his reputation as a political prognosticator. He is more accurately characterized as a forecaster, which is to say that he deals in probabilities, not outright predictions.

. . .

. . . since I first encountered his work in 2009, Mr. Silver has always struck me as an honest practitioner. Although he describes himself as a “center-left liberal,” he frequently provokes antagonism from fellow liberals when his data and analysis point in directions they’d rather not go.

. . .

Mr. Silver’s career as a political pundit is something of an accident. After earning a bachelor’s degree in economics at the University of Chicago in 2000, he went to work as a KPMG consultant. Bored with his job, he started playing online poker, at first for fun. He says he “eventually deposited money at a real-money site and ran it up from 25 bucks to 15,000 bucks.” He quit KPMG and got a part-time job writing about baseball statistics, but 80% of his income came from poker winnings.

Then in 2006 Congress passed the Unlawful Internet Gambling Enforcement Act, which effectively banned online poker by making it unlawful for the sites to accept payments. “That killed my livelihood,” Mr. Silver says. “I started following politics. I had more time on my hands. I also wanted to see the people behind the bill ousted from office, which they were.” Its primary sponsor, Rep. Jim Leach (R., Iowa), lost his bid for a 16th term.

Mr. Silver still plays poker semiprofessionally—in person—and has earned $855,800 in tournaments, according to the Hendon Mob database. He has a new book out next week, “On the Edge: The Art of Risking Everything,” in which he interviews professional gamblers, venture capitalists, adventurers and others known for their “mastery of risk” and develops a philosophical framework around their insights.

The book touches only lightly on politics, but some of its concepts have obvious application. One of them is “decoupling,” which means, roughly, thinking with analytical detachment, including the separation of facts from feelings. Journalists used to call it objectivity, an aspiration that has fallen out of fashion in recent decades, especially in the Trump era.

A failure to decouple explains the widespread denial of Mr. Biden’s decline in the months before his withdrawal. Clear evidence became mistakable when distorted through the lenses of partisanship, ideology and antipathy toward Mr. Trump. There is no reason to believe people on the left are intrinsically more prone to this sort of error, but Mr. Silver thinks that “liberal bubbles are bigger than conservative bubbles.” Domination of big cities and influential institutions makes it easier for those on the left simply to ignore opposing views.

For the full interview see:

James Taranto. “The Weekend Interview; President Kamala Harris? What Are the Odds?” The Wall Street Journal (Saturday, Aug 10, 2024): A13.

(Note: ellipses added.)

(Note: the online version of the interview has the date August 9, 2024, and has the same title as the print version.)

The “new book” by Silver mentioned above is:

Silver, Nate. On the Edge: The Art of Risking Everything. New York: The Penguin Press, 2024.

Governments Often Deliver “Horrible Ideas Executed Terribly”

(p. A15) After the $320 million floating fiasco ran aground, Ohio Sen. J.D. Vance tweeted: “The Gaza pier is a symbol of the Biden administration. A horrible idea executed terribly.”

. . .

Government is bad for your health. Whose idea was it to pay for gain-of-function research in Wuhan? Remember when the Food and Drug Administration delayed the rollout of Covid tests by, among other things, requiring applications on CD-ROMs? In 2020! The FDA interference, according to a Yale Law Journal 2020 Forum, was “possibly the deadliest regulatory overreach in U.S. history.”

. . .

Between the Covid-19 Economic Injury Disaster Loan, the Paycheck Protection Program and the Federal Pandemic Unemployment Compensation program, the FBI reports almost $300 billion in fraud. It was so easy, tens of thousands reportedly filed applications from jail.

. . .

Why are governments so bad at execution? Accountability and incentives. There are no prices or profits, just elusive cost benefits estimated in simple spreadsheets any first-year investment banker could fudge.

But these public-works projects are well intentioned, right? Hardly. Good luck finding all the hidden agendas, political back scratching and paid-off donors. Or, in the case of student loans, bribes to voters. Getting re-elected is how politicians measure the success of government work vs. private-sector profits.

Those profits from each private-sector project or product provide capital that pays for the next important project. In perpetuity. Profits also provide guidance to markets that fund great ideas and kill off bad ones. It’s Darwinism vs. kleptocracy. Sadly, politicians and industrial policy will always fund dumb things like electric-vehicle chargers, high-speed rail and Neom—horrible ideas executed terribly.

For the full commentary see:

Andy Kessler. “Your Government at Work.” The Wall Street Journal (Monday, June 10, 2024): A15.

(Note: ellipses added.)

(Note: the online version of the commentary has the date June 9, 2024, and has the same title as the print version.)