Author: Art Diamond

Socialist Alexandria Ocasio-Cortez (AOC) Buys Foreign Sunscreens Not Approved by U.S. Government F.D.A.

(p. 2) After months of prompting, I have finally managed to help my husband form a daily sunscreen habit. Whenever I see traces of paper white cream in his dark beard, I think, We’re halfway there.

Hoping to avoid the white cast, heaviness and greasiness common in many sunscreen products available in U.S. drugstores, some Americans, including Representative Alexandria Ocasio-Cortez of New York, have taken matters into their own hands, opting for sunscreens manufactured abroad. In a recent interview, the congresswoman said she toggled between Bioré in the summer and Beauty of Joseon in the winter — two Asian brands that employ active ingredients not approved for use in the United States.

“The technology is very sophisticated,” Ms. Ocasio-Cortez said. “You don’t feel like you have a layer of sunscreen on, and it kind of just feels like you’re putting on a moisturizer in that sense, which makes it easier to use.”

While sunscreen is regulated as a cosmetic in major skin-care hubs like South Korea, Japan and the European Union, in the United States, it falls under the purview of the Food and Drug Administration. Any drug product marketed to American consumers must be approved by the F.D.A., and because sunscreen “makes a drug claim” — namely, that it can prevent sunburn, decrease the risk of skin cancer and mitigate early skin aging — the agency regulates it as an over-the-counter drug.

The last time the Food and Drug Administration approved new active ingredients for use in sunscreens was more than two decades ago, and at times it can feel as if the rest of the world has surpassed the United States in the development of new sunscreen formulations and protocols. Skin-care influencers on TikTok and Instagram are in a near-constant state of frenzy over exciting new products and innovations that are nowhere to be found on American shelves. Currently there are 14 sunscreen filters approved for use by the F.D.A. The European Union employs more than 30.

Frustrated by what seems to be a wealth of more exciting options for sun protection overseas, skin-care-conscious Americans have been quick to point the finger at the F.D.A. for the delay in approving new active ingredients.

For the full story, see:

Sandra E. Garcia. “U.S. Sunscreen Is Stuck in the ’90s.” The New York Times, SundayStyles Section (Sunday, August 13, 2023): 2.

(Note: the online version of the story has the date Aug. 12, 2023, and has the title “U.S. Sunscreen Is Stuck in the ’90s. Is This a Job for Congress?”)

“Best-Funded Startup” in History Seeks Longevity by Rejuvenating Cells

(p. B1) Arch is the largest institutional investor in Altos, which already has $3 billion of committed investments, likely making it the biotech indus-(p. B2)try’s best-funded startup on record.

Nelsen is characteristically unrestrained when discussing Altos’s prospects.

“Epigenetic reprogramming is the biggest thing in healthcare in 100 years. Or ever,” he says. “We will clearly live much healthier and longer lives if this works.”

. . .

A native of Walla Walla, Wa., Nelsen studied biology and economics at the University of Puget Sound before getting an M.B.A. at the University of Chicago.

. . .

His manic energy can lead to confrontations. Nelsen drives his GMC Yukon so aggressively that some friends avoid riding with him. He’s started fights with supermarket customers who resisted using plastic bags.

“I hate plastic bag bans, because the assumption that they are better for the environment than paper is flawed and I am grown up enough to not have government choose my bag for me,” Nelsen says.

. . .

Taking cells back to their youthful, healthier state long captured the imagination of scientists, but seemed unlikely. Then a breakthrough paper published in 2006 by Japanese scientist Shinya Yamanaka and a colleague showed mature skin cells of mice could be reprogrammed into primordial, immature stem cells—called induced pluripotent stem cells—in effect resetting their molecular clocks. Yamanaka, who later shared a Nobel Prize for work in this area, is an adviser to Altos. In 2016, Spanish biochemist Juan Carlos Izpisua Belmonte, Altos’s founding scientist, showed how the age of cells could be reverted without changing their genome and identity. His work demonstrated the potential for toggling between the ‘old’ and ‘young’ states of cells—the basis for Altos’s effort to rejuvenate cells.

For the full story, see:

Gregory Zuckerman. “Fear of Death Drives A Venture Capitalist.” The Wall Street Journal (Monday, Aug. 21, 2023): B1-B2.

(Note: the online version of the story has the date August 20, 2023, and has the title “For This Venture Capitalist, Research on Aging Is Personal; ‘Bob Has a Big Fear of Death’.”)

Well-Intentioned Antislavery Colonists Accidentally Spread Yellow Fever Plague

(p. C9) Hardly anyone noticed the first to die in the sultry August of 1793—a few foreigners, a sailor, an oyster seller. Most Philadelphians brushed off the deaths as the result of air fouled by rotting coffee or fish near the docks. Then the healthy and affluent began to die: public officials, ministers. The plague that was sweeping the young nation’s temporary capital was yellow fever, a contagion little understood at the time. Writes Robert Watson in “America’s First Plague,” the outbreak was “one of the worst epidemics in American history.”

In the course of three horrendous months, between 6,000 and 9,500 people would die, constituting 15% to 20% of Philadelphia’s population.

. . .

The source of the plague is a story in its own right. It apparently derived from infected mosquitoes that had bred on a ship named the Hankey. Earlier in the year, the Hankey had transported an expedition of antislavery Londoners to an island off the coast of present-day Guinea-Bissau, where they hoped to found a model biracial colony. They were instead beset by hostile natives and rampant yellow fever, which the few desperate survivors carried with them across the Atlantic to ports in the Caribbean and eventually to Philadelphia. Mr. Watson, a professor of history at Lynn University in Boca Raton, Fla., notes that “the ship inadvertently unleashed death at every port where it docked.” (A riveting account of this hapless colonial experiment may be found in Billy G. Smith’s “Ship of Death,” published in 2013.)

Fortunately for those who remained in the city, Philadelphia’s capable mayor, a businessman named Matthew Clarkson, aided by a beleaguered committee of brave volunteers, did his best to organize public-health measures and burials.

. . .

Among the doctors who struggled to cope with a disease they couldn’t cure, Mr. Watson rightly emphasizes the polymath Benjamin Rush. A signer of the Declaration of Independence, Rush incarnated both the humanistic best and medical worst of the early republic. Although his treatments were widely accepted, they were disastrous. He believed dogmatically in violent purges, forced heat to blister the limbs and above all bloodletting. He bled his patients of as much as 10 ounces a day, probably killing more of them than he saved. When he himself fell ill, he subjected himself to the same brutal regimen but survived to persist in his malpractice.

For the full review see:

Fergus M. Bordewich. “When Yellow Jack Attacked.” The Wall Street Journal (Saturday, June 10, 2023): C9.

(Note: ellipses added.)

(Note: the online version of the review has the date June 9, 2023, and has the title “‘America’s First Plague’ Review: Attack of the Yellow Jack.”)

The book under review is:

Watson, Robert P. America’s First Plague: The Deadly 1793 Epidemic That Crippled a Young Nation. Lanham, Maryland: Rowman & Littlefield Publishers, 2023.

The “riveting” book mentioned above is:

Smith, Billy G. Ship of Death: A Voyage That Changed the Atlantic World. New Haven, CT: Yale University Press, 2013.

Chinese Communists Suspend Release of Record High Youth Unemployment Rate

(p. B1) The Chinese government, facing an expected seventh consecutive monthly increase in youth unemployment, said Tuesday [Aug. 15, 2023] that it had instead suspended release of the information.

The unemployment rate among 16- to 24-year-olds in urban areas hit 21.3 percent, a record, in June and has risen every month this year. It was widely forecast by economists to have climbed further last month.

The decision to scrub a widely watched report could exacerbate the concerns expressed by investors and executives who say ever-tightening government control of information is making it harder to do business in China.

Fu Linghui, a spokesman of the National Bureau of Statistics, said at a news briefing that the government would stop making public employment information “for youth and other age groups.” He said the surveys that government researchers use to collect the data “need to be further improved and optimized.”

China’s youth unemployment rate has doubled in the last four years, a period of economic volatility induced by the “zero Covid” measures imposed by Beijing that left companies wary of hiring, interrupted education for many students, and made it hard to get the internships that had often led to job offers.

The announcement drew more than 140 million views on the Chinese social media site Weibo within a few hours. Many people (p. B3) commenting online, some turning to sarcasm, said they believed the government suspended the report to try to hide negative information. Others said they believed the public had the right to be informed.

. . .

Young people in China are facing a big gap between labor demand and supply. According to official data, 11.6 million students were expected to graduate college or university this year — the most ever and nearly one million more than last year. Future classes are expected to be even larger, while economic growth had started to slow even before the pandemic.

. . .

Even becoming an entry-level civil servant working for the government is harder these days. Last year, a record 2.6 million people applied to take the national civil service exam to compete for only 37,100 entry-level positions.

Xi Jinping, the country’s top leader, has called for young people to go to remote areas to find work — to “eat bitterness,” a Chinese expression that refers to enduring hardship.

For the full story, see:

Claire Fu. “China Scraps Jobs Report On the Young.” The New York Times (Wednsday, August 16 2023): B1 & B3.

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

(Note: the online version of the review has the date Aug. 15, 2023, and has the title “China Suspends Report on Youth Unemployment, Which Was at a Record High.”)

Regulations Block Flexible Transformation of Manhattan Buildings

(p. A1) There is an aging office building on Water Street in Lower Manhattan where it would make all the sense in the world to create apartments. The 31-story building, once the headquarters of A.I.G., has windows all around and a shape suited to extra corner units. In a city with too little housing, it could hold 800 to 900 apartments. Right across the street, one office building not so different from this one has already been turned into housing, and another is on the way.

But 175 Water Street has a hitch: Offices in the financial district are spared some zoning rules that make conversion hard — so long as they were built before 1977. And this one was built six years too late, in 1983.

“There’s nothing about that building — its construction, its mechanicals, its structural engineering — that prevents it from being converted,” said Richard Coles, the managing partner of Vanbarton Group, which has developed both conversions across the street.

. . .

Healthy cities must build new things and rehabilitate old ones. But they also perform regular tricks of transmogrification, (p. A13) turning existing building blocks into something new. Factories become loft apartments. Industrial waterfronts become public parks. Warehouses become start-up offices and restaurant scenes.

The pandemic forced American cities to make such transformations, temporarily. They turned sidewalks into restaurants, parks into hospitals, streets into open spaces. Now on a lasting and larger scale, they will need to convert offices into apartments, hotels into affordable housing, curb parking into bike lanes, roadways into transit routes, office parks into real neighborhoods.

“If these last few years have taught us anything,” said Ingrid Gould Ellen, a professor of urban policy and planning at N.Y.U., “it’s the need for flexibility, the need to be open to surprise in the way we’re going to use space.”

But over decades, that flexibility has eroded.

For the full commentary, see:

Emily Badger. “When Offices Ought to Be Apartments.” The New York Times (Tuesday, July 4, 2023): A1 & A13.

(Note: ellipsis added.)

(Note: the online version of the commentary was updated July 4, 2023, and has the title “American Cities Have a Conversion Problem, and It’s Not Just Offices.” The online version says that the title of the print version was “How Cities Are Getting In Own Way.” The title of my national edition of the print version had the title “When Offices Ought to Be Apartments.”)

State College Budgets Balloon to Pay for Buildings, Sports, and Administrators

(p. A1) The nation’s best-known public universities have been on an unfettered spending spree. Over the past two decades, they erected new skylines comprising snazzy academic buildings and dorms. They poured money into big-time sports programs and hired layers of administrators.

Then they passed the bill along to students.

The University of Kentucky upgraded its campus to the tune of $805,000 a day for more than a decade. Its freshmen, who come from one of America’s poorest states, paid an average $18,693 to attend in 2021-22.

Pennsylvania State University spent so much money that it now has a budget crisis—even though it’s among the most expensive public universities in the U.S.

The University of Oklahoma hit students with some of the biggest tuition increases, while spending millions on projects including acquiring and renovating a 32,000-square-foot Italian monastery for its study-abroad program.

The spending is inextricably tied to the nation’s $1.6 trillion federal student debt crisis. Colleges have paid for their sprees in part by raising tuition prices, leaving many students with few options but to take on more debt. That means student loans served as easy financing for university projects.

“Students do not have the resources right now to continue to foot the bill for all of the things that the university wants to do,” said Crispin South, a 2023 Oklahoma graduate. “You can’t just continue to raise revenue by turning to students.”

It has long been clear to American families that the cost of college has gone up, even at public schools designed to be affordable for state residents. To get at the root cause, The Wall Street Journal examined financial statements since 2002 from 50 universities known as flagships, typically the oldest public school in each state, and adjusted for inflation.

. . .

(p. A9) Public university leaders often blame stingier state funding for the need to raise tuition revenue.

. . .

For every $1 lost in state support at those universities over the two decades, the median school increased tuition and fee revenue by nearly $2.40, more than covering the cuts, the Journal found.

. . .

Much of the increase in outlays showed up in the hiring process, for administrators, faculty, coaches and finance experts, the Journal’s analysis found. Salaries and benefits, which usually eat up more than half of operating budgets, rose by roughly 40% at the median flagship since 2002.

The University of Florida in 2022 had more than 50 employees with titles of director, associate director or assistant director of communications, roughly double the number it had in 2017. The school also employed more than 160 assistant, associate, executive and other types of deans last year, up from about 130 in 2017.

. . .

Though a handful of powerhouse sports departments pay for themselves, most can break even only with student fees and university subsidies. Across all flagships with available data, that additional funding totaled $632 million in 2022. That’s a jump of 27% from 12 years prior.

. . .

Research by James V. Koch, an economist who studies college spending and a former president at Old Dominion University in Virginia, found that public-university trustees approved 98% of the cost-increasing proposals they reviewed, often unanimously. In most states, he said, there hasn’t been anyone to say, “No, you can’t do that.”

Back in 2005, a Hawaii state audit called out the University of Hawaii System board for approving a budget that gave the flagship Manoa campus $200 million when, auditors said, all but $13 million went to vague or unnecessary requests.

Honolulu attorney Benjamin Kudo, who joined the university’s board in 2011, said he was stunned by the lack of information he was given during the budget process. He said he received a packet of pie charts and a PowerPoint presentation with general information on how the university planned to divide up its funds for areas including teaching, libraries, athletics and facilities across 10 campuses.

Kudo said administrators weren’t initially receptive to requests that he and another new board member, Jan Sullivan, made for more detail, including a comparison of projected versus actual spending. Kudo, who served on the board until 2022, recalled being accused of trying to micromanage the $1 billion budget.

For the full story, see:

Melissa Korn, Andrea Fuller and Jennifer S. Forsyth. “State Colleges ‘Devour’ Money, And Students Foot the Bill.” The Wall Street Journal (Friday, Aug 11, 2023): A1 & A9.

(Note: ellipses added.)

(Note: the online version of the story has the date August 10, 2023, and has the title “Colleges Spend Like There’s No Tomorrow. ‘These Places Are Just Devouring Money.’”)

Mass Internment of Hundreds of Thousands of Muslim Uyghurs in Communist China

(p. C3) Tahir Hamut Izgil watched as parks emptied of people, naan bakeries boarded up their windows and, one after another, his friends were taken away.

The Chinese government’s repression of Uyghurs, the predominantly Muslim ethnic minority to which he belonged, had gone on for years in Xinjiang, the group’s ancestral homeland in China’s northwest. But in 2017, it morphed into something more terrifying: a mass internment system into which hundreds of thousands of people were disappearing. Millions lived under intense and growing surveillance.

Izgil, a prominent poet and film director, feared that one day soon, the authorities would come for him. So he did what few have managed — in the summer of 2017, he escaped with his family, and once settled in a Virginia suburb, he wrote about the experience.

In his memoir, “Waiting to Be Arrested at Night,” published this week by Penguin Press, Izgil brings his discerning eye for detail to describe the impact of China’s policies on the people who live under them.

Scholars and journalists have detailed the architecture of the surveillance system against Uyghurs. There have also been memoirs by Uyghur authors and intellectuals in exile. But few possess Izgil’s firsthand knowledge and analytical acuity, said Darren Byler, a leading scholar on Uyghur culture and Chinese surveillance and a professor at Simon Fraser University, in Canada.

“This is the defining account of what it’s like to live through this moment,” Byler said. “This will be the book that, in 10 years or 20 years, people will turn to if they want to understand that moment.”

For the full story, see:

Tiffany May. “The Toll of a Life Spent Under a Heavy Hand.” The New York Times (Tuesday, August 8, 2023): C3.

(Note: the online version of the story has the date Aug. 1, 2023, and has the title “A Poet Captures the Terror of Life in an Authoritarian State.”)

The book discussed above on the mass internment of the Uyghurs is:

Izgil, Tahir Hamut. Waiting to Be Arrested at Night: A Uyghur Poet’s Memoir of China’s Genocide. Translated by Joshua L. Freeman. New York: Penguin Press, 2023.

For Some Cancers, Less Aggressive Therapies Can Be Equally Effective, With Fewer Damaging Side-Effects

(p. A1) Doctors are coalescing around the ironic idea that for some cancer treatment, less can be better.

Some patients with cervical and pancreatic cancer can do as well with less invasive surgery, according to research presented at the American Society of Clinical Oncology conference in Chicago over the weekend. Other studies at the annual meeting showed some patients with rectal cancer or Hodgkin lymphoma can safely get less radiation.

The findings expand a body of evidence doctors are using to design treatment plans that aim to reduce side effects and costs. They call the strategy de-escalation: cutting back on some therapies to improve a patient’s quality of life without hurting their odds of survival.

Newer treatments and tests are extending patients’ lives and moving cancer care away from a blunt, one-size-fits-all approach. On the strength of studies like those presented in Chicago, doctors are getting better at determining who needs the most aggressive care and who can get away with less treatment and less collateral damage.

. . .

(p. A7) In another study presented at the conference of some 1,200 patients with rectal cancer that had spread to nearby tissue or lymph nodes, about half got standard chemotherapy and radiation before surgery. The others got more aggressive chemotherapy but no radiation, unless their tumors failed to shrink by at least 20%. About 10% of those patients needed the radiation, according to the study, which was published in the New England Journal of Medicine and the Journal of Clinical Oncology.

At five years, results from the protocols were similar, suggesting that many rectal cancer patients can safely skip radiation that increases risks of pelvic fractures, bowel and sexual dysfunction and infertility, researchers said.

“We can spare select patients,” said Dr. Pamela Kunz, director of the Center for Gastrointestinal Cancers at Yale Cancer Center. “This trial is really less is more.”

The patients who avoided radiation by undergoing more aggressive chemotherapy experienced more, different shorter-term side effects including appetite loss, fatigue and nervous-system damage. Some patients might still opt to get the radiation, researchers said.

. . .

The Food and Drug Administration this year released draft guidance to cancer-drug developers on how to determine the best dose for new therapies. Doses were traditionally set at the highest tolerable amount, since the drugs were less precise and patients needed them quickly.

For the full story, see:

Brianna Abbott. “Cancer Doctors Rethink Aggressive Treatments.” The Wall Street Journal (Tuesday, June 6, 2023): A1 & A7.

(Note: ellipses added.)

(Note: the online version of the story was updated June 5, 2023, and has the same title as the print version. The wording in the last sentence quoted above follows the more nuanced online version of the sentence.)

Small-Brained Early Humans Buried Their Dead and Used Symbols

(p. A16) Discoveries from a subterranean cave system in South Africa are prompting paleoanthropologists to rethink what makes us human. New findings reveal a small-brained human relative known as Homo naledi buried its dead and carved symbols on walls inside the system. Both these behaviors were previously associated with our species or the big-brained Neanderthals with which we interbred.

“We’re looking at cultural behavior that is very human in a species that has a brain a third the size of ours,” said John Hawks, a University of Wisconsin-Madison paleoanthropologist and co-author of the research released Monday [June 5, 2023], which will soon be published in the journal eLife as reviewed preprints. “It is going against the idea that brain size is what made us human.”

. . .

“We’ve never had a creature that manifested the complexity of us that wasn’t us,” said Lee Berger, a paleoanthropologist and an explorer in residence at National Geographic who co-authored the new research. Homo naledi, he added, is “threatening to the very clearly defined narrative of the rise of human exceptionalism.”

For the full story, see:

Aylin Woodward. “Ape-Size-Brained Relative Upends Theories.” The Wall Street Journal (Tuesday, June 6, 2023): A16.

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

(Note: the online version of the story was updated June 5, 2023, and has the title “New Homo Naledi Cave Discoveries Upend What We Know About Being Human.”)

The reference to the journal preprint mentioned above is:

Agustin, Fuentes, Kissel Marc, Spikins Penny, Molopyane Keneiloe, Hawks John, and R. Berger Lee. “Burials and Engravings in a Small-Brained Hominin, Homo Naledi, from the Late Pleistocene: Contexts and Evolutionary Implications.” bioRxiv (2023): 2023.06.01.543135.

The Enemies of Horatio Alger “Are Out to Get the American Dream”

(p. A13) Of all the institutions for investigative journalists to put under the microscope, the Horatio Alger Association of Distinguished Americans sure is a strange target.

The charity says it has awarded more than $245 million in college scholarships to 35,000 students since 1984. Its 300 or so members cross the political, cultural and business-success spectrum and include Michael Bloomberg and Oprah Winfrey.

So what explains the recent onslaught of critical press coverage? The New York Times has put eight reporters on the case and devoted two 4,000-word Sunday front-page pieces in the past two months to the Horatio Alger Association and its members. ProPublica, which styles itself “an independent, nonprofit newsroom that produces investigative journalism with moral force,” produced a 5,000-word article that credited four reporters.

The journalists and the advocates they quote say it’s a matter of judicial ethics, highlighting Justice Clarence Thomas’s role as an honorary board member of the Horatio Alger Association and his friendships with the association’s members, some of whom are prosperous.

. . .

The venom directed at the Horatio Alger Association, though, isn’t only about Justice Thomas and the court. The association’s critics are out to get the American dream.

The association’s website explains that its mission is to “educate all youth about the limitless possibilities that are available through the American free-enterprise system.” The group was founded to dispel the myth “that the American dream was no longer attainable.” Its members are “role models whose experiences exemplify that opportunities for a successful life are available to all individuals who are dedicated to the principles of integrity, hard work, perseverance and compassion for others.”

For the full commentary, see:

Ira Stoll. “Why the Left Hates Horatio Alger.” The Wall Street Journal (Saturday, Aug. 12, 2023): A13.

(Note: ellipsis added.)

(Note: the online version of the commentary has the date August 11, 2023, and has the same title as the print version.)

With Repetitions Surgeons Gain Informal Knowledge, Such as “Muscle Memory”

(p. C6) Imagine you’ve been admitted to the hospital and you’re meeting the physician taking care of you for the first time. Who are you hoping walks through that door? Would you rather they be in their 50s with a good amount of gray hair, or in their 30s, just a few years out of residency?

In a study published in 2017, one of us (Dr. Jena) and colleagues set out to shed some light on the role of age when it came to internists who treat patients in hospitals. These physicians, called hospitalists, provide the majority of care for elderly patients hospitalized in the U.S. with some of the most common acute illnesses, such as serious infections, organ failure and cardiac problems.

. . .

. . ., the results suggested if the over-60 doctors took care of 1,000 patients, 13 patients who died in their care would have survived had they been cared for by the under-40 doctors. We repeated the analysis using 60- and 90-day mortality rates, in case longer term outcomes might have been different, but again, the pattern persisted: Younger doctors had better outcomes than their more experienced peers.

. . .

Younger doctors possess clinical knowledge that is more current. If older doctors haven’t kept up with the latest advances in research and technology, or if they aren’t following the latest guidelines, their care may not be as good as that of their younger peers.

. . .

. . ., a separate study by Dr. Jena and colleagues looked at about 900,000 Medicare patients who underwent common non-elective major surgeries (for example, emergency hip fracture repair or gall bladder surgery) performed by about 46,000 surgeons of varying age.

. . .

The results showed that unlike hospitalists, surgeons got better with age. Their patient mortality rates had modest but significant declines as they got older: mortality was 6.6% for surgeons under 40, 6.5% for surgeons age 40-49, 6.4% for surgeons age 50-59, and 6.3% for surgeons over age 60.

Clearly something different was happening here. It may be that for hospitalists, the benefit of steadily increasing experience starts to be outweighed by their waning knowledge of the most up-to-date care. It’s different for surgeons, though, who hone many of their skills in the OR. Surgeons build muscle memory through repetition, working in confined spaces with complex anatomy. They learn to anticipate technical problems before they happen and plan around them based on prior experience. Over time, they build greater technical skills across a wider variety of scenarios, learn how to best avoid complications, and choose better surgical strategies.

What does this mean for all of us as patients when we meet a new doctor? Taking studies of hospitalists and surgeons together, it’s clear that a doctor’s age isn’t something that can be dismissed out of hand—age does matter—but nor can it be considered in isolation. If we’re concerned about the quality of care we’re receiving, the questions worth asking aren’t “How old are you?” or even “How many years of experience do you have?” but rather “Do you have a lot of experience caring for patients in my situation?” or “What do you do to stay current with the research?”

For the full essay, see:

Anupam B. Jena and Christopher Worsham. “Do Younger or Older Doctors Get Better Results?” The Wall Street Journal (Saturday, July 8, 2023): C6.

(Note: ellipses added.)

(Note: the online version of the essay was updated July 8, 2023, and has the same title as the print version.)

The essay quoted above is adapted from the book:

Jena, Anupam B., and Christopher M. Worsham. Random Acts of Medicine: The Hidden Forces That Sway Doctors, Impact Patients, and Shape Our Health. New York: Doubleday, 2023.