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.

Bullshit Is Worse Than a Lie

(p. A17) Professor Frankfurt became best known for a single, irreverent paper largely unrelated to his life’s main work.

The paper, written in the mid-1980s under the same title as his eventual book, discussed what to his mind was a pervasive but underanalyzed feature of our culture: a form of dishonesty akin to lying but even less considerate of reality. Whereas the liar is at least mindful of the truth (if only to avoid it), the “bullshitter,” Professor Frankfurt wrote, is distinguished by his complete indifference to how things are.

Whether its purveyor is an advertiser, a political spin doctor or a cocktail-party blowhard, he argued, this form of dishonesty is rooted in a desire to make an impression on the listener, with no real interest in the underlying facts. “By virtue of this,” Professor Frankfurt concluded, “bullshit is the greater enemy of truth than lies are.”

. . .

For all this sang-froid, Professor Frankfurt was heartfelt in his philosophical pursuits. Throughout his career, he was drawn to lines of inquiry — about freedom, love, selfhood and purpose — that he said appealed to him not only as an academic but also “as a human being trying to cope in a modestly systematic manner with the ordinary difficulties of a thoughtful life.”

For the full obituary, see:

James Ryerson. “Harry G. Frankfurt, a Philosopher Eager to Cut the Bull, Dies at 94.” The New York Times (Tuesday, July 18, 2023): A17.

(Note: ellipsis added.)

(Note: the online version of the obituary has the date July 17, 2023, and has the title “Harry G. Frankfurt, Philosopher With a Surprise Best Seller, Dies at 94.”)

Frankfurt’s best-known book is:

Frankfurt, Harry G. On Bullshit. Princeton, NJ: Princeton University Press, 2005.

“Engineering Is Achieving Function While Avoiding Failure”

(p. A21) Dr. Petroski, a longtime professor of civil and environmental engineering at Duke University, adapted the architectural axiom “form follows function” into one of his own — “form follows failure” — and addressed the subject extensively in books, lectures, scholarly journals, The New York Times and magazines like Forbes and American Scientist.

“Failure is central to engineering,” he said when The Times profiled him in 2006. “Every single calculation that an engineer makes is a failure calculation. Successful engineering is all about understanding how things break or fail.”

. . .

“Even though I had three degrees in engineering, and had been teaching engineering and was registered as a professional engineer,” he told The Times in 2014, “if some neighbor asked me, ‘What is engineering?,’ I said, ‘Duh.’ I couldn’t put together a coherent definition of it.” His best effort, he said, was, that “engineering is achieving function while avoiding failure.”

Pencils proved a prosaic object for Dr. Petroski’s failure analysis.

. . .

“By asking why and how a pencil point breaks in the way it does,” he concluded, “we are not only led to a better understanding of the tools of stress analysis and their limitations, but we are also led to a fuller appreciation of the wonders of technology when we analyze the aptness of such a manufactured product as the common pencil.”

Two years later, he expanded on the journal article with “The Pencil: A History of Design and Circumstance,” a 448-page tour through its invention and evolution — with brands like Faber-Castell, Dixon Ticonderoga and Koh-I-Noor among them — that included a chapter about the pencil-making business of Henry David Thoreau’s family in Concord, Mass.

Thoreau, best known for writing about his experience living simply in the woods in “Walden,” was a self-taught pencil engineer who learned about the graphite and clay mixture that made European pencils superior, and who helped adapt them to his family’s pencil manufacturing.

For the full obituary, see:

Richard Sandomir. “Henry Petroski, Whose Books Decoded Engineering, Is Dead at 81.” The New York Times (Friday, June 23, 2023): A21.

(Note: ellipses added.)

(Note: the online version of the obituary has the date June 22, 2023, and has the title “Henry Petroski, Whose Books Decoded Engineering, Dies at 81.”)

Petroski’s best-known book is:

Petroski, Henry. The Pencil: A History of Design and Circumstance. New York: Knopf, 1989.

Affirmative Action Quotas Forced Admission of the Academically Unqualified

(p. A13) As Richard Sander and Stuart Taylor Jr. demonstrated in “Mismatch,” their 2012 book on affirmative action, there are very few black students in the top academic cohorts from which highly selective colleges draw most of their students. Black high-school seniors are one-tenth as likely to be in the top tenth of college applicants nationwide as nonblack applicants. The average black SAT score in 2022 was 926 on a 1600 point scale. The average Asian score was 1229 and the average white score was 1098.

. . .

Harvard’s own research in 2013 showed that the black share of its undergraduate population would drop from 10% to less than 1% if it admitted students according to academic skills only. Harvard has the pick of the black U.S. high-school population, but even it can’t fill its desired quota without double standards.

. . .

The result isn’t a benefit to these students but a burden. Research shows they are more likely to end up in the bottom of their classes, if not to drop out of college and professional education entirely. This academic mismatch doesn’t dispel racial stereotypes; it reinforces them.

For the full commentary, see:

Heather Mac Donald. “Racial Preferences Bred 50 Years of ‘Mismatch’.” The Wall Street Journal (Wednesday, July 11, 2023): A13.

(Note: ellipses added.)

(Note: the online version of the commentary was updated July 10, 2023, and has the title “Affirmative Action Bred 50 Years of ‘Mismatch’.”)

The affirmative action book cited in the passage quoted above is:

Sander, Richard, and Stuart Taylor, Jr. Mismatch: How Affirmative Action Hurts Students It’s Intended to Help, and Why Universities Won’t Admit It. New York: Basic Books, 2012.

“Harvard’s own research” from 2013 mentioned above was reported in Slate in 2018:

Mak, Aaron. “Admitting Bias; Harvard Had Proof Its Admissions Process Was Hurting Asian Americans. How Will Its Dean Explain Why He Did Nothing About It?” slate.com, Oct. 15, 2018.

Langlois’s Entrepreneurs Allowed the Masses to Flourish in Spite of Chandler’s Corporatism

(p. D7)Students of business have long argued about why managerial capitalism arose and what led to its demise. At the heart of this debate is an age-old conundrum: What should the boundaries of a corporation be? What goods and services should it produce and which should it buy from others? Executives stake careers on such questions, but economists, historians and social critics have tried to answer them as well.

It is in such a context that Richard Langlois offers “The Corporation and the Twentieth Century,” a monumental history of American business during the eventful decades when managers ruled. Among much else, he makes the argument that firms embraced managerial capitalism in response to the century’s cataclysmic events and the heavy-handed government intercessions they prompted. When the crises and related policies finally fell away, we saw the resurgence of the focused, entrepreneurial enterprise that predominates today.

Mr. Langlois, an economics professor at the University of Connecticut, pushes back in particular against the explanation laid out by Alfred Chandler, the father of American business history, in his great work, “The Visible Hand” (1977).

. . .

Once established, managerial capitalism took on a life of its own. “The hierarchy itself,” Chandler wrote, “became a source of permanence, power, and continued growth.”

But Mr. Langlois tells a different story, contending that managerial capitalism didn’t truly flourish until later. He notes that, despite a wave of mergers, most large firms in the early 20th century were still controlled by their owners, thanks to the extensive shareholdings of financiers such as John D. Rockefeller or investment banks such as J.P. Morgan—owners not especially known as silent partners. The real heyday of the managers was yet to come.

Enter the reform-minded Progressive movement, which aimed to curtail the excesses of just such tycoons. Easily distinguished from today’s progressives by their capital letter and lack of stated pronouns, the Progressives held that scientific techniques had solved the problems of industrial management and would do likewise for those of government administration, which was to be entrusted to “experts.”

These Progressives brought with them a hubristic “managerial model of the world” that called forth a managerial form of capitalism, one designed to clasp the meddlesome hand of government. The ensuing era of federal regulation offered big business relief from haphazard and potentially more radical state regulation, but it also shifted power over firms toward Washington and the federal judiciary.

The ground was thus laid for managerial capitalism to be turbocharged by “the great catastrophes” of World War I, the Depression and World War II.

. . .

(p. D8) Mr. Langlois recognizes that the deregulating spirit of the 1970s was part of a change in the Zeitgeist. He describes, for example, how the Bay Area’s hippie ethos intersected with the rise of the personal computer. The resulting digital revolution upended corporate hierarchies and changed much of America’s output from the physical to the intangible. Ascendant tech firms ushered in a new entrepreneurial paradigm. The center of business gravity shifted from Manhattan boardrooms and Midwestern factories to the freewheeling West Coast.

Vietnam and inflation, meanwhile, sapped faith in government as well as in the dollar, and a series of countries (lately China) would soon replace the U.S. as the world’s factory. The unbundling of corporations was accelerated by low-cost overseas manufacturing and by the new “barbarians at the gate” from Wall Street.

. . .

The questions at the heart of “The Corporation and the Twentieth Century” . . . serve as the engine of a remarkable alternative history of what Henry Luce famously called the American Century. It’s a work propelled by vast learning, a focus on business and a consistent point of view in favor of free markets.

For the full review see:

Daniel Akst. “BOOKSHELF; The Rise and Fall of Managers.” The Wall Street Journal (Saturday, July 1, 2023): C7-C8.

(Note: ellipses added.)

(Note: the online version of the review has the date June 30, 2023, and has the title “BOOKSHELF; ‘The Corporation and the Twentieth Century’ Review: The Rise and Fall of Managers.”)

The book under review is:

Langlois, Richard N. The Corporation and the Twentieth Century: The History of American Business Enterprise. Princeton: Princeton University Press, 2023.

See also:

Diamond, Arthur M., Jr. “Review of Richard N. Langlois, the Dynamics of Industrial Capitalism: Schumpeter, Chandler and the New Economy.” EH.Net Economic History Services (2009).

Engerman, with Fogel, Courageously Asked Politically Incorrect Questions about Slavery

(p. D8) Stanley Engerman, one of the authors of a deeply researched book that, wading into the fraught history of American slavery, argued that it was a rational, viable economic system and that enslaved Black people were more efficient workers than free white people in the North, died on May 11 [2023] in Watertown, Mass.

. . .

In their two-volume “Time on the Cross: The Economics of American Negro Slavery” (1974), Professor Engerman and Prof. Robert W. Fogel used data analysis to challenge what they called common characterizations of slavery, including that it was unprofitable, inefficient and pervasively abusive.

They said they were not defending slavery. “If any aspect of the American past evokes a sense of shame,” they wrote, it’s the system of slavery.” But much of the accepted wisdom about it, they said, was distorted, or just plain wrong.

“Slave agriculture was not inefficient compared with free agriculture,” they wrote. “Economies of large-scale operation, effective management and intensive utilization of labor made Southern slave agriculture 35 percent more efficient than the Northern system of family farming.”

They insisted that the typical slave “was not lazy, inept and unproductive” but rather “was harder working and more efficient than his white counterpart.” They contended that the destruction of the Black family through slave breeding and sexual exploitation was a myth, and that it was in the economic interest of plantation owners to encourage the stability of enslaved families.

They also wrote that some slaves received positive incentives, such as being elevated to overseers of work gangs, to increase their productivity.

The book attracted a lot of attention, including a rave review by the economist Peter Passell in The New York Times. “If a more important book about American history has been published in the last decade, I don’t know about it,” he wrote. He described the work as a corrective, “a jarring attack on the methods and conclusions of traditional scholarship” on slavery.

. . .

. . . the Marxist historian Eugene D. Genovese, whose own book about slavery, “Roll, Jordan Roll: The World the Slave Made,” was also published in 1974, called “Time on the Cross” an “important work” that had “broken open a lot of questions about issues that were swept under the rug before.”

For the full obituary, see:

Richard Sandomir. “Stanley Engerman, 87, Scholar Who Disputed Views on Slavery, Dies.” The New York Times (Monday, May 29, 2023): D8.

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

(Note: the online version of the commentary was updated May 30, 2023, and has the title “Stanley Engerman, Revisionist Scholar of Slavery, Dies at 87.”)

The book praised in the obituary quoted above is:

Fogel, Robert William, and Stanley L. Engerman. Time on the Cross: The Economics of American Negro Slavery. Boston: Little, Brown and Company, 1974.

“Evaluate an Argument on Its Own Merits, Not on the Race of the Person Making It”

(p. A22) In 1991, Stephen L. Carter, a professor at Yale Law School, began his book “Reflections of an Affirmative Action Baby” with a discomfiting anecdote. A fellow professor had criticized one of Carter’s papers because it “showed a lack of sensitivity to the experience of Black people in America.” When the professor, who was white, learned that Carter was Black, he withdrew the remark rather than defend his claim. It was a reminder to Carter that many people, especially among his fellow establishment elites, had certain expectations of him as a Black man.

“I live in a box,” he wrote, one bearing all kinds of labels, including “Careful: Discuss Civil Rights Law or Law and Race Only” and “Warning! Affirmative Action Baby! Do Not Assume That This Individual Is Qualified!”

This was a book that refused to dance around its subject.

Weaving personal narrative with a broader discussion of affirmative action’s successes and limitations, “Reflections of an Affirmative Action Baby” offered a nuanced assessment. A graduate of Stanford and Yale Law, Carter was a proud beneficiary of affirmative action. Yet he acknowledged the personal toll it took (“a decidedly mixed blessing”) as well as affirmative action’s sometimes troubling effects on Black people as the programs evolved.

. . .

An early critic of groupthink, Carter warned against “the idea that Black people who gain positions of authority or influence are vested a special responsibility to articulate the presumed views of other people who are Black — in effect, to think and act and speak in a particular way, the Black way — and that there is something peculiar about Black people who insist on doing anything else.”

In the past, such ideas might have been seen as “frankly racist,” Carter noted. “Now, however, they are almost a gospel for people who want to show their commitment to equality.” This belies the reality that Black people, he said, “fairly sparkle with diversity of outlook.”

. . .

At the same time, Carter bristled at the judgment of many of his Black peers, describing several situations in which he found himself accused of being “inauthentically” Black, as if people of a particular race were a monolith and that those who deviated from it were somehow shirking their duty. He said he didn’t want to be limited in what he was allowed to say by “an old and vicious form of silencing.”

In an interview with The Times in 1991, Carter emphasized this point: “No weight is added to a position because somebody is Black. One has to evaluate an argument on its own merits, not on the race of the person making it.”

For the full commentary, see:

Pamela Paul. “A 1991 Book Was Stunningly Prescient About Affirmative Action.” The New York Times (Friday, May 26, 2023): A22.

(Note: ellipses added.)

(Note: the online version of the commentary has the date May 25, 2023, and has the title “This 1991 Book Was Stunningly Prescient About Affirmative Action.”)

The book praised in the commentary quoted above is:

Carter, Stephen L. Reflections of an Affirmative Action Baby. New York: Basic Books, 1991.

Rage That Transplant Medicine Stagnates

The essay quoted below provides one more example of why we should unbind medical entrepreneurs to allow them to bring us more and faster cures.

(p. 8) Today, I will explain to my healthy transplanted heart why, in what may be a matter of days or weeks at best, she — well, we — will die.

. . .

Organ transplantation is mired in stagnant science and antiquated, imprecise medicine that fails patients and organ donors.

. . .

Over the last almost four decades a toxic triad of immunosuppressive medicines — calcineurin inhibitors, antimetabolites, steroids — has remained essentially the same with limited exceptions. These transplant drugs (which must be taken once or twice daily for life, since rejection is an ongoing risk and the immune system will always regard a donor organ as a foreign invader) cause secondary diseases and dangerous conditions, including diabetes, uncontrollable high blood pressure, kidney damage and failure, serious infections and cancers. The negative impact on recipients is not offset by effectiveness: the current transplant medicine regimen does not work well over time to protect donor organs from immune attack and destruction.

. . .

I am speaking for my transplant cardiologist, the finest physician I have ever known, who sat across from me last month and cried into his palms when he told me I had incurable cancer.

For the full essay, see:

Amy Silverstein. “My Donor Heart And I Will Die Soon.” The New York Times, SundayOpinion Section (Sunday, April 23, 2023): 8.

(Note: ellipsis added; in the original, the word “we” in the first sentence is in italics.)

(Note: the online version of the essay has the date April 18, 2023, and has the title “My Transplanted Heart and I Will Die Soon.”)

See also:

Williams, Alex. “Amy Silverstein, Who Chronicled a Life of Three Hearts, Dies at 59.” The New York Times (Weds., May 17, 2023): A21.

Some of the issues raised in Silverstein’s essay were earlier discussed in her book:

Silverstein, Amy. Sick Girl. New York: Grove Press, 2007.

In Blackberry Movie “The Excitement of Disruption and the Thrill of Creation Become Tangible”

(p. C9) In Matt Johnson’s “BlackBerry” — a wonky workplace comedy that slowly shades into tragedy — the emergence of the smartphone isn’t greeted with fizzing fireworks and popping champagne corks. Instead, Johnson and his co-writer, Matthew Miller (adapting Jacquie McNish and Sean Silcoff’s 2015 book “Losing the Signal: The Untold Story Behind the Extraordinary Rise and Spectacular Fall of BlackBerry”), have fashioned a tale of scrabbling toward success that tempers its humor with an oddly moving wistfulness.

. . .

. . ., we’re in Waterloo, Ontario, in 1996, where Mike Lazaridis (a perfect Jay Baruchel) and Doug Fregin (Johnson) — best friends and co-founders of a small tech company called Research in Motion (RIM) — are trying to sell a product they call PocketLink, a revolutionary combination of cellphone, email device and pager.

. . .

The corporate types don’t understand Mike and Doug’s invention, but a predatory salesman named Jim Balsillie (a fantastic Glenn Howerton), gets it. Recently fired and fired up, Jim sees the device’s potential, making a deal to acquire part of RIM in exchange for cash and expertise. Doug, a man-child invariably accessorized with a headband and a bewildered look, is doubtful; Mike, assisted by a shock of prematurely gray hair, is wiser. He knows that they’ll need an intermediary to succeed.

Reveling in a vibe — hopeful, testy, undisciplined — that’s an ideal match for its subject, “BlackBerry” finds much of its humor in Jim’s resolve to fashion productive employees from RIM’s ebulliently geeky staff, who look and act like middle schoolers and converse in a hybrid of tech-speak and movie quotes. It’s all Vogon poetry to Jim; but as Jared Raab’s restless camera careens around the chaotic work space, the excitement of disruption and the thrill of creation become tangible.

For the full movie review, see:

Jeannette Catsoulis. “When Geeks Clash With Suits, They’re All Thumbs.” The New York Times (Friday, May 12, 2023): C9.

(Note: ellipses added.)

(Note: the online version of the movie review has the date May 11, 2023, and has the title “‘BlackBerry’ Review: Big Dreams, Little Keyboards.”)

The book that is the basis of the movie under review in the passages quoted above is:

McNish, Jacquie, and Sean Silcoff. Losing the Signal: The Untold Story Behind the Extraordinary Rise and Spectacular Fall of Blackberry. New York: Flatiron Books, 2015.

Communists Want Us to Forget the 1.6 Million Chinese They Murdered in Cultural Revolution

(p. A23) It would seem impossible to forget or minimize the Cultural Revolution in China, which lasted from 1966 to 1976, resulted in an estimated 1.6 million to two million deaths and scarred a generation and its descendants. The movement, which under Mao Zedong’s leadership sought to purge Chinese society of all remaining non-Communist elements, upended nearly every hallowed institution and custom. Teachers and schools long held in esteem were denounced. Books were burned and banned, museums ransacked, private art collections destroyed. Intellectuals were tortured.

But in China, a country where information is often suppressed and history is constantly rewritten — witness recent government censorship of Covid research and the obscuring of Hong Kong’s British colonial past in new school textbooks — the memory of the Cultural Revolution risks being forgotten, sanitized and abused, to the detriment of the nation’s future.

The Chinese government has never been particularly eager to preserve the memory of that sordid decade. When I spent six weeks traveling in China in 1994 — a slightly more open time in the country — I encountered few public acknowledgments of the Cultural Revolution. Museum placards and catalogs often simply skipped a decade in their timelines or provided brief references in the passive voice along the lines of “historical events that took place.”

But in her new book, “Red Memory: The Afterlives of China’s Cultural Revolution,” the journalist Tania Branigan notes that under Xi Jinping, China’s top leader, efforts to suppress this history have intensified — with troubling implications for the political health of the country at a time when it looms larger than ever on the world stage. “When you’ve had a collective trauma, you really need a collective response,” she told me recently. “I can see why the Communist Party wants to avoid the rancor and bitterness, but when you don’t have that kind of acknowledgment, you can move on — but you can’t really recover.”

For the full commentary, see:

Pamela Paul. “The Decade That China Cannot Delete.” The New York Times (Friday, May 19, 2023): A23.

(Note: the online version of the commentary has the date May 18, 2023, and has the title “The Decade That Cannot Be Deleted.”)

The book on the cultural revolution mentioned above is:

Branigan, Tania. Red Memory: The Afterlives of China’s Cultural Revolution. New York: W. W. Norton & Company, 2023.

Fred Siegel Went from Liberal to Conservative During the New York Blackout of 1977 When Looters Burned Stores, Restaurants, and Civility

(p. B10) Fred Siegel, a passionate urban historian whose rejection of the liberal establishment’s response to crime, poverty and public civility transformed him from a spokesman for the Democratic presidential nominee George McGovern in 1972 to a voter for Donald J. Trump in 2020, died on Sunday at his home in Brooklyn.

. . .

His ideological evolution was evidenced in the titles of his books: “The Future Once Happened Here: New York, D.C., L.A., and the Fate of America’s Big Cities” (1997); “The Prince of the City: Giuliani, New York, and the Genius of American Life” (2005), which he wrote with Harry Siegel; and “The Revolt Against the Masses: How Liberalism Has Undermined the Middle Class” (2014).

. . .

And, perhaps more in sorrow than in anger, he quoted former Senator Daniel Patrick Moynihan of New York as saying that his fellow Democrats had “rewarded the articulation of moral purpose more than the achievement of practical good.”

. . .

. . . in 1991, Mr. Siegel argued: “Middle-class citizens, rightly or wrongly, have become convinced that modern liberal urban government is mostly about letting the poor misbehave at the expense of the middle class, and paying public employees very well to deliver services very poorly.”

. . .

Mr. Siegel’s metamorphosis — from a member of the Democratic Socialists of America, a fellow of the Progressive Policy Institute and a voter for the independent John Anderson in 1980 and the Democrat Walter F. Mondale in 1984 (each time voting against the Republican Ronald Reagan) — reached its apogee (depending on one’s political point of view) in 2020.

After a lifetime of sitting out presidential elections or mostly voting for losers, he cast his ballot for Mr. Trump.

He listed his reasons for doing so in 2020 in an interview with The Wall Street Journal, lauding Mr. Trump for “crushing ISIS, pulling us out of the Iran nuclear deal, moving our embassy to Jerusalem and making fools of those people who insist that the Palestinian issue is at the heart of the Arab-Israeli conflict.” He also favored Mr. Trump, he said, for displaying an “ability to withstand a prolonged coup attempt by the Democrats and the media” and for championing “bourgeois values.”

In an online tribute this week, Brian C. Anderson, the editor of City Journal, wrote that Mr. Siegel had identified what he called a “riot ideology” that took hold of public officials in major cities, “making them reluctant to confront public disorder and crime for fear of violent opposition.”

. . .

The essayist Irving Kristol famously defined a neoconservative, a breed Mr. Kristol epitomized and popularized, as “a liberal who has been mugged by reality.” But Mr. Siegel’s conversion wasn’t the result of a single personal experience, his son said — even though a thief once grabbed a bag of $100 worth of kosher meat from him on the subway and several of the family’s cars were stolen.

If Mr. Siegel approached a philosophical epiphany, though, it was during the blackout of 1977, when looters raged through parts of Brooklyn, stripping stores of merchandise and setting them ablaze in a night of rioting.

Mr. Siegel, whose favorite restaurant, Jack’s Pastrami King, was among the places destroyed, reflected in 2017: “The city itself had been mugged, I realized. I’m still haunted by that moment from 40 years ago, when my political re-education began.”

For the full obituary, see:

Sam Roberts. “Fred Siegel, 78, Urban Historian And a Former Liberal, Is Dead.” The New York Times (Saturday, May 13, 2023): B10.

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

(Note: the online version of the obituary was updated May 15, 2023, and has the title “Fred Siegel, Urban Historian and a Former Liberal, Is Dead at 78.”)

The most recent of Siegel’s books mentioned above is:

Siegel, Fred. The Revolt Against the Masses: How Liberalism Has Undermined the Middle Class. New York: Encounter Books, 2014.