The stunning success of vaccines in America, in one chart

“Measles, mumps, and polio are supposed to be diseases of the past. In the early to mid-20th century, scientists developed vaccines that effectively eliminated the risk of anyone getting sick or dying from illnesses that had killed millions over millennia of human history.
Vaccines, alongside sanitized water and antibiotics, have marked the epoch of modern medicine. The US was at the cutting edge of eliminating these diseases, which helped propel life expectancy and economic growth in the postwar era.”

“As long-accepted, lifesaving public health measures increasingly become politically polarized, routine vaccination rates are rapidly declining in much of the US. In the 2019–2020 school year, three states had less than 90 percent of K–12 students vaccinated against measles, mumps, and rubella. By the 2023–2024 school year, 14 states had fallen below that threshold. The number of states with more than 95 percent of schoolchildren vaccinated — the preferred level of coverage to prevent outbreaks — dropped from 20 to 11 during that same period.

It is no surprise then that the number of US measles cases more than quadrupled from 2023 to 2024. Nobody has died of measles in the US since 2015, but if vaccination rates continue to decline, this highly contagious disease (one person can infect more than a dozen other people) will spread with increasing ease, which raises the risk that American kids could die.

We know how to prevent that. We’ve had remarkably safe, effective shots for decades. We just need to keep using them.”

https://www.vox.com/future-perfect/386215/trump-rfk-jr-vaccines-health-measles-chart

Polarization is bad for our health. Could RFK help?

“Political polarization shapes how people interpret risk and who they trust and listen to, which shapes what health services they access and what behaviors they partake in or don’t. This dynamic was a big reason Covid death rates so dramatically diverged between Republicans and Democrats: Party affiliation determined people’s willingness to get vaccinated, wear masks, social distance, and take other preventive measures, says Oberlander. Republicans were less likely to take these measures, and more likely to die of Covid as a consequence.”

“Although left-wing Americans were more likely to take Covid’s risks seriously, Van Bavel notes Republicans outpaced Democrats on Ebola fears throughout the 2014 outbreak, during Barack Obama’s presidency. “It’s not that Democrats in America have a unique capacity to be attuned to the science and the risks of epidemics and pandemics,” he says; it’s that polarized people on the left and the right distrust the other party’s ability to handle any health threat.
Polarization is also creeping into our relationships with health care providers. A recent survey by communications firm Edelman found people feared the politicization of medical science as much as they feared the cost of medical care; 41 percent of respondents aged 18 to 34 said they wouldn’t trust medical advice from a provider who had a different political persuasion than they did, or would stop seeing them entirely.”

https://www.vox.com/even-better/388130/polarization-political-partisan-health-rfk-jr

8 million turkeys will be thrown in the trash this Thanksgiving

“We will collectively eat more than 40 million turkeys — factory farmed and heavily engineered animals that bear scant resemblance to the wild birds that have been apocryphally written into the Thanksgiving story. (The first Thanksgiving probably didn’t have turkey.) And we will do it all even though turkey meat is widely considered flavorless and unpalatable.
“It is, almost without fail, a dried-out, depressing hunk of sun-baked papier-mâché — a jaw-tiringly chewy, unsatisfying, and depressingly bland workout,” journalist Brian McManus wrote for Vice. “Deep down, we know this, but bury it beneath happy memories of Thanksgivings past.”

So what is essentially the national holiday of meat-eating revolves around an animal dish that no one really likes. That fact clashes with the widely accepted answer to the central question of why it’s so hard to convince everyone to ditch meat, or even to eat less of it: the taste, stupid.

Undoubtedly, that has something to do with it. But I think the real answer is a lot more complicated, and the tasteless Thanksgiving turkey explains why.”

“Hundreds of years ago, a turkey on Thanksgiving might have represented abundance and good tidings — a too-rare thing in those days, and therefore something to be grateful for. Today, it’s hard to see it as anything but a symbol of our profligacy and unrestrained cruelty against nonhuman animals. On a day meant to embody the best of humanity, and a vision for a more perfect world, surely we can come up with better symbols.

Besides, we don’t even like turkey.”

“In the wild, turkeys live in “smallish groups of a dozen or so, and they know each other, they relate to each other as individuals,” Singer, author of the new book Consider the Turkey, said on a recent episode of the Simple Heart podcast. “The turkeys sold on Thanksgiving never see their mothers, they never go and forage for food… They’re pretty traumatized, I’d say, by having thousands of strange birds around who they can’t get to know as individuals,” packed together in crowded sheds.

From birth to death, the life of a factory-farmed turkey is one punctuated by rote violence, including mutilations to their beaks, their toes, and snoods, a grueling trip to the slaughterhouse, and a killing process where they’re roughly grabbed and prodded, shackled upside down, and sent down a fast-moving conveyor belt of killing. “If they’re lucky, they get stunned and then the knife cuts their throat,” Singer said. “If they’re not so lucky, they miss the stunner and the knife cuts their throat while they’re fully conscious.”

On Thanksgiving, Americans throw the equivalent of about 8 million of these turkeys in the trash, according to an estimate by ReFED, a nonprofit that works to reduce food waste. And this year will be the third Thanksgiving in a row celebrated amid an out-of-control bird flu outbreak, in which tens of millions of chickens and turkeys on infected farms have been culled using stomach-churning extermination methods.”

https://www.vox.com/future-perfect/388106/thanksgiving-turkey-food-waste-sides-dry-bland

This obscure budget procedure could be Trump’s biggest weapon

“The official definition of “impoundment,” per the Government Accountability Office (GAO) that oversees the practice, is “any action or inaction by an officer or employee of the federal government that precludes obligation or expenditure of budget authority.” In other words: any time someone in the federal government doesn’t spend money that Congress has ordered it to spend.

This takes two forms: rescission, and deferral. In rescission, the spending is simply canceled, while in deferral it is withheld temporarily, in theory to be spent in the future. Under the Impoundment Control Act, passed in 1974, both rescissions and deferrals can be passed by Congress at any time, and they can also be requested by the president. But any presidential requests have to be approved by Congress to take effect, and that has happened quite rarely.”

“The GAO has also recognized a practice called “programmatic delay,” which it views as not technically impoundment but which is closely related. Programmatic delays occur when the government is trying to spend money Congress has instructed it to spend, but factors outside their control preclude this. The GAO has offered as an example a program in which the government is supposed to provide a certain amount of money in loans, but where there are few applicants so the program simply cannot lend out the total amount Congress has set aside for this purpose.
Another more recent example was Biden’s executive order upon taking office instructing a pause in the construction of border walls and fences with Mexico. While Congress had appropriated money specifically for border barriers, the GAO ruled that the Biden administration was merely “programmatically delaying” the project, because the delays were chalked up to environmental reviews and other hurdles that it was legally required to clear before continuing construction.

Programmatic delay does offer the executive branch some flexibility in spending, but only a bit. Otherwise, the Impoundment Control Act is very clear: The president cannot refuse to spend money that Congress has told him to spend. The GAO is empowered to challenge the president if it sees this limitation being contradicted, as it did when Trump withheld funds from Ukraine in 2019. In that case, the funds were eventually released and the incident led to Trump’s impeachment.”

“The power becomes truly interesting, however, if Trump insists upon cuts that Congress will not approve. One could imagine a repeat of the 2017 fight to repeal Obamacare, except, when enough Republicans defect to doom the effort in Congress, Trump and Vought opt to simply impound funds for the Medicaid expansion and Affordable Care Act premium subsidies unilaterally. This would inevitably provoke a legal challenge that could make its way to the Supreme Court.”

https://www.vox.com/politics/388393/donald-trump-congress-impoundment-budget-supreme-court

How weed won over America

“In 2022, for the first time, more Americans were using marijuana daily, or near daily, than consuming alcohol at the same rate, according to a study by Jonathan Caulkins, a professor at Carnegie Mellon University. The number of daily or near daily marijuana users has grown from less than 1 million in 1992 to 17.7 million in 2022; in terms of per capita rate, that’s a 15-fold increase.”

“Marijuana isn’t benign for everyone, though. Some of the results of the real-time experiment are already becoming apparent, both to regular users and people working in health care.
“It is very desirable to believe that there is a drug that can make you feel good, that can relax you, and has absolutely no negative outcomes,” says Dr. Nora Volkow, director of the National Institute on Drug Abuse at the National Institutes of Health. “But in biology, there are no free lunches.”

Take the emergence of cannabinoid hyperemesis syndrome, a condition marked by intense and prolonged bouts of nausea and vomiting and brought on by regular, long-term marijuana use. While once extremely rare, some doctors are saying they now see patients with symptoms frequently. “It emerged because people were consuming marijuana regularly with high [THC] content,” Volkow says. “And similarly, there is now evidence that consumption in those patterns is associated with higher risk of stroke or cardiovascular disease.”

Maybe the most worrying studies about frequent, heavy marijuana use involve teens and young adults. (While experts say marijuana use appears to be less risky for middle-aged adults, there’s still a lot they don’t know that needs to be researched further. Some note that more research is needed on older adults in particular.) Studies show regular marijuana use among adolescents and teens can predict increased risk of the development of schizophrenia and other psychotic disorders. Others have shown an increased likelihood of depression and suicidal ideation, disrupted dopamine function, and disruptions in the anatomy of the brain.

And marijuana, contrary to popular belief, can be habit forming. It can also increase the risk of dependence on other substances. A recent analysis by Columbia University for the New York Times estimated that as many as 18 million people in the US may have some form of cannabis use disorder, or addiction.

Getting a handle on who might be harming their health is tricky. Even the findings that point to a major rise in daily users leave a lot of questions unanswered, especially around how often they’re smoking, vaping, or ingesting, and how potent the THC is.”

https://www.vox.com/the-highlight/379637/marijuana-daily-drug-americans-alcohol