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Is Amazon's attempt to disrupt the healthcare industry heroic or villainous?
Global Affairs
#6
The opioid epidemics
America’s greatest public health crisis is the opioid epidemic – and according to Margot Sanger-Katz in the New York Times, the latest figures show it getting worse:
“Drug overdoses killed about 72,000 Americans last year, a record number that reflects a rise of around 10 percent, according to new preliminary estimates from the Centers for Disease Control. The death toll is higher than the peak yearly death totals from H.I.V., car crashes or gun deaths.”
In the Atlantic, Ashley Fetters brings us news of another American epidemic:
“…reported cases of three sexually transmitted diseases in the United States had reached an all-time high in 2017. Rates of gonorrhea rose by 67 percent, syphilis by 76 percent, and chlamydia by 21 percent, to a total of almost 2.3 million cases nationwide… the fourth year in a row that STDs increased steeply in the U.S.”
Inevitably, the “rise in high-risk sexual behaviors [is] associated with opioid use and addiction”.
Suicide is also on the rise again in America, and that too can be linked, in part, to opioids.
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How sex and drugs took their toll on 21st-century America
Flyover Country
#5
The polygenic revolution
A strong contender for book of the year is Blueprint: How DNA makes us who we are – by the geneticist Robert Plomin. It guides us through the accumulating evidence that genes have a major influence on behavioural traits, not just physical ones.
Quoted by Andrew Anthony in the Guardian, Plomin is at pains to point out that the genetic influence on how we turn out is polygenic – i.e. hundreds, even thousands, of genes can be involved in influencing a single trait. We don’t understand exactly how these complex interactions work, but we can measure the correlations between the presence of particular genes and the expression of particular traits. On this basis, polygenic testing could be used to make predictions about behavioural outcomes.
Whether this tool is used to tailor support to individuals or to discriminate against them will be down to society, not science.
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Letting the gene genie out of the bottle
Technology
#4
Amazon Go
Amazon is best known as an online retailer. But in 2018 it opened a new store in Seattle called Amazon Go. In a fascinating piece for Stratechery, Ben Thompson tells us about it:
“The trick is that you don’t pay, at least in person: a collection of cameras and sensors pair your selection to your Amazon account — registered at the door via smartphone app — which rather redefines the concept of ‘grab-and-go’.”
Think of all the different systems that have to be coordinated to make it all work. But then that, in a nutshell, is Amazon’s grand strategy – expanding in all directions, not just to achieve unbeatable economies of scale, but also to create a unified retail ecosystem in which it controls and seamlessly integrates all the interfaces between each bit of the overall operation. No other retail or logistics company will be in a better position to fully automate just about everything it does.
This year, there’s been a lot of debate over how Amazon treats its workers. In ten or twenty years time we could be asking ‘what workers?’
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What does the 'charging elephant' - also known as Amazon - want? Only everything (and beware of getting in its way)
Capitalism
#3
Yes we’re richer, but where did all the wildlife go?
The counterpoint to the crisis of capitalism in the West is the massive fall in global poverty. And, as well as the world getting richer, we also see long-term trends on literacy, violence, longevity and access to sanitation all moving in the right direction.
Yet the good news is no excuse for ignoring the trends heading in the wrong direction. In the Guardian, Damian Carrington writes about an especially dramatic and disturbing example:
“The Living Planet Index, produced for WWF by the Zoological Society of London, uses data on 16,704 populations of mammals, birds, fish, reptiles and amphibians, representing more than 4,000 species, to track the decline of wildlife. Between 1970 and 2014, the latest data available, populations fell by an average of 60%. Four years ago, the decline was 52%.”
At what point do we call a halt?
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One dead animal is an online sensation, a million is a statistic
Global Affairs
#2
Americans against hate speech… and political correctness
One of the most encouraging stories of 2018, was a study, published by More in Common, which demonstrates that Americans do indeed have more in common than one might think.
In a must-read piece for the Atlantic, Yascha Mounk highlights the key findings:
“Among the general population, a full 80 percent believe that ‘political correctness is a problem in our country.’ Even young people are uncomfortable with it, including 74 percent ages 24 to 29, and 79 percent under age 24…”
These majorities were pretty consistent across ethnic groups too.
Meanwhile 82% of Americans “believe that hate speech is also a problem.”
It’s great that’s there such an overwhelming constituency for common-sense and against bigotry. If only there was a politician ready and able to represent it.
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What the Right gets wrong when the Left goes nuts
Flyover Country
#1
Social Credit System
I’m afraid I’ll have to conclude on a dystopian note; but there’s no other way of seeing China’s Social Credit System. This is the government plan to quantify and gamify the ‘good behaviour’ of every Chinese citizen in the form of a single score – a bit like a financial credit rating or points on a driving license, but applied across a whole range of different activities.
In a report for ScienceAlert, Peter Dockrill says that citizens will get a higher score for acts “like paying bills on time, engaging in charity, and… recycling” and a lower score for “[being] late with payments… jaywalking or smoking in non-smoking areas.”
The rewards of a high score will likely include “better credit facilities, cheaper public transport, and even shorter wait times for hospital services”. Low scorers will be second class citizens, restricted in movement and opportunity.
Quite clearly intended as an instrument of social control, the regime is making no attempt to hide that fact:
“According to China’s Communist Party, the system will ‘allow the trustworthy to roam freely under heaven while making it hard for the discredited to take a single step’.”
Pilot programmes are already in place with the system due to go national in 2020.
How long, I wonder, before we get something like it too?
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The dark side of China's Social Credit System
Technology
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