Cochrane Study Finds No Benefits of Mandatory Masking

During the pandemic, I wrote an op-ed piece advocating the voluntary (not mandatory) use of masks. I still believe that, based on the mechanics of disease spread, and the mechanics of physically blocking virus particles, that masks can have a modest effect in reducing the viral load we spread to others. I also still believe in free speech and believe that it was wrong to censor those who were skeptical of masks.

(p. A19) The most rigorous and comprehensive analysis of scientific studies conducted on the efficacy of masks for reducing the spread of respiratory illnesses — including Covid-19 — was published late last month. Its conclusions, said Tom Jefferson, the Oxford epidemiologist who is its lead author, were unambiguous.

“There is just no evidence that they” — masks — “make any difference,” he told the journalist Maryanne Demasi. “Full stop.”

But, wait, hold on. What about N-95 masks, as opposed to lower-quality surgical or cloth masks?

“Makes no difference — none of it,” said Jefferson.

What about the studies that initially persuaded policymakers to impose mask mandates?

“They were convinced by nonrandomized studies, flawed observational studies.”

. . .

These observations don’t come from just anywhere. Jefferson and 11 colleagues conducted the study for Cochrane, a British nonprofit that is widely considered the gold standard for its reviews of health care data. The conclusions were based on 78 randomized controlled trials, six of them during the Covid pandemic, with a total of 610,872 participants in multiple countries. And they track what has been widely observed in the United States: States with mask mandates fared no better against Covid than those without.

No study — or study of studies — is ever perfect. Science is never absolutely settled. What’s more, the analysis does not prove that proper masks, properly worn, had no benefit at an individual level. People may have good personal reasons to wear masks, and they may have the discipline to wear them consistently. Their choices are their own.

. . .

The C.D.C.’s increasingly mindless adherence to its masking guidance is none of those things. It isn’t merely undermining the trust it requires to operate as an effective public institution. It is turning itself into an unwitting accomplice to the genuine enemies of reason and science — conspiracy theorists and quack-cure peddlers — by so badly representing the values and practices that science is supposed to exemplify.

It also betrays the technocratic mind-set that has the unpleasant habit of assuming that nothing is ever wrong with the bureaucracy’s well-laid plans — provided nobody gets in its way, nobody has a dissenting point of view, everyone does exactly what it asks, and for as long as officialdom demands. This is the mentality that once believed that China provided a highly successful model for pandemic response.

For the full commentary, see:

Bret Stephens. “‘Do Something’ Is Not Science.” The New York Times (Wednesday, February 22, 2023): A19.

(Note: ellipses added.)

(Note: the online version of the commentary has the date Feb. 21, 2023, and has the title “The Mask Mandates Did Nothing. Will Any Lessons Be Learned?”)

Energy Department Says Covid Came from Wuhan Lab

(p. A1) WASHINGTON — New intelligence has prompted the Energy Department to conclude that an accidental laboratory leak in China most likely caused the coronavirus pandemic, though U.S. spy agencies remain divided over the origins of the virus, American officials said on Sunday.

The conclusion was a change from the department’s earlier position that it was undecided on how the virus emerged.

. . .

Officials would not disclose what the intelligence was. But many of the Energy Department’s insights come from its network of national laboratories, some of which conduct biological research, rather than more traditional forms of intelligence like spy networks or communications intercepts.

Intelligence officials believe the scrutiny of the pandemic’s beginnings could be important to improving global response to future health crises, though they caution that finding an answer about the source of the virus may be difficult or even impossible given Chinese opposition to further research. Scientists say there is a responsibility to explain how a pandemic (p. A7) that has killed almost seven million people started, and learning more about its origins could help researchers understand what poses the biggest threats of future outbreaks.

The new intelligence and the shift in the department’s view was first reported by The Wall Street Journal on Sunday [Feb. 26, 2023].

For the full story, see:

Julian E. Barnes. “Energy Dept. Suspects Virus Was From Lab.” The New York Times (Monday, February 27, 2023): A1 & A7.

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

(Note: the online version of the story has the date Feb. 26, 2023, and has the title “Lab Leak Most Likely Caused Pandemic, Energy Dept. Says.”)

Many Universities, Embracing DEI, No Longer Hire and Reward Based on Competence and Merit

(p. A13) Diversity is no longer a term to describe the breadth of our differences but a demand to flatter and grant privileges to purportedly oppressed identity groups. Equity assigns desirable positions based on race, sex and sexual orientation rather than character, competence and merit. Inclusion now means creating a social environment where identity groups are celebrated while those who disagree are maligned.

“Diversity, Equity, and Inclusion” [DEI]—the compound form of these modern concepts—is especially toxic. It divides us by social identity groups, ranks those groups on privilege and power, and excludes those who fail to honor the new orthodoxy. Rather than being equally endowed with innate dignity and fundamental rights as human beings—best judged by our character and not skin color—we are supposed to discriminate and confer status based on race, sex and cultural affinity.

. . .

When coming from the college’s administration, DEI practices essentially gatekeep entry to college faculty, staff and students. Requiring DEI statements as part of the faculty employment process dissuades those who think otherwise from even applying. It stifles discourse by keeping dissenting viewpoints from campus in the first place.

College DEI training programs discourage the open and candid discussion necessary for intellectual growth. They exacerbate divisions between groups, creating an environment of tension, fear and one-mindedness, and they have the pernicious effect of closing minds and shutting down thoughtful debate even before classes begin.

DEI attacks the integrity of the academic project. Instead of listening to divergent voices, ears are shut. Instead of the free expression of contrary opinions, chilling self-censorship takes place. Instead of a campus open to all, one finds a narrow doorway through which only an approved few may enter. If the right pieties and homilies aren’t made, ostracization and exclusion become the norm rather than the exception. Unanimity, inequality and exclusion—Orwellian indeed.

For the full commentary, see:

Matthew Spalding. “DEI Spells Death for the Idea of a University.” The Wall Street Journal (Saturday, Feb. 11, 2023): A13.

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

(Note: the online version of the commentary has the date February 10, 2023, and has the same title as the print version.)

Brilliant, Courageous, Charming, WASP Publisher Defended Human Rights

(p. A24) John Macrae III, a dashing publisher who gambled on groundbreaking books and dauntlessly defended authors who defied injustices committed by their own governments, died on Feb. 1 [2023] at his home in Manhattan.

. . .

Mr. Macrae was among those who urged his fellow publishers to boycott the Moscow Book Fair in 1983 to protest the Soviet Union’s treatment of dissidents.

He flew to Poland with his stepson Nick and a portable folding kayak to navigate the Vistula River and meet with anti-government leaders undetected. He then met with intermediaries for Lech Walesa, leader of the outlawed Solidarity trade union, and persuaded him to write his autobiography.

Mr. Macrae also championed Salman Rushdie when Ayatollah Ruhollah Khomeini of Iran in 1989 accused Mr. Rushdie of blaspheming Islam in his novel “The Satanic Verses” and enjoined Muslims to kill him.

“Jack traveled to Cuba and Iran on human rights missions,” Jeri Laber, a founder of Human Rights Watch, said, noting that in addition to making “several trips on his own to Communist Poland,” he traveled to Communist Czechoslovakia to meet with the dissident playwright Vaclav Havel, later to become the Czech Republic’s first president.

. . .

Amy Hertz, a former Dutton editor, wrote in The Huffington Post in 2010 that as a publisher Mr. Macrae “went after memoirs from apartheid South Africa and the end of the Cultural Revolution in China so that people would understand the suffering caused by lack of freedom.” And, she said, “he brought over the great Russian poets Yevtushenko and Voznesensky, and he worked with them to get Russian dissidents released from prison.”

“Jack’s brilliance,” Ms. Hertz added, “and what he passed along to me, is in not worrying about what’s on the page you’re looking at when evaluating a proposal or a manuscript. His brilliance is in hearing the thinking behind the author’s words, inchoate in the holy mess that when I worked for him was usually spread across his office floor. He taught me to find that kernel and to burnish it.”

. . .

“He was probably the last of the old-time, gentleman WASP publishers — born into the business,” said Charles McGrath, a former editor of The New York Times Book Review. “He had immense personal charm, and it was hard not to get swept up by him.”

Late in life, Mr. McGrath added, “he found out he had multiple sclerosis, but didn’t let that slow him down. He zipped around the office — and the city, for that matter — in a motorized wheelchair, as cheerful as ever.”

For the full obituary, see:

Sam Roberts. “John Macrae III, 91, Publisher And Rights Champion, Is Dead.” The New York Times (Friday, February 24, 2023): A24.

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

(Note: the online version of the obituary was updated Feb. 27, 2023, and has the title “John Macrae III, Eclectic Publisher and Rights Champion, Dies at 91.”)

Russian-Speaking Ukrainian Says When You “Have Felt a Whiff of Freedom . . . You Don’t Want to Go Back”

(p. A4) EASTERN Ukraine –— After a year of war, I remember most the things people said.

Svetlana, a woman in her 60s from Kharkiv, standing amid the press of refugees at a train station, explained why Russian-speaking Ukrainians like her, who had lived half their life in the Soviet Union, did not want to live under Russian control.

“We have felt a whiff of freedom,” she said. “After that, you don’t want to go back.”

For the full commentary, see:

Gall, Carolotta. “We Have Felt a Whiff of Freedom.” The New York Times (Saturday, February 25, 2023): A4.

(Note: on 2/27/23, I spent time searching for the online version of this article on the NYT web site and failed to find it.)

E.S.G.–“Extremely Silly Grandstanding”

Source of graphic: online version of the NYT article quoted and cited below.

(p. B1) E.S.G. — which refers to environmental, social and governance standards — has become a point of contention for red-state legislators defending the fossil fuel industries that employ their residents.

. . .

(p. B4) So what is E.S.G., anyway? As investors rename their firms and their funds in a race to ride the E.S.G. wave, cynics see the debate over the term’s definition as degenerating into everyone seeing gibberish. Because funds can define E.S.G. nearly any way they want, they have come to resemble an extra-strange goulash. Sometimes, these new or newly rebranded operations are just elegantly simple greenwashing and nothing more.

For the full commentary, see:

Ron Lieber. “YOUR MONEY; Bankers Are Suing Lawyers In Kentucky’s E.S.G. Battle.” The New York Times (Saturday, February 25, 2023): B1 & B4.

(Note: ellipsis added.)

(Note: the online version of the commentary has the date February 24, 2023, and has the title “YOUR MONEY; The E.S.G. Fight Has Come to This: Bankers Suing Lawyers.”)

Joyce Meskis Was the Principled Entrepreneur Behind Denver’s Wonderful Tattered Cover Bookstore

The Tattered Cover in Denver is my favorite bookstore. I remember one time as I was exiting, running into Scott Parris, then an economics editor at Oxford University Press, who would later be the acquisition editor for my Openness to Creative Destruction. I remember he asked me if I had seen any books in economics in the Tattered Cover that looked promising. On another memorable occasion I visited the bookstore with my daughter Jenny’s Montessori middle-school class as a bookend to the class’s trip to Estes Park. It is a large welcoming bookstore, with comfortable chairs, good coffee, and a wonderful and diverse selection of books. At least it was during the years that Joyce Meskis owned it. (It may still be–I have not visited for several years.)

(p. B12) In 1995 the writer A.E. Hotchner presented Joyce Meskis, owner of the Tattered Cover Book Store in Denver, with a PEN American Center award recognizing her efforts on behalf of freedom of speech and expression.

“In this room,” he said at the awards ceremony, “there are writers, editors, publishers, and the rest of you are readers. If this woman fails, we all fail. We don’t exist unless the bookseller can sell us.”

And that was before Ms. Meskis went all the way to the Colorado Supreme Court to prevent law enforcement officials from knowing what books one of her customers had bought.

Ms. Meskis, who built the Tattered Cover into one of the most successful independent bookstores in the country, died on Dec. 22 [2022] in Denver, the National Coalition Against Censorship announced.

. . .

In addition to creating a bookstore famed for its vast selection and bibliophile-friendly atmosphere, Ms. Meskis often took a stand in matters related to censorship and the First Amendment. Sometimes those positions were not easy ones to embrace.

. . .

To Ms. Meskis, owning a bookstore was about more than just sales. As she told The Arizona Daily Star in 1992, “It’s my view that as booksellers we have our own version of the Hippocratic oath — to maintain the health and well-being of the First Amendment.”

. . .

Her stances didn’t always involve government regulation and court battles. In the late 1980s, she vowed to continue selling Salman Rushdie’s 1988 novel, “The Satanic Verses,” despite anonymous telephone threats after Ayatollah Ruhollah Khomeini of Iran declared the book blasphemous and called for the author’s death.

. . .

If Ms. Meskis was celebrated for her First Amendment stands, she took that spotlight reluctantly.

“Trouble finds us, we don’t go looking for it,” she told Publishers Weekly, an oft-repeated line. “When you’re in a general community, you will always have challenges. There are things I didn’t expect. I didn’t expect so many court battles. You’ve got to do what you’ve got to do.”

For the full obituary, see:

Neil Genzlinger. “Joyce Meskis, 80, Bookseller Who Defended Readers’ Rights.” The New York Times (Thursday, January 12, 2023): B12.

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

(Note: the online version of the obituary was updated Jan. 11, 2023, and has the title “Joyce Meskis, Bookseller Who Defended Readers’ Rights, Dies at 80.”)

One Cause of Increasing Burnout of Physicians Is “the Politicization of Science”

(p. A25) Ten years of data from a nationwide survey of physicians confirm another trend that’s worsened through the pandemic: Burnout rates among doctors in the United States, which were already high a decade ago, have risen to alarming levels.

Results released this month and published in Mayo Clinic Proceedings, a peer-reviewed journal, show that 63 percent of physicians surveyed reported at least one symptom of burnout at the end of 2021 and the beginning of 2022, an increase from 44 percent in 2017 and 46 percent in 2011. Only 30 percent felt satisfied with their work-life balance, compared with 43 percent five years earlier.

“This is the biggest increase of emotional exhaustion that I’ve ever seen, anywhere in the literature,” said Bryan Sexton, the director of Duke University’s Center for Healthcare Safety and Quality, who was not involved in the survey efforts.

. . .

The increase in burnout is most likely a mix of new problems and exacerbated old ones, Dr. Shanafelt said. For instance, the high number of messages doctors received about patients’ electronic health records was closely linked to increased burnout before the pandemic. After the pandemic, the number of messages from patients coming into physicians’ In Baskets, a health care closed messaging system, increased by 157 percent.

And physicians pointed to the politicization of science, labor shortages and the vilification of health care workers as significant issues.

For the full story, see:

Oliver Whang. “New Survey Suggests An Alarming Increase In Physician Burnout.” The New York Times (Friday, September 30, 2022): A25.

(Note: ellipsis added.]

(Note: the online version of the story has the date Sept. 29, 2022, and has the title “Physician Burnout Has Reached Distressing Levels, New Research Finds.”)

Entrepreneur Andy Yen’s Technology Enables Russians to Elude Censors

(p. A1) After Moscow erected a digital barricade in March [2022], blocking access to independent news sites and social media platforms to hide information about its unfolding invasion of Ukraine, many Russians looked for a workaround. One reliable route they found came from a small Swiss company based nearly 2,000 miles away.

The company, Proton, provides free software that masks a person’s identity and location online. That gives a user in Russia access to the open web by making it appear that the person is logging in from the Netherlands, Japan or the United States. A couple of weeks after the internet blockade, about 850,000 people inside Russia used Proton each day, up from fewer than 25,000.

That is, until the end of March, when the Russian government found a way to block Proton, too.

Targeting Proton was the opening salvo of a continuing back-and-forth battle, pitting a team of about 25 engineers against a country embarking on one of the most aggressive censorship campaigns in recent memory.

Working from a Geneva office where the company keeps its name off the building directory, Proton has spent nine pressure-packed months repeatedly tweaking its technology to avoid Russian blocks, only to be countered again by government censors in Moscow. Some employees took (p. A9) Proton off their social media profiles out of concern that they would be targeted personally.

The high-stakes chess match mirrors what is playing out with growing frequency in countries facing coups, wars and authoritarian rule, where restricting the internet is a tool of repression. The blocks drive citizens to look for workarounds. Engineers at companies like Proton think up new ways for those people to secretly reach the open web. And governments, in turn, seek out new technical tricks to plug leaks.

. . .

Companies rarely discuss being targeted by an authoritarian government out of fear of escalating the conflict. But Andy Yen, Proton’s founder and chief executive, said that after a period of trying to keep its “head down,” Proton wanted to raise awareness about the increasing sophistication of governments, in Russia and elsewhere, to block citizens from reaching the open web and the need for technologists, companies and governments to push back.

. . .

“We’re gearing up for a long fight,” Mr. Yen said in an interview at the company’s office. “Everybody hopes this will have a happy ending, but it’s not guaranteed. We don’t see the light at the end of the tunnel, in fact, but you keep going because if we don’t do it, then maybe nobody else will.”

. . .

The battle took on a “Spy vs. Spy” dynamic in Proton’s headquarters. Mr. Yen said a network of people within the government, telecommunications firms and civil society groups had helped Proton operate in Russia, providing access to local networks and sharing intelligence about how the censorship system worked. But those contacts began to go dark as the Kremlin’s crackdown on dissent intensified.

. . .

Mr. Yen was interrupted during a staff meeting in mid-July with news that Russian censors had come up with an even more elaborate block. A corporate chart from the time shows use dropping off a cliff. Russian engineers had identified what is known as an authentication “handshake,” the vital moment when Proton’s VPN connection gets established before reaching the wider web. Blocking the link made Proton’s service essentially unusable.

“We had no idea what was happening and how they were doing it,” Mr. Cesarano said.

By August, after working around the clock for days to find a fix, Proton acknowledged defeat and pulled its app from Russia. The company has spent the months since then developing a new architecture that makes its VPN service harder to identify because it looks more like a regular website to censorship software scanning a country’s internet traffic. Proton has been successfully testing the system in Iran, where Proton has seen a sharp increase in VPN use during recent political demonstrations.

In Russia, Proton has reintroduced its apps using the new system. Mr. Yen acknowledged that it probably wasn’t a long-term fix. He has confidence in the new technology, but figures Russian engineers will eventually figure out a new way to push back, and the game will continue.

For the full story, see:

Adam Satariano and Paul Mozur. “The Cat-and-Mouse Battle for Russia’s Internet.” The New York Times (Wednesday, December 7, 2022): A1 & A9.

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

(Note: the online version of the story was updated Dec. 9, 2022, and has the title “Inside the Face-Off Between Russia and a Small Internet Access Firm.” )

Taiwanese Engineers Who Built Dictator Xi’s Computer Chips, Are Voting With Their Feet for Taiwan’s Democracy and Freedom

(p. B1) TAIPEI, Taiwan — The job offer from a Chinese semiconductor company was appealing. A higher salary. Work trips to explore new technologies.

No matter that it would be less prestigious for Kevin Li than his job in Taiwan at one of the world’s leading chip makers. Mr. Li eagerly moved to northeast China in 2018, taking part in a wave of corporate migration as the Chinese government moved aggressively to build up its semiconductor industry.

He went back to Taiwan after two years, as Covid-19 swept through China and global tensions intensified. Other highly skilled Taiwanese engineers are going home, too.

For many, the strict pandemic measures have been tiresome. Geopolitics has made the job even more fraught, with China increasingly vocal about staking its claim on Taiwan, a self-ruled democracy.

. . .

(p. B4) For now, Mr. Li is staying in Taiwan, working for an American chip company operating there and siding with the invigorated patriotic sentiment and the ethos of individual liberty.

“The advantage of working in Taiwan is that you don’t have to worry about officials shutting down the whole company because of one thought,” he said. “The atmosphere is very important. At least I can watch all kinds of programs criticizing the governments on both sides of the Taiwan Strait without worrying about being arrested.”

For the full story, see:

Jane Perlez, Amy Chang Chien and John Liu. “Taiwanese Who Built Up Chip Sector in China Are Fed Up and Going Home.” The New York Times (Tuesday, November 22, 2022): B1 & B4.

(Note: the online version of the story has the date Nov. 16, 2022, and has the title “Engineers From Taiwan Bolstered China’s Chip Industry. Now They’re Leaving.” The online version says that the title of the print version is “They Built Up China’s Chip Sector. Now, They’re Going Home to Taiwan” but the title of my national edition copy is “Taiwanese Who Built Up Chip Sector in China Are Fed Up and Going Home.”)

“It’s Not Clear What We Are and Aren’t Allowed to Say”

(p. B1) When Gov. Gavin Newsom signed into law a bill that would punish California doctors for spreading false information about Covid-19 vaccines and treatments, he pledged that it would apply only in the most “egregious instances” of misleading patients.

It may never have the chance.

Even before the law, the nation’s first of its kind, takes effect on Jan. 1 [2023], it faces two legal challenges seeking to declare it an unconstitutional infringement of free speech. The plaintiffs include doctors who have spoken out against government and expert recommendations during the pandemic, as well as legal organizations from both sides of the political spectrum.

“Our system opts toward a presumption that speech is protected,” said Hannah Kieschnick, a lawyer for the Northern California branch of the American Civil Liberties Union, which submitted a friend-of-the-court brief in favor of one of the challenges, filed last month in U.S. District Court for the Central District of California.

That lawsuit and another, filed this month in the Eastern District of California, have become an extension of the broader cultural battle over the Covid-19 pandemic, which continues to divide Americans along stark partisan lines.

. . .

(p. B5) The plaintiffs in California have sought injunctions to block the law even before it goes into effect, arguing that it was intended to silence dissenting views.

One of them, Dr. Tracy Hoeg, a physician and epidemiologist who works in Grass Valley, near Sacramento, has written peer-reviewed studies since the pandemic began that questioned some aspects of government policies adopted to halt the spread of Covid-19.

Those studies, on the efficacy of masks for schoolchildren and the side effects of vaccines on young men, exposed her to vehement criticism on social media, she said, partly because they fell outside the scientific consensus of the moment.

She noted that the medical understanding of the coronavirus continues to evolve, and that doctors should be open to following new evidence about treatment and prevention.

“It’s going to cause this very broad self-censorship and self-silencing from physicians with their patients because it’s not clear what we are and aren’t allowed to say,” said Dr. Hoeg, one of five doctors who filed a challenge in the Eastern District. “We have no way of knowing if some new information or some new studies that come out are accepted by the California Medical Board as consensus yet.”

. . .

Dr. Jeff Barke, a physician who has treated Covid patients at his office in Newport Beach in Southern California, said the law was an attempt by the state to impose a rigid orthodoxy on the profession that would rule out experimental or untested treatments.

Those include treatments with ivermectin and hydroxychloroquine that he said he had found to be effective at treating the coronavirus, despite studies suggesting otherwise. “Who determines what false information is?” he said.

. . .

“What comes next?” he said. “How I talk to patients about cancer? How I talk to patients about obesity or diabetes or asthma or any other illnesses? When they have a standard of care that they think is appropriate and they don’t want me going against their narrative, then they’ll say Barke’s spreading misinformation.”

For the full story, see:

Steven Lee Myers. “Law to Stem Medical Misinformation Is Facing a Free Speech Challenge.” The New York Times (Thursday, December 1, 2022): B1 & B5.

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

(Note: the online version of the story has the date Nov. 30, 2022, and has the title “Is Spreading Medical Misinformation a Doctor’s Free Speech Right?”)