I’m Normally a Mild Guy. Here’s What’s Pushed Me Over the Edge.

by David Brooks in the NYT

When I was a baby pundit, my mentor, Bill Buckley, told me to write about whatever made me angriest that week. I don’t often do that, mostly because I don’t get angry that much — it’s not how I’m wired. But this week I’m going with Bill’s advice.

Last Monday afternoon, I was communing with my phone when I came across a Memorial Day essay that the Notre Dame political scientist Patrick Deneen wrote back in 2009. In that essay, Deneen argued that soldiers aren’t motivated to risk their lives in combat by their ideals. He wrote, “They die not for abstractions — ideas, ideals, natural right, the American way of life, rights, or even their fellow citizens — so much as they are willing to brave all for the men and women of their unit.”

This may seem like a strange thing to get angry about. After all, fighting for your buddies is a noble thing to do. But Deneen is the Lawrence Welk of postliberalism, the popularizer of the closest thing the Trump administration has to a guiding philosophy. He’s a central figure in the national conservatism movement, the place where a lot of Trump acolytes cut their teeth.

In fact, in his acceptance speech at the Republican National Convention, JD Vance used his precious time to make a point similar to Deneen’s. Vance said, “People will not fight for abstractions, but they will fight for their home.”

Elite snobbery has a tendency to set me off, and here are two guys with advanced degrees telling us that regular soldiers never fight partly out of some sense of moral purpose, some commitment to a larger cause — the men who froze at Valley Forge, the men who stormed the beaches at Normandy and Guadalcanal.

But that’s not what really made me angry. It was that these little statements point to the moral rot at the core of Trumpism, which every day disgraces our country, which we are proud of and love. Trumpism can be seen as a giant attempt to amputate the highest aspirations of the human spirit and to reduce us to our most primitive, atavistic tendencies.

Before I explain what I mean, let me first make the obvious point that Deneen’s and Vance’s assertions that soldiers never fight for ideals is just plain wrong. Of course warriors fight for their comrades. And of course there are some wars like Vietnam, and Iraq, where Vance served, where the moral causes are unclear or discredited. But when the moral stakes are made clear, most soldiers are absolutely motivated in part by ideals — even in the heat of combat.

For his book “For Cause and Comrades: Why Men Fought in the Civil War,” the great historian James M. McPherson read about 25,000 letters and 249 diaries from soldiers who fought in that war. Their missives were filled with griping about conditions, about the horrors of war — they had no need in their private writings to sugarcoat things. But of the 1,076 soldiers whose writings form the basis of his book, McPherson found that 68 percent of the Union soldiers and 66 percent of the Confederate soldiers explicitly cited “patriotic motivations” (as they interpreted them) as one reason they went into combat. Other soldiers were probably also motivated by their ideals, but they found it too obvious to mention.

“Sick as I am of this war and bloodshed as much oh how much I want to be home with my dear wife and children,” a Pennsylvania officer wrote, “every day I have a more religious feeling, that this war is a crusade for the good of mankind.” An Indiana man wrote, “This is not a war for dollars and cents, nor is it a war for territory — but it is to decide whether we are to be a free people — and if the Union is dissolved I very much fear that we will not have a republican form of government very long.”

America’s founding fathers and founding documents were very much on the soldiers’ minds. A Union soldier’s wife asked him to leave the army and come home. He responded, “If you esteem me with a true woman’s love you will not ask me to disgrace myself by deserting the flag of our Union.” He added, “Remember that thousands went forth and poured out their life’s blood in the Revolution to establish this government; and twould be a disgrace to the whole American people if she had not noble sons enough who had the spirit of ’76 in their hearts.”

Deneen and Vance stain the memory of the men who fought in that war, especially the men who fought to preserve the Union. Perhaps they are simply extrapolating from their own natures, rather than acknowledging that there are people who put ideals over self.

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Deneen’s and Vance’s comments about men in combat are part of a larger project at the core of Trumpism. It is to rebut the notion that America is not only a homeland, though it is that, but it is also an idea and a moral cause — that America stands for a set of universal principles: the principle that all men are created equal, that they are endowed with inalienable rights, that democracy is the form of government that best recognizes human dignity and best honors beings who are made in the image of God.

There are two forms of nationalism. There is the aspirational nationalism of people, ranging from Abraham Lincoln to Ronald Reagan to Joe Biden, who emphasize that America is not only a land but was founded to embody and spread the ideals expressed in the Declaration of Independence and the Gettysburg Address. Then there is the ancestors and homeland nationalism, traditionally more common in Europe, of Donald Trump and Vance, the belief that America is just another collection of people whose job is to take care of our own. In his Republican National Convention acceptance speech Vance did acknowledge that America is partly a set of ideas (though he talked about religious liberty and pointedly not the Declaration). But then when it came time to define America, he talked about a cemetery in Kentucky where his ancestors have been buried for generations. That invocation is the dictionary definition of ancestors and homeland nationalism.

Trump and Vance have to rebut the idea that America is the embodiment of universal ideals. If America is an idea, then Black and brown people from all over the world can become Americans by coming here and believing that idea. If America is an idea, then Americans have a responsibility to promote democracy. We can’t betray democratic Ukraine in order to kowtow to a dictator like Vladimir Putin. If America is an idea, we have to care about human dignity and human rights. You can’t have a president go to Saudi Arabia, as Trump did this month, and effectively tell them we don’t care how you treat your people. If you want to dismember journalists you don’t like, we’re not going to worry about it.

There are also two conceptions of society. One is what we’ll call the universalist conception — that our love of family and our love of neighborhood are the first links in a series of affections that lead to our love of city, love of nation and love of all humankind. The other is the identity politics conception of society — that life is a zero-sum struggle between racial, national, partisan and ethnic groups.

If America is built around a universalist ideal, then there is no room for the kind of white identity politics that Trump and Stephen Miller practice every day. There is no room for the othering, zero-sum, us/them thinking, which is the only kind of thinking Trump is capable of. There’s no room for Trump’s immigration policy, which is hostile to Latin Americans but hospitable to the Afrikaners whose ancestors invented apartheid. There’s no room for Tucker Carlson’s replacement theory. There’s no room for the kind of racialized obsessions harbored, for example, by the paleoconservative writer Paul Gottfried in an essay called “America Is Not an ‘Idea,’” in Chronicles magazine: “Segregation was also an unjust arrangement, and I don’t regret seeing that go either. But what has taken its place is infinitely more frightening: the systematic degradation of white Americans.”

Last, there are at least two kinds of morality. There is a kind of morality based on universal moral ideals, and then there is tribal morality. Deneen and Vance say they don’t think people are motivated by abstractions. They might try reading the Bible. The Bible is built on abstractions: Do unto others as you would have them do unto you. The Sermon on the Mount contains a bunch of abstractions: blessed are the meek, blessed are the poor in spirit, blessed are the merciful. Believe it or not, down through the centuries, billions of people have dedicated their lives to these abstractions.

What Deneen and Vance said about men in combat is a manifestation of tribal morality. They take a sentiment that is noble in time of war — we take care of our own — and apply it in general to mean that we don’t have to take care of the starving children in Africa; we can be cruel to those we don’t like. Trumpism is a giant effort to narrow the circle of concern to people just like us.

Trump’s own message on Truth Social commemorating Memorial Day is a manifestation of political tribalism. Here’s how it opened: “Happy Memorial Day to all, including the scum that spent the last four years trying to destroy our country.”

The use of the word “scum” in that context is called dehumanization. It is a short step from dehumanization to all sorts of horrors. Somebody should remind Trump that you don’t love your country if you hate half its members.

People who are more theologically advanced than I have a name for that kind of dehumanization: spiritual warfare. All of us humans have within us a capacity for selfishness and a capacity for generosity. Spiritual warfare is an attempt to unleash the forces of darkness and to simultaneously extinguish the better angels of our nature. Trump and Vance aren’t just promoting policies; they’re trying to degrade America’s moral character to a level more closely resembling their own.

Years ago, I used to slightly know both Deneen and Vance. JD has been in my home. We’ve gone out for drinks and coffee. Until Inauguration Day, I harbored him no ill will. Even today, I’ve found I have no trouble simultaneously opposing Trump policies and maintaining friendship and love for friends and family who are Trump supporters. In my experience, a vast majority of people who support Trump do so for legitimate or at least defensible reasons.

But over the past four months, a small cabal at the top of the administration — including Trump, Vance, Miller and the O.M.B. director, Russell Vought — have brought a series of moral degradations to the nation those Union soldiers fought and died for: the betrayal of Volodymyr Zelensky and Ukraine, the cruel destruction of so many scientists’ life projects, the ruination of PEPFAR. According to the H.I.V. Modeling Consortium’s PEPFAR Impact Tracker, the cuts to that program alone have already resulted in nearly 55,000 adult deaths and nearly 6,000 dead children. We’re only four months in.

Moral contempt is an unattractive emotion, which can slide into arrogance and pride, which I will try to struggle against. In the meantime, it provoked this column from a mild-mannered guy on a beautiful spring day.

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Skyline Strummers put on a great show!

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Messing with science and COVID degrades public health

Ed note: As we heard from Dr. Paul Pottinger on Tuesday, our nation’s health is being placed at risk because of misguided and harmful directives coming from HHS. New variants of COVID are coming, but instead of tweaking the vaccine to include the variants, a placebo controlled trial is now required for any change in the current vaccine. These trials take up to a year and are expensive. The virus will sweep through our country before an updated vaccine can be authorized. Thus, it seems we are stuck where we are in an anti-vax environment. This will lead to more illness and deaths–a totally unnecessary outcome!

by Paul Offit

On May 27, 2025, Robert F. Kennedy Jr., Secretary of Health and Human Services (HHS), made a surprise announcement. He said that the Centers for Disease Control and Prevention (CDC) would no longer be recommending Covid vaccines for healthy children and pregnant women. The announcement was a surprise not only to scientists, physicians, and other healthcare professionals; it was a surprise to the CDC, which was completely blindsided. Most disturbing, the recommendations go against the most recent data showing who is getting hospitalized and who is dying from Covid.

On April 15, 2025, one month before RFK Jr.’s announcement, Fiona Havers from the CDC presented data to the Advisory Committee on Immunization Practices (ACIP), an independent group of experts that advises the CDC on vaccines. The committee learned that during the past year:

• About 165,000 people were hospitalized with Covid and 40,000 died.

• About 4.3 percent of Covid hospitalizations occurred in children.

• About 150 children died from Covid, most were less than 4 years old.

• About 50 percent of children less than 4 years old who were hospitalized or died from Covid were otherwise healthy.

• About 1 in 5 children hospitalized with Covid were admitted to the intensive care unit.

• More than 90 percent of children who were hospitalized or died from Covid weren’t vaccinated.

• More young children died from Covid than died from influenza.

• A disproportionate number of children who died from Covid were less than 6 months old. The only way these children could have been protected from Covid would have been if their mothers had been vaccinated during pregnancy, which would have allowed those babies to acquire protective antibodies through the placenta.

RFK Jr. is about to unilaterally eliminate Covid vaccines from the childhood immunization schedule. This move will occur without input from vaccine advisory committees and without allowing for public comment. RFK Jr.’s edict will put children at unnecessary risk of suffering, hospitalization and death from Covid. Although the data are clear, he chooses to ignore them. RFK Jr. must step down as head of HHS. His wanton disregard for the health of children can no longer be tolerated. Enough.

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The Rise of the Japanese Toilet

Ed note: Given the personal hygiene problems as we age, I have to wonder why these toilets aren’t universal. We’ve had one for 15 years. In fact we carried this removable bidet/seat combo to Skyline and purchased a second one for the guest bathroom. The Toto seats require a new electrical outlet near the toilets, but the installation of the Washlets was quick and easy (with a little help from maintenance). Prediction: Toto is setting a new standard for personal hygiene and we’re on the way to learning from Japan, one of the cleanest countries in the world.

By River Akira Davis and Kiuko Notoya in the NYT

In 1982, a peculiar commercial aired on televisions across Japan.

An actress in a pink floral dress and an updo drops paint on her hand and futilely attempts to wipe it off with toilet paper. She looks into the camera and asks: “Everyone, if your hands get dirty, you wash them, right?”

“It’s the same for your bottom,” she continues. “Bottoms deserve to be washed, too.”

The commercial was advertising the Washlet, a new type of toilet seat with a then-unheard-of function: a small wand that extended from the back of the rim and sprayed water up. After its release, Toto, the Washlet’s maker, was deluged with calls and letters from viewers shocked by the concept. They were also angry that it was broadcast during evening prime time, when many were sitting down for dinner.

Four decades later, Japan has overwhelmingly accepted Toto’s innovation. Washlet-style bidets, sold by Toto and a few smaller rivals, are a common feature in Japan’s offices and public restrooms and account for more than 80 percent of all household toilets, according to government surveys.

Toto now sees a similar shift emerging in the United States.

After decades of trying to persuade leery American consumers of the merits of bidets, Toto Washlets have become something of a social phenomenon — popping up on social media tours of five-star hotels and celebrity homes. The comedian Ali Wong devoted a segment of her 2024 Netflix special to Toto’s “magical Japanese toilet.” In 2022, the rapper Drake gifted four Totos to the artist DJ Khaled.

An industry report last year showed that more than two in five renovating homeowners in the United States are choosing to install toilets with specialty features, including bidet toilet seats. Toto’s profits in its Americas housing equipment business have grown more than eightfold over the past five years — and the company has its sights on expanding even more.

An open door reveals a white bathroom with a bidet.
Toto’s Washlet-style bidets account for more than 80 percent of all household toilets in Japan.Credit…Hiroko Masuike/The New York Times

“I could have never imagined how popular Washlets would become overseas,” said Shinya Tamura, a former Washlet engineer who was recently appointed Toto’s president. But as was the case with Washlets in Japan, “once the fire is lit, they tend to hit a J curve,” he said.

Toto was founded in 1917 in Kitakyushu, an industrial port city at the tip of Japan’s southernmost main island. Like many Japanese companies, Toto excelled at adopting and refining overseas technologies, such as Western-style seated flush toilets, for the Japanese market.

In the 1960s, Toto noticed a little-known bidet-like device being used in the medical industry in the United States. It began redeveloping the device in Japan, enlisting more than 300 employees to test and optimize aspects like the water stream’s flow, angle and temperature.

The Toto Washlet first appeared in 1980. At the time, the product had three primary functions: washing, drying and a heated seat. It was expensive, costing the equivalent of about $2,000 in today’s currency, and early models were known to sometimes spray inspectors in the face.

The Japanese public was slow to warm to the devices. It took Toto 18 years to sell its first 10 million Washlets. But Toto added features — deodorizing in 1992 and automatic flushing and lid opening in 2003 — and sales picked up. (continued)

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Top 10 Pop Songs in the 1950’s

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Amid tensions with Trump administration, Harvard offers free courses on US history, politics

From Goodgoodgood (thanks to Pam P.)

This summer, any American can add ‘Harvard University’ to their resume — for free.

The university has offered free online courses for several years, but with tensions rising in relation to the Trump administration, more attention is on the institution than ever.

Since the start of Donald Trump’s second term as president, he has waged war with Harvard, threatening to withhold federal funds from the institution if its leadership does not comply with his demands.

These demands include “audits” of academic programs and departments (including the viewpoints of students, faculty, and staff), and changes to Harvard’s governance structure and hiring practices, according to the Harvard Gazette

An aerial view of Harvard University
Harvard University. Photo by Kris Snibbe/Harvard University

“The University will not surrender its independence or relinquish its constitutional rights,” Harvard President Alan Garber wrote in a message to the community as a response to these demands. 

He added: “No government — regardless of which party is in power — should dictate what private universities can teach, whom they can admit and hire, and which areas of study and inquiry they can pursue.”

As a result, the Trump administration has frozen more than $3 billion in research grants and attempted to revoke the school’s ability to enroll international students

Harvard is suing the federal government for both of these actions. 

Most recently, President Trump has sent a letter to all federal agencies, instructing them to end contracts with Harvard, totaling about $100 million, and essentially severing ties between the federal government and the university. 

Still, Harvard is holding strong, maintaining its reputation as a cultural and educational institution that represents the American people. (continued)

Posted in Education, Government | 1 Comment

Scientists believe penguin poop might be cooling Antarctica — here’s how

This story was originally published by Grist. Thanks to Pam P.

In December 2022, Matthew Boyer hopped on an Argentine military plane to one of the more remote habitations on Earth: Marambio Station at the tip of the Antarctic Peninsula, where the icy continent stretches toward South America. Months before that, Boyer had to ship expensive, delicate instruments that might get busted by the time he landed.

“When you arrive, you have boxes that have been sometimes sitting outside in Antarctica for a month or two in a cold warehouse,” said Boyer, a Ph.D. student in atmospheric science at the University of Helsinki. “And we’re talking about sensitive instrumentation.”

Penguins huddle in the snow on Antarctica
Penguins in Antarctica. Photo courtesy of Eli Duke (CC BY-SA 2.0)

But the effort paid off, because Boyer and his colleagues found something peculiar about penguin guano. In a paper published on Thursday in the journal Communications Earth and Environment, they describe how ammonia wafting off the droppings of 60,000 birds contributed to the formation of clouds that might be insulating Antarctica, helping cool down an otherwise rapidly warming continent.

Some penguin populations, however, are under serious threat because of climate change. Losing them and their guano could mean fewer clouds and more heating in an already fragile ecosystem, one so full of ice that it will significantly raise sea levels worldwide as it melts.

A better understanding of this dynamic could help scientists hone their models of how Antarctica will transform as the world warms. They can now investigate, for instance, if some penguin species produce more ammonia and, therefore, more of a cooling effect. (continued)

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Two Japanese TV Show Contestants Act As a Single Gymnast Performing a Pommel Horse Routine

Thanks to Bob P.

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Will this symbol stand?

Thanks to Pam P.

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Scott Pelley speaks to 2025 graduates

Thanks to Mike C.

Good morning, everybody. What a beautiful day. What a beautiful North Carolina day for a graduation. Incredible.

Thank you, President Wente, Provost Gillespie, members of the Board of Trustees and Katy Harriger, my faculty sponsor, for this precious Wake Forest honorary degree. I am honored and grateful to be with you today.

Good morning, graduates! A special shout out to our Reserve Officer Training Corps members who are going to be commissioned today in the service of their country today. Thank you so much.

Oh, this has been a challenging road. You have worked, you have worried and you have wondered if you could reach this day. I’m not talking about the graduates; I’m talking to the parents and the families.

Why are there so many people here? Because nobody got here alone.

First, a quick word of warning. I was reporting a story for 60 Minutes not too long ago, and I had a chat with a young astronomer. And I asked her, “So, what took you into astronomy?” She said, “Well, you spoke at my college graduation…”

And she went on and she said, “I was graduating with a perfectly sensible degree. But as I heard you speak, I realized my love was astronomy, so I re-enrolled. Now, I have a Ph.D. in astronomy and now I work on the Webb Space Telescope.”

So, if there is anyone here today who does not want to be an astronomer, this is the time to space out.

You know, if we were in London, we might be walking past Portman Square on a beautiful spring day. We would encounter the headquarters of the British Broadcasting Corporation, a nearly 100-year-old building from which Edward R. Murrow, the original CBS News correspondent, stood on the roof and broadcast back to America word of the falling bombs of fascism that fell on that free city month after month. If we walk a little bit further past the BBC, we will encounter another hero in the fight against fascism, George Orwell. He’d be standing there, frozen in bronze with his words carved in the side of a building: “If liberty means anything at all, it means something worth saying that some people don’t want to hear.”

I fear there are some people in the audience who don’t want to hear what I have to say today. But I appreciate your forbearance in this small act of liberty.

I’m a reporter so I won’t bury the lead. Your country needs you. The country that has given you so much is calling you, the Class of 2025. The country needs you, and it needs you today.

As a reporter, I have learned to respect opinions. Reasonable people can differ about the life of our country. America works well when we listen to those with whom we disagree and when we listen and when we have common ground and we compromise. And one thing we can all agree on – one thing at least – is that America is at her best when everyone is included.

To move forward, we debate, not demonize. We discuss, not destroy. But in this moment – this moment, this morning – our sacred rule of law is under attack. Journalism is under attack. Universities are under attack. Freedom of speech is under attack. An insidious fear is reaching through our schools, our businesses, our homes and into our private thoughts. The fear to speak. In America? If our government is – in Lincoln’s words – “of the people, by the people and for the people” – then why are we afraid to speak?

The Wake Forest Class of 1861 did not choose their time of calling. The Class of 1941 did not choose. The Class of 1968 did not choose. History chose them. And now history is calling you, the Class of 2025. You may not feel prepared, but you are. You are not descended of fearful people. You brought your values to school with you and now Wake Forest has trained you to seek the truth, to find the meaning of life. (continued on page 2)

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The Unfolding Catastrophe Emanating From DC and Its Implications for Everyone’s Health – Tuesday at 2:30 PM in the MBR

Paul Pottinger, MD, DTMH, FACP, FIDSA, is a board certified physician and Director of the Infectious Diseases & Tropical Medicine Clinic at UW Medical Center – Montlake and a Professor in UW School of Medicine’s Department of Medicine, Division of Allergy and Infectious Diseases. He is also Co-Director of UWMC’s Antimicrobial Stewardship Program.

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There’s never an end to Zucchini commentary

Thanks to Ed M (and to Gary Larson!)

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May we remember

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We Are Not Being Asked to Run Into Cannon Fire. We Just Need to Speak Up.

By Drew Gilpin Faust in the NYT

Ms. Faust is the author of “This Republic of Suffering: Death and the American Civil War” and a former president of Harvard University.

Frederick Douglass thought Decoration Day — the original name for Memorial Day — was the nation’s most significant holiday. On May 30, 1871, the day’s fourth annual observance, he honored the unknown Union dead at Arlington National Cemetery, addressing President Grant, members of his cabinet and a crowd of dignitaries surrounded by graves adorned with spring flowers. The Civil War’s losses were still raw, and the presence of the conflict’s victorious commander at the Arlington property that was once the home of Robert E. Lee, the recently deceased rebel general, could only have deepened the war’s shadow.

Yet Douglass worried that the lives and purposes of the approximately 400,000 Northern soldiers who died in the war and even the meaning of the war itself might be forgotten. If the nation did not keep the memory of the conflict alive, he implored, “I ask in the name of all things sacred, what shall men remember?” The Union dead must not be honored only for their bravery or their sacrifice, he insisted. It mattered what they died for. It mattered what the nation chose to remember.

“They died for their country. … They died for their country,” Douglass repeated. They had fought against the “hell-black system of human bondage” and for a nation that embodied “the hope of freedom and self-government throughout the world.” Americans must not forget that this was why the dead had laid down their lives in numbers no one had anticipated or could even have imagined.

Decoration Day honored those who had fought for the promise of America — the “new birth of freedom” that Lincoln envisioned in his Gettysburg Address, delivered to dedicate a soldiers’ cemetery while the conflict still raged. Eight years later, Douglass echoed the words of a president who had himself become a casualty of the war. Lincoln and hundreds of thousands of Union soldiers had died to defend and preserve what the president described in 1863 as a nation “conceived in liberty and dedicated to the proposition that all men are created equal.” Douglass devoted the remainder of his life to ensuring those men did not die in vain. (continued)

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Kipling’s “When Earth’s Last Picture is Painted”

Ed note: I was talking to Mike C. at dinner about our early education and how, at times, we were required to memorize poetry. This is one poem he still recalls. We discussed the value of memorizing things in childhood, and revisiting them as adults. I think this is now lost to current generations as we can now quickly search with AI. What has been your experience with youthful memorization? Does the meaning and value of memorized passages affect us differently as we age?

When Earth’s last picture is painted and the tubes are twisted and dried,
When the oldest colours have faded, and the youngest critic has died,
We shall rest, and faith, we shall need it – lie down for an aeon or two,
Till the Master of All Good Workmen Shall put us to work anew.


And those that were good shall be happy: they shall sit in a golden chair;
They shall splash at a ten-league canvas with brushes of comet’s hair.
They shall find real saints to draw from – Magdalene, Peter, and Paul;
They shall work for an age at a sitting and never be tired at all!


And only the Master shall praise us, and only the Master shall blame;
And no one will work for the money, and no one will work for the fame,
But each for the joy of the working, and each, in his separate star,
Shall draw the Thing as he sees It for the God of Things as They are!

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When you have nothing else to do!

Thanks to Bob P.

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I’m A Psychologist Who Specializes In Narcissists. Here’s What We Need To Do To Stop Trump.

By Jocelyn Sze in the Huffington Post (thanks to MaryLou P.)

The Trump administration is planning a June 14 military parade to celebrate the 250th anniversary of the U.S. Army — and the president’s 79th birthday. When your sense of self-exaltation requires tanks, flyovers and up to $45 million for a birthday party, we’re no longer in the realm of cake and candles — we’re squarely in Criterion 1 of narcissistic personality disorder: “a grandiose sense of self-importance.”

To be clear, I can’t diagnose the president or any public figure without personal examination. But research shows that those in positions of power, especially in politics, are more likely to exhibit traits of grandiose narcissism. When narcissistic control seeps into leadership, it distorts truth, erodes trust and destabilizes institutions. The more we understand these dynamics, the better we can protect both the public and the health of our democracy.

As a clinical psychologist who works with trauma and narcissistic abuse, I see echoes of this dynamic every day in my therapy office. The same patterns that destabilize families destabilize democracies: along with the magnetic vision of the grandiose narcissist come denial, attack, reversal of blame and emotional chaos.

I think of one of my patients when she discovered her brother was terrorizing their elderly mother with violent threats and financial abuse. When she named the harm, he flipped the script — denying everything and accusing her of being unstable, all while fiercely protecting his “golden boy” image. Under family pressure to stay quiet, she spiraled into rumination. But armed with awareness and support, she stood firm. Like a broken record, she calmly named the harm until her boundary held. It came at a cost, but her brother was eventually removed from their mother’s home.

This same pattern shows up, magnified, on the political stage. Narcissistic control in government thrives on flipping the script and silencing watchdogs.

Authoritarian leaders, like narcissistic family members, rely on well-worn tactics to manufacture a psychological state of volatile uncertainty — where outcomes aren’t just unknown, but constantly shifting and unpredictable. This overwhelms the brain’s ability to anticipate and prepare, keeping people mentally off-balance and easier to control. The good news: Awareness works like a vaccine, gradually building psychological immunity against further harm. (continued)

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Silencing the CDC

A recent study by the CDC showed how to prevent the most common cause of hospitalizations in babies. Why haven’t we heard about it?

Paul Offit (thanks to Ed. M)

Respiratory syncytial virus (RSV) is the most common cause of hospitalizations among U.S. infants, with those 0-2 months of age at greatest risk. The virus causes intense inflammation in the small breathing tubes (bronchioles) inside the lungs. Every year in the U.S., RSV causes 58,000-80,000 hospitalizations and 100-300 deaths in children less than 5 years of age. Worldwide, RSV causes 3.6 million hospitalizations and 100,000 deaths every year in children. Because children less than 2 months of age are at greatest risk, strategies to prevent the disease are based on providing antibodies either through the placenta by maternal vaccination or directly to the baby with a long-acting monoclonal antibody (nirsevimab). The maternal RSV vaccine is given between 32 to 36 weeks’ gestation. The monoclonal antibody is recommended for all infants 0-7 months of age and infants 8-19 months of age at greatest risk.

Recently, researchers at the Centers for Disease Control and Prevention (CDC) published a study examining the impact of these two strategies to prevent RSV. They compared the incidence of hospitalizations in children less than 5 years old in the 2024-2025 RSV season—when both the RSV maternal vaccine and monoclonal antibody were available—with hospitalizations in the 2018-2020 seasons, when neither were available. In one surveillance system, they found that hospitalizations decreased by 43%. The largest rate reduction, 52%, was found in children 0-2 months of age. Indeed, the availability of the vaccine and antibody likely caused the drop in the U.S. infant mortality rate this year. Currently, only 33% of pregnant women receive the RSV vaccine and 45% of babies receive nirsevimab. With wider use, hospitalizations will continue to decrease, and the infant mortality rate will likely continue to drop.

So why haven’t we heard about this? Why didn’t this story dominate the news when the results appeared in a medical journal? Normally, the CDC embargoes copies of these high-impact studies the day before publication along with a press kit that includes talking points and other details. Press outlets may then request interviews from the authors or submit questions, which are answered by the CDC. Never happened. The Secretary of Health and Human Services (HHS), Robert F. Kennedy Jr., who for two decades has been an anti-vaccine activist and science denialist, has now paused any communications from the CDC that aren’t public health emergencies. He has restricted CDC attendance at scientific conferences, eliminated presentations to large audiences, and limited updates on CDC websites. In other words, he has muzzled the CDC.

It isn’t surprising, then, that Kevin Griffis, the director of the CDC’s Office of Communications since 2022, quit at the end of March 2025. “Public health communications should be about empowering people with reliable, science-based information,” said Griffis. “Unfortunately, we can’t count on Kennedy’s HHS for that anymore.”

When RFK Jr. was running for president, he said that, if elected, he would “give infectious diseases a break for about eight years.” As Secretary of HHS, this has meant 1) largely ignoring a measles outbreak that has killed two young children, the first measles deaths in children in the United States since 2003; 2) ignoring a pertussis outbreak that has exceeded 9,000 cases and is spreading twice as fast as last year; and 3) ignoring the 216 children who have died this year from influenza, the most since the swine flu pandemic of 2009. Now we learn that not only is RFK Jr. largely ignoring children dying unnecessarily from vaccine-preventable diseases, he’s also prohibiting the CDC from educating the public, the press, and the medical community about a new, life-saving strategy to prevent a viral infection that was previously unpreventable.

RFK Jr. ushered in his administration with the phrase “radical transparency.” Whereas, the previous administration, according to him, hadn’t been honest with the American public, his administration would be. This transparency doesn’t apparently extend to information that counters his fixed, immutable, science-resistant belief that “no vaccines are safe and effective.” If RFK Jr. really wants to Make America Healthy Again, he should step down as head of HHS.

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Joe Biden Has a Chance to Do Something Astounding

By Patti Davis in the NYT

Ms. Davis is the author of “Dear Mom and Dad: A Letter About Family, Memory and the America We Once Knew.” She led a long-running support group for caregivers of people with Alzheimer’s.

On Nov. 5, 1994, my father, Ronald Reagan, wrote a letter to America announcing he had been diagnosed with Alzheimer’s. He and my mother had decided to share the news, he wrote, because, “In opening our hearts, we hope this might promote greater awareness of this condition. Perhaps it will encourage a clearer understanding of the individuals and families who are affected by it.”

Almost six years after leaving office, no longer the leader of the free world, my father found another path of leadership — sharing the sadness of a diagnosis that is heartbreakingly common, one that often leaves people feeling helpless, terrified and alone, even if they have family members and friends around them. Facing one’s own mortality is a solitary journey, yet seeing through the shadows to an outstretched hand, hearing in that wilderness that there is someone else wrestling with the same emotions, calls forth the tears that want to fall and also the possibility that those tears will dry.

Over the weekend, Joe Biden informed the nation of his diagnosis of prostate cancer. For the former president, it is, of course, a personal matter, but it can also be something else: an opportunity to show leadership, not in the arena of national or global politics, but on a vulnerable, human level.

Alzheimer’s was almost a forbidden subject when my father received his diagnosis. He opened the gates to discussing it, looking at it, trying to understand it. It was a role very different from the one he had known as governor or president.

The disease afflicting Mr. Biden is these days spoken of openly, but the emotional tidal waves that come with it are often not. Millions of people face the trauma and fear of learning that they have cancer. Millions of people struggle with how to talk about it, how to process it, how to get through the endless dark nights when death stands in the doorway and whispers “maybe.”

Mr. Biden’s news comes at a bad time for him politically, amid renewed discussion of the decline he suffered while in office, and of the ways his staff and family insulated him and kept the American people in the dark. That has fueled speculation that he knew about the cancer for far longer than he has divulged. (My father, too, was accused of knowing about his diagnosis while he was in office, years before he disclosed it. For that to have been true, he would have lived with the disease for 20 or so years — not a realistic possibility for someone his age.)

Coming at the end of Mr. Biden’s public service, these issues run the risk of overshadowing his accomplishments. But people’s life stories are complex. Mr. Biden has an opportunity now to add another chapter to his biography and to his legacy. He can do that by lowering his guard, by sharing with us not only what it says on his medical chart but also how it feels to hear it, by talking openly about what it feels like to contemplate the end that comes for us all.

He has no more elections to navigate, and no more focus-grouped calculations to make. After decades of being a politician, he can just be an all-too-mortal human being. And his candor now might go a long way toward restoring trust with voters — even his own supporters — who feel that he was not honest with them about his fitness for a second term.

To be sure, personal revelations are less surprising now than they were in my father’s day. We live in times of great oversharing. Mr. Biden’s openness would be something different, though. It would be a recognition that some experiences transcend partisan politics, ideological debates, bitter judgments. A recognition that as human beings, we are both fragile and strong. And we are more alike than we are different.

For my father, the announcement of his illness was also the announcement of the end of his public life. He still got out, went for walks, attended church, and along the way he encountered a great many people, but his days of making speeches and statements were over. Prostate cancer is very different from Alzheimer’s, however. For Mr. Biden, the announcement of his illness can also be the start of a new relationship with the American people. No doubt some will lean into his vulnerability as an opportunity for attack. I suspect a great many more people, no matter their political orientation, would simply be grateful for his openness.

At the end of my father’s letter, he wrote: “When the Lord calls me home, whenever that may be, I will leave with the greatest love for this country. …” Pushing past the political to the personal, showing us that leadership sometimes comes in small gestures, would be an expression of the love for this country that I believe Mr. Biden has always felt, and a way, perhaps, to soothe a few of the fears that so many of us wrestle with.

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Is There a Least Bad Alcohol?

We all know about the health risks of drinking. But if you’re going to partake, it’s natural to want to minimize the damage.

By Caroline Hopkins Legaspi in the NYT

Q: I’ve been trying to cut back on alcohol lately, but I do drink occasionally. Are any types of alcohol less risky than others?

If you’ve heard that red wine is better for you than beer or liquor, or that clear liquor like vodka or gin is less harmful than dark liquor like rum or whiskey, we have bad news.

“Alcohol is alcohol,” said Jürgen Rehm, a senior scientist at the Centre for Addiction and Mental Health in Toronto. Drinking any type of alcohol, in any amount, is bad for health.

Still, experts say, it’s sometimes not reasonable or even practical for people to avoid alcohol entirely. So if you’re going to drink, there are some strategies you can take to reduce your risk, and to avoid some of the other unpleasant effects of drinking, like hangovers.

When you have a drink, your body turns the ethanol that’s present in the alcoholic beverage into a “really nasty substance” called acetaldehyde, which can damage your DNA, said Timothy Stockwell, an alcohol researcher at the University of Victoria in Canada.

Many tissues in the body, including those in the mouth, throat, liver, colon and breasts, are susceptible to this harm. And when that DNA gets repaired, cancerous mutations may arise.

This is why drinking increases the risk for developing at least seven types of cancer, said Katherine Keyes, a professor of epidemiology at Columbia University. Excessive alcohol use — which includes having eight or more drinks per week for women or 15 or more per week for men; or four or more drinks per occasion for women or five or more for men — is also linked with many other health conditions. These include heart and liver disease, depression, anxiety and memory problems, according to the Centers for Disease Control and Prevention.

The more ethanol in your drink, the more harmful it is, Dr. Keyes said. One way to assess this is to look at a drink’s alcohol by volume, or A.B.V., which manufacturers must list on product labels. If you’re choosing between two beers of the same size, for instance, and one is 4 percent A.B.V. and the other is 8 percent, the 4 percent beer will expose you to half as much ethanol.

In general, beer has less ethanol than wine per ounce, and wine has less than liquors like vodka and tequila, Dr. Keyes said. But there can be large variations within these categories, Dr. Stockwell said. Some strong beers, for instance, have A.B.V.s that are higher than some wines (or even some liquors, on the extreme end).

A good rule for reducing your exposure to ethanol is to generally choose drinks with lower A.B.V.s, the experts said. But it’s important to pay attention to how much you’re drinking as well.

A standard 12-ounce pour of a 5 percent A.B.V. beer typically has the same amount of ethanol as five ounces of a 12 percent wine or 1.5 ounces (or a shot) of a 40 percent liquor.

It can be tricky to calculate the A.B.V. of cocktails, said Dr. Peng-Sheng (Brian) Ting, an assistant professor of clinical medicine at the Tulane University School of Medicine, since they are often made with sodas, juices and sometimes multiple types of alcohol. For this reason, he recommends sticking with wine or beer in situations where you want to know exactly how much ethanol you’re consuming.

Some types of alcohol are also quite high in calories, which when consumed in excess can increase the risk of weight gain and obesity. And some cocktail mixers, like juices and sodas, can contain added sugars, also raising the risk for obesity and other health conditions like Type 2 diabetes and heart disease.

Dr. Keyes also recommended against consuming alcoholic drinks that are mixed with caffeine (like espresso martinis or vodka Red Bulls). The energy boost you get from them may make you feel less inebriated than you really are, potentially prompting you to drink more and to become more drunk, Dr. Keyes said.

And while there’s no evidence that darker liquors are more harmful to health than clear ones, there is limited research suggesting that some darker liquors can cause more severe hangovers, said Damaris Rohsenow, a professor at the Center for Alcohol and Addiction Studies at Brown University. Darker alcohols (like bourbon, rum and brandy) tend to have higher levels of congeners, substances that are created during the fermentation process and contribute to a drink’s flavor, aroma and color. More congeners typically translates to worse hangovers, Dr. Rohsenow said.

There can be exceptions to the “clear is better” rule, however, Dr. Rohsenow added. Some tequilas, which can be clear or light-colored, for instance, can be high in congeners and may lead to worse hangovers.

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Prostate Experts See Familiar Scenario in Biden’s Cancer Diagnosis

Ed note: The article below relates the common misunderstandings about the benefits of screening for prostate cancer. The great majority of prostate cancers that are common in old men behave in a benign fashion, so most of us die with prostate cancer but not from prostate cancer. The rule is first do no harm–in order to prevent impotence, incontinence and radiation damage. We need a better test than the often inconclusive PSA. We need to understand which cancers are dangerous and which aren’t. At present, unfortunately, we don’t have the answers.


By Gina Kolata in the NYT

Some Americans say they don’t understand how former President Joseph R. Biden Jr. could have only recently learned that he had an aggressive form of prostate cancer that had already spread to his bones. How could the former commander in chief, a man with access to high-quality medical care, not have known earlier that he had such a serious condition?

Many prostate cancers are detected using a test called a PSA, and Mr. Biden’s last known PSA was in 2014, according to a spokesman, Chris Meagher. Guidelines from professional organizations that advise doctors and public health officials recommend against screening for men over age 70. Mr. Biden is 82.

But many men, in consultation with their doctors, continue screening into their 70s, which is not unreasonable if the man is healthy and has a life expectancy of at least 10 years, said Dr. Scott Eggener, a prostate cancer specialist at the University of Chicago.

Prostate cancer experts also say, though, that even if Mr. Biden had been screened regularly, it’s entirely possible the cancer was not detected till recently. They said that some men suddenly find out they have advanced prostate cancer even after being screened regularly year after year and told they have a clean bill of health.

It is unusual, but it does happen.

“I have an entire collection of what I call rocket PSAs,” said Dr. Ian Thompson, a prostate cancer specialist at the University of Texas Health Science Center in San Antonio. These are men, he said, who are screened year after year with the PSA, a blood test that can pick up signs of prostate cancer. Year after year, their PSA is very low. Then, suddenly, it soars.

He also sees men with advanced prostate cancer who have normal results on their PSA screening tests. (continued)

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Remembering those words

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Medicaid cuts proposed for 8.6 million people. Impact will differ across states.

From The Epidemiologist

A recent study found that, since 2010, Medicaid expansion has reduced the mortality of the low-income adult population by 2.5%. In other words, Medicaid expansion saved more than 27,000 lives. Deaths fell not only among older enrollees (who are usually most sick) but also among those in their 20s and 30s, too. The study also found that Medicaid expansions were cost-effective.

Congress is debating a bill to cut Medicaid—even though 80% of Americans oppose such cuts. If passed, an estimated 8.6 million people could lose healthcare coverage by 2034 (out of the 71.2 million people with Medicaid). This would be the largest Medicaid cut in history. (Note: it has just passed through the House Budget Committee)

The impact of this bill will depend on where you live. KFF outlined a few key factors:

  • State budgets: Each state will respond differently to the loss of federal funds. For instance, states that expanded Medicaid to cover long-term care may see that as an area to cut first.
  • Population needs: States with higher rates of unemployment or poorer overall health will be hit harder.
  • Access to care: The more limited the healthcare infrastructure in a state, the more damaging the cuts could be.

States like West Virginia and Mississippi are likely among the hardest hit. Below is a breakdown of the most affected states, depending on what factors we take into account.

Source: Kaiser Family Foundation; Annotated by Your Local Epidemiologist

What does this mean for you? Time to reach out to your representatives. Here are some tips. Dr. Emily Smith has a great Medicaid explainer if you want more information.

Note that Medicaid programs go by different names in each state, making it tricky to track how federal changes might affect your health care. For example, “cutting Medicaid” is the same as “cutting PeachCare” in Georgia or “cutting Healthy Connections” in South Carolina. Hover over the graph below to see what Medicaid is called in your state.

Medicaid programs go by different names in different states.

Hover over your state to find the name of your Medicaid program

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These stunning photos show how nature came back after the world’s largest dam removal project

by BY Adele Peters thanks to Pam P.

It’s been less than a year since the world’s largest dam removal project was completed along 420 miles of the Klamath River, near the border of Oregon and California. But if you look at the river now, you might not know that four dams had ever been in place. Instead of concrete walls and artificial reservoirs, the river is now free-flowing—and parts of the former infrastructure have been replaced by wildflowers that are in bloom.

Iron Gate Dam, circa 2023 [Photo: Brian van der Brug/Los Angeles Times/Getty Images]

“It’s been an incredible transition,” says Ann Willis, California regional director at American Rivers, a nonprofit that supported Native American tribes in a decades-long fight to take out the dams. “It’s really strange and wonderful to stand on the bridge that goes across the Klamath River and look upstream where Iron Gate Dam used to be. I used to imagine a river above it, and now I see the river.”

Construction crews remove the top of the cofferdam that was left of Iron Gate Dam, allowing the Klamath River to run in its original path for the first time in nearly a century near Hornbrook, California, in August 2024. [Photo: Carlos Avila Gonzalez/San Francisco Chronicle/Getty Images]

The dams were built between 1918 and 1962 to provide hydropower, and immediately blocked salmon from migrating. Over time, the ecosystem started to collapse. By 1997, coho salmon in the river were listed as endangered. (The river was once the third-largest salmon fishery in the continental U.S.) In 2002, when the federal government diverted water to farms instead of letting it flow downstream in the river, tens of thousands of salmon died. Local tribes like the Yurok—who have lived by the river for at least 10,000 years, and who consider salmon a central and sacred part of their culture—started the long fight to take out the dams. (continued)

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Maja Sereda: Back to the Wild

Ed note: You can find more about Maja — her art, teaching and wildlife advocacy at her website https://majasereda.biz/.

Maja Sereda is a multidisciplinary artist who immerses herself in the world of abstraction, fiber arts, and highly detailed drawings. Throughout her life, nature has unfailingly been her refuge, a steadfast source of solace, and an anchor for inner peace.

After studying graphic design at University of Pretoria and working as an art director in advertising agencies, both in South Africa and Ireland, Maja became an award-winning book illustrator. She has illustrated more than 20 books with many major publishers including Penguin Random House, Maskew Miller Longman, Oskar Editeur, Tafelberg & Lapa Publishers. Amongst others, she won the Crystal Kite award in 2011 and the Katrine Harries Award for best illustration for 2010. In 2012, she was also invited to illustrate a book with a French author, Yves Pinguilly titled La Grande Fleur (The Big Flower), followed by an invitation to Salon du Livre fair in Paris, France and La Reunion, where she showcased her books and led art workshops for children. 

With the outbreak of COVID, she began teaching drawing classes online. By investing deeply in her students’ work through highly individualized feedback, research and demonstrations, she nurtured an online community of over 250 artists. 

Now based in Seattle, with a deep passion for nature, Maja has founded Guardians of the Jungle, a creative project which aims to save endangered wildlife and protect precarious ecosystems.

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