Shared posts

17 Mar 02:39

SD Gov Posts Infomercial For Shoe Inserts [VIDEO]

by Joe Jervis

Boing Boing reports:

The South Dakota governor today posted her second infomercial in one week! This time it’s for shoe inserts — I kid you not. “We’re at Fit My Feet in Rapid City,” she says, holding up a shopping bag that advertises the shoe and orthotics operation. “And these guys are amazing. They have totally built me inserts for running —separate ones for my cowboy boots,” she says. “I’m going to be perfect. I’m going to be, like, Bionic Woman now. So come see these guys in Rapid City.”

Read the full article. Noem was immediately hit with a lawsuit earlier this week over her infomercial for a Texas dentist.

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17 Nov 06:34

CHATTER AWAY: Overnight Open Thread

by Joe Jervis

Variety reports:

Is it real — or is it YouTube‘s robot singer copying a pop star’s vocal stylings? YouTube announced new AI music experiments it has been developing with Google’s DeepMind artificial intelligence lab. The most interesting (and possibly most disorienting) of YouTube’s AI tests is Dream Track in YouTube Shorts.

Here’s how it works: A user types an idea into the creation prompt and selects a participating artist, then voilà — it produces an original song snippet up to 30 seconds in length featuring the AI-generated voice of that artist.

YouTube is working with nine artists who have agreed to collaborate on the Dream Track experiment: Alec Benjamin, Charlie Puth, Charli XCX, Demi Lovato, John Legend, Papoose, Sia, T-Pain and Troye Sivan.

Read the full article.

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13 Sep 20:50

Putin Gushes Over “Outstanding, Talented” Elon Musk

by Joe Jervis

The Daily Beast reports:

Russian President Vladimir Putin praised SpaceX and Tesla founder Elon Musk Tuesday as an “outstanding person” and “talented businessman” in remarks at the Eastern Economic Forum, according to Russia 24.

“As for Elon Musk’s private business… He is definitely an outstanding person, it must be recognized,” Putin said. “I think this is recognized all over the world. An active and talented businessman.”

The remarks comes just days after CNN reported that Musk secretly ordered his engineers to turn off his Starlink satellite system near Crimea in an attempt to hinder a Ukrainian sneak attack on Russia last year.

Read the full article.

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12 May 21:49

Budget Office Warns Of Debt Default By Early June

by Joe Jervis

ABC News reports:

The nonpartisan Congressional Budget Office on Friday added more urgency to the fight over the debt limit, now saying there is a “significant risk” the U.S. will default on its debt “at some point in the first two weeks of June.”

In a new report, the agency said “the extent to which the Treasury will be able to fund the government’s ongoing obligations will remain uncertain throughout May, even if the Treasury ultimately runs out of funds in early June.”

This is an escalation from agency’s previous assessment of how soon the government won’t be able to pay its bills.

Read the full article.

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06 May 18:06

Trump Rape Jury To Begin Deliberations On Tuesday

by Joe Jervis

The Associated Press reports:

The jury hearing an advice columnist’s claims that she was raped by Donald Trump could begin deliberations as soon as Tuesday, and it will have wide latitude in deciding the truthfulness of the allegations against the former president.

Closing arguments are tentatively scheduled for Monday with an expectation that lawyers for Carroll and Trump will finish their statements by the end of the day. The judge is expected to read instructions on the law to the jury on Tuesday, with deliberations to begin immediately afterward.

Unlike in a criminal trial, where a prosecutor might have to prove the case beyond a reasonable doubt, a civil jury decides based on “preponderance of the evidence,” meaning whether something is more likely to be true than not.

Read the full article.

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23 Apr 04:52

Twitter Now Allowing Genocidal Russian Propaganda

by Joe Jervis

NPR reports:

Dmitry Medvedev, a leading government official and former president of Russia, took to Twitter earlier this month to denigrate Ukraine in a post using language reminiscent of genocidal regimes. And Twitter didn’t stop him. In his 645-word tweet titled, “WHY WILL UKRAINE DISAPPEAR? BECAUSE NOBODY NEEDS IT,” Medvedev called Ukraine a “Nazi regime,” “blood-sucking parasites” and “a threadbare quilt, torn, shaggy, and greasy.”

“All news is to some degree propaganda,” Musk responded. “Let people decide for themselves.” Musk’s stance of allowing Russian government posts to pop up freely on people’s feeds has now become company procedure. And it’s a radical departure from the so-called “shadow bans” — or in Twitter parlance “visibility filtering rules” — that were previously placed on those accounts. NPR has confirmed this was a deliberate decision from within the company.

Read the full article. There’s much more.

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24 Mar 18:08

George Santos To Admit Guilt In Brazilian Fraud Case

by Joe Jervis

CNN reports:

Prosecutors in Brazil have agreed to a deal with Rep. George Santos in a case in which he is accused of defrauding a Rio de Janeiro area clerk of $1,300 over clothes and shoes in 2008, documents obtained by CNN show.

A petition from Santos’ attorney requesting a deal says Santos would agree to formally confess to the crime and pay damages to the victim, a Rio de Janeiro area clerk, as is required under Brazilian law.

A memo from prosecutors agreeing to the deal last week asked the defense for assurances they have the ability to contact the victim to repay him before the deal is finalized.

Read the full article.

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27 Feb 18:43

Romney Roasts MTG And Paul Gosar As “Morons”

by Joe Jervis

The Guardian reports:

Marjorie Taylor Greene and Paul Gosar, members of Congress who spoke at a white nationalist event in Florida this week, are “morons” with no place in the Republican party, Mitt Romney said on Sunday.

“I’m reminded of that old line from the Butch Cassidy and the Sundance Kid movie,” the Utah senator and 2012 presidential nominee told CNN’s State of the Union.

“One character says, ‘Morons. I’ve got morons on my team.’ I have to think anybody that would sit down with white nationalists and speak at their conference was certainly missing a few IQ points.”

Read the full article.

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30 Jan 02:04

Apple Music Trolls Spotify Over Neil Young’s Exit

by Joe Jervis

The Verge reports:

Earlier this week, Neil Young pulled his music from Spotify after falling out with the platform over its hosting of Joe Rogan and COVID misinformation. So now, of course, rival streamer Apple Music is courting Young and his fans, sending out tweets, playlists, and even push notifications to brand itself as “The home of Neil Young.”

It’s all a bit of theatrical silliness, of course. Neil Young is a legendary songwriter, yes, but his presence or absence won’t decide the fate of this or that streaming platform. The company’s not been subtle about it either. It even placed a playlist of Young’s music at the front of its “browse” section under the heading “We Love Neil.”

Read the full article.

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17 May 18:15

GOP Arkansas Gov Bashes Trump On Cheney’s Ouster: He Shouldn’t Be De Facto Leader Of Our Party [VIDEO]

by Joe Jervis

“The fact is everyone in America sees this as a punitive measure for someone speaking their conscience, and that’s not good.

“Secondly, it looks like the former president is directing who can serve in leadership and that’s not good. There’s multiple voices that represent the Republican Party today.

“We should not de facto make the former president as the guardian of our party or the leader of our party.” – GOP Arkansas Gov. Asa Hutchinson, speaking about Liz Cheney’s ouster today on The View.

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31 Aug 03:59

Corn Farmers: Trump Has “Slapped Us In The Face”

by Joe Jervis

Via press release from a corn farming advocacy group:

As harvest approaches after an extremely difficult year for agriculture, many Nebraska corn farmers are outraged by the Trump administration’s lack of support for the American farmer.

President Trump’s administration continues to erode the Renewable Fuel Standards by granting 31 unjustified refinery waivers, destroying demand for corn and ultimately choosing to bail out the oil industry rather than helping American farmers. Corn farmers are already suffering from ongoing trade disputes, uncertain weather and continued low prices.

“I’ve never experienced anything like this,” said David Bruntz, chairman of the Nebraska Corn Board and farmer from Friend. “All we’re getting is lip service. At one moment, we think President Trump is on our side, and then the refinery waivers come through. It’s truly a slap in the face. Farmers are hurting and it just keeps getting worse.”

Along with undermining the RFS, the U.S. has made little progress in trade. A new deal between the U.S., Mexico and Canada still has not been reached and tensions continue to escalate between the U.S. and China.

“Many of our corn farmers have stood with Trump for a long time, but that may soon change” said Dan Nerud, president of the Nebraska Corn Growers Association and farmer from Dorchester. “Trump needs to uphold the law and his commitment to our nation’s corn farmers by making the RFS whole and bringing trade agreements to the finish line.

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12 Oct 18:27

The Web Design Museum

by Jason Kottke

Ok, if you started using the web 15-25 years ago, prepare yourself for the nostalgic blast of the Web Design Museum.

Web Design Museum

I remember all of these from back in the day — what a trip. Even kottke.org circa 1999 made it in there.

Tags: design   kottke.org   WWW
13 Sep 01:44

The Timbergate House of a Million Tiles Is Now Under Contract

by Dan Singer

It’s been just about a week since 4006 Timber Falls Ct. hit the market and already some lucky buyer has the place — along with its many constituent parts — nearly locked up. Pictured above is the double-high living room that sits at the front of the 3-bed, 2-and-a-half bath house, north of Westpark Dr. and west of Addicks Clodine. Despite its already-high level of Gaudí-ness, there’s plenty more where that came from. Just back up and you’ll start to see the whole picture: Just to the right of what’s shown above is the front door, itself plastered with white ceramic appointments. You can catch a glimpse of them on the left: Behind the stairway, the kitchen pushes things even further. But don’t let that distract you from some of the handy appliances scattered throughout like the fridge, oven, microwave, and rotary phone: Step into the pantry if you’re starting to get dizzy: Or alternatively, the restroom: Just not this one: (with seashell-encrusted cabinets opposite a furry wall) Or this one either: Back behind the kitchen, the laundry room has the tools to get the job done, thought they’re surrounded by lots of conflicting signage: Adjacent to the breakfast bar, there’s this open space where a wool carpet covers up some of what’s beneath: A quick look down on the way up: Bright colors continue to shine on the second level, but most are left bare:   Blank canvasses for future artistic endeavors? Out back, if the palms weren’t enough to set a tropical mood . . . the mosaic has it covered: 4006 Timber Falls Ct. [HAR] … Read More
12 Sep 02:59

Why You Shouldn’t Open a Restaurant (Ep. 347)

by Stephen J. Dubner
zieglerfe

*cough* Flip? *cough, cough*

The all-star food writer Kenji Lopez-Alt decided to open his own restaurant. Then came kitchen snafus, disastrously clogged toilets, and long days away from his young daughter. (Photo: Max Pixel)

Our latest Freakonomics Radio episode is called “Why You Shouldn’t Open a Restaurant.” (You can subscribe to the podcast at Apple Podcasts, Stitcher, or elsewhere, get the RSS feed, or listen via the media player above.)

Kenji Lopez-Alt became a rock star of the food world by bringing science into the kitchen in a way that everyday cooks can appreciate. Then he dared to start his own restaurant — and discovered problems that even science can’t solve.

Below is a transcript of the episode, modified for your reading pleasure. For more information on the people and ideas in the episode, see the links at the bottom of this post.

*      *      *

Some people just can’t leave well enough alone. Consider, for instance, the case of the famous food writer, the one who used the scientific method to take apart everything we know about cooking and put it back together.

Kenji LÓPEZ-ALT: If you use vodka in place of some of the water in your pie crust, you end up with a dough that is much flakier and much lighter.

He investigated whether the key ingredient in New York pizza really is the water.

LÓPEZ-ALT: So I did a full double-blind experiment where I got water — starting with perfectly distilled water and up to various levels of dissolved solids inside the water. And what we basically ended up finding was the water makes almost no difference compared to other variables in the dough.

He found that the secret to General Tso’s chicken lay in geometry.

LÓPEZ-ALT: The geometry of food is important because one of the big things is surface-area-to-volume ratio.

And he explored the relationship between meat and salt; he proved why it’s important to salt a hamburger at the last minute, on the surface of the meat:

LOPEZ-ALT: We rented a baseball pitching machine that would throw hamburgers at the wall at 45 miles per hour. You’ll see that salted hamburger kind of bounces off the wall like a rubber ball, whereas the burger that has salt only on the outside kind of splatters.

This was the man who finally brought science into the kitchen in a way that non-scientists could appreciate. It helped that his work was fun, not preachy, and delicious. We interviewed him a while back, for an episode called “Food + Science = Victory!

LÓPEZ-ALT: I think a lot of people think of science as sort of the opposite of tradition or the opposite of natural. And really it’s not.

He had just published his first cookbook, a massive thing called The Food Lab, which went on to win a James Beard Award. His reputation and reach only grew. But then, something else beckoned. Was it opportunity — or a trap?

LOPEZ-ALT: It’s that temptation you can’t resist.

Today on Freakonomics Radio: the food writer who flew too close to the flame.

LOPEZ-ALT: My name is James Kenji Lopez-Alt. I am a food writer who also happens to run a restaurant right now.

And everything’s been going just great, hasn’t it?

LOPEZ-ALT: “These problems are insurmountable, like how the f— are we going to fix this?”

*      *      *

Kenji Lopez-Alt grew up in New York, in a family of scientists, and went off to M.I.T. to study biology. He got a little bored, maybe burnt-out, and during the summers started working in restaurant kitchens in Boston. After college, he worked in an architecture firm for a bit.

LOPEZ-ALT: For a few months, half a year maybe.

And then back to restaurant kitchens.

LOPEZ-ALT: My very first restaurant job was at a place called Fire and Ice. It’s a Mongolian grill, so I was a knight of the round grill. I stood in the middle of a giant cast iron grill and cooked stir-fried food for people, and flipped asparagus tips into the air and stuff.

Over the next several years, he worked in a series of higher-end restaurants in Boston.

LOPEZ-ALT: After that, that was the end of my culinary career, or my cooking career.

He began building a career as a food writer, at Cook’s Illustrated and America’s Test Kitchen. Then, on the food site Serious Eats, he started a column called The Food Lab. He wasn’t expecting to turn into a food-writing rock star.

LOPEZ-ALT: I absolutely wasn’t expecting it. I was a freelance writer living in a one-bedroom apartment with no windows in Brooklyn at the time.

DUBNER: Now, after doing all that and having that platform and enjoying it, what made you think it was a good idea to not only get back into the restaurant business, but open your own restaurant?

LOPEZ-ALT: It’s always that temptation you can’t resist. It’s like, “Oh, what if I just went back and do cooking for a little while? Would I be able to do this?” So, I had a daughter. She’s 17 months old now.

DUBNER: Congratulations.

LOPEZ-ALT: Thank you. And when she was born, my wife and I decided that she would continue to work, and I would be the at-home parent. So I’ve been a stay-at-home dad for the last 17 months. And about six months into that, I was approached by some friends of friends who owned a bar in San Mateo, near where we live. And they were interested in opening up a beer hall and they were looking for a chef partner. And so I thought this might be something fun I could do in my spare time. Which, you don’t have too much spare time with a baby on your hands, but I thought this could be something fun and this is a good opportunity, relatively low-risk. Mainly it was because my wife and I sort of longed for a place like this in San Mateo, a family-friendly, casual, upscale place. And that was the concept that they were working on. So it seemed perfect for me.

And initially I thought my involvement would be relatively minimal. I would work on some menus. I would lend my name to the menu. What was actually really surprising to me was — when I first signed on with them, I sent a short little tweet saying, “Hey, this is happening, I’m opening a restaurant,” something like that. Eater picked it up. A bunch of other publications picked it up. And then all of a sudden it became not, “Kenji Lopez-Alt is partnering with these two guys who are opening a restaurant.” What it became was, “Kenji Lopez-Alt is opening a restaurant.” And then I was like, “Oh man, I guess I’m really going to get sucked into this.”

DUBNER: Okay, so the restaurant is called Wursthall. So, first of all, for those who haven’t been to San Mateo, California, just give us a quick sense of the vibe of the place, and then we’ll get into the restaurant and why the choices were made to have a German beer hall with sausages.

LOPEZ-ALT: Well, San Mateo is a city that’s basically dead center between San Francisco and Silicon Valley. My wife works at Google and she works down in Silicon Valley. We initially moved up into the city and her commute was crazy. So we’re like, “All right we’ll move down to San Mateo.” And if you look at the real estate curve: very expensive everywhere, but extremely expensive in San Francisco, extremely expensive in Silicon Valley. And in San Mateo and a couple of the surrounding cities, there’s a small dip, so we were like, “Alright, that’s where we can afford to live.” And that’s where my wife’s commute will be all right. I think there’s actually a lot of people in our situation there right now.

DUBNER: Why a German beer hall — why was that the right concept? Or why was that the concept they wanted?

LOPEZ-ALT: Well, it’s two factors. One of them is the space itself. We’re located in a really nice, old, historic building, lots of nice light, so it seemed very conducive to this beer-hall atmosphere. The other thing is that my partner Adam Simpson, he is really into beer. And finally, beer halls are kind of just popular right now. So it seemed like a concept that worked in the space, that worked with Adam’s knowledge-base, and it seemed to be something that was hot and lacking in the San Mateo area.

So far so good, right? So for everyone out there who’s thinking, “Hey, maybe I should open a restaurant” — we asked Kenji Lopez-Alt: “what’s the first step?”

LOPEZ-ALT: So, the first step to opening a restaurant is, don’t. Opening a restaurant is a series of putting out fires every single day. I mean, even once you’re open, it’s still a series of putting out fires. Step one: don’t.

DUBNER: Okay. So, can you walk us through the opening process? What kind of work goes into those preparatory weeks, months, I assume?

LOPEZ-ALT: So, the first step is, you have to have a reason for people to believe that you’re going to succeed and to give you money to do it. Because it’s not cheap to open a restaurant. And then from there it’s working with the architects and designers and doing all the build-out, which inevitably takes way more time than you expect. And for us we had this extra problem, because we’re in this really old building and the previous tenants and the landlord, they didn’t take the best care of the space.

But working back from my side, from the kitchen perspective: initially a lot of it was conceptualizing how German do we want to be? How California do we want to be? Because we knew we wanted to do both. Figuring out what the service style was going to be, and how customers are going to order. And really thinking to ourselves, “Alright, when people come in here, what are they coming in to do?” Initially, when Adam and my other partner, Tyson Mao — when they were thinking of a beer hall, they thought, “Right, this is going to be essentially a bar. Some people maybe come to have a nice meal, but most will be coming to drink and have some food on the side.” And that’s what the initial menu is designed around: a selection of sausages, a couple of sandwiches, some appetizers to share.

So now he got to work creating a menu.

LOPEZ-ALT: I had developed the initial opening menu on my own in my home kitchen before we had even hired any sort of kitchen staff. And I’m pretty methodical, so I had a recipe booklet written out, everything done in metric units, something that anybody could look at and replicate. Part of the idea was because it’s going to be relatively low-priced and high-volume, the kitchen has to be able to run itself, even without very minute oversight.

DUBNER: What about the sausage-making itself? That’s a big component. Can you just talk about how involved you were in the design and execution, and maybe experimentation, and figuring out how to not only make the sausages that you wanted, but how they were going to be prepared?

LOPEZ-ALT: Yeah, from the start, we knew that we weren’t going to be able to make the sausages in-house, because we didn’t have the facilities. So in order to make a large volume of sausage, you need to have a dedicated refrigerated room, where you can grind and mix and stuff and everything, because if sausage mixture gets too warm while you’re forming it, it doesn’t bind properly, and your sausages end up crumbly and dry. It was literally physically impossible for us to make sausages in-house. So very early on we decided, “All right, we’re going to have to find some partners to work with who can execute our ideas at a level of quality and volume that we’re happy with.”

DUBNER: Is it an easy thing to find, someone who can handle that kind of quality and especially volume?

LOPEZ-ALT: No. I mean the sausage part was mainly me going to every single sausage maker I could find in the Bay Area. We did want to keep it local. We visited many, many butchers and sausage makers, and there are many, many bad sausages around. Sausage-making is a non-trivial skill. You think, “Okay it’s just meat and fat, spiced, ground up, stuffed into a casing. How hard could it be?” But it’s one of these things where the minutiae of the technique can make a huge difference in the quality of the final product. It mainly comes down to the binding element, making sure that you have the right level of salt, and that the meat has been salted long enough that the proteins start to dissolve before you mix it. Making sure that you mix it right, and that you have the right ratio of fat to lean. And then also making sure that it stays chilled through the entire process.

And if any one of those things is off, your sausage doesn’t bind properly. And that’s what you find is the problem with most mediocre sausages. They could be flavored very well, they could be crazy and interesting, but if they’re not mixed properly they crumble instead of having that nice, juicy, snappy texture that I look for in a sausage. And so finding someone who can do that was hard.

There was also the consideration of creating a sausage restaurant that could be vegan-friendly.

LOPEZ-ALT: So one of my goals from the beginning was: vegan items on the menu that aren’t vegan by omission, they’re just vegan by default, and they’re delicious. So we have a number of things like that, but the one that I was really excited about is a vegan doner kebab. And for that I worked with a company called Impossible Meats, they make a vegan ground-meat blend mostly out of wheat protein, but they add heme, which is a lot of what gives red meat its irony, bloody flavor. But it can also be derived from plant sources. It’s by far the best faux meat available. And so what we do is we spice it with Turkish spices — so cumin, urfa biber chilies, sumac.

And then we serve it as a — well, initially we were reforming it into a cylinder and doing it in front of one of those doner kebab spits that spins around, and you shave it off. But the fat in this stuff is coconut oil, and coconut oil melts at a slightly lower temperature than animal fat does, so the fat would end up melting out of it, and it would eventually just crumble off the spit. So that didn’t end up working. It would’ve been so cool if we could get that to work. Now we’re just forming it straight into hamburger-style patties, so all the flavor is there.

DUBNER: Okay, so you talked about the food and the building, etc. What about the people? How involved were you in hiring and training up the kitchen and front of house?

LOPEZ-ALT: I was very involved in back of the house, and finding good people is by far the hardest thing. So, when you’re living in a place like New York or San Francisco, where the cost of living is so high, finding great people is very hard. Even finding remotely reliable people. Even before we opened, when we were training staff, we must have lost probably 50 percent over the course of a few weeks.

DUBNER: Wow.

LOPEZ-ALT: Which is not abnormal. One day we’re there and two of our cooks don’t show up. What do we do? One of them was on a bender and the other one was just a no-show. But then, luckily, the restaurant down the street, all the cooks there showed up that morning and the manager said, “We’re closing, and you don’t have a job anymore.” So, suddenly we had 12 cooks just walk up to the front door saying, “Hey, can we have a job?” So there’s never really a shortage of résumés and applicants, it’s finding reliable people that’s hard. What I’ve discovered in my years as a cook — and it played out exactly as expected here — was that it’s much better to hire people who give a s—, even if they have no previous experience or skills, than to hire someone who has a great résumé who doesn’t really understand the concept.

Our No. 1 kitchen hire is this guy Erik Drobey, who is a career changer, he was in his 40s, he worked in an office job, always loved cooking on the side, was a Food Lab follower. He stopped by my house once to give me some sausages and sauerkraut he made because he was so proud of them. And they were great, I thought they were great. And then he said, “Hey, I think I’ve decided I want to be a cook. Would you give me a shot?” I’m like, “Absolutely.” Finding people who really care. That’s the key. Because you can always teach people skills, but you can’t teach people to give a s—.

DUBNER: And what about front of the house?

LOPEZ-ALT: Front of the house is actually probably even a little bit harder at the start, because you have to really dangle this carrot in front of them because during training and during the first month that we were doing friends and family meals, people are working and they’re getting paid, but they’re not getting the same tips that they would. And so they have to realize, “Okay, I’m putting in this work now. So in a month I’ll be making much more money.” But it’s hard to find people who are willing to think about that.

DUBNER: So shortly before opening, you tweeted — in all caps, by the way — “Opening a restaurant is insane. And I don’t know why anyone in their right mind would choose to do it.” So what’s going on in the weeks and days just before opening?

LOPEZ-ALT: I can tell you what was in my head when that tweet went out. It was not actually related directly to the restaurant itself, it was more about its toll on my personal life, and particularly my family life and my marriage, because a restaurant is a harsh mistress. During those three months I was in there, I would wake up, take my daughter to daycare, go to the restaurant from 9:00 a.m. until 4:00 p.m., go pick up my daughter from daycare, bring her home, put her to bed, and then go back to the restaurant from 8:00 p.m. until 1:00 a.m. It had been two-and-a-half months where I had been basically never at home. I saw my daughter for a few hours a day, but I basically never saw my wife. We lost the chance to sit down and talk together. The only time I ever saw her was when we were with our daughter, so we never really had any alone time, which is very difficult when you’re raising a child, to not be able to talk to your partner, not even have the time to talk about things related to raising the child. And the worst part of it was that no matter how well you plan, and you think to yourself, “Right, this is the amount of work I’m going to have to put into this restaurant, and I’m just going to say no after that,” it’s really hard to say no when there’s 40 people whose jobs rely on you making this a success.

Finally, Wursthall was ready for its soft opening — investors, friends and family.

LOPEZ-ALT: About 100 people, and everything was great. We had completely gutted the old bathrooms, retiled them in this beautiful blue tile, really nice wallpaper with these hand pen-and-ink-drawn animals and stuff. It was a really nice bathroom. And the first night we had 100 people in, the toilets backed up, stopped working. And we had to shut down the bathrooms. And as it turns out, the waste line leaving one of the toilets had never been repaired or replaced in probably decades and decades and had a huge sag in it. So we had to close for two weeks so that they can rip out all the tile we just put in, dig into the foundation, replace that. All of a sudden, we thought we were going to be ready to open the next week and now it’s like another two weeks and another 30 grand to fix the bathroom that we had never even considered might be a problem.

*      *      *

Kenji Lopez-Alt, rock star of the food-writing world, decided after years on the sidelines to get back into the restaurant business with a place called Wursthall, in San Mateo, California, which started out as a simple concept: a German beer hall serving nouveau-ish sausages.

LOPEZ-ALT: I was always one of these “I’d rather have influence and bring joy to people than have a lot of money” type-of-career people, you know? And if the money comes along with it, then that’s great as well. But I’d rather just be doing something I love.

DUBNER: Okay, so walk us through opening night, and I’m sure everything went exactly as it was planned, and everybody was thrilled, and it was perfect. Yes?

LOPEZ-ALT: Well, we had a sizable number of people in there and we were cooking food, people were ordering food, tickets were coming in, we were firing it. It was a disaster. Major, major disaster. Some people were waiting over an hour for their food. Some people never got their food. It’s the kind of night where we’re like, “These problems are insurmountable, how the f— are we going to fix this?” But we decided, “All right, we’ll focus on a couple of the big problems first.” When I tell them to you, they’re going to seem like stupid, small things. It’s like, “Well, why couldn’t you just do that?”

So, one of them was that we have sausages and you get your choice of topping. One of the problems was communicating to the cooks on the line. In case you’re not aware of how restaurant kitchens work, there’s a line, which is where all the stoves are, where the counters with the little cutting boards are, it’s where the cooks, the guys and girls are actually making the food. And then there’s a station called “expo,” the expediter, and the expediter’s job is to first of all act as a liaison between the front of the house and the back of the house. But, more importantly, the expediter’s job is to coordinate everybody in the back of the house so that dishes come out at the same time, so that everyone in the back of the house knows what they’re doing. So, essentially, they’re the general managing the army back there.

On opening night, we had all the toppings back on the line, and I was expediting, and I was just calling out, saying, “All right, hot Italian with speck and cherry-pepper relish. One bratwurst with sauerkraut.” And it’s a lot of information to take in when you have a full restaurant, there’s 100 people there, and you’re cooking say, 25, 30 sausages at a time, and each one has their own designated topping. It’s a lot of information for the person on the line actually cooking it and plating it to take in. And so every single sausage had this huge delay, where they maybe go out with the wrong topping on it and we’d have to re-fire it, or they would yell out and everything is really noisy, and we can’t hear each other.

And once you have these tiny little problems, that can lead to huge, huge backups, because the customers — they don’t care what problems you have back there. Once they’re seated, they want to start ordering food. And they don’t care that you already have a full board of tickets and that the grill is completely full. They don’t care that you screwed up one order and you have to re-fire it. Those tickets are just going to keep coming and coming and coming. So you have the ticket printer machine that’s spitting out these tickets constantly, and you’re constantly struggling to try and catch up with it. And that puts more and more stress on you. So you make more mistakes, the people on the line make more mistakes. And it can be these tiny little things that add to the likelihood of making a mistake that can throw a wrench in the entire operation, and that’s essentially what happened that first night.

So, the second night, what we did was we took those toppings, we took them off the line, and put them next to the expediter’s station, next to my station, so that all they had to remember was which sausages they were cooking. They would pass the sausages to me, right before I handed it to the server, I would put the topping on. I had the ticket right in front of me, it was easy for me to read it. And that smoothed things over unbelievably so. A couple of seconds of extra work on the cook’s part, it translated from a sausage taking over an hour to get to a customer, because there was this huge backlog of tickets, to customers getting their sausages in about eight minutes.

There was another major problem they discovered only on opening night.

LOPEZ-ALT: And it’s one that we didn’t resolve until relatively recently.

It had to do with the pretzels.

LOPEZ-ALT: So, I’m also partner at a bakery called Backhaus and they make all of our pretzels and all of our bread. Really wonderful pretzels, but we serve them hot. So we were trying to figure out, “How do we get these pretzels that were baked that morning and delivered to us, how do we serve them hot and fresh?” And the obvious thing is, “All right, well, when someone orders a pretzel, put it in the oven, let it get hot, and then we serve it.”

This was a problem in a couple different ways: one of them was that Backhaus, they were salting their pretzels before they came to us. And what happens with pretzel salt is that it draws out moisture from the pretzels, so after eight hours or so, some of the moisture from the pretzels beads up on the surface of the pretzels and then it leaves kind of a splotchy wet marks, which is not good, and the salt is all gone. So we’re like, “Okay, so we have to salt our pretzels,” so that’s adding another layer of stuff we have to do. And the only oven that we have back on the line is next to the fry station, and the fryer is extremely busy with potatoes and we also do a chicken schnitzel sandwich. Adding pretzels on top of that to him became very difficult. So, for the early nights, we were firing pretzels to-order in the oven. And that was another one of those things that seemed like it’s a thing that takes two seconds, but it just piled onto the likelihood that we were going to screw something up.

So what was the pretzel-salting solution?

LOPEZ-ALT: Well, we found a much more efficient way of salting them. So, one of the cooks had this idea to take a squeeze bottle, cut off the top until it was big enough that pretzel salt could flow through it. Now what we do is we just spray the pretzels and draw a line, trace the outline with the squeeze bottle, and that clears up all the space.

DUBNER: So what you just described, plainly these are things that most people eating at restaurants would never ever think about.

LOPEZ-ALT: And they shouldn’t have to think about it.

DUBNER: But you have to think about it. But, as you’re describing it, it strikes me that you being who you are, and the way that you like to work, and the way that you do take an empirical and scientific approach to food and cooking and so on, that you were driven to solve these problems and get it right. Is that often the difference between a restaurant that works and one that doesn’t, which is that you have to be driven to constantly adjust, solve problems like that, that are going to come up? Do most restaurants really try as hard as you just described?

LOPEZ-ALT: Most restaurants really try as hard. Any good chef cares deeply about the quality, and any good restaurant owner cares deeply about the quality of what they’re putting out. So I don’t think I’m unique in that regard at all. Me and my partners, Tyson and Adam, we have a lot of sit-down meetings where we analyze problems and try and solve them. So, maybe we do that a little bit more than other restaurants, but that’s my skill. I’ve worked for chefs that seem to have an innate skill to just be able to figure things out on the fly, or be able to work harder and faster to be able to solve those problems. People will attack those problems in different ways. But any good restaurant owner is going to recognize those problems and try and solve it in their own way.

DUBNER: I’m curious how much you pay attention to reviews of any sort. If you had opened a restaurant 10, certainly 20 years ago, there’s so much less feedback then, and now, some people feel swamped by it. Some people feel a lot of it is disingenuous. I know you said in the past that Yelp, in fact, this is from a tweet of yours: “Yelp is and has always been the worst place to look for decent reviews. Shady business practices, reviews by people who I know nothing about and have no reason to trust their opinion, even on the off chance they actually dined at the restaurant you’re rating.” So talk about that for a minute, your experience with Yelp and/or other online reviews.

LOPEZ-ALT: So, it’s difficult to gain value from them for me.

DUBNER: You mean as a consumer or a producer?

LOPEZ-ALT: As a consumer. To some degree, as a producer there is a little bit of value to it. But, especially if you start looking at trends and see, all right, people that are complaining, what are they complaining about? At the beginning when we opened, it was service. And that was some very legitimate feedback on that.

DUBNER: You didn’t need online reviews to know that was a problem, I gather, right?

LOPEZ-ALT: There’s very little that I’ve read, I’ve seen in Yelp, that we didn’t already realize was a problem. As a consumer of Yelp, I find Yelp useful as a map of what restaurants are around, but it’s hard to trust opinions. A very good professional review, you don’t necessarily have to agree with the reviewer’s point of view on what is good and what’s not, but if you have an idea of what they think is good, then they tell you whether this restaurant met those expectations, and then you can sort of gauge, “All right, well, do I agree with whether that’s good or not?” And that’s what a good restaurant review will do. Whereas on Yelp, it’s like someone, BasicUser12345, says “this restaurant was terrible, the potatoes sucked.” Well, I don’t know what you define as good potatoes, so how is that helpful to me?

DUBNER: But the problem is that everybody eats, right? So everybody considers themself a legitimate critic, which, you can’t totally discount that fact, can you?

LOPEZ-ALT: No, no you can’t. But at the end of the day, I’m involved in this project because I want to be, I want to have my name on it. I want to be proud of what we’re putting out. At some point you just have to stick to your guns and say, “This is what I believe is good. And I’m not going to change that just because some people say they disagree that it’s good.” And if your idea of what is good is so far off from what most people think is good, then maybe you’re in trouble and you’re going to go out of business. But I’m of the mind that I’d rather lose a little business and stick to what I believe is true than to just pander to everybody to try and make the most money, which is hard to explain to partners and investors. But at the end of the day, as a food writer, I think I do have a pretty good pulse of what people think is good.

DUBNER: Right. So overall on Yelp, Wursthall is doing pretty well. Averaging about three-and-a-half out of five stars. So let me read you one Yelp review and hear your response.

LOPEZ-ALT: Ok, I honestly haven’t looked at Yelp reviews since, like, the second month after we opened, so we’ll see, all right.

DUBNER: This is from just over a month ago. This is from Andrew R. He writes, “I was really disappointed. I expected more. Not that I had high expectations. They were modest, honestly. But it fell below that bar as well. For one, the service was not that great. For two, the food just isn’t that good. It’s okay. Like, you would eat it if you were hungry. But another sausage would probably satisfy you more. And I like a split-top bun because you can grill both sides like they do here. But when it’s split only halfway down there’s a lot of bread with no meat at the bottom. And that’s terrible. Cut that bun all the way down. It’ll be better. Trust me.” So, that’s Andrew R. What does Kenji L. say?

LOPEZ-ALT: Well, I’ll start from the end of it and work back. Believe it or not, we tested how far to cut the bun extensively before opening. And trust me when I say it’s not better to cut it too far, because the buns end up falling apart. It doesn’t stand right. That sounds all fair, I mean those seem like legitimate concerns. If I was at the restaurant, I would definitely love to talk to him and get a little more details about exactly what they were disappointed with. What is it about the sausage that you didn’t like? And to his point about sausages being not great: I fully admit sometimes, like any restaurant or any business, we have consistency issues now and then, and we work our best to make sure that those don’t happen. And every day gets better.

DUBNER: Here’s a professional review, this is Peter Lawrence Kane on SF Weekly. He writes, “The quality of the food is high, and it is consistent. The thing is, considering Lopez-Alt’s eminently well-deserved reputation for being a demystifier of culinary techniques, Wursthall falls a little short of the gosh-wow factor longtime fans might clamor for. Maybe that’s not entirely fair. After all, it’s exactly what it claims to be.” What’s your take on that, Kenji?

LOPEZ-ALT: So, I fully agree with that. This is again one of those things where it’s like what happened to the restaurant between the initial concept and between what customers expect. And, the initial concept was, “All right, we’re going to serve some damn good sausages. We’re going to make our own sauerkraut. It’s going to be good sauerkraut, but it’s still sausages and sauerkraut.” And there’s only so far that can go, as far as gosh-darn-wow factor. This is one of those things where the concept of the restaurant on paper turned out very different from what the restaurant is now. Once my name got attached to it and started bringing the media attention to it, it turns out people are coming there for dinner. They’re not coming there to drink. So, we started as a beer hall, but we’re not really a beer hall anymore. We’re a restaurant. And so that’s been one of the challenges since opening, coming to terms with that and realizing, “You know what? Some of the stuff we initially thought isn’t going to work, because customers are coming in with different expectations.” Any restaurant takes a while to find its legs. I think for us maybe it’s taking a little bit longer just because it was such a big shift from what we had initially planned compared to what customers perceive.

DUBNER: I see that — maybe yesterday, or within the last little while, you tweeted — a new menu item that’s starting soon. Maybe maybe it’s already started by now.

LOPEZ-ALT: Starting today. I was at the restaurant all morning training the staff and making making sure the cooks knew how it worked.

DUBNER: So, this is tomato mayo toast with grilled corn vinaigrette and a corn soup, paprika oil and shishito peppers. Yeah, so that’s not what I think of as beer-hall food. Was it the clientele who drove it primarily? In other words, were people confused when they came originally because they know your name and they think it was going to be more of a sit-down, knife-and-fork situation?

LOPEZ-ALT: I think that’s part of it. I definitely saw comments saying, like, “I expected the menu to be a little more Kenji than what it is.” Because it’s sausages, and I don’t write that much about sausages. I don’t eat that many sausages. I like them. And we cook them well, but it doesn’t exactly scream “Kenji” or “Food Lab” or whatever. So, yes, part of this revamping process has been, “How do we make this menu more me?”

DUBNER: So from what I’ve read, you own 12 percent of the restaurant and 20 percent of anything else with these partners?

LOPEZ-ALT: IThat’s ballpark correct.

DUBNER: Would you have had the same share of ownership had you just acted as a sort of consulting-founding chef, as opposed to roll up your sleeves fully involved?

LOPEZ-ALT: No. My partners are actually very understanding of the entire situation and the fact that I’ve now got more involved than I was planning on. Initially it was it was going to be basically just a fee plus a smaller percentage ownership.

DUBNER: The big question I have then really is, so far, do you feel overall that it’s worth it? Another way of putting that is, if I came to you tomorrow, Kenji, with an idea that you liked, an idea for a restaurant, maybe a site for a restaurant, and a potentially worthwhile partnership, what do you do? Do you succumb? Or do you refrain this time?

LOPEZ-ALT: I would say the restaurant on its own, in a bubble, detached from every other part of my life, was absolutely worth it. I don’t mind putting in hours and hours and hours of work even for little to no — I haven’t made any money off this restaurant yet, and I don’t plan on making any money for a while, until we pay off our investors. But we don’t live in a vacuum. So if someone came to me right now and asked me if I want to do this restaurant again, I would probably say no. Only because it cost me three months of being with my daughter. And that was a price that I wasn’t expecting to have to pay at the beginning, and one that made me deeply sad as it was happening, and also in retrospect. I don’t regret anything I did with the restaurant. I do regret how it affected my personal life and my family. But we learned those lessons.

DUBNER: Okay, final question. Let’s say that — maybe this is when your daughter is in school, when your daughter is in college even — but let’s say I come to you and I want you to work with me to open a new restaurant. What is the dream concept? Whether it’s cuisine or style or location. What is the restaurant that you absolutely would sacrifice again almost your entire life to do?

LOPEZ-ALT: It would be something much smaller than Wursthall. So, we’re opening a couple more Wursthalls in the coming years, but we’ve talked about other restaurant concepts as well, and if we were to work on something together again, we would do something much smaller. The idea I’ve been throwing out at them is a Korean fried chicken sandwich place, which is a recipe that I’ve done at a number of pop-ups, I think is extremely delicious, but it’s essentially chicken brined in kimchi juice and then done Nashville hot chicken style. But instead of the Nashville hot chicken oil that goes on there, we make a sauce with Korean chili flakes and a bunch of Korean flavors, and it’s super delicious and the kind of thing that I think would do well as a fast-casual thing. That would basically be it for me. I want to feed a lot of people and make them happy. I don’t want to open an ego restaurant. I don’t want people to come to worship at the altar of Kenji Lopez-Alt, come for this experience. I want a place that people say, “Hey, that’s a f— good sandwich. I’m going to have that once a week.”

Thanks to Kenji Lopez-Alt; his new restaurant, Wursthall, is in San Mateo, California. His book is called The Food Lab — and he’s currently working on a follow-up, so keep your eyes out for that.

Freakonomics Radio is produced by Stitcher and Dubner Productions. This episode was produced by Harry Huggins. Our staff also includes Alison Craiglow, Greg Rosalsky, Greg Rippin, Alvin Melathe, Zack Lapinski, and Andy Meisenheimer. The music you hear throughout the episode was composed by Luis Guerra. You can subscribe to Freakonomics Radio on Apple Podcasts, Stitcher, or wherever you get your podcasts.

Here’s where you can learn more about the people and ideas in this episode:

SOURCES

RESOURCES

  • The Food Lab by James Kenji Lopez-Alt (W. W. Norton & Company 2015).

EXTRA

The post Why You Shouldn’t Open a Restaurant (Ep. 347) appeared first on Freakonomics.

22 Aug 10:57

What Homer Simpson would look like in real life

by Jason Kottke

Real Homer Simpson

Welp, I want to unsee that. 3D rendering courtesy of Miguel Vasquez, who did the same thing for SpongeBob awhile back.

Real Spongebob

(via @roeeb)

Tags: Miguel Vasquez   SpongeBob SquarePants   The Simpsons   TV
22 Jul 05:51

People over profit: Famed Seattle fish market sold to longtime employees—instead of highest bidder

by rss@dailykos.com (Jessica Sutherland)

John Yokoyama bought one of Seattle’s most famous landmarks in 1965, when it was just another stall in the city’s Pike Place open air market. Over the last 53 years, he and his longtime staff of dedicated, friendly fishmongers have grown Pike Place Fish Market into the stuff of legends. Now that Yokoyama is ready to finally retire, he’s “gone out of his way” to pass the fish-tossing torch to four longtime managers who helped him succeed.

Even folks who’ve never been to the Emerald City have a passing association with the flying fish landmark that is a go-to stop for thousands of tourists each day. John Yokoyama, who bought the nearly 90-year-old business in back in 1965, only integrated the now-famous fish-flinging into his workflow to save himself time and steps.

“One day I just said, ‘Here kid, catch!’ and threw the fish. He caught it and I said, ‘Man, I just saved 100 steps.'”

Yokoyama’s business has been wildly successful since a rebranding helped him avoid bankruptcy in the mid-1980s. All the same, after over fifty years of twelve-hour days, the 78-year-old was ready to retire, and he wanted to keep the legend alive.

So he made his managers the new owners. Ryan Reese, 40, bought the market this month with equal partners Jaison Scott, 45; Samuel Samson, 52; and Anders Miller, 42. All have worked at Pike Place for years on years; Scott’s mother also worked for Yokoyama when he was growing up.

“It’s surreal,” said Samson, who managed the store for three decades. “I guess it will seem real when we get the first bills on the loan and the lease.”

“He could have sold it to just about anyone, but he went out of his way to sell it to us,” said Reese. 

Reese is right. While nobody’s talking about how much money exchanged hands, Yokoyama did admit he “worked with the kids” to make the deal happen.

What a rare and beautiful choice, to choose people over profit, especially in these days of stagnant wages and Trump’s corporate-friendly tax cuts.

Seattle’s legendary flying fish market just got that much more interesting. And as we constantly endure terrible news and a worse president, a little good news can make the heart soar as high as a Pike Place salmon.

26 Jun 03:02

Hella Times

by admin

26 Jun 02:18

Penis Fish

If you're wandering through one of South Korea's many seafood markets and you see a bucket of wriggling phalluses, you've found the gaebul. Also known as "the penis fish," it's actually a marine spoon worm.

While some diners might slurp down a slice of gaebul for its reputed aphrodisiac effects, most eat this mudflat-dwelling worm because they like the taste. Typically consumed raw, it's chewy, salty, and surprisingly sweet. (Some say that restaurant-prepared gaebul rinses away the sweetness of fresh versions.) It's often served with a savory sauce made from sesame oil and salt or a spicier dip consisting of vinegar and gochujang. Those who prefer their penis fish cooked might grill it on a skewer with salt, pepper, and sesame oil.

Even before it ends up on a plate, the gaebul spends its life feeding others. Earning its other nickname, "the fat innkeeper worm," it creates tunnels that provide shelter for crabs and fish. If that weren't enough, this "innkeeper" even leaves behind a free meal for its guests: plankton, trapped in a trail of slime.

10 Jun 23:33

Trump Rips Up Official Papers Into “Tiny Pieces” But WH Staffers Tape Them Back Together As Law Requires

by Joe Jervis

Politico reports:

Under the Presidential Records Act, the White House must preserve all memos, letters, emails and papers that the president touches, sending them to the National Archives for safekeeping as historical records.

But White House aides realized early on that they were unable to stop Trump from ripping up paper after he was done with it and throwing it in the trash or on the floor, according to people familiar with the practice. Instead, they chose to clean it up for him, in order to make sure that the president wasn’t violating the law.

Staffers had the fragments of paper collected from the Oval Office as well as the private residence and send it over to records management across the street from the White House for Larkey and his colleagues to reassemble.

Hit the link and read the account of the two now-former White House staffers who spent their days laboriously scotch-taping official documents back together. Both men say they were forced to sign resignation letters and were marched out of the White House by the Secret Service. Seriously, read the full story.

The post Trump Rips Up Official Papers Into “Tiny Pieces” But WH Staffers Tape Them Back Together As Law Requires appeared first on Joe.My.God..

29 May 22:29

True facts about frogfish

by Jason Kottke

Proto-YouTuber Ze Frank momentarily steps down from his executive perch at Buzzfeed to get back on the mic for the humorous nature documentary True Facts, which is “f(bleep)ing back” following a three-year hiatus. This episode is about the elegant & graceful frogfish. (via andy)

Tags: video   Ze Frank
28 May 12:31

Massive vintage movie poster collection is being digitized and made available online

by Jason Kottke

Movies Posters Ransom

Movies Posters Ransom

The Harry Ransom Center at the University of Texas at Austin is currently digitizing and putting online their collection of more than 10,000 movie posters.

The collection encompasses upwards of 10,000 posters and spans decades: from when the film industry was just beginning to compete with vaudeville acts in the 1920s to the rise of the modern megaplex and drive-in theaters in the 1970s. The sizes range from that of a small window card to that of a billboard.

You can browse the collection here. They’ve scanned over 4000 of the posters already and there are currently 500 posters available online, but more of them “will incrementally be made accessible online”.

See also a short film about a one-of-a-kind collection of letterpress plates for printing film advertisements and an amazing online collection of 40,000 vintage film posters. (via @john_overholt)

Tags: design   movies
27 Apr 16:11

The Most Ambitious Thing Humans Have Ever Attempted

by Stephen J. Dubner

“One of the things that I love about surgery is: it is the least stressful thing I do.” — Atul Gawande. (Photo: Kelly Davidson/Ariadne Labs)

Our latest Freakonomics Radio episode is called “The Most Ambitious Thing Humans Have Ever Attempted.” (You can subscribe to the podcast at Apple Podcasts, Stitcher, or elsewhere, get the RSS feed, or listen via the media player above.)

Sure, medical progress has been astounding. But today the U.S. spends more on healthcare than any other country, with so-so outcomes. Atul Gawande — cancer surgeon, public-health researcher, and best-selling author — has some simple ideas for treating a painfully complex system.

Below is a transcript of the episode, modified for your reading pleasure. For more information on the people and ideas in the episode, see the links at the bottom of this post.

*     *     *

Healthcare is obviously a big deal. Medical treatment per se, but also the healthcare industry, and access to it. Also the politics, and the economics of healthcare. In the U.S., we spend more money on healthcare per capita than any other country: it totals about 18 percent of our G.D.P. And yet our health outcomes aren’t anywhere near the top. Why not? Well, there are a lot of reasons — many of which we’ve already looked into on this show. In episodes like “How Do We Know What Really Works in Healthcare?” and our three-part series called “Bad Medicine.” Today, we’re taking a far simpler approach to exploring the state of healthcare and its assorted conundrums. Today, we’re just having a conversation with a doctor. A doctor in Boston. But not just any doctor.

Atul GAWANDE: Okay. I’m Atul Gawande. I’m a surgeon at Brigham and Women’s Hospital and director of Ariadne Labs, a Center for Health Systems Innovation at the Brigham and Harvard School of Public Health. And then I write for The New Yorker.

Stephen DUBNER: So not only are you a surgeon and a researcher and a professor, but you’ve also written four really excellent books. Honestly, much better than many of us who only write books for a living. So I did just want to say on behalf of all my fellow writers: we hate you, and we would prefer that you stop writing books, if you don’t mind, and leave it to us. No, seriously though, how are you able to be as good at that, when you’re doing two or three other things? And let me preface that by saying that I’ve often observed that of all the professions who also are authors, I do think that doctors are the best, if you look through history — Chekov and on and on. And I do wonder if there is something in the pursuit of medicine that you feel is closely tied to the pursuit of writing.

GAWANDE: I do, and I’ve often thought it was a little bit unfair — like I was a sort of fake New Yorker staff writer — because I had this daily exposure to the human experience in a way that my colleagues on the staff had to go out and find. Like, I just had to go to work, and you’ve got people who are — we’re gonna break some terrible news today, or we’re going to have to do an operation that could go well or they might not. Or maybe we’ve figured out we can’t actually do the operation. And then, everything else is layered into that. You have family dynamics. You have money. Boy, do you have money as an issue in this world!

And so I sort of find it all inseparable. You asked how do I fit the writing into these other jobs? It is part of all these other jobs! I feel like I would have totally burned out on my medical-practice work if I were only in the trenches and not able to lift my head up and see what’s really going on. What’s the pattern of what’s really happening in front of me? And then found that the writing led me to test out ideas and try out new thoughts, and then I wanted to test them in the real world, which became my public-health work, where we could go in and say, “Hey, can we get a country to adopt our dumb little surgical checklist I wrote about in The New Yorker?”

That little surgical checklist was the topic of one Gawande book, The Checklist Manifesto. He argued that medicine could really benefit from the sort of basic, careful attention to detail that’s already being practiced by people like airline pilots. His other books are Complications: A Surgeon’s Notes on an Imperfect Science; and Better: A Surgeon’s Notes on Performance; and the book for which he’s best known: Being Mortal, which wrestles with decline and death. We’ll hear about all of that today. We’ll hear how truly complicated medicine can be, we’ll hear about some simple solutions, and we’ll hear why Atul Gawande is not at all like you and me … at least not me.

*     *     *

DUBNER: I’ve always wondered; you’re a productive fellow, and I’m just curious how a typical week or month — I have no idea what the cycles are — but, how do you break up your various duties? Do you try to do some of everything in every day? Are there weeks where you go without operating or writing? How does that work?

GAWANDE: I’ve never figured it out, to be honest. Every day is a problem to solve how I get the things I’m interested in doing get done. But I’d say it’s probably on a daily cycle, so I might have a day in the operating room or in the clinic. But then the next day I’ll be entirely focused on my work in public health. And then I might be traveling and giving a lecture or visiting one of our research sites. There’s a dominant theme to the day, and then I’m piling everything else around it, and my main parameters are: I really, really work hard to have about twenty-five percent of my time on schedule, and I make sure I get enough sleep most of the time.

DUBNER: And do you ever in the middle of, let’s say, a surgery think about, “Oh, here’s what I will be writing about this day?”

GAWANDE: You know, I don’t really; I’m in the flow. One of the things that I love about surgery is: it is, I have to confess, the least stressful thing I do, because at this point I’ve done thousands of the operations I do. Ninety-seven to 98 percent go pretty much as expected, and the 2 percent that don’t, I know the 10 different ways that are most common that they’ll go wrong and I have approaches to it. So it’s kind of freeing in a certain way.

DUBNER: You mentioned money seemingly touching or influencing everything you do — what’d you mean by that?

GAWANDE: Well, I remember coming into practice as a new surgeon in 2003, and 15 percent of my patients were uninsured. I’m a cancer surgeon, and we would have to figure out like, “How do we get free care for this person? What are we going to do for their radiation treatments?” I had a college student, who had bought a policy that seemed great because it was so cheap and then it turned out that it had a $75,000 limit, and she had a metastatic cancer — curable, but she needed one more thing after surgery and chemotherapy, which was going to be radiation. She didn’t want us to tell her family, because she was afraid they would mortgage their house to pay for it. And of course we did tell the family, and then of course they did take out a second mortgage.

And there’s all the ways I get paid. My patients are covered by 56 different insurers the last time that I checked. All paying completely differently. It’s kind of impossible to figure out what’s one going to pay versus another going to pay. I pay $29,000 a year for malpractice insurance, which is incredibly low compared to what many people do around the country. And so even that, why is ours lower? It turns out we have a very effective insurer that we work with. So there’s interesting puzzles on every little corner of it. And sometimes tragic problems in the middle of it.

I now am seeing patients routinely with $2,000, $3,000, $5,000 deductibles, and some of my patients that I specialize in have relatively rare conditions. For example, one set of patients I take care of have a genetic syndrome called Li-Fraumeni, where they have a mutation called P53 which in a gene makes it so they’re forming cancers all the time. And most of them don’t make it to 40 years of age. We’ve learned how to monitor them. We’ve learned how to step in. We have removed multiple cancers from people, and we’re getting them past 40. And then lo and behold, their spouse buys the cheap policy, which means that we’re now out-of-network and so they’ve decided they have to go to a place that doesn’t have a specialist. And it’s painful because I’m watching them get inappropriate care now that could harm their life. So that’s what I mean by money. It’s everywhere.

DUBNER: So every time I ask you a question now, I feel like I’m using up time that should be spent better saving someone’s life, but but I’m going to keep asking them. So, how has the Affordable Care Act changed your own universe in terms especially of payment and the treatment that comes with it?

GAWANDE: Yeah, the dramatic change really proceeded the A.C.A. because I’m in Massachusetts, and so we got a preview with Romneycare, where we got to have universal coverage come to Massachusetts through a plan a lot like Obamacare. And so now it’s been a decade. And within a couple years I no longer had uninsured patients. I haven’t seen an uninsured patient in about a decade. And then you go to Texas where the rate of uninsurance is that one out of five people have no coverage for their basic needs. The other big thing though is that as the costs have gone up and the cost-sharing has gone up, it’s been dramatic to me to see people who now have deductibles in the thousands of dollars routinely making decisions — you can see people are not filling their high blood pressure medication, and they’re not taking their statins for cholesterol control, and things like that that have long-term consequences, but on a day-to-day basis don’t feel any different.

Gawande grew up in a medical family: his father was a urologist, his mother a pediatrician. They had moved to the U.S. from India in the early 1960’s. Atul was born in Brooklyn and raised in Ohio. He studied biology and political science at Stanford; then P.P.E. — philosophy, politics, and economics — at Oxford, as a Rhodes Scholar; and then he got both his M.D. and a master’s in public health at Harvard.

DUBNER: So I know that years ago you were involved in some political campaigns for Gary Hart and Al Gore and…

GAWANDE: You’ve gone way back into my childhood.

DUBNER: Yeah. And then I understand that while you were in med school, you deferred completion to become Bill Clinton’s healthcare lieutenant during his ’92 campaign. So, from what I can tell that was your last political involvement in that regard. I’m curious what that experience taught you about the differences between academic or theoretical healthcare and real-world healthcare, especially the political dimension, especially the paying-for-it dimension.

GAWANDE: Yeah, a ton. There is a fundamental disconnect often between the academic work and the work needed to answer the key questions that people in the political sphere are trying to answer. Often people are trying to come to experts for technical answers to questions that don’t have a technical answer. The case in point is the Affordable Care Act. The trouble is that people fundamentally disagree on what the goal of the healthcare coverage is. Is it to free up a trillion dollars for a tax reform? Is it to secure universal coverage for all? Is it cut costs? You can’t take a trillion dollars out of the healthcare system and make healthcare better at the same time and increase coverage in a short time frame. In government, it was fundamentally about: the budget is your values. And the technical and academic stuff often submerges those debates instead of actually having them straight on.

DUBNER: Your research center, Ariadne, is named for the Greek goddess of labyrinths. So I’m curious: I gather the implication there is that the medical or healthcare scenario at least in the States these days is fairly labyrinthine, and you are known for seeking out simple and scalable ideas to make healthcare better. So talk for a moment about the degree to which you believe in the power of really simple ideas to address a situation or a set of problems as labyrinthine as the ones that we currently have.

GAWANDE: I believe really strongly in that potential. There’s three basic problems: How do we have access to care? How do we tackle the cost? And then most important: if you have access to care, is it being delivered in such a way that you get the benefit of the last century of discovery that allows us to live 80 to 85 years typically? We’re drowning in the complexity of the knowledge that’s been discovered over the last century.

So for example the biggest killer in the country — and indeed in the world now — is high blood pressure. You have a billion people in the world who have high blood pressure. Only 14 percent have it diagnosed and under control. And the medications that control blood pressure have been around for decades. It costs pennies. And we’re not following through on it. How do you make it simple for people to be able to take your high blood pressure medication?

We have a delivery system that basically relies on the idea that you’re going to come in for a 20-minute appointment with your doctor. And that is the only way that we are going to work with you. And a combination of email and phone and not even having to see a doctor most of the time is demonstrated to get to 80 to 90 percent levels. And so there’s many opportunities like this.

DUBNER: And, by the way, why is that medication in particular still a prescription medication? What’s the point of that?

GAWANDE: Well, if your blood pressure is too low or you take a diabetes medication and your blood sugars get too low, that is also harmful for you. So the capacity to have medical oversight and make sure that you’re getting the right medications in the right way is critically important. But there are lots of ways in which someone working with a nurse can manage for themselves and not have to have the doctor involved every few weeks.

DUBNER: When you talk about the different mechanisms to get patients to comply with taking a medicine as simple as hypertension treatment, I’m just curious, why leave it to human error, especially when we know that humans are really good at making those kinds of errors or at least not completing those kind of tasks? I mean would you, if left to your own devices, be putting statins or hypertension medicine in the drinking supply? Would you want to use CRISPR-like technology to eliminate the possibility of certain maladies, if possible?

GAWANDE: Well, first of all, it seems ironic in the age of precision medicine that we would go to the point of saying, “Well, let’s just give everybody a blanket statin dose. And yeah, some people will be killed, but a lot more people be saved.” We’re perfectly capable of tuning the care we have not only in the highest-income parts of the world, but in the lowest-income parts of the world. And often they’re very simple, cheap systems, like a checklist, that can get really great results, and it’s just a matter of being willing to systematize what we do. Do you want me to give another example?

DUBNER: Sure, I’d love it.

GAWANDE: On any given day we have 11,000 women who will come into a hospital to deliver a baby.

DUBNER: “We” meaning the United States, I gather.

GAWANDE: Yes. One out of three will end up having surgery to have that baby, which we know is markedly higher than it needs to be. One out of three will have a C-section. Ten percent of their babies will go to intensive care, which we also know is higher than necessary, and the way we know these things are unnecessary is that the likelihood of a C-section varies from 7 percent to 70 percent depending on what hospital you go to.

DUBNER: And what are the big drivers of that variance? And how much of it is a financial incentive? And how much of it is defensive medicine, let’s say?

GAWANDE: Well, I’ll just add on one more thing which is that, we will spend 0.6 percent of G.D.P. today doing all that stuff. There are clearly financial drivers, but our team that works on this recently demonstrated that not only does what doctor and system you go to make a difference, but even at that same system, the labor nurse you have can affect the rate of Caesarean section by 250 percent or more.

DUBNER: So the mechanisms by which are what? What is he or she doing differently?

GAWANDE: We have ideas, but we haven’t really proven them. So the ideas are that the ability of a nurse to walk you through what might be a 20-hour process, to be incredibly supportive, and for a woman who is low-risk, a great labor nurse can make a big difference compared to one who is more likely to pull the trigger and say to the obstetrician, “You know, this isn’t moving along, maybe we should think about a C-section.” And the most common reason for C-section is not that the baby gets in trouble or anything that like that, it’s called failure to progress. We’re still piecing the stuff together, but we ought to be able to figure this out. I mean, we’re spending 0.6 percent of GDP today on this, we should be able to pull this apart and create a simpler, better way of doing it. And that’s the kind of thing that our team takes on.

DUBNER: Good ideas often take a really long time to catch on in medicine. Why do you think that is?

GAWANDE: Yeah, I got really fascinated by this thinking about two examples. Both of them transformed surgery in the nineteenth century: anesthesia and the discovery of anti-sepsis. Preventing infections, the biggest killer there was. Anesthesia was discovered and within two months —

DUBNER: In Boston, right?

GAWANDE: In Boston, yeah. Massachusetts General Hospital. And within two months of publishing the result that a gas could render people insensible to pain, it was being used in every capital in Europe. There’s no internet. You had to send news by boat and horse. And within two months people were using it in the capitals of Europe, and by six years later there wasn’t a hospital in the country that was not delivering anesthesia care. By contrast, anti-sepsis, Joseph Lister discovered that if you used antiseptic solution, clean the instruments, your hands, did all that stuff, you could cut infections by 80 percent. And a generation later, you still haven’t gotten to half of the profession doing it. And when I broke it down, I realized there’s a difference between a visible and immediate effect that they had in anesthesia that could be recognized right away, and tackling invisible delayed effects of germs.

DUBNER: We like our causes proximate in the world. Don’t we?

GAWANDE: Yeah, so you’re trying to get people to take action on something that is not going to matter until a week or two later. The second problem though is the anesthesia solution was not only good for the patient, it was great for the doctor. Surgeons don’t like having a screaming patient on the table. They had to do their operations in 60 to 120 seconds because you just didn’t have that much time when the orderly is holding people down. And having a patient asleep meant you could be meticulous — you were so much happier as a surgeon. And so this was a win-win for both. And that made it spread virally.

Now, anti-sepsis was literally pain now for gain later. The antiseptic solution Lister had was carbolic acid. He tried to sell it like you sell Listerine today: the burn is how you know it works. And you had to regulate it; you had to make hospitals do it. You had to change the culture of surgery to be antiseptic, and even today we still have to fight the uphill battle and figure out ways to make it easier to do the right thing.

So an example from today: the fastest selling drug in history was Viagra. Immediate and visible effect. And it was very good for the doctors too. My dad was a urologist at the time, and he tripled the number of patients he had in his practice within weeks. And so that was just a tremendous win-win. Surgery checklist: harder to sell. Cuts deaths — we just showed in South Carolina, hospitals that adopted it got a 22 percent reduction in death compared to the hospitals that didn’t complete the process. Because it’s making an investment now for a gain later for many problems which are often not immediately visible to people.

DUBNER: It’s interesting, in both of your examples it was the prevention that people ignore and the intervention that of course people gravitate toward.

GAWANDE: Yeah, and if you think about it you know, this is climate change, right? It’s the ultimate invisible delayed problem for which we may need to make a sacrifice now, and public health is full of examples like that — it’s that kind of pain now for gain quite later. It’s hard to convince people not to ignore it, because people want to not do the painful thing.

*     *     *

Atul Gawande — surgeon, author, and healthcare researcher — has spent time thinking about the overall complexity of the healthcare ecosystem as well how big gains can be made by reducing basic medical errors.

DUBNER: So, Atul, your book The Checklist Manifesto was aimed at and proved really effective at eliminating all different sorts of medical errors. Obviously, there’s been a lot of improvement, but the fact remains — at least as argued by some researchers — that medical errors of various sorts are as high as the third-highest leading cause of death in the U.S. Can you talk about the progress of the medical profession in decreasing iatrogenic effects in medicine, and whether you feel successful reform can come from within the institution?

GAWANDE: I do think the pressure has to come from the outside. First of all, two million people a year pick up infections in hospitals that they didn’t have when they get went in. And then you add in that we have been the major source and contributor to the opioid epidemic. I was shocked to find the news and the data indicating that for my patients in surgery, if they are on a narcotic medication for more than seven days, eight percent are likely to still be on that narcotic a year later. And that understanding that it’s that addictive, we didn’t have, and we didn’t build the systems in for that, and then that goes into a system where economically we have the high school-only educated population having a declining economic future, and it fed right into the depths of despair. So we have major areas where we’re made progress, but healthcare is made up of many many different kinds of services and care.

DUBNER: Okay, what’s the difference between a typical healthcare system and say, a restaurant chain like the Cheesecake Factory?

GAWANDE: You’re referring to the article I wrote about the Cheesecake Factory.

DUBNER: With apologies to Atul Gawande. Yes.

GAWANDE: Basically what I was talking about was the idea that, here’s this restaurant chain. And yes, it’s highly caloric, but the Cheesecake Factorys here have as much business as a medium-sized hospital — $100 million in business a year. And they would cook to order every meal people had. And in order to make that happen, they have to run a whole process that they have real cooks, but then they have managers.

I was talking to one of the managers there about how he would make healthcare work. And his answer was, “Here’s what I would do, but of course you guys do this. I would look to see what the best people are doing. I would find a way to turn that into a recipe, make sure everybody else is doing it, and then see how far we improve and try learning again from that.” He said, “You do that, right?” And we don’t. We don’t do that.

DUBNER: So you identify the three things that something like the Cheesecake Factory does well, better than let’s say a big hospital or hospital chain as quality control, cost control, and innovation around service, okay. So when I read that I think, “Okay, I get the point, and I very much enjoy the argument, especially coming from a surgeon, and it’s provocative and kind of delicious at the same time.” Then I think, “Well, to be fair, there are a lot fewer variables in a restaurant than a hospital. A lot less mystery. And a much higher degree of difficulty in what you’re trying to accomplish,” right? So talk to me about how the Cheesecake model realistically can be, if not applied, at least learned from in a healthcare setting.

GAWANDE: Yeah, the level of complexity and difficulty we’re talking about here is on a whole ‘nother scale. So, they’ve got a phone book of a couple hundred different things that they cook up for you when you go into a Cheesecake Factory. In healthcare, for your 13 organ systems, we have 60,000 different diagnoses, 60,000 different ways your body can fail. And we have generated 6,000 drugs, 4,000 medical and surgical techniques and procedures, plus an uncounted number of ways to prevent those conditions, and we’re trying to deploy that capability town by town to every person alive regardless of their ability to pay.

Now, I’ve argued that is the most ambitious thing man has ever attempted, that human beings have ever attempted. You have to break it down, and I think there are a few key systems that start with, what is the basic primary care? How do we make sure that the financing optimizes that system? Because that’s one of the most life-extending things that you get to have. How do we make the surgery system work?

The average person will have eight operations in their lifetime. Everybody’s born so we need that process to work. Everybody’s going to need an emergency room at one point or another. So we how do we make that actually work better? We’re all going to come to the end of life. I think breaking it down that way and recognizing you might need different payment models, different innovation for each of them, that we would actually be able to make substantial progress and each of them in a way is now reducible to a Cheesecake Factory-like sense of, “What are the best people doing? How do I distill that into a manageable recipe and enable it for as many people as possible?” 

DUBNER: I feel like I hear so many pieces of the solution from different quadrants, and I guess my wonder would be whether it will work because the medical and healthcare system is obviously large and complex with many players, with many incentives — which are often kind of perversely misaligned. And so I’m curious if you really think that it can be addressed in a kind of radical improvement that it sounds like you want, and we’ll accept the sort of collaborators that perhaps it needs to invite in.

GAWANDE: Well the fragmentation will not be solved just by a technical fix like making a better computer system. The big mistake we have, the thing that’s breaking our back now, is that we’ve tied healthcare coverage to where you work. And if you don’t work, well then we’ve got all kinds of systems that we’ve had to then create outside of it, and so it’s become this fragmented mess. And the reality is that work is changing too, so that employment-based, everybody-gets-a-different-kind-of-approach in healthcare is breaking down. The economists Lawrence Katz and Alan Krueger looked at the last decade of net new job growth, and 94 percent of the net new jobs have been in forms of employment where there are no healthcare benefits: freelancers, independent contractors, temporary workers.

DUBNER: And that’s good news, because economists always used to worry about job lock, that people were not willing to do what they wanted to do just because they had to hang onto their current healthcare insurance.

GAWANDE: The problem is that Obamacare is a stopgap solution, where people who don’t have coverage can go out and buy it. And the hope was that that system would be one that then could grow to become the system. One of the things that we did in analyzing what coverage has done over the last 10 years is we found that it has dramatically improved people’s health status and also generated mortality reductions, but the way it does it is not because it gives you coverage for emergencies. People become more likely to have a regular source of care, and having a regular source of care over time, over years, at about five years you start seeing these substantial reductions in mortality, and that idea that you could have a consistent, regular source of care is crucial to the whole way healthcare now creates its value. In the age of high-deductible health plans, that is disastrous for primary care, because that is one of the things that people immediately sacrifice.

DUBNER: Right, so you’re talking now about the value of incrementalism and prevention in medicine. You’ve written in the past, “Governments everywhere tend to drastically undervalue incrementalism and overvalue heroism,” and that goes for inspecting bridges vs. inspecting patients. So the fact is that if you look at the economics of healthcare currently, the highest paying jobs — among doctors at least — are all the potential heroes, the interventionists, the orthopedics, cardiology, dermatology, gastroenterology, etc, etc. And the lowest-paid are all the incrementalists and the preventives: pediatrics, endocrinology, family medicine, and so on. So that would strike me as a big, big, big ship to move considering how much money is at stake, and I’m curious what kind of ideas or solutions you might have for that.

GAWANDE: Well, first of all let’s understand why that came about. In the 1950’s, 1960’s, when the basis of insurance got established, it was really only the heroic stuff that we knew anything about. Penicillin was coming in after you had the pneumonia. We didn’t know high blood pressure existed and that it mattered. The dramatic change was that we got the computational power to follow people over time, discover what you could do now that would have a benefit in five years, 10 years, 20 years.

In fact, with the data we now have, we basically are all pre-existing conditions waiting to happen, which is why it’s so crucial to have coverage that enables people to be insured regardless of their pre-existing conditions. Now, we want to pay for the incremental needs. Already we’re at about 30 percent of Medicare patients are being seen by clinicians who are being paid and incentivized to keep them out of the hospital, keep them out of the emergency room, and as that happens you’re starting to see health plans that are designed around strengthening the whole primary care base.

DUBNER: And there is a lot of evidence, as I understand it at least, that access to primary-care physicians just generally has a pretty great effect overall on outcomes, yes?

GAWANDE: It’s murky on the long-term cost. You have to follow for a long time, and it’s still debated about what needs to come together. But if you have a regular source of care for the majority of your medical needs — and it’s usually with a primary-care physician — you have improved survival, better infant mortality for kids. You have better overall health, there’s a variety of indicators.

DUBNER: I guess that’s also addressing an essential component of medicine generally, which is the feedback loop. So you’re a surgeon, one of the few realms where the feedback is quick and fairly thorough. Can you talk for a minute about the problem of getting good feedback and what’s being done to improve that?

GAWANDE: It’s a huge problem. Even in surgery, I don’t have a direct feedback loop to really understand how are they doing 30 days from now? How are they doing 90 days from now? Did the operation succeed, or did it not, in making their life better? You’ll find out a year later what the average result was for your hospital’s patients. In other fields, it’s an even looser one. The radiologist who has to make a call on what the diagnosis is doesn’t often get much feedback on whether they made a bad call — unless they get sued. And that chance to close that feedback loop is crucial when we have now so many more people involved in care, because any one of us only has a piece of the care, and to see the net result requires us to have data. And that’s why it’s so powerful and important, and people have been talking so much about how data-driven healthcare is so fundamental to where we’re going. You basically are peering through a tiny little keyhole pointed in the wrong direction to figure out what happens to people as they journey through care.

DUBNER: How firmly do you believe in the digital revolution to really remake the feedback loop in medicine?

GAWANDE: Well, we’re in the MS-DOS phase of computerization and healthcare, right? At this point, I’m a glorified data-entry clerk. I spend more time doing data entry in my office than I do seeing my patients. And that’s just broken. So our systems are incredibly optimized for sending bills. I can send the bill in like three keystrokes. But recording an allergy can be four different screens. So it’s not built to set a goal for care and then accomplish it.

We’ve seen some early fantastic things. Computerized ordering of medications vastly increased the safety of being prescribed medication. It used to be that the pharmacists were having to interpret the scrawl of a physician, and they’d get the dose and even the medicine completely wrong. So we’re at the stage where it’s ripe for the Apple of healthcare to come knock the C-prompt out.

We’re in this incredible flourishing right now, your care is changing dramatically. The biggest user of electronic health records and the fastest-growing users of health electronic health records, are patients themselves accessing it on their phones. Secondly, you have the introduction of apps and the F.D.A. now clearing the way for software applications to be prescribed and given to people as part of their care. We have wearables. That twenty-minute visit that you might have once in awhile could be tremendously enabled through everything from classes you can take in groups, if you have diabetes or high blood pressure, to interactions over applications, email, people doing hospital at home. Acute pneumonia can be treated now at home, not only equal, but often better with faster recovery.

DUBNER: I’m curious what evidence there is for the efficacy of patients using electronic health records. Does it make the interaction with the doctor better, or potentially I could see it leading to hypochondria and over-consumption of medical services without better outcomes?

GAWANDE: Yeah, so there’s this really interesting movement called Open Notes, where systems open up all your notes, what doctors wrote about you, to full access for you. It started at the Beth Israel Deaconess Hospital here in Boston, and everybody freaked out, like, “People are going to be calling me.” But they’ve found several things: first of all, no tremendous backlash from the patients. The patients were much more likely to understand the instructions and the diagnosis they have. They improved adherence to certain medications that were being measured. The next big move that they’ve begun experimenting with is letting patients enter things into the record too — put their own information in, any kind of logs they have, comment on the notes that the clinicians has, register if they think something might be incorrectly recorded. Patients have found errors in the records, and been able to correct them.

DUBNER: I’d love to hear from you on longevity. So after decades of incredibly impressive gains, it seems we’re in some places leveling off and maybe even going back a bit. I’m just curious given medicine, genomics, etc. etc., you’ve written a lot and well about what can be done to improve the current state of end-of-life care. So I’m curious to hear both those thoughts: longevity and what to do at the end, whenever the end comes.

GAWANDE: Yes, let me try piecing these apart. Number one, on longevity, so we’re now at about an 80-year life expectancy, and a century ago — in 1900 — the average lifespan was 47 years. So we’re living thirty-plus years longer than that on average with what we’ve discovered over the last century.

DUBNER: But we should say, that number was always heavily, heavily, heavily affected by infant mortality, yes?

GAWANDE: Absolutely. But it is a huge deal that in the course of this century we’ve cut the likelihood of infant mortality by twenty-fold. That we took the biggest killer of women — childbirth — and virtually eliminated it. We still have a ways to go, but I think the first thing about our life span is that just with existing discoveries and executing on them, I think we’ll be able to push the average person being able to get 85 years and beyond. We’re making discoveries that are already reducing the rate of dementia as a major killer. And that will change I think, the prospects of late-life.

So then the second thing is that even though we’re living longer, we’re spending less of that time with disability. And now, that said, we still on average have about eight years of significant disability where you depend on others for part of your daily needs, and that is the big deal to me in the next phase of work that has to be done. Most of where we provide help to people is entirely along the lines of focusing on safety and survival. The focus is on how do we reduce the number of falls you have? How do we make sure you get all your medications on time? Those are all good things, but they have nothing to do with the purpose and joy and meaning of getting to live a life. And people are miserable in these situations where you have to rely on the help of others to prosper in your life.

There is, I think, a revolution of, it’s still a minority, but of places that are focused on people’s well-being, not just their survival, as part of their purpose. And that sense of asking routinely the questions that really matter between adult children and parents is what we’re just starting to do. The questions like, “What is the minimum quality of life you’d find acceptable? Can I have a drink at the end of the day? What are your fears and what are your hopes? Even if your health worsens. What your opportunities for growth?” You know, my mom turned 80, and she just moved into a retirement community that is on a college campus where she goes to classes. She writes papers. She gets to do little teaching and lecturing here and there too! And why not? And she needs help, but there’s no reason that you can’t be that way.

DUBNER: Does she drop in on a kegger once in a while? 

GAWANDE: You know, she invites them over for a drink once in a while at her place, and also, she can’t drive anymore, so now she also learned from the students how to order Lyfts. It’s kind of fun and hilarious.

DUBNER: Let me ask you this: when I think about what we call healthcare, I think about medicine and then healthcare delivery as two separate channels. And I’m just curious, if you even buy that premise, which area of those two is in more need of an upgrade.

GAWANDE: Well, I think they are part and parcel of the same thing. So, medicine and healthcare delivery to me are our ability to address people’s medical needs ranging from being able to work on prevention and primary acute sickness, to managing chronic illness, to mental-health issues and palliative care when you become seriously ill. And that range — which includes diagnosing, treating, helping people stay on track, and managing teams that can do that extremely well — that is medicine, delivered appropriately.

And in some sense we want to distinguish between what are the breakthroughs — and we’ve made a century of incredible breakthroughs, and we have more to come in Alzheimer’s, in metastatic cancer, in other unsolved problems like in immune diseases. And as those discoveries come online we have ignored the innovations necessary to make them get to everybody, to be delivered widely, and missed out on the big opportunities. The biggest opportunity to advance health and save lives is really in the systems innovation and not just the front end discovery.

The volume of knowledge and skill required to take good care of people has exceeded the capability of any individual in the system, period. No matter how smart you are, no matter how much training as a doctor or a nurse, you simply can’t know it all. And we are now having to move from being cowboys delivering the care — “I can do it all myself” — to, really, pit crews. And the most effective way of doing it is that you have a doctor and a nurse and maybe a social worker and maybe a health coach taking care of a population of patients and dividing and conquering and communicating. And that is what we actually do still only a minority of the time.

That’s the big transition we’re undergoing in healthcare, and it affects all of what we discussed: access, costs, and delivery. And that’s where the big transformative opportunity comes from, because the most expensive places in the country are not getting you the best results. It’s often the lowest-cost places, and part of the secret of the lowest-cost places is they behave more like teams. They behave more like systems.

DUBNER: Are you hopeful overall?

GAWANDE: I am. And the reason why is because I know it’s a freaking mess. But, on the whole, even in the short time that I’ve gotten to be a clinician — it’s been about 14 years that I’ve been practicing as a surgeon — during that time, we’ve cut the number of uninsured by half. I live in a state that completely eliminated whether we have people who are uninsured. It’s not perfect, but a lot of our work in surgery — for example my field — we have cut the death rate by 30 to 40 percent in the time that I’ve been doing this work. While we’ve been cutting the death rate, you now typically go home the same day from these kinds of operations.

And then you add in what we’ve been able to do around primary healthcare and the discovery that we can act early in your life knowing genomics, knowing the profile of what you have, knowing things about your neighborhood and your environment. We are delivering more and more capacity for improving people’s health.

And then even at the end of the life — less than a decade ago, we had less than 20 percent of people who would be anywhere except in an institution as they came to the end of life. They had higher rates of suffering. They had massively higher costs. And they did not live longer, they typically lived shorter. We’re now at about 50 percent  at home, in hospice. The lifespan and coming to the end of life has now become part of our culture and our society, and it’s shifting.

So I’ve seen these things happen. I’ve gotten to participate in some of it, and there’s a lot of continued problems we’ve got to work on. There are really big deals and big opportunities, but it’s not like we have failed to make progress. We’ve been moving the ball down the road.

DUBNER: Well, you are awesome, and congratulations on your continuing, burgeoning successes on many fronts.

GAWANDE: Thank you. That’s very nice of you to say.

DUBNER: Well. It’s great to see someone who’s so good at so many things get acknowledged for being good. So I like that.

GAWANDE: It’s just waiting for the hammer to come down. Eventually the blow will come.

DUBNER: May it never fall.

Freakonomics Radio is produced by WNYC Studios and Dubner Productions. This episode was produced by Stephanie Tam. Our staff also includes Alison Hockenberry, Merritt Jacob, Greg Rosalsky, Max Miller, Harry Huggins, and Andy Meisenheimer. The music you hear throughout the episode was composed by Luis Guerra. You can subscribe to Freakonomics Radio on Apple Podcasts, or wherever you get your podcasts. You can also find us on Twitter, Facebook, or via email at radio@freakonomics.com.

Here’s where you can learn more about the people and ideas behind this episode.

SOURCES

  • Atul Gawande, surgeon at Brigham and Women’s Hospital, director of Ariadne Labs, writer for The New Yorker.

RESOURCES

ETC.

The post The Most Ambitious Thing Humans Have Ever Attempted appeared first on Freakonomics.

27 Apr 01:20

With new security and intelligent features, the new Gmail means business

by David Thacker
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😲

Since the beginning, our aim with G Suite has been to help companies transform the way they work with our suite of cloud-based collaboration and productivity apps.

Today we’re announcing major updates to help the more than 4 million paying businesses that use G Suite work safer, smarter and more efficiently. This includes an all-new Gmail, with a brand new look on the web, advanced security features, new applications of Google’s artificial intelligence and even more integrations with other G Suite apps. We’re also introducing a new way to manage work on the go with Tasks.

Keep sensitive data secure with new Gmail security features

Keeping your data secure is our top priority, which is why last month, we introduced new phishing protections to help address Business Email Compromise (BEC) threats—or when someone impersonates an executive to get sensitive information. With these new protections, Gmail has helped block 99.9 percent of BEC attempts by warning users or automatically moving messages to spam for them.

Today, we’re introducing a new approach to information protection: Gmail confidential mode. With confidential mode, it’s possible to protect sensitive content in your emails by creating expiration dates or revoking previously sent messages. Because you can require additional authentication via text message to view an email, it’s also possible to protect data even if a recipient’s email account has been hijacked while the message is active.

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New confidential mode in Gmail lets you set expiration dates for sensitive information.

Built-in Information Rights Management (IRM) controls also allow you to remove the option to forward, copy, download or print messages. This helps reduce the risk of confidential information being accidentally shared with the wrong people. Confidential mode will begin to roll out to consumer Gmail users and a limited number of G Suite customers in the coming weeks (broader rollout following).

We’ve also redesigned our security warnings within Gmail so that they are simpler to understand and give a clear call to action to employees. These bigger, bolder warnings will help you be even more informed when it comes to potentially risky email.

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Bigger, bolder security warnings help you keep your company’s confidential information safe.

And it’s always worth a reminder: we do not scan Gmail for the purposes of targeting ads, and there are no ads shown in Gmail for G Suite customers.

Stay on top of email effortlessly using artificial intelligence in Gmail

New AI-powered features in Gmail, like Nudging, Smart Reply and high-priority notifications, can now help you spend more time on work that matters.

Most of us get more emails than we can deal with at one time, and sometimes things slip through the cracks. With Nudging, Gmail will proactively remind you to follow up or respond to messages, making sure you don’t drop the ball.

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Now Gmail will intelligently (and subtly) “nudge” you when you need to prioritize actions in your inbox.

Last year, we introduced Smart Reply to our Gmail mobile apps. Smart Reply processes hundreds of millions of messages daily and already drives more than 10 percent of email replies on mobile. Today we’re bringing Smart Reply to Gmail on the web to help you respond to messages faster.

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New notifications on mobile help you stay focused on what’s important (and eliminate clutter, too.).

We’re also introducing new features on mobile to help you minimize interruptions and clutter. High-priority notifications is a new setting that only notifies you of important messages, keeping interruptions to a minimum. Gmail can also recommend when to unsubscribe from mailing lists. Using intelligence, unsubscribe suggestions appear based on cues like how many emails you get from a sender and how many of them you actually read. You’ll start to see these notifications show up in your inbox over the coming weeks.

Over the past few months, Salesforce has tested the new Gmail to collaborate on global projects.  “As the global leader in CRM, the ability to quickly and securely communicate with our stakeholders around the world is critical,” says Jo-ann Olsovsky, executive vice president and chief information officer of Salesforce. “Gmail’s new easy-to-use interface and built-in intelligence enable our employees to collaborate faster and smarter, spending less time managing their inboxes and more time driving our customers’ success.”

Gmail’s new easy-to-use interface and built-in intelligence enable our employees to collaborate faster and smarter. Jo-ann Olsovsky
EVP, CIO of Salesforce

Accomplish more from your inbox with easy-to-use tools

We redesigned the Gmail web application to help you take action even quicker. Now you can see and click attachments in your inbox before ever opening a thread. You can also hover over messages (you don’t have to click into them) to do things like RSVP to a meeting invite, archive an email thread or snooze an email until the time is right.

Gmail Convergence_Enterprise_Image 5

Gmail’s new design helps you take action quicker.

As a part of the redesign, we’re also tightly integrating Gmail with other G Suite apps you use every day. Now you can quickly reference, create or edit Calendar invites, capture ideas in Keep or manage to-dos in Tasks all from a side panel in your inbox.

The side panel also makes it easy to access Gmail Add-ons, too, like third-party business apps you might use. This way you don’t have to switch between tabs or apps to get work done. You’ll start to see the new side panel integration in other G Suite apps in coming months—like inside of your Calendar, Docs, Sheets and Slides apps.

Gmail Convergence_Enterprise_Image 6

Use the new side panel in Gmail to access all of your favorite G Suite apps, like Google Calendar.

New native offline capabilities in Gmail on the web can help you work without interruption when you can’t find Wi-Fi. Search, write, respond, delete, or archive up to 90 days of messages, just as you would working online, but offline. Teams can start using offline capabilities in coming weeks.

Gmail Convergence_Enterprise_Image 7

Track projects and meet deadlines with Tasks’ refreshed design on the web and brand new mobile apps.

Like we mentioned, we’re introducing an all-new Tasks on web, as well as new mobile apps to help you handle work on the go. You can use Tasks to create tasks and subtasks, and even add due dates with notifications to help you stay on track.

And because Tasks closely integrates with G Suite, you can simply drag and drop an email from Gmail into Tasks to create a to-do. Tasks with due dates can also appear in your Calendar. You can download the new Tasks mobile apps from the Google Play Store or  iOS App Store today.

The all-new Gmail experience is available for businesses to start using today in the G Suite Early Adopter Program (EAP) and can be turned on in the Admin console. Read more detail on how to turn on the experience in this post. Heads up: you’ll start to see offline support, confidential mode (limited release), Nudging, high-priority notifications and unsubscribe suggestions appear in the coming weeks. Keep up with the latest news on these features in the G Suite Updates blog.

Personal Gmail users can opt-in to the new experience, too (Go to Settings in the top right and select “Try the new Gmail.”).

Finally, if you need help getting started with the new Gmail, check out this Help Center article or this cheat sheet on our Learning Center.

19 Dec 03:06

Disney Buys Most Of 21st Century Fox In $52B Deal

by Joe Jervis

CNN Money reports:

Disney is buying a huge chunk of 21st Century Fox in a deal that promises to reshape the media industry and help the entertainment giant fend off digital rivals such as Netflix. The $52.4 billion all-stock deal will combine two of the biggest players in Hollywood.

In addition to 21st Century Fox’s movie studio and regional sports networks, Disney is buying cable channels FX and National Geographic. Disney will also get Fox’s stakes in Hulu and European pay-TV provider Sky.

Prior to the deal closing, Rupert Murdoch’s 21st Century Fox (FOX) will separate the Fox broadcasting network, Fox News Channel, Fox Business Network, and some national sports networks into a new company that will be spun off to its shareholders.

The post Disney Buys Most Of 21st Century Fox In $52B Deal appeared first on Joe.My.God..

02 Oct 17:33

Get to Know Your Japanese Bathroom Ghosts

by Eric Grundhauser
article-image

As any horror film fan can attest, the bathroom can be a scary place. From Janet Leigh's infamous shower scene in Psycho to the blood-spewing drain pipes of Stephen King's It, there's no shortage of genuinely startling imagery connected to lavatories. But when it comes to conjuring up the most terrifying possible interruptions to our most private moments, no one beats Japan.

In Japanese folklore, there are a number of spirits rumored to appear in bathrooms. Some reach out from the insides of toilets; others whisper through the stall walls. Each one has its own grim story and particular behavior, but they all share a connection to the bathroom. “In a sense, the bathroom is a somewhat unusual space in a household or school or wherever it exists,” says Michael Dylan Foster, author of The Book of Yôkai: Mysterious Creatures of Japanese Folklore. Foster describes bathrooms as liminal spaces in that they connect the normal, everyday world to a whole different realm, namely the sewer.

“In that sense, the bathroom is a place of transition, and the toilet in particular is a portal to a mysterious otherworld," says Foster. "Even though we generally flush things down, it would not seem surprising for something mysterious to come up through the toilet.” A hand reaching up through the toilet is just one of the possible creep-outs a Japanese bathroom ghost might visit on someone.

Toire no Hanako-san

One of the best-known of Japan’s bathroom spirits is Toire no Hanako-san, or Hanako of the Toilet. Like all ghost stories, the details of Hanako’s origins vary somewhat from telling to telling, but in general, Hanako is said to be the ghost of a young girl who died around WWII, and now haunts school bathrooms. Usually described as wearing an out-of-fashion red dress and bob haircut, she can be summoned by going to the girl’s bathroom on the third floor, knocking on the third stall three times, and saying, “Are you there Hanako-san?” Depending on regional variations, Hanako will respond by saying, "Yes I am," or a ghostly hand will appear. If someone enters the stall, they could also be eaten by a three-headed lizard.

The last outcome notwithstanding, Hanako is generally just a spooky presence meant for a good scare. Hanako has appeared in numerous anime series and television shows, and is pretty much a star. “[The legend] is well known because it is essentially an ‘urban legend’ associated with schools all over Japan. Since the 1990s, it has also been used in movies, so it became part of popular culture not just orally transmitted or local folklore,” says Foster.

Kashima Reiko

Hanako is not the only young girl said to haunt the bathrooms of Japan. There is another legend of a young girl named Kashima Reiko, said to be the ghost of a girl who died when her legs were severed by a train. Her legless torso now haunts bathroom stalls, asking unlucky visitors, “Where are my legs?” The correct response, “On the Meishin Expressway,” could save your life. Otherwise, it’s said that she might tear a person’s legs off.

Kashima Reiko is a bathroom-centric variation of another Japanese ghost story known as “Teke Teke,” which also features the ghost of a young girl who was cut in half by a train. There's also a version of the Kashima Reiko story that suggests she will appear within one month to anyone who learns her story. This set-up probably sounds familiar to anyone who knows the popular Ring franchise, which Foster compares to the liminal aspect that makes bathrooms so ripe a setting for horror. “[Note] the classic J-horror film (and book) Ringu, in which Sadako is in a well; the association of the well as a mysterious place has precedents in earlier Japanese folklore. Also if we think about the imagery of Sadako coming out of a television set, we get the same idea that the television is a portal to another world; she literally crawls from another world into our own.”

Aka Manto

It’s not all scary little girls. One of the most gruesome of Japan’s bathroom ghosts is Aka Manto, or the Red Cape. Also sometimes called Aoi Manto (Blue Cape), or in some variations, Akai-Kami-Aoi-Kami (Red Paper, Blue Paper), this modern spirit is said to resemble a person completely covered by a flowing cape and hood, wearing a mask that hides an irresistibly handsome face. He is said to appear to people (usually in the last stall) as they are going to wipe, asking a strange question. Sometimes the spirit asks, “Red cape or blue cape?” or offers “Red paper or blue paper?” Choosing red will lead to Aka Manto flaying a person’s back (a red cape), or another gruesome, bloody death, while choosing blue will cause the spirit to suffocate you. Getting clever and choosing any other color will just cause you to be dragged to the underworld. The only way to escape Aka Manto’s punishment is to decline its offer entirely.

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Kappa

One of Japan’s most famous mythological creatures, the kappa is said to sometimes be found in bathrooms. “However, it is not specifically thought of as a bathroom spirit, but more generally as a creature associated with water—usually rivers or ponds. But there are a lot of legends in which the kappa appears in an outhouse, where it harasses people (especially women),” says Foster.

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Akaname

This goblinesque yōkai spirit is filthy and disheveled, with a long, protruding tongue, and according to Foster, it is primarily known for licking the filth off of bathtubs. While not seen as a particularly frightening creature, the image of a gross little sprite licking the dirt off of a tub is not exactly friendly.

Japan's bathroom spirits may appear to be uniquely ready to haunt your every bowel movement, but ultimately there are good reasons bathrooms everywhere tend to be a source of fear. “You are exposed and vulnerable—literally naked, at least in part—so there is a certain amount of danger or uncertainty associated with being there,” says Foster. “The bathroom is not a place you want to stay longer than necessary to complete the job you came to do.”

18 Jul 13:35

Texas Gov Trolled With Photo Op: “How Will The Potty Police Know I’m Transgender If The Governor Doesn’t?”

by Joe Jervis

The Associated Press reports:

A transgender Texan has posted an all-smiles photo with Gov. Greg Abbott to protest a “bathroom bill” that state lawmakers will again consider during a special legislative session beginning Tuesday.

Ashley Smith posed with Abbott after he announced his re-election campaign Friday in San Antonio. She later identified herself in the photo as “trans-woman” and posted it on Facebook with #BATHROOM BUDDY.

Smith, who has been active with groups opposing the bathroom bill, also posted: “How will the Potty Police know I’m transgender if the Governor doesn’t?” and received thousands of likes.

The post Texas Gov Trolled With Photo Op: “How Will The Potty Police Know I’m Transgender If The Governor Doesn’t?” appeared first on Joe.My.God..

17 Jul 16:10

My Hysterectomy Horror Story Is Why It Should Be Called ‘TrumpDoesn’tCare’

by Jonna Ivin

There’s nothing particularly unique or shocking about me getting a hysterectomy. Women get them all the time, for many different reasons. But I believe the manner in which my surgery is taking place — given that I am one of millions of Americans without insurance — needs to be shared.

In January 2017, I went through the process of signing up for ObamaCare (ACA). After putting in my financial information, I reached the end, where there were two apparently conflicting statements:

1. You qualify for Medicaid.
2. The State (Kansas) you live in opted out of the Medicaid expansion offered by the ACA.

Under that was a listing of the free-market insurance plans I had “access” to. The average cost was $600 a month. Let that sink in. My income is so low I qualify for Medicaid, but since the Republicans in control of Kansas opted out of Medicaid expansion, they are offering me in return “access” to $600-a-month insurance plans. My response, in short, was: What. The. Ever. Loving. Fuck?

Like most poor people, I can’t afford pride.

When I started to show symptoms (and, no, I'm not getting into details) that something was wrong, I went on the internet and started looking for some sort of option for me. I found a Federal program called Early Detection Works for breast cancer and cervical cancer screening. I called the number, gave my financial information, and qualified. I was sent to a clinic here in Wichita called Grace Med. After my exam, the nurse recommended I get an ultrasound.

But there was a problem: Early Detection Works doesn’t cover the cost of an ultrasound. I suppose it should be called “Early Detection Lets You Know There Is A Problem Then Lets You Sit And Stew With That Information.” (Not as catchy of a title, I know.)

I didn’t know what to do, so I contacted the hospital where I was scheduled to receive the ultrasound and was simply honest. I got lucky and connected with an extremely helpful woman in their financial aid department, who took all my financial information. In a few days, she called me back to tell me the hospital would cover the costs under their low-income program.

The results of my ultrasound came back and showed abnormalities, so I was back on the internet searching for options. I found a local program in Wichita called Project Access/Central Plains Healthcare, a charity for people without insurance. (If you’d like to donate to it, you can do so here.) After filling out the forms and once again relaying my financial history – which was embarrassing, but like most poor people, I can’t afford pride — I was accepted and referred to an OB/GYN named Dr. Hershberger. It was a random selection. Participants don’t choose the assigned doctor. It’s just who happens to be the next volunteer on the list.

Maybe it should be called ‘Early Detection Lets You Know There Is A Problem Then Lets You Sit And Stew With That Information.’

Once again, I was extremely lucky. My physician, who works with the Heartland Women's Group of Wichita, Kansas, turned out to be amazing. He listens. He pays attention. He explains everything. And, more importantly, he was willing to perform a hysterectomy for me at no cost. All of the doctors, nurses, staff, and hospitals working with this organization volunteer their time and facilities at no charge. That’s incredible — and at the same time, horribly sad. (Or, to paraphrase Trump, “Sad!”)

These wonderful doctors and nurses have to work harder, longer hours and pick up the slack for a government that is failing miserably. Now the politicians want to take away even more health care benefits. If “TrumpDoesn’tCare,” as I like to call it, passes, we’ll be seeing more and more citizens relying on charity or simply dying from preventable illnesses. All because there are politicians who care more about the wishes of the rich than the lives of the poor. (Yes, I’m looking at you, Paul Ryan.) This time, it was me taking months to track down a charity in order to get necessary medical attention. Next time, it might be you or someone you love.

Doctors and nurses have to work harder to pick up the slack for a government that is failing miserably.

Pharmaceutical and insurance companies are earning billions off American citizens being sick. The politicians who accept campaign contributions from these industries are doing everything they can to ensure the wealthiest billionaires, including the Trump family, keep their wealth, while the poor working and middle classes get less and less. This should disgust everyone, and I’m not sure why it doesn’t.

The GOP has announced that it will be pushing the latest health care bill through the Senate soon. But Republicans aren’t pushing through a health care plan — depending on what happens with proposed tax cuts in the bill, they may actually be pushing through a “tax care” plan for the wealthiest select few at the top. The people who will ultimately suffer under this will be regular working class people, your loved ones, your family, friends, your neighbors.

After my surgery, I’ll recover, and I’ll be fine simply because I got lucky. But eventually luck runs out and action has to take place. Please do everything you can to fight this awful bill.

14 Jul 02:43

Defunding Planned Parenthood Led to More Teen Abortions and Unintended Pregnancies

by David G. McAfee
Donald Trump and other Republicans are trying to defund Planned Parenthood nationwide, but Texas has already gone down that road and it ended with -- wait for it -- more teen abortions in the state.shutterstock_549156802
14 Jul 02:42

There Are Good Reasons for Male Circumcision (Debunked)

by Hemant Mehta
Are there any good reasons for boys to be circumcised?You might agree that religious and cultural traditions are bad reasons to keep doing it, but what about all those health benefits? Doesn't circumcision improve male hygiene, prevent UTIs, and decrease the risk of HIV?YouTuber Stephen Woodford addresses all of those concerns in this video.Screen Shot 2017-07-13 at 6.19.59 PM
13 Jul 18:37

UNPOSSIBLE: Rick Perry Out-Stupids Rick Perry

by Joe Jervis

Business Insider reports:

On Thursday, US Secretary of Energy Rick Perry flubbed one of the most fundamental lessons of modern economics. “Here’s a little economics lesson: supply and demand. You put the supply out there, and the demand will follow,” he said at a coal plant, according to Taylor Kuykendall, an energy reporter at S&P Global Market Intelligence. Contemporary mainstream economists generally agree that the reverse is true: demand is the driver.

The post UNPOSSIBLE: Rick Perry Out-Stupids Rick Perry appeared first on Joe.My.God..