In the “the more they stay the same” category, Jamelle Bouie, writing in his March 11 NYT Opinion piece, quotes from de Tocqueville’s Democracy in America:

“It often happens in democratic countries that many men who have the desire or the need to associate cannot do it, because all being very small and lost in the crowd, they do not see each other and do not know where to find each other. Up comes a newspaper that exposes to their view the sentiment or the idea that had been presented to each of them simultaneously but separately. All are immediately directed toward that light, and those wandering spirits who had long sought each other in the shadows finally meet each other and unite.”

And now I’ll quote Bouie himself, as he decries the decline in local news coverage that he believes contributes further to the undermining of American democratic institutions:

“One of the most striking aspects of the modern information environment, as many people have observed, is the almost total collapse of local and even regional news outlets. Where once every town or city of even minor consequence had a newspaper — with reporters who helped the community understand itself through their work — now there are large parts of the country that exist in news deserts, where there is little coverage of anything, from local government to local events.

I think that this decline has played an important role in undermining America’s democratic institutions, as well as the public’s faith in democracy. It’s not just that the collapse of local news has made it harder to hold any number of public officials accountable — contributing to general cynicism about the ability of government to do anything constructive — but that Americans increasingly lack the information they need to participate in the political process in their communities.”

I know I’ve commented before on my belief that Fox News has been a destructive force for American society, aided and abetted by certain social media elements, but I just can’t get over how clearly the Dominion lawsuit has demonstrated this as fact.   Siloed media feeding into fear and ginning up anger have been tragically bad for America, and it’s all been done for profit.  The following text is from the as-always-excellent John Gruber’s Daring Fireball, where he quotes in turn from Dominion’s brief in support of a motion for summary judgement:

“Finally. Fox has conceded what it knew all along. The charges Fox broadcast against Dominion are false. Fox does not spend a word of its brief arguing the truth of any accused statement. Fox has produced no evidence — none, zero — supporting those lies. This concession should come as no surprise. Discovery into Fox has proven that from the top of the organization to the bottom, Fox always knew the absurdity of the Dominion “stolen election” story. Now, having failed to put in any evidence to the contrary (because no such evidence exists), Fox has conceded the falsity of the Dominion allegations it broadcast.

That concession is no small thing. Thirty percent or more of Americans still believe the lie that the 2020 election was stolen. The heart of that lie remains the false conspiracy theory that Fox legitimized and mainstreamed starting on November 8 — that Dominion stole the election, using secret algorithms in its software originally designed for a Venezuelan dictator. Because of these lies, Dominion now may be “one of the most demonized brands in the United States or the world.” Dominion employees still endure threats and harassment. So it matters that Fox in private ridiculed — and never believed — the lie. And it matters that Fox has now in this litigation conceded these allegations were false.”

Later:

“Fox seeks a First Amendment license to knowingly spread lies. Fox would have this Court create an absolute legal immunity for knowingly spreading false allegations — lies — for profit, regardless of how absurd the lies are, regardless how many people in the chain of command know the lies are false, and regardless how many people are hurt — so long as the false claims are “newsworthy.” Fox proffers a completely made-up “rule,” contrary to decades of jurisprudence since New York Times v. Sullivan. As Judge Nichols ruled in rejecting MyPillow’s analogous argument that the First Amendment provides “blanket protection” from defamation for statements about a “‘public debate in a public forum,’” “there is no such immunity. Instead, the First Amendment safeguards our ‘profound national commitment to the principle that debate on public issues should be uninhibited, robust, and wide-open,’ by limiting viable defamation claims to provably false statements made with actual malice.””

 

Heather Cox Richardson’s March 5 newsletter, recounting the events surrounding Selma’s 1965 voting rights protests, is definitely worth a read.  Her important conclusions:

“But less than 50 years later, in 2013, the Supreme Court gutted the Voting Rights Act. The Shelby County v. Holder decision opened the door, once again, for voter suppression. Since then, states have made it harder to vote. In the wake of the 2020 election, in which voters handed control of the government to Democrats, Republican-dominated legislatures in at least 19 states passed 34 laws restrict­ing access to voting. In July 2021, in the Brnovich v. Democratic National Committee decision, the Supreme Court ruled that election laws that disproportionately affected minority voters were not unconstitutional so long as they were not intended to be racially discriminatory. 

When the Democrats took power in 2021, they vowed to strengthen voting rights. They immediately introduced the For the People Act, which expanded voting rights, limited the influence of money in politics, banned partisan gerrymandering, and created new ethics rules for federal officeholders. Republicans in the Senate blocked the measure with a filibuster. Democrats then introduced the John R. Lewis Voting Rights Advancement Act, which would have restored portions of the Voting Rights Act, and the Freedom to Vote Act, a lighter version of the For the People Act. Republicans blocked both of those acts, too. 

And so, in 2023, the right to vote is increasingly precarious.”

We ignore the lessons of Selma at our peril.

I enjoyed this interview with Steven Pinker on ChatGPT in the Harvard Gazette. From the piece:

“It’s impressive how ChatGPT can generate plausible prose, relevant and well-structured, without any understanding of the world — without overt goals, explicitly represented facts, or the other things we might have thought were necessary to generate intelligent-sounding prose.

And this appearance of competence makes its blunders all the more striking.”

Some data on excess death rates among physicians before and after the availability of Covid vaccines.  From JAMA Internal Medicine: Kiang MV, Carlasare LE, Thadaney Israni S, Norcini JJ, Zaman JAB, Bibbins-Domingo K. Excess Mortality Among US Physicians During the COVID-19 Pandemic. JAMA Intern Med. Published online February 06, 2023.

The always-wonderful Eric Foner writes in the NYT about using the 14th amendment’s Section 4 to avert a Republican-induced debt ceiling crisis:

“The validity of the public debt of the United States,” it declares, “shall not be questioned.”

No, medical error is NOT the third leading cause of death, and no, Emergency Department misdiagnoses are NOT killing 250,000 people a year in the U.S. As an emergency physician, the widely publicized AHRQ report is particularly painful because it has numerous flaws, and like the Institute of Medicine /BMJ  study, is guilty of completely unwarranted extrapolations.  The authors, for instance, looked at a Canadian study on 503 patients discharged from EDs, one of who died within 14 days of the ED visit (it’s not clear whether this actually represented a diagnostic error; the study was looking at outcomes after the visit, not misdiagnoses).  The AHRQ study then took this single death from a single study to establish a 0.2% (1/503) death rate due to ED diagnosis and multiplied it by the 130 million total annual ED visits to get the purported death numbers.  They went on to concoct arbitrary confidence intervals for this extrapolation:

“The rate of misdiagnosis-related deaths in the one high-quality, prospective study (0.2 percent, n=1 of 503) is 217-fold higher than the weighted mean from the three retrospective studies (0.0009 percent). Although the rate of 0.2 percent is based on just a single death (so is imprecise, with a wide 95% CI 0.005 to 1.1), the value is the best estimate from this study and matches data from other sources. However, the confidence interval from the Calder study alone is implausibly wide. Based on data from other sources, we have assigned a +/- 2-fold plausible range to the 0.2 percent estimate (0.1% to 0.4%).”

This is not good science.  For more, see:

• https://youcanknowthings.com/2022/12/18/no-er-misdiagnoses-are-not-killing-250000-per-year/
• https://www.emergencyphysicians.org/press-releases/2022/12-14-22-multi-organizational-letter-regarding-ahrq-report-on-diagnostic-errors-in-the-emergency-department
• https://www.acep.org/globalassets/sites/acep/media/medical-legal/multi-organizational-letter-regarding-ahrq-report-on-diagnostic-errors-in-the-emergency-department—december-14-2022.pdf
• https://www.acep.org/acep-media-hub/media-hub-articles/december-2022/talking-points–ahrq-report/
• https://insidemedicine.substack.com/p/breaking-government-report-on-er
• https://soundcloud.com/acep-frontline/when-a-report-on-errors-is-all-in-error-review-of-the-ahrq-report-on-em-diagnostic-errors
• https://www.emrap.org/episode/emrap202220/theahrqreporton

Yet another sadly undistinguished rip off by Twitter as used office inventory goes out for auction…

I thought this was a very interesting (and revealing) excerpt from Matt Yglesias’ excellent Slow Boring, Jan 9 edition: