The Challenge of Our Times
Cheers,
Colin
A political philosopher's reflections on politics, philosophy, science, medicine and law. "Enlightenment is man's emergence from his self-incurred immaturity" (Immanuel Kant, 1784).
Growing old seems intimately linked with decline. Ageing, the accumulation of damage to molecules, cells and tissues over a lifetime, often leads to frailty and malfunction. Old age is the biggest risk factor for many diseases, including cancer and cardiovascular and neurodegenerative diseases.
The realization that time does not have to take its toll came with the discovery of mutant nematodes that far outlived their normal fellow worms. Not only did they live substantially longer, but they seemed to stay younger for longer too. And, remarkably, a single mutation in a single gene was all it took to slow down the wheels of time.
It is now clear that by tinkering with particular signalling pathways and by balancing nutrition, the lifespan of many organisms, including yeast, worms, flies and mice, can be extended. Crucially, the same tweaks often bring about substantial health benefits and seem to delay the onset of age-related diseases. Most of the pathways involved are evolutionarily conserved, so it is likely that some of this research will eventually benefit human health.
The number of people aged 60 years and older is growing rapidly worldwide. So keeping the elderly healthy has to be high on the list of priorities. Ageing research is clearly gaining momentum, as the reviews in this Insight testify, bringing hope that at some time in the future we will be able to keep age-related diseases at bay by suppressing ageing itself. As ageing will affect us all sooner or later, we hope that you will find this collection informative and stimulating.
Is the happy life characterized by shallow, happy-go-lucky moments and trivial small talk, or by reflection and profound social encounters? Both notions—the happy ignoramus and the fulfilled deep thinker—exist, but little is known about which interaction style is actually associated with greater happiness (King & Napa, 1998). In this article, we report findings from a naturalistic observation study that investigated whether happy and unhappy people differ in the amount of small talk and substantive conversations they have.
....Together, the present findings demonstrate that the happy life is social rather than solitary, and conversationally deep rather than superficial. What makes these findings especially compelling is the lack of method overlap between the well-being measures (self- and informant reports) and the interaction measures (direct observation). Also, the replication of findings across measures of well-being and across weekday and weekend behavior is encouraging.
Naturally, our correlational findings are causally ambiguous. On the one hand, well-being may be causally antecedent to having substantive interactions; happy people may be “social attractors” who facilitate deep social encounters (Lucas & Dyrenforth, 2006). On the other hand, deep conversations may actually make people happier. Just as self-disclosure can instill a sense of intimacy in a relationship, deep conversations may instill a sense of meaning in the interaction partners. Therefore, our results raise the interesting possibility that happiness can be increased by facilitating substantive conversations (Sheldon & Lyubomirsky, 2006). Future research should examine this possibility experimentally.
Remarking on Socrates’ dictum that “the unexamined life is not worth living,” Dennett (1984) wrote, “The overly examined life is nothing to write home about either” (p. 87). Although we hesitate to enter such delicate philosophical disputes, our findings suggest that people find their lives more worth living when examined―at least when examined together.
Perhaps it is best to view some patterned principles of distributive justice as rough rules of thumb meant to approximate the general results of applying the principle of rectification of injustice. For example, lacking much historical information, and assuming (1) that victims of injustice generally do worse than they otherwise would and (2) that those from the least well-off group in the society have the highest probabilities of being the (descendants of) victims of the most serious injustice who are owed compensation by those who benefited from the injustices (assumed to be those better off, though sometimes the perpetrators will be others in the worst-off group), then a rough rule of thumb for rectifying injustices might seem to be the following: organize society so as to maximize the position of whatever group ends up least well-off in society. (Nozick, 1974, p. 231)
The provision of adequate health care is one of the major challenges for modern societies. It is an especially tough task in developing countries with limited resources and insufficient capacity. Obstacles are even encountered at the conceptual level: For example, a traditional misconception is that spending on health is a social burden, instead of being a strategic investment essential for each nation's socioeconomic development. According to economic analyses, health system innovations will not only improve livelihoods but also boost internal consumption and job opportunities. But these innovations cannot succeed without the strong support of science.
Both the biomedical and social sciences will be critical for developing sound policies that reshape health care systems. In China, with its fast-aging populace and a disease burden increase associated with urbanization and industrialization, science must drive an evidence-based analysis of the cost-effectiveness of drugs and medical technologies to enable effective and affordable prevention, diagnoses, and treatments. Science also facilitates the evaluation of the performance of health care institutions to ensure quality services. And science can drive a national innovation strategy. Thus, the education of medical professionals, training of regulatory teams, and fostering of biotechnology talents can be leveraged through Internet-based platforms that reach remote areas.
....To fulfill these missions, visionary policies are needed to support capacity-building in science and encourage translational research in multidisciplinary clinical studies, health system innovation, and health industry growth.
In Massachusetts, a state law passed prior to the 1996 presidential elections mandated longer hours for polling stations. Implementing this tiny amendment to the law cost Massachusetts taxpayers $800,000. In California, where a study of electoral expenses was commissioned by the state government, the cost of any statewide election (whether presidential, senatorial, gubernatorial, etc.) runs around $45–50 million. This is also true for any referendum requiring a separate ballot. Printing and mailing costs for voter guides alone, including those printed in Spanish as well as English, can range from $3 million to $12 million. In California, the cost per voter is estimated to run from $2 to $5, depending on each municipality’s voting system (Holmes and Sunstein, 1999, p. 114).
To understand human behavior, it is important to know under what conditions people deviate from selfish rationality. This study explores the interaction of natural survival instincts and internalized social norms using data on the sinking of the Titanic and the Lusitania. We show that time pressure appears to be crucial when explaining behavior under extreme conditions of life and death. Even though the two vessels and the composition of their passengers were quite similar, the behavior of the individuals on board was dramatically different. On the Lusitania, selfish behavior dominated (which corresponds to the classical homo economicus); on the Titanic, social norms and social status (class) dominated, which contradicts standard economics. This difference could be attributed to the fact that the Lusitania sank in 18 min, creating a situation in which the short-run flight impulse dominated behavior. On the slowly sinking Titanic (2 h, 40 min), there was time for socially determined behavioral patterns to reemerge. Maritime disasters are traditionally not analyzed in a comparative manner with advanced statistical (econometric) techniques using individual data of the passengers and crew. Knowing human behavior under extreme conditions provides insight into how widely human behavior can vary, depending on differing external conditions.