On self-importance.

On self-importance.

We only have one life to live. We only have so much time.

How will we use it?

#

There’s a trade-off that many privileged people face – should we focus on family or our career? This choice is especially stark for women, who are often expected to be the primary caretakers for their families, no matter how stellar their career prospects.

Everyone has different priorities, and nearly everyone will end up feeling a wistful sense of regret someday.

Would we be happier if we’d chosen differently? If we’d had children younger? Or if we’d postponed children, spent a few more years building a name for ourselves?

We’ll never know for sure.

In Blake Crouch’s Dark Matter, though, the protagonist finds his answer.

#

NOTE: Dark Matter is a scary science fiction thriller. I enjoyed reading it. Crouch is an excellent storyteller, and he handles almost all the science really well. If you like thrillers, you’d probably enjoy it.

If you’re thinking about reading it, you might not want to read the rest of this essay now, because it’ll spoil some of the plot for you.

Maybe you should navigate away from this page to check the catalog at your local library! Don’t worry – this essay will still be here next month, after you’ve finished the book.

Or maybe you feel like you can’t handle scary thrillers right now, what with regular life being so inordinately stressful. In which case you’re welcome to carry on reading this essay.

#

The protagonist of Dark Matter, Jason, is a brilliant scientist who chose to put his family first – his career has floundered, but his home life is content.

Jason wonders what might have been. A friend from graduate school is winning accolades — fancy grants, publications, and awards.

I could’ve had all that, he thinks wistfully.

In Joseph Heller’s Good As Gold, professor Bruce Gold thinks, “There is no disappointment so numbing as someone no better than you achieving more.” After helping his friend celebrate yet another award, Jason trudges home feeling a similar sentiment.

But then he meets another Jason – a version of himself who, years ago, chose to prioritize his career instead. That Jason has no family. That Jason invented a machine to jump between realities, to enter timelines in which different choices had been made.

That Jason – who chose personal glory over caretaking – is even less happy. And so he kidnaps the initial protagonist, stealing his family and launching him through the machine back into a world where everyone adores his utter brilliance.

And that’s when the first Jason, who’s had a chance to experience both worlds, realizes: love matters more. Money, sex, adulation – none of it can replace his family. He wants to be back with his spouse and child. He’s willing to do anything to get there.

Even murder the myriad copies of himself who all want the same thing.

#

Despite the horrific violence, it’s actually a beautiful way to depict priorities – Crouch shows the value of caretaking by giving his protagonist a choice. Suddenly, Jason is freed from his past. He could be anywhere. He could live in a world where he’d used his earlier time in any possible way.

He wants to be in the place where he chose to love.

#

A strange quirk of storytelling is the ease with which we, the audience, transfer our empathy and compassion to a protagonist. Even a wretched protagonist – if Bojack Horseman were a peripheral character in someone else’s show, he’d obviously be a villain. And yet, in his own show, I cared about him. I wanted him to succeed, even though he’d done nothing to deserve it.

Quentin Tarantino toys with this idea in Pulp Fiction – when John Travolta is the protagonist, sipping an expensive milkshake or reviving his boss’s spouse, I felt deeply invested. But when Bruce Willis is the protagonist and kills Travolta, I don’t care at all – at that moment, I’m only interested in Willis’s experience.

Than Travolta comes back – and behaves horribly – and, somehow, I find myself caring about him again. His impending pointless death is suddenly irrelevant. He jokes that Samuel Jackson wants to be a bum and I laugh along.

We make the same mistake in our own lives – we see ourselves as more important than we really are.

#

A friend’s daughter recently landed in jail, busted over heroin and Xanax. My friend feels conflicted about her daughter’s arrest – being in jail is awful, “But the way she was going, she would’ve died if she didn’t end up there.”

“The problem is, she worries too much. Worries so much about what other people think of her.”

“But she’s starting to get it now. To realize that she doesn’t have to worry, because other people aren’t thinking of her at all.”

#

In Dark Matter – as in Hugh Everett’s “many worlds” interpretation of quantum mechanics – with every decoherence, the universe splits. Every outcome is real and propagates through time.

(If you like stories set within this framework, I highly recommend Ted Chiang’s “Anxiety Is the Dizziness of Freedom,” published in the collection Exhalation.)

And so there are infinitely many copies of Jason who all want to return to his family – every choice that he’s made since the kidnapping has created another world, another Jason hoping to return.

They will all stop at nothing to rescue their spouse and child. And so they begin to kill each other. Infinitely many Jasons are converging on the world they left.

This convergence seems almost plausible while reading, based on the physics of Dark Matter. The problem being, of course, our lapse into self-importance. Our quirk of prioritizing the experiences of a central character.

Within that world, there would be infinitely many Jasons … but there would also be infinitely many copies of the “stolen” spouse and child. Just as many quantum decoherence events would have occurred in their lives as in his.

Comparing the magnitude of infinite numbers can feel puzzling. For example, it might seem like there should be twice as many numbers as there are even numbers … only every other number is even, after all!

But these infinite quantities are the same. If you write every number on a ball, and then you write even numbers on buckets, there are no balls that can’t be put into a bucket. Each ball labeled “N” goes into a bucket labeled “2 * N”.

Infinitely many balls, infinitely many buckets, and the infinities match.

In Dark Matter, there would be infinitely many Jasons, but also infinitely many worlds that he had left behind, so the likelihood of reaching a world with more than two of himself – the protagonist and the original villain – would be vanishingly small.

#

In World of Wonders, Aimee Nezhukumatathil describes a vacation to Kerela, India, with her new spouse. They were eating dinner on a houseboat when they heard noises from the roof.

A troop of macaques were up there eating fruit. Then a wildcat came and chased the macaques off the roof, but the macaques still stayed nearby, watching.

Nezhukumathil and her spouse felt worried – would the macaques attack? Steal their food? They tried to convey their worries to a local resident, who laughed at them. And the monkeys seemed to laugh at them, too.

Nezhukumathil and her spouse finished their dinner quickly and then went inside the houseboat. That night, for the first time that trip, they locked the door to their cabin – “as if these macaques would know how to turn a doorknob and latch.”

“The last thing I remember hearing that night was a distant meowing and chatter-like laughter, and I swear, somewhere in the back waters of Kerala, those bonnet macaques are still having a good laugh over us.”

It’s an easy fallacy to slip into. An experience that’s rare for me – taking a vacation, visiting a doctor, buying a wedding ring – takes on outsize importance precisely for its rarity.

But the salesperson at Goldcasters helps giddy young couples every day. I have a clear memory of the E.R. nurse who gave me a rabies vaccine at 3 a.m., but there’s almost no chance she remembers me – she’s been doing that sort of thing for years.

The macaques spook tourists – and perhaps steal their food, purses, or loose necklaces – every day.

Macaques have their own conscious experience of the world. In their stories, they’re the protagonists. We humans merely dot the periphery. Nameless and forgettable, we fade into the background.

#

As we choose how to live, it helps to maintain a sense of humility about our importance to the greater world.

In time, our money will be gone. Our personal glory, too.

Helping others – choosing caretaking over our careers, at times – can connect our stories to something bigger than an individual.

Of course, eventually all of that will disappear, too. The whole world is terminal – our sun will fade, our species will go extinct, our universe’s entropy will increase until there’s no more heat, no more warmth for anything to happen.

So we also need to prioritize personal happiness while we’re here.

Luckily, loving others tends to make us happy.

On isolation, depression, and suicide.

On isolation, depression, and suicide.

From Emily Cox’s recent article in Bloomington, Indiana’s Herald Times:

[Scot Moore, a medical doctor on our school district’s Covid-19 metrics committee] said since the school year started, there have been zero pediatric admissions to IU Health Bloomington Hospital for Covid-19.

Over the same time, I think it’s important to point out that we’ve admitted now 29 adolescents with intended or attempted suicide, which is 10 times what we do usually,” Moore said.

Many cite isolation and academic stress as factors for their decisions, he said.

Moore also said he thinks the [Covid-19] transmission rate in the schools is about zero.

#

From John Remember’s recent essay collection, A Hundred Little Pieces on the End of the World:

Depression nearly killed me once, and it’s killed friends and neighbors and people I went to school with. The only thing that saved me was the knowledge that at some point my life had ceased to be my own property and had become the property of the people who loved me.

Although there’s not enough love in the world, chances are that somebody loves you, and you shouldn’t decide to kill yourself without consulting the person or persons doing the loving. The voice of your depression is going to tell you that they don’t love you, but you should ask them if that’s true. If they say they love you, believe them and stay alive for them.

#

From Gerry Duggan’s and Ian Doescher’s Deadpool #21 (which I’ve written about previously, here):

A young woman is standing at the ledge of a building. Deadpool tries to cheer him up, but his gallows humor only upsets her more. “What’s your problem?” she demands.

But then he takes her on an adventure …

… and, in a beautiful depiction of real-life heroism, Deadpool drives her to the hospital.

#

This is a hard time of year.

If you’re living in the Northern Hemisphere, the sun won’t stay up long enough. Then there are the holidays – even in the best of years, many people find they can’t muster up the joy and enthusiasm that seems expected of them.

This is not the best of years.

If you’re struggling, please, reach out.

If you need someone to talk to, you can call 1-800-273-8255. At any time of day or night.

Things can get better.

On magic.

On magic.

There’s broad scientific consensus that school closures hurt children, probably making a significant contribution to future increases in premature death.

There’s also broad scientific consensus that school closures – particularly elementary school closures – aren’t helpful in slowing the spread of Covid-19. Children aren’t major vectors for this virus. Adults just have to remember not to congregate in the teachers’ lounge.

Worldwide, a vanishingly small percentage of viral transmissions have occurred inside schools.

And … our district just closed in-person school for all children.

In-person indoor dining at restaurants is still allowed. Bars are still open.

Older people are sending a clear message to kids: “Your lives matter less than ours.”

#

For at-risk children, school closures are devastating. A disruption in social-emotional learning; lifelong education gaps; skipped meals.

But for my (privileged!) family, the closure will be pretty nice. I was recently feeling nostalgic about the weeks in August when my eldest and I spent each morning together.

Our youngest attends pre-K at a private school. Her school, like most private schools around the country, (sensibly) re-opened on time and is following its regular academic calendar.

My eldest and I will do two weeks of home schooling before winter break. And it’ll be fun. I like spending time with my kids, and my eldest loves school so much that she often uses up most of her energy during the day – teachers tell us what a calm, lovely, hard-working kid she is. And then she comes home and yells, all her resilience dissipated.

Which is normal! Totally normal. But it’s a little crummy, as a parent, to know you’ve got a great kid but that you don’t get to see her at her best.

Right now she’s sad about not going to school – on Monday, she came home crying, “There was an announcement that we all have to switch to online only!” – but I’m lucky that I can be here with her. Writing stories together, doing math puzzles, cooking lunch.

Maybe we’ll practice magic tricks. She loves magic.

#

Last month, I was getting ready to drive the kids to school. T. (4 years old) and I were in the bathroom. I’d just handed T. her toothbrush.

N. (6 years old) walked over holding a gallon-sized plastic bag.

“Father, do you want to see a magic trick?” she asked.

“Okay, but I have to brush my teeth while you’re doing it.”

“Okay,” she said, and opened the bag. She took out a multi-colored lump of clay. It was vaguely spherical. Globs of red, white, and blue poked up from random patches across the surface, as though three colors of clay had been haphazardly moshed together.

“So you think this is just this,” she said, but then …”

She took out a little wooden knife and began sawing at the lump. “This is just this?”, I wondered. It’s an interesting phrase.

Her sawing had little effect. The knife appeared useless. I’m pretty sure this wooden knife is part of the play food set she received as a hand-me-down when she was 9 months old. “Safe for babies” is generally correlated with “Useless for cutting.”

She was having trouble breaking the surface of her lump.

I spat out my toothpaste.

She kept sawing. She set down the knife and stared at the clay intently. A worthy adversary.

I stood there, watching.

She grabbed the knife again and resumed sawing. More vigorously, this time. She started stabbing, whacking. This was enough to make a tiny furrow. She tossed aside the knife and pulled with her fingertips, managing to pry two lobes of the strange lump away from each other.

“Okay,” she said, “it’s hard to see, but there’s some green in there.”

T. and I crouched down and peered closely. Indeed, there was a small bit of round green clay at the center of the lump.

“Wow!” exclaimed T. “I thought it was just a red, and, uh, blue, and white ball! But then, on the inside, there’s some green!”

“I know!” said N., happy that at least one member of her audience understood the significance of her trick. “And look, I might even get it back together!”

#

N. started performing magic when she was four. T. was asleep for her afternoon nap.

“Okay,” she said, “you sit there, and I’ll put on a magic show. Watch, I’ll make, um … this cup! See this cup? I’ll make it disappear.”

“Okay,” I said, curious. We’d just read a book that explained how to make a penny disappear from a glass cup – the trick is to start with the cup sitting on top of the penny, so that the coin looks like it’s inside the cup but actually isn’t.

I had no idea how she planned to make the cup itself disappear.

“Okay, so, um, now you’re ready, and …” she looked at the cup in her hands. Suddenly, she whisked it behind her back. And stood there, looking at me somberly, with her hands behind her back.

“I don’t have it,” she said.

#

Magic – convincing an audience to believe in an illusion.

This is just this.

I don’t have the cup – it’s gone.

Much of our Covid-19 response has been magic-based. We repeat illusory beliefs – schools are dangerous, reinfections are rare, death at any age is a tragedy – and maybe our audience is swayed.

But that doesn’t change the underlying reality.

The cup still exists – it was behind her back.

#

Everyone will die. Mortality is inescapable.

Our species is blessed with prodigious longevity, probably because so many grandmothers among our ancestors worked hard to help their grandchildren survive.

(The long lives of men are probably an accidental evolutionary byproduct, like male nipples or female orgasms. Elderly men, with their propensity to commandeer resources and start conflicts, probably reduced the fitness of their families and tribes.)

After we reach our seventies, though – when our ancestors’ grandchildren had probably passed their most risky developmental years – our bodies fail. We undergo immunosenescence – our immune systems become worse at suppressing cancer and infections.

We will die. Expensive interventions can stave off death for longer – we can now vaccinate 90-year-olds against Covid-19 – but we will still die.

Dying at the end of a long, full life shouldn’t feel sad, though. Everybody dies. Stories end. That’s the natural arc of the world.

What’s sad is when people die young.

Children will face the risk of dying younger due to unnecessary school closures.

Children will face the risk of dying younger due to unmitigated climate change.

Children will face the risk of dying younger due to antibiotic resistant bacteria.

These are urgent threats facing our world. And we’re not addressing them.

The cup is still there.

#

For my daughter, of course, I played along. I smiled, and laughed. She stood there beaming, holding the cup behind her back.

“Magic!” I said.

N. nodded proudly, then asked, “Do you want me to bring it back?”

It’ll take the same measure of magic to bring back schools.

On reinfection.

On reinfection.

If you’ve been reading about Covid-19 in the New York Times, you’ve probably learned that reinfection is very unlikely.

What you’ve learned is incorrect.

#

Don’t get me wrong – I love the New York Times. Within the spectrum of United States politics, I am very far to the left. Anti-consumerist, prison abolitionist, environmentalist, feminist, climate activist, etc., etc. I fit into all those categories.

I’m also a scientist. I am staunchly pro-vaccine. I don’t like pesticides, but I’m a huge fan of GMO crops. (Honestly, I wish there was a category at the grocery store where you could pay to support genetically-modified organisms grown without environmental toxins – “organic” doesn’t have the nuance I’d like.)

So my goal here isn’t to rag on the New York Times. I’m including screenshots of their headlines only to give us a common frame of reference.

This is what the news is saying. And it’s wrong.

#

It was going to be very difficult to demonstrate reinfection with Covid-19.

Why?

In general, reinfection with any virus will produce a milder illness the second time.

Most people’s first infection with Covid-19 is so mild that they don’t realize they have it – perhaps 80% of infections are “asymptomatic,” in which a person has been infected with the virus, is probably shedding the virus (thereby infecting other people), but feels totally fine. So, people’s second infection? Some percentage higher than 80% are likely to feel totally well, even though they might be shedding virus.

When people develop severe complications from Covid-19, the illness can linger for weeks or even months.

I don’t know for certain whether my family contracted Covid-19 in February, because there were no tests available here at the time. All I know is that we were two close contacts removed from someone who had just returned from China, that this close contact tested negative for influenza, that my family had been vaccinated for influenza, and that our symptoms precisely mirrored the common suite for Covid-19. But in any case, we felt horrible for about three weeks, and we experienced lingering fatigue with occasional coughing for about two months.

Lengthy recovery is so common that there’s a colloquial name for it: “long-haulers.” If we’re trying to identify whether someone was re-infected, we’d need to make sure that we weren’t looking at continued viral shedding during a lengthy recovery.

#

To demonstrate that someone was re-infected with Covid-19, the following would have to happen:

  • A person gets tested for Covid-19 during their first infection.
  • The genome of the virus is sequenced after that first infection.
  • The person is re-infected.
  • The person happens to get a Covid-19 test during the second infection (even though it’s highly likely that this person feels well at the time).
  • The genome of the virus is sequenced after the second infection.
  • The genome of the virus that infected the person on the second occasion is noticeably different from the first (even though Covid-19 includes a proofreading enzyme that slows genetic drift).

That’s all very unlikely!

There are just so many coincidences involved – that you happen to get infected with an easily distinguishable virus the second time, that you happen to get a test the second time, that anyone took the (significant) trouble and expense to sequence both genomes.

And what I mean is, proving re-infection is very unlikely. Which is totally independent of the likelihood of re-infection itself.

And yet, even though it’s so unlikely we’d be able to prove that re-infection is occurring, we have.

We know, with 100% certainty, that people can be reinfected. We’ve documented it.

Given how unlikely it was that we’d be able to document reinfection, the fact that we’ve seen this at all indicates that it’s probably quite common. As you would expect based upon our bodies’ responses to other coronaviruses.

#

Given that re-infection definitely occurs, and is probably quite common, why have you read that it’s unlikely?

The underlying probably is language usage. When my father – an infectious diseases specialist – talks about re-infection, he’s thinking about contracting severe symptoms during a second infection. Which is reasonable. He’s a medical doctor. He cares about helping sick people get better.

But when we’re thinking about how to respond, as a nation, to this pandemic, we’re thinking about the dynamics of transmission. We’re trying to answer questions like, “Can kids go to school without people dying?”

(Yup, they can! And should!)

From this perspective, we’re thinking about who is going to spread the virus, and where. We need to know whether a person who is protected from severe disease – either from prior recovery or vaccination – might shed viral particles. Will that individual register as a positive case on a PCR test? Will that individual get classmates or co-workers sick?

#

Re-infections are probably the underlying cause of the current rise in cases in New York City.

70% or more of the population of New York City was infected with Covid-19 during April. That’s a huge percentage, well above what most researchers consider the “herd immunity threshold” for similar respiratory viruses.

For there to be another spike in cases now, many of those 70% would need to have lost their initial immunity. That’s also why you’d expect to see a higher “test positivity rate” – if many of the current cases are reinfections, then they’re likely to be milder. People with milder (or asymptomatic) infections are less likely to seek out a test.

#

For general audiences, the phrasing I’d recommend is to say “Severe illness is unlikely during Covid-19 reinfections” as opposed to “Reinfection is unlikely.”

There have been a few cases of people’s second infection being more severe than the first, but these cases indeed appear to be quite rare.

But re-infection itself?

The fact that we’ve documented any instances of re-infection suggests that it’s quite common. Which we could have predicted from the beginning – indeed, I did. And that’s why I’ve been recommending – for months – policies very different from what we’ve done.

On predictions and a scientific response to calamity.

On predictions and a scientific response to calamity.

We’re fast approaching flu season, which is especially harrowing this year.

We, as a people, have struggled to respond to this calamity. We have a lot of scientific data about Covid-19 now, but science is never value-neutral. The way we design experiments reflects our biases; the way we report our findings, even more so.

For example, many people know the history of Edward Jenner inventing the world’s first vaccine. Fewer are aware of the long history of inoculation in Africa (essentially, low-tech vaccination) that preceded Jenner’s work.

So it’s worthwhile taking a moment to consider the current data on Covid-19.

Data alone can’t tell us what to do – the course of action we choose will reflect our values as a society. But the data may surprise a lot of people – which is strange considering how much we all feel that we know about Covid-19.

Indeed, we may realize that our response so far goes against our professed values.

Spoiler: I think we shouldn’t close in-person school.

#

Since April, I’ve written several essays about Covid-19. In these, I’ve made a number of predictions. It’s worthwhile to consider how accurate these predictions have been.

This, after all, is what science is. We use data to make an informed prediction, and then we collect more data to evaluate how good our prediction was.

Without the second step – a reckoning with our success or failure – we’re just slinging bullshit.

#

I predicted that our PCR tests were missing most Covid-19 infections, that people’s immunity was likely to be short-lived (lasting for months, not years), and that Covid-19 was less dangerous than seasonal influenza for young people.

These predictions have turned out to be correct.

In my essays, I’ve tried to unpack the implications of each of these. From the vantage of the present, with much more data at our disposal, I still stand by what I’ve written.

But gloating’s no fun. So I’d rather start with what I got wrong.

#

My initial predictions about Covid-19 were terrible.

I didn’t articulate my beliefs at the time, but they can be inferred from my actions. In December, January, and February, I made absolutely no changes to my usual life. I didn’t recommend that travelers be quarantined. I didn’t care enough to even follow the news, aside from a cursory glance at the headlines.

While volunteering with the high school running team, I was jogging with a young man who was finishing up his EMT training.

“That new coronavirus is really scary,” he said. “There’s no immunity, and there’s no cure for it.”

I shrugged. I didn’t know anything about the new coronavirus. I talked with him about the 1918 influenza epidemic instead.

#

I didn’t make any change in my life until mid-March. And even then, what did I do?

I called my brother and talked to him about the pizza restaurant – he needed a plan in case there was no in-person dining for a few months.

#

My next set of predictions were off, but in the other direction – I estimated that Covid-19 was about four-fold more dangerous than seasonal influenza. The current best estimate from the CDC is that Covid-19 is about twice as dangerous, with an infection fatality ratio of 0.25%.

But seasonal influenza typically infects a tenth of our population, or less.

We’re unlikely to see a significant disruption in the transmission of Covid-19 (this is the concept of “herd immunity”) until about 50% of our population has immunity from it, whether from vaccination or recovery. Or possibly higher – in some densely populated areas, Covid-19 has spread until 70% (in NYC) or even 90% (in prisons) of people have contracted the disease.

Population density is hugely important for the dynamics of Covid-19’s spread, so it’s difficult to predict a nation-wide threshold for herd immunity. For a ballpark estimate, we could calculate what we’d see with a herd immunity threshold of about 40% in rural areas and 60% in urban areas.

Plugging in some numbers, 330 million people, 80% urban population, 0.25% IFR, 60% herd immunity threshold in urban areas, we’d anticipate 450,000 deaths.

That’s about half of what I predicted. And you know what? That’s awful.

Each of those 450,000 is a person. Someone with friends and family. And “slow the spread” doesn’t help them, it just stretches our grieving to encompass a whole year of tragedy instead of a horrific month of tragedy.

If we don’t have a safe, effective vaccine soon enough, the only way to save some of those 450,000 people is to shift the demographics of exposure.

#

Based on the initial data, I concluded that the age demographics for Covid-19 risk were skewed more heavily toward elderly people than influenza risk.

I may have been wrong.

It’s difficult to directly compare the dangers of influenza to the dangers of Covid-19. Both are deadly diseases. Both result in hospitalizations and death. Both are more dangerous for elderly or immunocompromised people, but both also kill young, healthy people.

Typically, we use an antigen test for influenza and a PCR-based test for Covid-19. The PCR test is significantly more sensitive, so it’s easier to determine whether Covid-19 is involved a person’s death. If there are any viral particles in a sample, PCR will detect them. Whereas antigen tests have a much higher “false negative” rate.

Instead of using data from these tests, I looked at the total set of pneumonia deaths. Many different viruses can cause pneumonia symptoms, but the biggest culprits are influenza and, in 2020, Covid-19.

So I used these data to ask a simple question – in 2020, are the people dying of pneumonia disproportionately more elderly than in other years?

I expected that they would be. That is, after all, the prediction from my claims about Covid-19 demographic risks.

I was wrong.

In a normal year (I used the data from 2013, 2014, and 2015, three years with “mild” seasonal influenza), 130,000 people die of flu-like symptoms.

In 2020 (at the time I checked), 330,000 people have died of flu-like symptoms. Almost three times as many people as in a “normal” year.

For people under the age of 18, we’ve seen the same number of deaths (or fewer) in 2020 as in other years. The introduction of Covid-19 appears to have caused no increased risk for these people.

But for people of all other ages, there have been almost three times as many people dying of these symptoms in 2020 compared to other years.

In most years, one thousand people aged 25-34 die of these symptoms; in 2020, three thousand have died. In most years, two thousand people aged 35-44 die of these symptoms; in 2020, six thousand have died. This same ratio holds for all ages above eighteen.

Younger people are at much less risk of harm from Covid-19 than older people are. But, aside from children under the age of eighteen, they don’t seem to be exceptionally protected.

Of course, my predictions about the age skew of risk might be less incorrect than I’m claiming here. If people’s dramatically altered behavior in 2020 has changed the demographics of exposure as compared to other years – which is what we should be doing to save the most lives – then we could see numbers like this even if Covid-19 had the risk skew that I initially predicted.

#

I predicted that four or more years would pass before we’d be able to vaccinate significant numbers of people against Covid-19.

I sure hope that I was wrong!

We now know that it should be relatively easy to confer immunity to Covid-19. Infection with other coronaviruses, including those that cause common colds, induce the production of protective antibodies. This may partly explain the low risk for children – because they get exposed to common-cold-causing coronaviruses so often, they may have high levels of protective antibodies all the time.

Several pharmaceutical companies have reported great results for their vaccine trials. Protection rates over 90%.

So the problem facing us now is manufacturing and distributing enough doses. But, honestly, that’s the sort of engineering problem that can easily be addressed by throwing money at it. Totally unlike the problem with HIV vaccines, which is that the basic science isn’t there – we just don’t know how to make a vaccine against HIV. No amount of money thrown at that problem would guarantee wide distribution of an effective vaccine.

We will still have to overcome the (unfortunately significant) hurdle of convincing people to be vaccinated.

For any individual, the risk of Covid-19 is about twice the risk of seasonal influenza. But huge numbers of people choose not to get a flu vaccine each year. In the past, the United States has had a vaccination rate of about 50%. Here’s hoping that this year will be different.

Covid-19 spreads so fast – and so silently, with many cases of infected people who feel fine but are still able to spread the virus – that it will almost certainly be a permanent resident of the world we live in. We’re unlikely to eradicate Covid-19.

Which means that elderly people will always be at risk of dying from Covid-19.

The only way to protect people whose bodies have gone through “age-related immunosenence” – the inevitable weakening of an immune system after a person passes the evolutionarily-determined natural human lifespan of about 75 years – will be to vaccinate everybody else.

Depending on how long vaccine-conferred immunity lasts, we may need to vaccinate people annually. I worry, though, that it will become increasingly difficult to persuade people to get a Covid-19 vaccine once the yearly death toll drops to influenza-like levels – 50,000 to 100,000 deaths per year in the United States.

#

I wrote, repeatedly, that immunity to Covid-19 is likely to be short-lived. Immunity to other coronaviruses fades within a few months.

(Note: you may have seen articles in the New York Times suggesting that we’ll have long-lasting protection. They’re addressing a different question — after recovery, or vaccination, are you likely to become severely ill with Covid-19? And the answer is “probably not,” although it’s possible. When I discuss immunity here, I mean “after recovery, or vaccination, are you likely to be able to spread the virus after re-infection?” And the answer is almost certainly “yes, within months.”)

And I wrote about the interplay between short-lived immunity and the transmission dynamics of an extremely virulent, air-born virus.

This is what the Harvard public health team got so wrong. When we slow transmission enough that a virus is still circulating after people’s immunity wanes, they can get sick again.

For this person, the consequences aren’t so dire – an individual is likely to get less sick with each subsequent infection by a virus. But the implications for those who have not yet been exposed are horrible. The virus circulates forever, and people with naive immune systems are always in danger.

It’s the same dynamics as when European voyagers traveled to the Americas. Because the European people’s ancestors lived in unsanitary conditions surrounded by farm animals, they’d cultivated a whole host of zoogenic pathogens (like influenza and this new coronavirus). The Europeans got sick from these viruses often – they’d cough and sneeze, have a runny nose, some inflammation, a headache.

In the Americas, there were fewer endemic diseases. Year by year, people wouldn’t spend much time sick. Which sounds great, honestly – I would love to go a whole year without headaches.

But then the disgusting Europeans reached the Americas. The Europeans coughed and sneezed. The Americans died.

And then the Europeans set about murdering anyone who recovered. Today, descendants of the few survivors are made to feel like second-class citizens in their ancestral homelands.

#

In a world with endemic diseases, people who have never been exposed will always be at risk.

That’s why predictions made in venues such as the August New York Times editorial claiming that a six- to eight-week lockdown would stop Covid-19 were so clearly false. They wrote:

Six to eight weeks. That’s how long some of the nation’s leading public health experts say it would take to finally get the United States’ coronavirus epidemic under control.

For proof, look at Germany. Or Thailand. Or France.

Obviously, this didn’t work – in the presence of an endemic pathogen, the lockdowns preserved a large pool of people with naive immune systems, and they allowed enough time to pass that people who’d been sick lost their initial immunity. After a few months of seeming calm, case numbers rose again. For proof, look at Germany. Or France.

Case numbers are currently low in Thailand, but a new outbreak could be seeded at any time.

And the same thing is currently happening in NYC. Seven months after the initial outbreak, immunity has waned; case numbers are rising; people with mild second infections might be spreading the virus to friends or neighbors who weren’t infected previously.

All of which is why I initially thought that universal mask orders were a bad idea.

We’ve known for over a hundred years that masks would slow the spread of a virus. The only question was whether slowing the spread of Covid-19 would cause more people to die of Covid-19.

And it would – if a vaccine was years away.

But we may have vaccines within a year. Which means that I may have been wrong. Again, the dynamics of Covid-19 transmission are still poorly understood – I’ll try to explain some of this below.

In any case, I’ve always complied with our mask orders. I wear a mask – in stores, at school pickup, any time I pass within six feet of people while jogging.

To address global problems like Covid-19 and climate change, we need global consensus. One renegade polluting wantonly, or spewing viral particles into the air, could endanger the whole world. This is precisely the sort of circumstance where personal freedom is less important than community consensus.

#

The transmission dynamics of Covid-19 are extremely sensitive to environment. Whether you’re indoors or outdoors. How fast the air is moving. The population density. How close people are standing. Whether they’re wearing masks. Whether they’re shouting or speaking quietly.

Because there are so many variable, we don’t have good data. My father attended a lecture and a colleague (whom he admires) said, “Covid-19 is three-fold more infectious than seasonal influenza.” Which is bullshit – the transmission dynamics are different, so the relative infectivity depends on our behaviors. You can’t make a claim like this.

It’s difficult to measure precisely how well masks are slowing the spread of this virus.

But here’s a good estimate: according to Hsiang et al., the number of cases of Covid-19, left unchecked, might have increased exponentially at a rate of about 34% per day in the United States.

That’s fast. If about 1% of the population was infected, it could spread to everyone within a week or two. In NYC, Covid-19 appear to spread to over 70% of the population within about a month.

(To estimate the number of infections in New York City, I’m looking at the number of people who died and dividing by 0.004 – this is much higher than the infection fatality rate eventually reported by the CDC, but early in the epidemic, we were treating people with hydroxychloraquine, an unhelpful poison, and rushing to put people on ventilators. We now know that ventilation is so dangerous that it should only be used as a last resort, and that a much more effective therapy is to ask people to lie on their stomachs – “proning” makes it easier to get enough oxygen even when the virus has weakened a person’s lungs.)

Masks dramatically slow the rate of transmission.

A study conducted at a military college – where full-time mask-wearing and social distancing were strictly enforced – showed that the number of cases increased from 1% to 3% of the population over the course of two weeks.

So, some math! Solve by taking ten to the power of (log 3)/14, which gives an exponential growth rate of 8% per day. Five-fold slower than without masks.

But 8% per day is still fast.

Even though we might be able to vaccinate large numbers of people by the end of next year, that’s not soon enough. Most of us will have been sick with this – at least once – before then.

I don’t mean to sound like a broken record, but the biggest benefit of wearing masks isn’t that we slow the rate of spread for everyone — exponential growth of 8% is still fast — but that we’re better able to protect the people who need to be protected. Covid-19 is deadly, and we really don’t want high-risk people to be infected with it.

I’ve tried to walk you through the reasoning here — the actual science behind mask policies — but also, in case it wasn’t absolutely clear: please comply with your local mask policy.

You should wear a mask around people who aren’t in your (small) network of close contacts.

#

I’m writing this essay the day after New York City announced the end of in-person classes for school children.

This policy is terrible.

A major problem with our response to Covid-19 is that there’s a time lag between our actions and the consequences. Human brains are bad at understanding laggy data. It’s not our fault. Our ancestors lived in a world where they’d throw a spear at an antelope, see the antelope die, and then eat it. Immediate cause and effect makes intuitive sense.

Delayed cause and effect is tricky.

If somebody hosts a party, there might be an increase in the number of people who get sick in the community over the next three weeks. Which causes an increase in the number of hospitalizations about two weeks after that. Which causes people to die about three weeks after that.

There’s a two-month gap between the party and the death. The connection is difficult for our brains to grasp.

As a direct consequence, we’ve got ass-hats and hypocrites attending parties for, say, their newly appointed Supreme Court justice.

But the problem with school closures is worse. There’s a thirty year gap between the school closure and the death. The connection is even more difficult to spot.

Even if you have relatively limited experience reading scientific research papers, I think you could make your way through this excellent article from Chistakis et al.

The authors link two sets of existing data: the correlation between school closures and low educational achievement, and the correlation between low educational achievement and premature death.

The public debate has pitted “school closures” against “lives saved,” or the education of children against the health of the community. Presenting the tradeoffs in this way obscures the very real health consequences of interrupted education.

These consequences are especially dire for young children.

The authors calculate that elementary school closures in the United States might have (already!) caused 5.5 million years of life lost.

Hsiang et al. found that school closures probably gave us no benefit in terms of reducing the number of Covid-19 cases, because children under 18 aren’t significant vectors for transmission (elementary-aged children even less so), but even if school closures had reduced the number of Covid-19 cases, closing schools would have caused more total years of life to be lost than saved.

The problem – from a political standpoint – is that Covid-19 kills older people, who vote, whereas school closures kill young people, who are intentionally disenfranchised.

And, personally, as someone with far-left political views, it’s sickening for me to see “my” political party adopt policies that are so destructive to children and disadvantaged people.

#

So, here’s what the scientific data can tell us so far:

  • We will eventually have effective vaccines for Covid-19. Probably within a year.
  • Covid-19 spreads even with social distancing and masks, but the spread is slower.
  • You have no way of knowing the risk status of people in a stranger’s bubble. (Please, follow your local mask orders!)
  • Schools – especially elementary schools – don’t contribute much to the spread of Covid-19.
  • School closures shorten children’s lives (and that’s not even accounting for their quality of life over the coming decades).
  • An individual case of Covid-19 is about twice as dangerous as a case of seasonal influenza (which is scary!).
  • Underlying immunity (from prior disease and vaccination) to Covid-19 is much lower than for seasonal influenza, so there will be many more cases.
  • Most people’s immunity to Covid-19 probably lasts several months, after which a person can be re-infected and spread the virus again.

#

So, those are some data. But data don’t tell us what to do. Only our values can do that.

Personally, I value the lives of children.

I wouldn’t close schools.

On good news.

On good news.

How is white paint like the defeat of our nation’s (former!) white-supremacist in chief?

They’re pulling us back from the brink. Both ample cause for dancing in the street.

#

When I woke on Wednesday, November 4th, the news looked grim.

Before the 2016 election, I felt pretty sure that Donald Trump would win. I felt horrible about the prospect, but based on conversations I’d been having with people – and because the man embodies so much of our crass, self-serving, money-hungry national id – it seemed very likely that Trump would be elected.

But I had no prediction this time. I haven’t been talking to people. My family has returned to something vaguely like our regular life – my spouse is teaching, my kids are in school – but the local jail won’t let me inside, and I have far fewer conversations with folks around town. Our voices are muffled, and I can’t see their lips for extra help in parsing words.

I had hoped, obviously, that watching what the man has done to our country would induce people to vote for anyone else.

Nevertheless, almost half the people who voted wanted that man to stay in office.

Sure, Joe Biden clearly won the popular vote – but it wasn’t a landslide. It was something like 51% to 48%. Even ignoring, for a moment, the awfulness of the electoral college – a system that was designed so that some people could enjoy the FREEDOM to abduct, torture, and murder other people – 51% to 48% is quite close.

Almost half our nation’s voters think the president has been doing a dang fine job and should carry on with it.

#

On Wednesday morning, it looked like the electoral college might proffer another victory to our current president.

I didn’t take to the streets. Nor did I descend into my secret bunker.

Backyardigans secret lair / Nickelodeon

I don’t even have a secret bunker. Although I did notice, when I went grocery shopping on Monday before the election, that the shelves were stripped bare of most types of canned beans. I imagine other people were stocking their secret bunkers.

And it’s not clear to me whether I’d be more in need of a secret bunker if Trump had won – four more years of ravage – or if Biden had won decisively, which might induce violence from the most prominent terrorist organizations in our country, the well-armed white supremacists.

I bought some dried beans. Which is silly, I know. With young children in the house, I almost never plan our meals well enough ahead of time to use dried beans instead of canned. And, in the event of TOTAL CHAOS, there’s no guarantee that we’d have running water to cook dried beans with. And also, maybe it’s excessively paranoid to be at the grocery store a day before a U.S. presidential election and feel an overwhelming dread of impending violence.

But maybe it’s not. That’s the thing. Maybe it’s not.

Any Rip Van Winkles who lay down for a nap in 2015 would have thought I was being absurd. But in 2020, other people had gotten to the canned beans before I did.

So, waking up, feeling nauseous at the gaping blood-red wound / chasm confronting me from the New York Times website’s map of the United States on Wednesday, I sat down to send sad emails to a few people I care about. Given that depression is normally a very private affair – too private, most people suffering in silence, alone – it felt almost cathartic to have the opportunity for such shared despair. Perhaps 52% of our nation felt the same hopeless nausea that I did.

#

During one of these sad emails, I wrote about stocks. I’d hedged my bets – stock in construction equipment like CAT in case Joe Biden wins and actually embarks on our sorely-needed infrastructure project; stock in HVAC (air conditioning) and Canadian agriculture in case Trump won.

And, sure, maybe I shouldn’t unload my Canadian ag stocks yet. If the obstructionists hold the Senate, maybe Biden will be stymied in his efforts to address climate change. But, you know what? At least he’s gonna try.

The other guy was going to keep tweeting that sacred-water-poisoning pipelines and mountain-wrecking coal mining would Make America Uninhabitable Later, and, after an erudite Black man had successfully governed our nation for eight years, lots of folks really wanted to maul something.

#

But, the dire need for air conditioning?

Well, let’s preface this by saying that air conditioning is going to be a really problematic feedback loop in our efforts to address climate change. The world gets hotter, people feel miserable, people use more air conditioning, air conditioning is a huge energy suck, which makes the world get even hotter. That’s bad. If a chemical company develops a more efficient coolant, it’ll be a huge boon.

Kinda strange for a hippie environmentalist like me to extol the efforts of companies like Dow chemical, but also, I’m a scientist, and, also, this is where we are in the world. Things would be different if we’d made better choices years ago.

No matter. This essay is a happy one, chock full of good news.

The first good news is that, pending a few lawsuits that will (eventually) fizzle in a tangled mess of illogic, Biden has won the U.S. presidency. Of our nation’s approximately 140 million eligible candidates for president, Joe Biden isn’t my number one pick. But, still. I voted for him. He’s good enough.

I’m quite happy he won.

(Given the stakes this year – buying dried beans on Monday, honestly! – that’s an understatement.)

Charles McQuillan / Getty Images

Here’s some more good news: new paint!

Seriously. If you can spare a minute to read Science magazine’s layperson-friendly press release, please, click here!

There’s a charming new research article – published three weeks ago, but unnoticed by me until this morning – that describes how much cooling we could achieve by painting buildings with a fresh coat of this special formulation of white paint.

Sunlight shines down, ready to heat any buildings covered in black shingles or whatever, but sunlight will bounce off this white paint, and be reflected in a lovely spread of wavelengths to fly back harmlessly into outer space.

This is, after all, the usual problem with greenhouse gases. Carbon dioxide lets inbound sunlight pass through, but all our stuff down here on Earth absorbs the photons of sunlight and in return ships off a larger number (more entropy, more chaos) of lower energy (so that no energy is created or destroyed) infrared photons, and the greenhouse gases won’t let those new photons fly off into outer space, so our planet heats up.

#

Joe Biden. And white paint.

Our species is a bit less likely to face extinction in the coming centuries. And that sounds great to me!

On childcare.

On childcare.

After my eldest was born, I spent the first autumn as her sole daytime caretaker. She spent a lot of time strapped to my chest, either sleeping or wiggling her head about to look at things I gestured to as I chittered at her.

We walked around our home town, visiting museums and the library. I stacked a chair on top of my desk to make a standing workspace and sometimes swayed from side to side while I typed. At times, she reached up and wrapped her little hands around my neck; I gently tucked them back down at my sternum so that I could breath.

She seemed happy, but it felt unsustainable for me. Actually getting my work done while parenting was nigh impossible.

And so our family bought a membership at the YMCA. They offer two hour blocks of child care for children between six weeks and six years old.

The people who work in our YMCA’s child care space are wonderful. Most seem to be “overqualified” for the work, which is a strange thing to write. Childhood development has huge ramifications for both the child’s and their family’s whole lifetime, and child psychology is an incredibly rich, complex subject. Helping to raise children is important, fulfilling work. No one is overqualified to do it.

Yet we often judge value based on salary. Childcare, because it was traditionally seen by European society as “women’s work,” is poorly remunerated. The wages are low, there’s little prestige – many people working in childcare have been excluded from other occupations because of a lack of degrees, language barriers, or immigration status.

I like to think that I appreciate the value of caretaking – I’m voting with my feet – but even I insufficiently valued the work being done at our YMCA’s childcare space.

Each time I dropped my children off – at which point I’d sit and type at one of the small tables in the snack room, which were invariably sticky with spilled juice or the like – I viewed it as a trade-off. I thought that I was being a worse parent for those two hours, but by giving myself time to do my work, I could be a fuller human, and maybe would compensate for those lapsed hours by doing better parenting later in the day.

I mistakenly thought that time away from their primary parent would be detrimental for my children.

Recently, I’ve been reading Sarah Blaffer Hrdy’s marvelous Mothers and Others, about the evolutionary roots of human childhood development, and learned my mistake.

Time spent in our YMCA’s childcare space was, in and of itself, almost surely beneficial for my children. My kids formed strong attachments to the workers there; each time my children visited, they were showered with love. And, most importantly, they were showered with love by someone who wasn’t me.

Hrdy explains:

A team headed by the Israeli psychologist Abraham Sagi and his Dutch collaborator Marinus van IJzendoorn undertook an ambitious series of studies in Israel and the Netherlands to compare children cared for primarily by mothers with those cared for by both mothers and other adults.

Overall, children seemed to do best when they have three secure relationships – that is, three relationships that send the clear message “You will be cared for no matter what.”

Such findings led van IJzendoorn and Sagi to conclude that “the most powerful predictor of later socioemotional development involves the quality of the entire attachment network.”

In the United States, we celebrate self-sufficient nuclear families, but these are a strange development for our species. In the past, most humans lived in groups of close family and friends; children would be cared for by several trusted people in addition to their parents.

Kids couldn’t be tucked away in a suburban house with their mother all day. They’d spend some time with her; they’d spend time with their father; they’d spend time with their grandparents; they’d spend time with aunties and uncles, and with friends whom they called auntie or uncle. Each week, children would be cared for by many different people.

The world was a harsh place for our ancestors to live in. There was always a risk of death – by starvation, injury, or disease. Everyone in the group had an incentive to help each child learn, because everyone would someday depend upon that child’s contributions.

And here I was – beneficiary of some million years of human evolution – thinking that I’d done so well by unlearning the American propaganda that caretaking is unimportant work.

And yet, I still mistakenly believed that my kids needed it to be done by me.

Being showered with love by parents is important. Love from primary caretakers is essential for a child to feel secure with their place in the world. But love from others is crucial, too.

I am so grateful that our YMCA provided that for my kids.

And, now that they’re old enough, my kids receive that love from school. Each day when they go in, they’re with teachers who let them know: You will be cared for no matter what.

On sending kids to school.

On sending kids to school.

I was walking my eldest child toward our local elementary school when my phone rang.

We reached the door, shared a hug, and said goodbye. After I left, I called back – it was a friend of mine from college who now runs a cancer research laboratory and is an assistant professor at a medical school.

“Hey,” I said, “I was just dropping my kid off at school.”

“Whoa,” he said, “that’s brave.”

I was shocked by his remark. For most people under retirement age, a case of Covid-19 is less dangerous than a case of seasonal influenza.

“I’ve never heard of anybody needing a double lung transplant after a case of the flu,” my friend said.

But our ignorance doesn’t constitute safety. During this past flu season, several young, healthy people contracted such severe cases of influenza that they required double lung transplants. Here’s an article about a healthy 30-year-old Wyoming man nearly killed by influenza from December 2019, and another about a healthy 20-year-old Ohio woman from January 2020. And this was a rather mild flu season!

One of the doctors told me that she’s the poster child for why you get the flu shot because she didn’t get her flu shot,” said [the 20-year-old’s mother].

These stories were reported in local newspapers. Stories like this don’t make national news because we, as a people, think that it’s normal for 40,000 to 80,000 people to die of influenza every year. Every three to five years, we lose as many people as have died from Covid-19. And that’s with vaccination, with pre-existing immunity, with antivirals like Tamiflu.

Again, when I compare Covid-19 to influenza, I’m not trying to minimize the danger of Covid-19. It is dangerous. For elderly people, and for people with underlying health issues, Covid-19 is very dangerous. And, sure, all our available data suggest that Covid-19 is less dangerous than seasonal influenza for people under retirement age, but, guess what? That’s still pretty awful!

You should get a yearly flu shot!

A flu shot might save your life. And your flu shot will help save the lives of your at-risk friends and neighbors.

#

For a while, I was worried because some of my remarks about Covid-19 sounded superficially similar to things said by the U.S. Republican party. Fox News – a virulent propaganda outlet – was publicizing the work of David Katz – a liberal medical doctor who volunteered in a Brooklyn E.R. during the Covid-19 epidemic and teaches at Yale’s school of public health.

The “problem” is that Katz disagrees with the narrative generally forwarded by the popular press. His reasoning, like mine, is based the relevant research data – he concludes that low-risk people should return to their regular lives.

You can see a nifty chart with his recommendations here. This is the sort of thing we’d be doing if we, as a people, wanted to “follow the science.”

And also, I’m no longer worried that people might mistake me for a right-wing ideologue. Because our president has once again staked claim to a ludicrous set of beliefs.

#

Here’s a reasonable set of beliefs: we are weeks away from a safe, effective Covid-19 vaccine, so we should do everything we can to slow transmission and get the number of cases as low as possible!

Here’s another reasonable set of beliefs: Covid-19 is highly infectious, and we won’t have a vaccine for a long time. Most people will already be infected at least once before there’s a vaccine, so we should focus on protecting high-risk people while low-risk people return to their regular lives.

If you believe either of those sets of things, then you’re being totally reasonable! If you feel confident that we’ll have a vaccine soon, then, yes, delaying infections is the best strategy! I agree! And if you think that a vaccine will take a while, then, yes, we should end the shutdown! I agree!

There’s no right answer here – it comes down to our predictions about the future.

But there are definitely wrong answers. For instance, our current president claims that a vaccine is weeks away, and that we should return to our regular lives right now.

That’s nonsense. If we could get vaccinated before the election, then it’d make sense to close schools. To wait this out.

If a year or more will pass before people are vaccinated, then our efforts to delay the spread of infection will cause more harm than good. Not only will we be causing harm with the shutdown itself, but we’ll be increasing the death toll from Covid-19.

#

On October 14th, the New York Times again ran a headline saying “Yes, you can be reinfected with the coronavirus. But it’s extremely unlikely.

This is incorrect.

When I’ve discussed Covid-19 with my father – a medical doctor specializing in infectious diseases, virology professor, vaccine developer with a background in epidemiology from his masters in public health – he also has often said to me that reinfection is unlikely. I kept explaining that he was wrong until I realized that we were talking about different things.

When my father uses the word “reinfection,” he means clearing the virus, catching it again, and becoming sicker than you were the first time. That’s unlikely (although obviously possible). This sort of reinfection happens often with influenza, but that’s because influenza mutates so rapidly. Covid-19 has a much more stable genome.

When I use the word “reinfection” – and I believe that this is also true when most laypeople use the word – I mean clearing the virus, catching it again, and becoming sick enough to shed the viral particles that will make other people sick.

This sense of the word “reinfection” describes something that happens all the time with other coronaviruses, and has been documented to occur with Covid-19 as well.

The more we slow the spread of Covid-19, the more total cases there will be. In and of itself, more cases aren’t a bad thing – most people’s reinfection will be milder than their first exposure. The dangerous aspect is that a person who is reinfected will have another period of viral shedding during which they might expose a high-risk friend or neighbor.

#

If our goal is to reduce the strain on hospitals and reduce total mortality, we need to avoid exposing high-risk people. Obviously, we should be very careful around nursing home patients. We should provide nursing homes with the resources they need to deal with this, like extra testing, and preferably increased wages for nursing home workers to compensate them for all that extra testing.

It’s also a good idea to wear masks wherever low-risk and high-risk people mingle. The best system for grocery stores would be to hire low-risk shoppers to help deliver food to high-risk people, but, absent that system, the second-best option would be for everyone to wear masks in the grocery store.

Schools are another environment where a small number of high-risk teachers and a small number of students living with high-risk family members intermingle with a large number of low-risk classmates and colleagues.

Schools should be open – regions where schools closed have had the same rates of infection as regions where schools stayed open, and here in the U.S., teachers in districts with remote learning have had the same rates of infection as districts with in-person learning.

Education is essential, and most people in the building have very low risk.

A preponderance of data indicate that schools are safe. These data are readily accessible even for lay audiences – instead of reading research articles, you could read this lovely article in The Atlantic.

Well, I should rephrase.

We should’ve been quarantining international travelers back in December or January. At that time, a shutdown could have helped. By February, we were too late. This virus will become endemic to the human species. We screwed up.

But, given where we are now, students and teachers won’t experience much increased risk from Covid-19 if they attend in person, and schools aren’t likely to make the Covid-19 pandemic worse for the surrounding communities.

That doesn’t mean that schools are safe.

Schools aren’t safe: gun violence is a horrible problem. My spouse is a teacher – during her first year, a student brought weapons including a chainsaw and some pipe bombs to attack the school; during her fourth year, a student had amassed guns in his locker and was planning to attack the school.

Schools aren’t safe: we let kids play football, which is known to cause traumatic brain injury.

Schools aren’t safe: the high stress of grades, college admissions, and even socializing puts some kids at a devastatingly high risk for suicide. We as a nation haven’t always done a great job of prioritizing kids’ mental health.

And the world isn’t safe – as David Katz has written,

If inclined to panic over anything, let it be climate change Not the most wildly pessimistic assessment of the COVID pandemic places it even remotely in the same apocalyptic ballpark.

On ‘Among Us’ and parenting.

On ‘Among Us’ and parenting.

Last week, I wrote a reflection on the popular social deduction game Among Us. It’s a charming game, I had a lot of fun while playing, and I probably won’t play again.

And yet.

#

In Among Us, players are assigned to be either interstellar scientists, attempting to complete a variety of mundane chores in order to return home, or evil aliens who sabotage the ship and slay the crew.

While the scientists complete their chores, they have to snoop for suspicious evidence, hoping to discover which of their crewmates are secretly aliens in disguise. At plurality-vote meetings, the crew can choose to fling people out the airlocks – if that person was an alien, perhaps the sabotage will cease! If that person was actually a hapless human scientist who couldn’t convince you of their innocence, well, your team is that much closer to doom.

Soon the aliens will vote you off your own ship.

#

I was brushing my teeth, staring at the black constellations of mold that have infiltrated our bathtub’s caulking. I thought, I should fix this.

It wouldn’t take so long. Scrape away the old caulking. Bleach everything. Run a dehumidifier to dry the room. Lay fresh caulk. Remind everyone not to use the bathtub that day.

An easy chore.

The chores in Among Us are all quite easy, too. The most difficult is just five rounds of the pattern-matching game Simon. Or clicking twenty asteroids as they hurtle across the screen. Most of the chores involve pressing a button and waiting.

But the chores become tense when aliens are constantly sabotaging your spacecraft. Or you might finish half a task when someone yells that they’ve found a dead body and interrupts your work with another meeting.

As I was looking at the moldy caulk, I heard that sound. The gut-wrenching alert noise, coming from our dining table.

“Ooops.”

Toothbrush still in mouth, I went to the table. Our eldest had poured a large quantity of almond milk directly on the tablecloth. Her cup was mostly empty. She was watching the milk drip from the edge of the table.

“Gmmph um dff cluff!” I said.

My kid just stared at me.

I sighed. You’re not supposed to swallow toothpaste.

I swallowed the toothpaste and said, “Get a dishcloth!”

“Ohhh,” she said, and went to the kitchen to find one. Nearly a minute passed while the milk drip, drip, dripped onto the floor. Eventually I went to get a dishcloth. My kid was sitting on the floor with several dishcloths in her lap, trying to pick her favorite.

Parenting small children is rather like Among Us. There’s an endless parade of tiny chores, each made more difficult by the fact that saboteurs are in your midst.

Except that it’s quite easy to identify the saboteurs. And I love them too much to vote them out the airlock.

Both imposters vented into the butterfly gardens … chaos is sure to follow.

On ‘Among Us’ and honesty.

On ‘Among Us’ and honesty.

How is the mobile game Among Us like Robert Greene’s The Art of Seduction?

I appreciate the premise of both. They’ll help you learn to get what you want.

But I doubt I’ll play again.

#

When people write to Pages to Prisoners, they request all kinds of books. Fantasy, thrillers, sci-fi, horror, romance. How to draw, how to start your own business, how to build a home. How to speak Spanish, or French, or Italian. The history of ancient Egypt. UFO books about aliens building the pyramids.

Most people write and tell us a few topics that they’re interested in, then we comb through our collection of donated books and put together a package that the person will (hopefully!) be happy to receive.

Are you interested in self-help and philosophy? Here’s a package with Victor Frankl’s Man’s Search for Meaning and Paulo Coelho’s The Alchemist! Are you interested in games and comics? Here’s a package with a Dungeons & Dragons manual and some freaky zombie books!

We try to give people what they want. Nobody should have their entire life defined by their single lowest moment.

When people write to us requesting a specific book, usually it’s the dictionary. Seriously, that’s our top request. Despite their miserable circumstances, a lot of people caught up in our criminal justice system are making a sincere effort to improve themselves. To read more, learn more, and be better.

If I had to guess what our second-most requested book is, though, I’d say Robert Greene’s The Art of Seduction.

Which seems less helpful than a dictionary if your goal is to become a better person.

#

I attempted to borrow The Art of Seduction from our local library. We only had an audio version, though, so I can’t quote from it directly. I listened to the first third, I believe.

And Greene made a remark that I appreciated: because so many of us feel unfulfilled in life – our work might be dull, our achievements might fall short of our ambitions – we would enjoy being seduced. After all, we spend buckets of money on booze, movies, and games. We like beautiful illusions.

Perhaps a seducer isn’t the person whom they’re pretending to be – so what? Greene suggests that we’d still enjoy an evening in which we take on a role in that person’s play – we can pretend to be loved by someone dazzling, someone who at least postures as rich, friendly, a scintillating conversationalist.

In my classes at the jail, I’ve met a fair few men who seem to have studied The Art of Seduction and other such pickup guides. Although their conversations are incredibly engaging at first, they quickly become repetitive – they have a few timeworn routines that they trot out again and again, the same slew each week. If you met this person at a party, he’d seem fascinating! Meet him at three parties in a row, you’d be hearing all the same skits.

As long as we anticipate this dissipation, maybe it’s okay. When we drink, we know that sobriety is going to catch up with us in the morning – sobriety, and a headache. We let a film transport us even though we know that the house lights are coming on two hours later.

If I were talking to someone who was playacting as a brilliant conversationalist, and we were both having fun, I don’t think I’d mind that their stories were invented. When guys in jail spin tales about their lives, I always take them at their word – even though I know that much of what people say in there is bullshit.

Sometimes we have to bifurcate our minds to get the most from life. Immerse ourselves fully in a role and enjoy it for what it is. Nobody playing Dungeons & Dragons believes that she’s really a level nine elf wizard, but she can still enjoy the thrill of saving the party with her powerful spells.

The major flaw with The Art of Seduction, from my perspective, is that it discusses the people being seduced as objects. The guide uses the language of battle and conquest, as though pleasure is something that the seducer takes from the seduced.

If, instead, the guide simply wrote about how best to entice others into joining you for mutually-pleasurable roleplay – in which pleasure is shared as you both pretend to be, and thereby become, scintillating lovers – well, then I’d salute Greene for doing his part to make the world a better place. Couldn’t we all use more love, pleasure, and excitement in our lives?

There are lots of ways to dance the dance. To play games. I simply prefer the honest ones – in which everyone is privy to, and pleased by, the illusions.

#

My brother recently gathered a group of ten of us to play the mobile game Among Us.

Among Us is a social deduction game, like Werewolf, Mafia, or Secret Hitler. Each player is assigned a hidden role at the beginning of the round – are you townsfolk or the werewolf? Are you a liberal or a fascist?

In Among Us, you’re an interstellar scientist or an alien.

The two teams have opposed goals. The scientists are trying to complete a set of mundane tasks – dumping the garbage, stabilizing the engines – so that they can return home. The aliens are trying to kill the scientists.

The graphics are charmingly reminiscent of early Nintendo games. And the pace of the game is excellent – at times your character wanders a map, trying to do chores, at other times play is interrupted by a meeting in which everyone tries to solve the mystery of who could’ve killed their teammate. Catch someone without an alibi and you can vote to fling them out the airlock, saving your crew from further tragedy.

Unless you were wrong and you accidentally ejected one of your helpful friends. Then the aliens are that much closer to victory.

#

I’m quite earnest.

Yes, I love the shared illusion of games, and I can appreciate that Among Us asks two players from each group of ten to playact as evil aliens. Those players are required to be deceptive, but it’s within the safe confines of a game that everyone in the group has chosen to play. There’s deceit, and there’s total consent.

But also, I’m terrible at this sort of game.

We played for several hours – a dozen, maybe two dozen rounds? I was given the role of the evil alien only once. And I attacked my second victim while standing right out in the open. Taylor walked past, saw me, and promptly called a meeting.

“Oh my God,” she said, “I just walked in and Frank totally killed him right in front of me.”

In retrospect, it’s clear what I should have said next. The scientists’ mundane tasks fill up the entire phone screen – I could’ve claimed to be working on one, that I’d been interrupted by this meeting halfway through it and hadn’t seen what happened, but then accurately described the place where I’d been standing. Yes, this would have seemed suspicious – I’d admit to standing right where the body was found – but the other players might think that Taylor had come into the room, killed someone without me noticing, and then tried to frame me.

We played with a team of two evil aliens, so this would’ve been quite helpful to say – even if the other players voted to eject me from the ship, they’d remain suspicious of Taylor and might eject her later, bolstering the chances of my alien ally.

Unfortunately, I couldn’t recall what the nearby chore was supposed to be. I learned that, if you haven’t played Among Us very often but are given the role of the alien, you should slay your victims near chores that you know well. So that you can convincingly describe what you were doing if someone stumbles across your misdeed.

Instead, I laughed and voted myself off the ship.

#

Among Us was fun, but the game has its flaws.

Each round is ten or twenty minutes, but a few people are eliminated right away. If you were playing, you’d definitely want a book nearby or a TV show to watch, just to have something to do during the times when your character gets eliminated first. Except that the players are still expected to complete their vaguely unpleasant chores – clicking a set of buttons at just the right times, or dragging illustrated leaves across the telephone screen to clean an air filter – even after they’re killed and can no longer participate in the discussions or votes.

I’d definitely prefer if a deceased player’s chores were automatically completed at steady rate.

For about a decade, Jonathan Blow, creator of the fantastic puzzle game Braid, has been an outspoken critic of unethical game design. In a 2007 lecture, Blow described his qualms about World of Warcraft – players are forced to complete mundane, unpleasant tasks in order to progress in the game. To balance this unpleasantness, the game keeps players engaged with tiny pulses of dopamine – even though it’s not particularly fun to slay each tiny goblin, the game rewards you with a jingle of dropped gold or a gambler’s rush of wondering whether this unidentified treasure will be a good one.

By forcing players to sink time into mundane tasks, World of Warcraft makes their lives worse. “The meaning of life in World of Warcraft is you’re some schmo that doesn’t have anything better to do than sit around pressing a button.”

The chores in Among Us need to be sufficiently challenging that they introduce a cognitive burden for most players, but there are ways to do that without making them tedious. Simple logic puzzles would accomplish the design requirements of Among Us and help players get more out of each game.

The more dire problem, from my perspective, are the ways that repeat play with the same group shifts your optimal playstyle.

#

The Prisoner’s Dilemma is a game in which two players choose either to cooperate or defect. Then they’re sent to jail for various lengths of time depending on both players’ choices.

The Prisoners’ Dilemma is a very different sort of “game” from Among Us – I assume nobody would want to download an app for it. Your team wins! You only go to jail for two years each!

If both players cooperate, the pair will be imprisoned for the least total time. But also, no matter what the other player chooses, you can reduce your own time in jail by defecting.

And so the “game theory optimal” play is to defect. When both players do, they both wind up spending more time in jail than if they’d both cooperated.

In Freedom Evolves, Daniel Dennett discusses ways in which human evolution – which bestowed upon us emotions, a tendency to blush or bluster while lying, and a willingness to endure personal suffering in order to punish non-cooperators – may have solved the Prisoner’s Dilemma.

When evolution gets around to creating agents that can learn, and reflect, and consider rationally what to do next, it confronts these agents with a new version of the commitment problem: how to commit to something and convince others you have done so.

Wearing a cap that says “I’m a cooperator” is not going to take you far in a world of other rational agents on the lookout for ploys.

According to Robert Frank, over evolutionary time we “learned” how to harness our emotions to keep us from being too rational, and – just as important – earning us a reputation for not being too rational.

It is our unwanted excess of myopic rationality, Frank claims, that makes us so vulnerable to temptations and threats, vulnerable to “offers we can’t refuse.” Part of being a good citizen is making oneself into a being that can be relied upon to be relatively impervious to such offers.

Emotions can solve the Prisoners’ Dilemma – cooperating because you’d feel bad about hurting the other person – and so can repeated play.

When you’re faced with the Prisoners’ Dilemma once, the “rational” choice is to betray your partner. But if you’re playing with the same person many times, or with groups of people who know your reputation, the optimal strategy is to be kind. To cooperate unless you have ample evidence that a particular partner will not.

The Prisoners’ Dilemma is a game where playing more makes you a better person.

By way of contrast, Among Us teaches you to behave worse the more you play.

This is a feature common to all social deception games. If you were playing Secret Hitler once – and only once – and were assigned to play as a liberal politician, your optimal strategy would be to be scrupulously earnest and honest. The players assigned to roleplay as fascists must lie to succeed, but the liberal team doesn’t need to.

However, if you plan to play Secret Hitler several times with the same group of friends, your optimal strategy includes a fair bit of caginess and trickery even when you’re playing the role of a liberal. Otherwise, the contrast between your behaviors would make the game impossible to win during the rounds when you’re assigned to roleplay as a fascist.

Similarly, Among Us rewards deception even when you’re assigned the role of a scientist. Otherwise, you won’t be able to win during the rounds when you’re assigned to play as an evil alien.

Although the optimal strategy for the team of scientists might seem to be extreme forthrightness, repeated play cultivates a basal level of dishonesty.

#

In The Biggest Bluff, Maria Konnikova describes her journey from poker novice to professional – the book jacket lauds her $300,000 in winnings.

She frames this journey as a quest to understand the whims of chance – how can an appreciation for randomness buoy her spirits during the hard times of life?

And the biggest bluff at all?

That skill can ever be enough.

That’s the hope that allows us to move forward in those moment when luck is most stacked against us, the useful delusion that lets us push on rather than give up.

We don’t know, we can’t ever know, if we’ll manage or not. But we must convince ourselves that we can. That, in the end, our skill will be enough to carry the day. Because it has to be.

It’s a beautiful message. We let ourselves believe that we’re in control, because if we lost that belief, we might give up.

And yet. Almost unmentioned in the text of The Biggest Bluff are the mechanics of where money comes from in poker. Poker doesn’t produce wealth – instead, a large number of people pay to enter a game, and a small number of people receive the money at the end.

Because Konnikova was fortunate enough to be instructed by experienced players, and wealthy enough to invest a lot of time and money on learning, she was eventually able to deceive and bully other people well enough that she could take their money.

Poker is consensual. Everyone entering a game know that the other players are attempting to take their money. Some people must play with full understanding that they’ll lose – maybe they think the entry fee is a fair price for the enjoyment of the game. But most people, I’d assume, are hoping to win. And – because poker doesn’t produce anything, instead redistributing wealth from the many to the few – most don’t.

Playing many games of poker would teach you skills that can be used to get ahead in the world. An appreciation for chance. An ability to negotiate. An ability to tamp down or hide your emotional responses to adversity or triumph. An ability to manipulate those around you.

Some of that sounds good, some doesn’t. On the whole, I don’t think I want the traits that poker would help me develop.

Similarly, The Art of Seduction promised to teach valuable skills. I, too, like cuddles! My spouse bought me a cute little “polyamorous” pin to wear on my jacket label. But I wouldn’t want to follow any advice recommending that we deceive potential romantic interests, or treat them as objects.

And I don’t want the traits that Among Us would help me develop, either.

Deception is a valuable skill. More often, we’d get what we want. But at what cost?

#

When I played Among Us, I had fun. I was often laughing during the meetings when we discussed whether we should eject someone from our ship. Sometimes we did, and we felt so sure that we’d eliminated an alien because that person had seemed suspicious the whole game, but then we’d lose and realize that we’d doomed a fellow scientist.

Whoops!

Again, I’d laugh.

But the ability to enjoy Among Us comes from a wellspring of privilege.

My spouse can’t play social deduction games. She grew up with a paranoid schizophrenic mother – in order to stay safe as a child, she learned to lie. For many years, my spouse then lied compulsively. Pervasive lying came close to wrecking her life.

She resolved that she wouldn’t lie anymore. Recognizing that it would be an easy habit for herself to slip back into, she won’t lie even in a game.

Our children know that there’s no Santa Claus. That’s okay – I think that the Santa story is a starter conspiracy theory, and, even if Santa were real, our family would probably be against elf servitude.

Our children know that there’s no Tooth Fairy. My spouse and I dress up fabulously and dance through their bedroom when we replace their teeth with quarters – I wear a glittery skirt, angel wings, and a light-up tiara, all rescued at various times from neighborhood trash.

Another of my close friends joined us to play a single game of Among Us. She hated it. She, too, had a traumatic childhood. For someone who grew up around adults with mercurial swings of violence and rage, it feels awful to be lied to by your friends. Even within the consensual confines of a game.

#

After each game of Among Us, I wanted to play again. Despite the nuisance chores, despite my near-total inability to lie, despite knowing that I might be eliminated from the game within the first minute, I wanted to play again.

And yet, having written this essay, I doubt I ever will.