Should We Thank God on Thanksgiving?

 

On Thanksgiving people often voice thanks for the many benefits of life. But whom do they thank? God? Should we really thank God for the good things in life, or should we condemn him for the horrors and terrors of life?

The primary reason for the existence of religion is to relieve people of fear. Marx called religion the “Opiate of the Masses.” This was a perfect explanation of the religious impulse. We live in a world filled with pain, sorrow, depression, and horror, but the religions tell us that there is a God out there who loves us and loves the world. This God will take care of us and, after death, will provide us with a paradise of joy and happiness.

I was speaking to someone and I proposed that if there really was a God, we should not worship or love or adore him, but rather, we should hate him. The person responded that we should worship him because “life is beautiful.” I replied that although life has moments of beauty and happiness, there is far too much sorrow and unhappiness to say that life is beautiful.

Consider the following: The great majority of people in the world live in abject poverty. Most of those people suffer from hunger, disease, famine, tsunamis, cyclones, hurricanes, earthquakes, volcanoes, tornadoes, floods, droughts, plagues, infestations, and war. When one looks at the continents of Africa, Asia, and South America, one wonders how there could be a loving God looking over those people. Hundreds of millions of the people on those continents are subjected to widespread diseases such as cholera, malaria, sleeping sickness, AIDS, Dengue Fever, and Yellow Fever. They have insufficient clothing, shelter, and medical care. They are ruled-over by tyrants and dictators.

Millions of women throughout the world are treated as chattels without civil rights. They are beaten, raped, stoned, and subject to genital castration designed to eradicate their sexual pleasure. It is hard to imagine that such people are happy.

Hundreds of thousands of women, young girls, and boys are abducted each year by sex-crazed men who imprison and often torture them, using them as sexual toys for repeated rape. Many thousands of them are sold into sexual slavery, often to be bought by so-called upstanding members of the community.

What about the lucky people in America and the more affluent countries of Europe? One would think that they have many reasons to thank God. But we need to ask, are the lives of Americans so blessed and happy? Let’s start with health. Practically everybody in America has somebody in their family suffering from some serious illness. Millions of Americans have children with serious congenital diseases and infirmities such as autism, blindness, deafness, physical deformity, Down Syndrome, mental retardation, mental illnesses, muscular dystrophy, diabetes, epilepsy, cystic fibrosis, heart disease, cancer, and hundreds of other less common syndromes and disorders. The parents of such children often live lives of great sorrow.

Millions of adult Americans also suffer from terrible diseases. Heart disease, cancer, kidney disease, liver disease, Emphysema, Parkinson’s disease, Multiple Sclerosis, Lou Gehrig’s Disease (ALS), AIDS, Crohn’s Disease, chronic pain, and hundreds of other conditions beset the happiness of their lives. Millions of Americans suffer from mental problems, depression, anxiety, fatigue, lonliness, phobias, panic attacks, disabling shyness, and stress throughout their lives. Millions of Americans suffer from the effects of terrible automobile accidents and other injuries. They go through life as cripples with disabled or missing limbs, internal organs, and other essential parts of their bodies, or suffering from terrible pain.

As people get older, they greet a host of problems afflicting older Americans such as strokes, heart disease, arthritis, diabetes, hearing and seeing defects, prostate problems, osteoporosis, erectile dysfunction, sleep disorders, Alzheimer’s and dementia, and hundreds of other medical and psychological problems that impair their happiness. As people age their bodies breaks-down, their skin wrinkles, their hair disappears or turns white, their energy fails, and they lose their sexual ability and attraction.

Millions of Americans are addicted to alcohol, pain medication, and illegal drugs. Almost all of them are living in terrible misery, unable to shake the imprisonment of their addictions. There are millions of homeless people living on the streets, in tents, under bridges, and in shelters. Millions of other Americans are addicted to behavior patterns such as gambling, fetishism, sexual addiction, frigidity, obsessive-compulsive behavior, dependency, and other forms of addiction. There are millions of people with sexual deviations including the need to molest children or rape women. Millions of people engage in abusive behavior, physically beating or verbally berating their spouses, companions, and children. Millions of spouses, companions, and children are victims of such abuse. Such people cannot possibly be happy.

Millions of Americans live in poverty surrounded by a land of plenty. They eke-out a living in slums, tenements, housing projects, trailer parks, and rural shacks. They often go hungry in this land of plenty. Many go without decent clothing, shelter, ordinary medical care, and live in places without heat, cooling, electricity, telephone service, computers, sanitation, or even running water.

Millions of Americans are the victims of discrimination. People of all minorities suffer from bigotry. Millions of homosexuals, transvestites, transsexuals, and other trans-gender people are the objects of prejudice and condemnation by millions of other people.

Every day one reads in the paper about people who commit crimes. There are thousands of kinds of crimes committed every day by millions of people. It is difficult to guess what percent of the populace is dishonest, violent, dangerous, fraudulent, and deceitful, but judging from the constant news of crimes, schemes, scams, and corruptions, the number must run well into the tens of millions. There are millions of people engaged in serious and not-so-serious crime, including robbery, larceny, drug offenses, burglary, mugging, assault and battery, murder, and thousands of other kinds of crime. One constantly hears about violent massacres by crazed gunmen in schools, theaters, and public places. In addition to the victims of such killings, the families, friends, and communities of the victims are also victims. Millions of Americans are incarcerated in prisons and jails. There are millions of wives, children, parents, and other close relatives of prison inmates. These people must suffer having their loved ones in jail. There are millions of victims of crimes whose lives have been ruined by the crimes of others.

Throughout the world there are fanatic terrorists driven by religious hatred who make it their business to kill others who do not share their beliefs. I cannot imagine how many people are killed each year by these zealots but it must be in the thousands. It seems that every day one reads about a bomb going off in the Middle East or some other place, killing innocent people. The fanatics of ISIS feel compelled by their hate to murder and behead their enemies. If we consider the minds of the terrorists, they must be angry, tormented, unhappy people who have a lust for blood.

Millions of Americans are in unhappy marriages or relationships. Millions of Americans are suffering from the breakdown of their marriages or the breakup of relationships in which they were very much in love. Half of all marriages end in divorce. A majority of those who do not get divorced go on living in unhappy marriages. Millions of people are engaged in illicit sexual entanglements that cause them emotional pain and guilt. Millions of people are almost suicidal because of the infidelity of a spouse or loved one. Millions of people suffer from feelings of inferiority or lack of self-worth. Millions of people suffer from the feeling that they are too fat, too thin, or unattractive.

Millions of Americans hate their jobs or suffer under cruel, tyrannical, or sadistic bosses. There are millions of people with sour, nasty, cruel, vicious, malicious, and evil personalities who make it their business in life to damage, spoil, and injure the lives of other people. Millions of people live lives consumed with envy, jealousy, and hatred of others whom they perceive to be more fortunate than they.

Millions of families have children with serious behavior problems. Many of these children may grow up in middle class homes with respectable parents, yet such children are constantly in trouble with school, neighbors, the police, and others. Thousands of such children run away every year only to wind-up on the streets caught-up in drug addiction, prostitution, and crime.

For every Bernard Madoff carrying-out a giant stock swindle, there are thousands of businessmen, brokers, hedge fund managers, and others engaged in insider trading and other blatant violations of the rules of business law and ethics. Millions of Americans cheat others in smaller ways for smaller amounts of money. If one were able to calculate the amount of money embezzled from businesses, organizations, and charities each year it would probably be up in the billions if not trillions. I have known several embezzlers in my lifetime. I’m sure everybody has.

Although one would expect great probity from the wealthiest and most successful people, it is simply not there. Doctors routinely over-bill for services. I have had personal experience with dishonest doctors. One doctor who came in and handed my wife a card while our son was being treated for a broken bone at the hospital, later billed for services even though he did not examine or treat my son at all. Doctors frequently bill for services never rendered. Medicare and Medicaid pay tens of billions for fraudulent claims by physicians who are wealthy by any standard.

Eventually, we die. Death is not a simple leaf dropping off a tree. Death is usually painful. Often, it is horrible. It is usually accompanied by the grief of loved ones.

Yes, life does have its moments of happiness and beauty. There are some wonderful things in life, and some people do live very happy, prosperous, safe, healthy lives. Those people can be thankful for all they have, but they probably represent a small fraction of the people on earth. If you stop and consider all of the unhappiness, pain, disease, grief, and guilt suffered by the vast majority of people in the world, it can hardly be said that life is beautiful.

While many people suffering from the terrible things listed here may not think life is bad, that is because of the human ability to cope with the things that make us unhappy. It is a wonderful thing that people going through the most extreme torments will often try to look on the bright side of life. But if we stop and look at all of the problems faced by humans and listed here, we can hardly say that life is beautiful. We can hardly find reason to thank that mythical being called God.

Surely, if there was a God, and he was a good and loving God like the one worshipped by most religions, life would not be filled with such misery. There would not be millions of starving, diseased, oppressed people in Africa and other parts of the world. There would not be so much tragedy, horror, injury, illness, poverty, hunger, anger, war, and death. We would not have to wait for some mythical afterlife to experience a better life. Life on earth would really be beautiful for everyone.

BLACK LIVES MATTER

 

            It is apparent from the sheer size and fervor of the Black Lives Matter demonstrations that African Americans are demonstrating in response to more than the vicious murder of George Floyd by callus policemen. Although they demand that police stop killing young black men, they are really crying out for much more. They desire to change the whole culture of race in America. They want to change the system in which they are the lowest class in America (or, as the scholar, Isabel Wilkerson would say, “ the subordinate caste”), the poorest Americans with the lowest paying jobs, the residents of the poorest slums, the recipients [JEL1] of  the worst education and the worst medical care, the people with the highest proportion of prison incarceration, and the victims of the most police brutality. They get no respect from White Americans.

            While elimination of these disadvantages would be wonderful for Blacks, and wonderful for America, achievement of these goals in the near future is very doubtful. Over the eight decades of my lifetime there have been many similar demonstrations and riots in every major city in America. They  have accomplished very little. Just look at what African Americans have to overcome.

According to the Economic Policy Institute, African Americans are paid less than whites at every education level. While a college education results in higher wages—both for whites and blacks—it does not eliminate the Black-White wage gap. Since 1979, the gaps between Black and White workers have grown the most among workers with a bachelor’s degree or higher. On average, Black men earn 87 cents for every dollar White men earn.

               As a result of the wide financial gap between Whites and Blacks, the entire life and culture of the two races is dramatically different. According to Forbes, African-Americans have only a fraction of the wealth that whites have. At the median in 2016, non-retired African-Americans had $13,460 in wealth or only 9.5% of the median wealth of $142,180 that whites had at that time. This huge discrepancy in income and wealth affects everything in the lives of Black Americans.

Lack of income and wealth dictates the kind of neighborhood Blacks can afford to live in and the public schools they attend. Children of color are frequently afforded less educational opportunities. According to the United Negro College Fund (UNCF), Black children often attend schools with less qualified and lower-paid teachers. Teachers (particularly non-black teachers) have lower expectations of black students. That can send children the message that they're unable to perform as well as children of different skin tones.

Black children are less likely to be ready for college. For example, 61% of the black high school students who took the ACT in 2015 met none of the four ACT college readiness benchmarks. That's almost twice the rate of all students who took the ACT that year.

Often, Black people cannot afford to live in predominantly White neighborhoods. They are relegated to areas where housing is marginal (in other words--the slums). The neighborhoods Blacks live in account for many of the other problems of African Americans including gangs, drugs, crime, arrest, and incarceration.

It would be nice if White people changed their attitudes toward African Americans, if large employers started giving Black employees the exact same wages as white employees, if police stopped profiling Black drivers, and stopped all brutality toward Blacks. It would be nice if we suddenly had real equality in America. But that is not going to happen. For hundreds of years Blacks have suffered at the hands of Whites from slavery, segregation, discrimination, hatred, prejudice, racial profiling, police brutality, and other things. On a daily basis ordinary middle-class and poor Blacks confront nasty little acts of racism. These acts by Whites are frequently subtle and even unconscious.

I have a modest proposal. Because so many of the problems of African Americans come from low income and lack of wealth, one partial solution would be for the government to pay the less affluent Blacks substantial reparations. After the hell they have been through they deserve it. Local reparations won’t cut it. This is a job for the federal government in Washington. I’m thinking from $500 thousand to $1 million for each adult person, paid in large installments over a period of a few years. You think that’s impossible? Well, financially, it should be possible. A government that can pay trillions of dollars for the CARE Act, including stimulus checks to over 200 million Americans and billions for bailouts to thousands of businesses, with another round of stimulus checks and bailouts to come, should be able to come up with reparations for its approximately 24 million Blacks.

On the other hand it may be impossible to get the benighted people in Congress and the Government to even consider something that has a chance to partially solve the problems of Black America. Yes, this would be only a partial solution. There are so many things that have to be done..

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 [JEL1]Very n

Is Our Fight Against Coronavirus Worse Than the Disease?

There may be more targeted ways to beat the pandemic.

By David L. Katz

Dr. Katz is president of True Health Initiative and the founding director of the Yale-Griffin Prevention Research Center.

• March 20, 2020

Medics transport a patient into an ambulance at a Seattle-area nursing home. The relatively small number of cases that do require such services are highly concentrated among those age 60 and older.Credit...David Ryder/Reuters

We routinely differentiate between two kinds of military action: the inevitable carnage and collateral damage of diffuse hostilities, and the precision of a “surgical strike,” methodically targeted to the sources of our particular peril. The latter, when executed well, minimizes resources and unintended consequences alike.

As we battle the coronavirus pandemic, and heads of state declare that we are “at war” with this contagion, the same dichotomy applies. This can be open war, with all the fallout that portends, or it could be something more surgical. The United States and much of the world so far have gone in for the former. I write now with a sense of urgency to make sure we consider the surgical approach, while there is still time.

Outbreaks tend to be isolated when pathogens move through water or food, and of greater scope when they travel by widespread vectors like fleas, mosquitoes or the air itself. Like the coronavirus pandemic, the infamous flu pandemic of 1918 was caused by viral particles transmitted by coughing and sneezing. Pandemics occur when an entire population is vulnerable — that is, not immune — to a given pathogen capable of efficiently spreading itself.

Immunity occurs when our immune system has developed antibodies against a germ, either naturally or as a result of a vaccine, and is fully prepared should exposure recur. The immune system response is so robust that the invading germ is eradicated before symptomatic disease can develop.

Importantly, that robust immune response also prevents transmission. If a germ can’t secure its hold on your body, your body no longer serves as a vector to send it forward to the next potential host. This is true even if that next person is not yet immune. When enough of us represent such “dead ends” for viral transmission, spread through the population is blunted, and eventually terminated. This is called herd immunity.

What we know so far about the coronavirus makes it a unique case for the potential application of a “herd immunity” approach, a strategy viewed as a desirable side effect in the Netherlands, and briefly considered in the United Kingdom.

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The data from South Korea, where tracking the coronavirus has been by far the best to date, indicate that as much as 99 percent of active cases in the general population are “mild” and do not require specific medical treatment. The small percentage of cases that do require such services are highly concentrated among those age 60 and older, and further so the older people are. Other things being equal, those over age 70 appear at three times the mortality risk as those age 60 to 69, and those over age 80 at nearly twice the mortality risk of those age 70 to 79.

These conclusions are corroborated by the data from Wuhan, China, which show a higher death rate, but an almost identical distribution. The higher death rate in China may be real, but is perhaps a result of less widespread testing. South Korea promptly, and uniquely, started testing the apparently healthy population at large, finding the mild and asymptomatic cases of Covid-19 other countries are overlooking. The experience of the Diamond Princess cruise ship, which houses a contained, older population, proves the point. The death rate among that insular and uniformly exposed population is roughly 1 percent.

We have, to date, fewer than 200 deaths from the coronavirus in the United States — a small data set from which to draw big conclusions. Still, it is entirely aligned with the data from other countries. The deaths have been mainly clustered among the elderly, those with significant chronic illnesses such as diabetes and heart disease, and those in both groups.

This is not true of infectious scourges such as influenza. The flu hits the elderly and chronically ill hard, too, but it also kills children. Trying to create herd immunity among those most likely to recover from infection while also isolating the young and the old is daunting, to say the least. How does one allow exposure and immunity to develop in parents, without exposing their young children?

The clustering of complications and death from Covid-19 among the elderly and chronically ill, but not children (there have been only very rare deaths in children), suggests that we could achieve the crucial goals of social distancing — saving lives and not overwhelming our medical system — by preferentially protecting the medically frail and those over age 60, and in particular those over 70 and 80, from exposure.

Why does this matter?

I am deeply concerned that the social, economic and public health consequences of this near total meltdown of normal life — schools and businesses closed, gatherings banned — will be long lasting and calamitous, possibly graver than the direct toll of the virus itself. The stock market will bounce back in time, but many businesses never will. The unemployment, impoverishment and despair likely to result will be public health scourges of the first order.

Worse, I fear our efforts will do little to contain the virus, because we have a resource-constrained, fragmented, perennially underfunded public health system. Distributing such limited resources so widely, so shallowly and so haphazardly is a formula for failure. How certain are you of the best ways to protect your most vulnerable loved ones? How readily can you get tested?

We have already failed to respond as decisively as China or South Korea, and lack the means to respond like Singapore. We are following in Italy’s wake, at risk of seeing our medical system overwhelmed twice: First when people rush to get tested for the coronavirus, and again when the especially vulnerable succumb to severe infection and require hospital beds.

Yes, in more and more places we are limiting gatherings uniformly, a tactic I call “horizontal interdiction” — when containment policies are applied to the entire population without consideration of their risk for severe infection.

But as the work force is laid off en masse (our family has one adult child home for that reason already), and colleges close (we have another two young adults back home for this reason), young people of indeterminate infectious status are being sent home to huddle with their families nationwide. And because we lack widespread testing, they may be carrying the virus and transmitting it to their 50-something parents, and 70- or 80-something grandparents. If there are any clear guidelines for behavior within families — what I call “vertical interdiction” — I have not seen them.

Such is the collateral damage of this diffuse form of warfare, aimed at “flattening” the epidemic curve generally rather than preferentially protecting the especially vulnerable. I believe we may be ineffectively fighting the contagion even as we are causing economic collapse.

There is another and much overlooked liability in this approach. If we succeed in slowing the spread of coronavirus from torrent to trickle, then when does the society-wide disruption end? When will it be safe for healthy children and younger teachers to return to school, much less older teachers and teachers with chronic illnesses? When will it be safe for the work force to repopulate the workplace, given that some are in the at-risk group for severe infection?

When would it be safe to visit loved ones in nursing homes or hospitals? When once again might grandparents pick up their grandchildren?

There are many possible answers, but the most likely one is: We just don’t know. We could wait until there’s an effective treatment, a vaccine or transmission rates fall to undetectable levels. But what if those are a year or more away? Then we suffer the full extent of societal disruption the virus might cause for all those months. The costs, not just in money, are staggering to contemplate.

So what is the alternative? Well, we could focus our resources on testing and protecting, in every way possible, all those people the data indicate are especially vulnerable to severe infection: the elderly, people with chronic diseases and the immunologically compromised. Those that test positive could be the first to receive the first approved antivirals. The majority, testing negative, could benefit from every resource we have to shield them from exposure.

To be sure, while mortality is highly concentrated in a select groups, it does not stop there. There are poignant, heart-rending tales of severe infection and death from Covid-19 in younger people for reasons we do not know. If we found over time that younger people were also especially vulnerable to the virus, we could expand the at-risk category and extend protections to them.

We have already identified many of the especially vulnerable. A detailed list of criteria could be generated by the Centers for Disease Control and Prevention, updated daily and circulated widely to health professionals and the public alike. The at-risk population is already subject to the protections of our current policies: social distancing, medical attention for fever or cough. But there are several major problems with subsuming the especially vulnerable within the policies now applied to all.

First, the medical system is being overwhelmed by those in the lower-risk group seeking its resources, limiting its capacity to direct them to those at greatest need. Second, health professionals are burdened not just with work demands, but also with family demands as schools, colleges and businesses are shuttered. Third, sending everyone home to huddle together increases mingling across generations that will expose the most vulnerable.

As the virus is already circulating widely in the United States, with many cases going undetected, this is like sending innumerable lit matches into small patches of tinder. Right now, it is harder, not easier, to keep the especially vulnerable isolated from all others — including members of their own families — who may have been exposed to the virus.

If we were to focus on the especially vulnerable, there would be resources to keep them at home, provide them with needed services and coronavirus testing, and direct our medical system to their early care. I would favor proactive rather than reactive testing in this group, and early use of the most promising anti-viral drugs. This cannot be done under current policies, as we spread our relatively few test kits across the expanse of a whole population, made all the more anxious because society has shut down.

This focus on a much smaller portion of the population would allow most of society to return to life as usual and perhaps prevent vast segments of the economy from collapsing. Healthy children could return to school and healthy adults go back to their jobs. Theaters and restaurants could reopen, though we might be wise to avoid very large social gatherings like stadium sporting events and concerts.

So long as we were protecting the truly vulnerable, a sense of calm could be restored to society. Just as important, society as a whole could develop natural herd immunity to the virus. The vast majority of people would develop mild coronavirus infections, while medical resources could focus on those who fell critically ill. Once the wider population had been exposed and, if infected, had recovered and gained natural immunity, the risk to the most vulnerable would fall dramatically.

A pivot right now from trying to protect all people to focusing on the most vulnerable remains entirely plausible. With each passing day, however, it becomes more difficult. The path we are on may well lead to uncontained viral contagion and monumental collateral damage to our society and economy. A more surgical approach is what we need