Author: Evan Rose

Democrats Must Not Repeat The Mistakes Of Globalization

The New York Times 

Last September, tech’s biggest names trekked to Capitol Hill for a forum on artificial intelligence. In a meeting closed to journalists, executives briefed nearly two-thirds of the Senate on the future of A.I. A few respected labor and civic leaders were present, but the tech titans dominated the headlines.

There’s an assumption in Silicon Valley that the first trillionaire may well be an A.I. entrepreneur, so tech leaders were eager to share their thoughts on some rules of the road. They warned of killer robots and the “Terminator” scenario, of misinformation and fake videos but gave short shrift to broader issues of economic fairness and wealth disparity that are of more urgent concern to most Americans.

Watching Mark Zuckerberg, Bill Gates and Sam Altman lead a confab on the ethical principles and regulations that should guide A.I. development was reminiscent of Davos conferences in the 1990s and early 2000s.

You remember the story that those Davos conferences broadcast to the world: Everyone will be able to get a knowledge job. Consumer goods will become cheaper. Globalization coupled with the internet will lead to prosperity for everyone.

Well, it didn’t quite work out that way.

What these Davos participants missed was how unfettered globalization hollowed out the working class here at home. We are all familiar with the consequences now: shuttered factories and rural communities that never saw the promised jobs materialize. As the American dream slipped away from them, many people developed deep and justified resentment. They saw the obscene concentration of wealth and opportunity in districts like mine in the heart of Silicon Valley. The evangelists for the new economy were prescient about the wealth generation that globalization and the internet would unleash but wrong that it would increase economic opportunities for all Americans.

Like globalization, A.I. will undoubtedly bring benefits — tremendous benefits — to our economy, with higher productivity, personalized medicine and education and more efficient energy use. Generative A.I. has the potential to help those with fewer resources or experience quickly learn and develop new skills. The real challenge, though, is how to center the dignity and economic security of working-class Americans during the changes to come. And unlike the Industrial Revolution, which spanned half a century at least, the A.I. revolution is unfolding at lightning speed.

Today the Democratic Party is at a crossroads, as it was in the 1990s, when the dominant wing in the party argued for prioritizing private-sector growth and letting the chips fall where they may. The criticism of this approach offered around that time by Senator Paul Wellstone, Senator Russ Feingold and Representative Bernie Sanders (as he was then) — that the offshoring globalization debacle was not helping the working class and was, in fact, hurting it — was largely ignored.

When it comes to A.I., the fault lines for the Democratic Party similarly run between business and labor, between donors and grass-roots activists and between those concerned foremost with our global competitiveness and those concerned with the economic well-being of the working class.

The tension between business and labor became clear in the battle over proposed legislation in California, A.B. 316, which divided me and many California legislators from Gov. Gavin Newsom. The bill would have required, for at least five years, a human driver on board self-driving trucks weighing more than 10,000 pounds that are transporting goods or passengers.

Tech companies argue that replacing human drivers with A.I. is feasible, will reduce labor costs and will therefore make it cheaper to transport goods and services. They lobbied heavily against the bill. The bill nonetheless passed overwhelmingly, with support from more than 80 percent of the California Legislature and more than 70 percent of California voters. Unfortunately, Mr. Newsom sided with the business advocates in September and vetoed the bill.

I supported A.B. 316 because drivers say it’s currently an unnecessary risk to have large trucks on public roads without a human on board. This is especially true if there is extreme weather, hazardous conditions or heavy cargo on board. No one understands the safety risks at play here better than the drivers themselves, and it’s both foolish and insulting to suggest they would make up such concerns to keep jobs that do not add value. We wouldn’t trust planes to fly without pilots, even with the most sophisticated and well-tested autopilot systems, and we shouldn’t trust large trucks to drive without operators.

It’s not just the A.I. concerns of truck drivers that are causing divides in the Democratic coalition. Last summer, some California politicians were hesitant to support the Writers Guild of America strike publicly, given Hollywood’s cultural importance and fund-raising power. I was proud to join the picket line. As in the case of self-driving trucks, the issue comes down to giving workers a say.

Writers were intrigued by the ways A.I. could help as a research tool and unlock new potential for movies and TV but were concerned that studios might rush to use A.I. to write cookie-cutter scripts and sacrifice imagination and creativity on the altar of profits. It’s better for writers, not executives, to slowly discover the best uses of A.I. in entertainment. In their new contract with the studios, the writers won important A.I. guardrails concerning credits and compensation — protections that can evolve over time. Even though writers’ jobs are very different from truck drivers’ jobs, labor solidarity is one of the few countervailing forces that can blunt the dehumanization of work motivated by short-term profit maximization in a world where A.I. is capable of suddenly disrupting both blue- and white-collar work.

That said, workers need more than just a voice and guardrails. They should also share in company profits, whether they are working for a trucking company, a production studio or a car manufacturer. Like many chief executives, workers should receive compensation based on profits and the company’s performance, not solely hours worked. It’s the only way workers can fully thrive as A.I. increases America’s productive capacity.

Of course, there are Beltway skeptics of pro-labor policies. What about the threat that leading A.I. companies will flee to China if we pay workers here more? they ask. Don’t raise worker bonuses or have them share in profits, or we’ll lose the global race, they warn. We caved to that blackmail in the 1990s and 2000s, and look where it has landed us. Ordinary Americans are tired of hearing about abstract notions of our global competitiveness while their pay doesn’t keep up and their costs of living rise.

There are already reports that A.I. could displace tens of thousands of jobs this year at big companies, potentially causing damage to their culture and their local communities — and starting a concerning trend. A work force committee at each company should weigh in on how A.I. could help employees better do their existing jobs, whether new hiring should slow down and what new credentialing or roles for affected employees could look like before restructuring and letting people go.

This is not to dismiss the need for dynamism, fluidity and flexibility in our markets. American companies must continue to adopt cutting-edge technology. These technologies can unleash a manufacturing revolution here at home — which America should celebrate, in part because jobs in the trades that require craftsmanship appear less likely to be eliminated. It’s a development that can reverse the decline of new American factories. Even so, federal policy should require public companies to have active worker participation when making decisions on how A.I. will change jobs that have functions that might be automated and provide tax incentives to companies that give workers a direct stake in their profits.

Here’s the balance we need to strike. We should encourage disruptive innovation at our universities, start-ups and even large companies but prioritize the perspective and earnings of workers in the adoption of any such technology that develops. This is a vision for democratic innovation that will still allow us to compete economically and militarily but not at all human costs. Democratic innovation recognizes that the need for social cohesion may be the ultimate determiner of the success of the American experiment and American leadership.

The Democratic Party cannot claim to be the party of the working class if we allow A.I. to erode the earnings and security of the working class. The party can be forgiven once for the mistake of abetting globalization to run amok, just not twice.

Technologies — our technologies — are meant to complement and enhance human initiative, not subordinate or exploit it. We must push for workers to have a decision-making role in how and when to adopt technologies, and we must insist on workers’ profiting from the implementation of these technologies. Our generational task is to ensure that A.I. is a tool for lessening the vast disparities of wealth and opportunity that plague us, not exacerbating them.

Ro Khanna, who represents the 17th Congressional District in California, which includes Silicon Valley, is the author of “Dignity in a Digital Age: Making Tech Work for All of Us.”

An Odd Silence At The End Of Humanity’s Hottest Year…Yet

The world—its politics, its economy, and its journalism—has trouble coping with the scale of the climate crisis. We can’t quite wrap our collective head around it, which has never been clearer to me than in these waning days of 2023.

Because the most important thing that happened this year was the heat. By far. It was hotter than it has been in at least 125,000 years on this planet. Every month since May was the hottest ever recorded. Ocean temperatures set a new all-time mark, over 100 degrees. Canada burned, filling the air above our cities with smoke.

And yet you really wouldn’t know it from reading the wrap-ups of the year’s news now appearing on one website after another.

Earlier today, for instance, the Times published an essay by investment banker and Obama consigliere Steven Rattner on “ten charts that mattered in 2023.” That’s the most establishment voice imaginable, in the most establishment spot. And the global temperature curve did make the list—at #10, well behind graphs about the fall in inflation, the president’s approval levels, the number of Trump indictments, the surge in immigrants, and the speed with with the GOP defenestrated Kevin McCarthy.

Indeed, yesterday the Times and the Post both published fine stories about 2023’s record temperatures, but they were odd: in each case, they centered on whether the year was enough to show that the climate crisis was “accelerating.” It’s an interesting question, drawing mainly on a powerful new paper by James Hansen (one that readers of this newsletter found out about last winter), but the premise of the reporting, if you take a step back, is kind of wild. Because the climate crisis is already crashing down on us. It doesn’t require “acceleration” to be the biggest—by orders of magnitude—dilemma facing our species.

In a sense, though, that’s the problem. Those stories in the Times and Post were a way to search for a new angle to a story that doesn’t change quite fast enough to count as news. (In geological terms, we’re warming at hellish pace; but that’s not how the 24/7 news cycle works.) It’s been record-global-hot every day for months now: the first few of those days got some coverage, but at a certain point editors, and then readers, begin to tune out. We’re programmed—by evolution, doubtless, and in the case of journalism by counting clicks—to look for novelty and for conflict. Climate change seems inexorable, which is the opposite of how we think about news.

The war in Gaza, by contrast, fits our defintions perfectly. It is an extraordinary tragedy, it changes day by day, and it is the definition of conflict. And perhaps there’s something we can do about it (which is why many of us have been trying to build support for a ceasefire). So, rightly, it commands our attention. But in a sense, it is the very familiarity of the war that makes it easy for us to focus on it; “mideast conflict,” like “inflation” or “presidential elections,” is an easily-accessed template in our minds. The images of the horror make us, as they should, feel uncomfortable—but it’s a familiar discomfort. The despair, and the resolve, we feel are familiar too; even the subparts of the story fit into familiar grooves (a New York Times reader would be forgiven for thinking the main front of the war is being played out in Harvard Yard, between free speech advocates and cancel culture warriors). Next year seems likely to be another orgy of familiarity: Joe Biden and Donald Trump, yet again.

Climate change has its own familiar grooves—above all the fight with the fossil fuel industry, which played out again at COP 28 in Dubai. But so much of the story is actually brand new: as this year showed, we’re literally in uncharted territory, dealing with temperatures no human society has ever dealt with before. And to head off the worst, we are going to require an industrial transition on a scale we’ve never seen before: there were signs this year that that transition has begun (by midsummer we were installing a gigawatt worth of solar panels a day) but it will have to go much much faster.

These changes—the physical ones, and the political and economic ones—are almost inconceivable to us. That’s my point; they don’t fit our easy templates.

And the point of this newsletter, now and in the years to come, is to try and explain the speed of our crisis, and explain what it dictates about the speed of our response. It’s a story I’ve been trying to put into perspective for 35 years now (the End of Nature was published in 1989, the first book about this crisis) and I’ll keep looking for new ways in. As the climate scientist Andrew Dessler put it in one year-end account, “The only really important question is, ‘How many more years like this we have to have before the reality of how bad climate change is breaks into the public’s consciousness?'”

Thank you for being part of this ongoing effort to break into that consciouness, and—well, happy new year. It’s coming at us, we might as well make it count.

In other energy and climate news:

+The LNG export fight has finally broken through into the big papers. The Times assigned three reporters to the story, and they published a long-awaited account the day after Christmas, under the headline “A Natural Gas Project Is Biden’s Next Big Climate Test.”

The decision forces the Biden administration to confront a central contradiction within its energy policies: It wants nations to stop burning the fossil fuels that are dangerously heating the planet and has heralded a global agreement reached in Dubai earlier this month to transition away from fossil fuels. But at the same time, the United States is producing record amounts of crude oil, is the leading exporter of liquefied natural gas and may approve an additional 17 export facilities, including CP2.

Since early September, activists have lit up TikTok and Instagram, delivered petitions to the Biden administration and met directly with senior White House climate officials to urge Mr. Biden to reject CP2. Jane Fonda recorded a video for Greenpeace calling on the public to work against the project.

“We have enough gas and export terminals to supply everything in the world right now,” said Naomi Yoder, a staff scientist at Healthy Gulf, one of many local groups working to stop the construction of new natural gas infrastructure in the area. “There is no need for additional facilities.”

+A favorite video to end the year. The New York City Labor Chorus, with Jeffrey Vogel doing much of the work, has redrafted the Hallelujah Chorus to be about our beautiful if troubled earth. Enjoy

 

The Economic Growth Equation & The Great 2023 Book Review

We start by breaking down the mathematical formula to economic growth before moving to my best reads of 2023… and a sneak peek of a book coming out in 2024!

 

Can We Still Find Common Ground?

Many Americans today worry that our nation is losing its national identity. Some claim loudly that the core of that identity requires better policing of our borders and preventing other races or religions or ethnicities from supplanting white Christian America.

But that is not what defines our national identity. It’s the ideals we share, the good we hold in common.

That common good is a set of shared commitments. To the rule of law. To democracy. To tolerance of our differences. To equal rights and equal opportunities for everyone. To upholding the truth.

We cannot have a functioning society without these shared commitments. Without a shared sense of common good, there can be no “we” to begin with.

If we’re losing our national identity, it is because we are losing our sense of the common good. That is what must be restored.

Some of you may feel such a quest to be hopeless. Well, I disagree.

Almost every day, I witness or hear of the compassion and generosity of ordinary Americans. Their actions rarely make headlines, but they constitute much of our daily life together.

The moral fiber of our society has been weakened but it has not been destroyed.

 

 

We can recover the rule of law and preserve our democratic institutions by taking a more active role in our democracy.

We can fight against all forms of bigotry. We can strengthen the bonds that connect us to one another.

We can protect the truth by using facts and logic to combat lies.

Together, we can rebuild a public morality that strengthens our democracy, makes our economy work for everyone, and revives trust in the institutions of the nation

America is not made great by whom we exclude but by the ideals we uphold together.

We’ve never been a perfect union. Our finest moments have been when we have sought to live up to those shared ideals.

I hope you’ll join me in carrying forward the fight for the common good.

You might start by sharing this video with your friends and loved ones.

We Need To Talk About The United States’ Mental Health Crisis – And Its Larger Causes

The suicide rate is at its highest since 1941. In addition to a stronger safety net, we must face hard truths about US society.

I want to talk about an uncomfortable topic that needs much more open discussion than it’s receiving: the United States’ extraordinarily high level of anxiety.

A panel of medical experts has recommended that doctors screen all patients under 65, including children and teenagers, for what the panel calls anxiety disorders.

Lori Pbert, a clinical psychologist and professor at the University of Massachusetts Chan medical school, who serves on the panel, calls mental health disorders “a crisis in this country”.

A recent New York Times article discussed what’s called “persistent depressive disorder”, or PDD, which an estimated 2% of adults in the United States have experienced in the past year.

Nearly 50,000 people in the US lost their lives to suicide last year, according to a new provisional tally from the National Center for Health Statistics. (The agency said the final count would probably be higher.)

The suicide rate, now 14.3 deaths per 100,000 Americans, has reached its highest level since 1941, when the US entered the second world war.

Men aged 75 and older had the highest suicide rate last year, at nearly 44 per 100,000 people, double the rate of people aged 15-24. While women have been found to have suicidal thoughts more commonly, men are four times as likely to die by suicide.

Suicide rates for Native Americans are almost double the rates for other Americans.

(Some good news: suicide rates for children aged 10 to 14 have declined by 18%, and for those between 15 and 24 by 9%, bringing suicide rates in those groups back to pre-pandemic levels.)

What’s going on?

Maybe the widespread anxiety and depression, along with the near record rate of suicide, should not be seen as personal disorders.

Maybe they should be seen – in many cases – as rational responses to a society that’s becoming ever more disordered.

After all, whose notconcerned by the rising costs of housing and the growing insecurity of jobs and incomes?

Who (apart from Trump supporters)isn’tterrified by Trump’s attacks on democracy, and the possibility of another Trump presidency?

Who doesn’tworry about mass shootings at their children’s or grandchildren’s schools?

Who isn’taffected by the climate crisis?

Add increasingly brutal racism. Mounting misogyny. Anti-abortion laws. Homophobia and transphobia. Attacks on Asian Americans, Hispanic Americans, Jews, Arab Americans and other minority groups. And the growing coarseness and ugliness of what we see and read in social media.

Consider all this and it would almost be stranger if you weren’t anxious, stressed and often depressed.

Studies show that women have nearly double the risk of depression as men. Black people also have higher stress levels – from 2014 to 2019, the suicide rate among Black Americans increased by 30%.

Are women and Black people suffering from a “disorder”? Or are they responding to reality? Or both?

White men without college degrees are particularly vulnerable to deaths from suicide, overdoses and alcoholic liver diseases, with contributions from the cardiovascular effects of rising obesity.

Are they suffering from a “disorder”, or are they responding to a fundamental change in American society? Or both?

In their book Deaths of Despair and the Future of Capitalism, economists Anne Case and Angus Deaton argue that “the deaths of despair among whites would not have happened, or would not have been so severe, without the destruction of the white working class …”

Part of the problem, they say, is that the less educated are often underpaid and disrespected, and feel that the system is rigged against them.

Even if we had far more mental health professionals, what would they do against these formidable foes? Prescribe more pills? If anything, Americans are probably already overmedicated.

Don’t get me wrong. I’m not arguing against better access to mental health care. In fact, quite the opposite. Increased staffing and improved access to mental health care are very much needed.

Mental health care is harder to find now than before the pandemic. About half of people in the US live in an area without a mental health professional, federal data shows, and some 8,500 more such professionals would be needed to fill the gap. Most people rely on family doctors for mental health care.

Officials are trying to widen familiarity with a national suicide and crisis lifeline that last year received a nationwide number, 988.

But in addition to providing more and better access to mental health care, and a suicide and crisis hotline, shouldn’t we try to make our societyhealthier?

Americans experience the least economic security of the inhabitants of any advanced nation. A healthy society needs more job security and stronger safety nets.

The distribution of income and wealth in the United States is the most unequal of any other advanced nation. A healthy society ensures that no one working full-time is poor, and levies high taxes on the wealthy to help pay for what society needs.

Guns and assault weapons are easier to buy in the United States than in any other advanced nation. A healthy society bans assault weapons and makes it difficult to buy guns.

A lower percentage of Americans has access to affordable medical care than in any other advanced nation. A healthy society keeps its people healthy.

The United States puts more carbon dioxide into the air per capita than almost any other advanced nation. A healthy society better protects the environment.

Big money plays a larger role in American politics than it does in almost any other advanced nation. A healthy society does not allow big money to buy politicians.

Some American politicians – like Donald Trump – gain power by stirring up racism, xenophobia and homophobia. A healthy society does not elect these sorts of people.

The list could be much longer, but you get the point. The anxiety disorders suffered by Americans are real, and they apparently are growing. But instead of regarding them solely as personal disorders, maybe we need to understand them at least partly as social disorders – and get to work remedying them as a society.

Granted, it would be difficult to achieve any of these criteria for a healthy society.

But without seeking to achieve them, no number of mental health professionals, and no amount of medications or hotlines, will be enough to substantially reduce the stress, anxiety, depression and suicidal thoughts that so many Americans are now experiencing.

In the US, you can call or text the National Suicide Prevention Lifeline on 988, chat on 988lifeline.org or text HOME to 741741 to connect with a crisis counselor. In the UK and Ireland, Samaritans can be contacted on freephone 116 123, or email jo@samaritans.org or jo@samaritans.ie. In Australia, the crisis support service Lifeline is 13 11 14. Other international helplines can be found at befrienders.org

A Line In The Arctic Tundra

In September, President Joe Biden strengthened his standing as the most climate-ambitious president in our history. In a brave move, Biden canceled each and every oil- and gas-drilling lease in the Arctic National Wildlife Refuge—a response to Donald Trump’s illegal approval of leases there in the waning days of his administration.

It was a game-changing decision that will go a long way toward protecting Alaskan landscapes, Alaska Natives’ traditional ways of life, and the climate. But canceling leases is one thing; permanently protecting the Arctic’s ancient lands and waters is another. To do that, we need far more action from this administration.

It’s hard to understand just how big the Arctic Refuge is if you haven’t been there. At more than 19 million acres, it’s the largest wildlife refuge in the country. Its lands and waters, from rolling hills to vast plains to snowcapped mountains, have been left largely untouched by industry. I was left in awe upon experiencing just a tiny portion of this amazing place last summer. The majestic beauty of the refuge has left an indelible mark on my mind. The freedom from oil and gas extraction has allowed these landscapes to support wildlife and Alaska Native communities like the Gwich’in people since time immemorial. But oil companies are ready to destroy all this to pad their bottom lines.

That’s been Big Oil’s dream for decades—to replace the herds of Porcupine caribou with pumpjacks. As far back as the 1970s, supporters of Big Oil in Congress have had their sights on the Arctic Refuge. And for decades, the Gwich’in and their allies, including the Sierra Club, have worked to preserve those landscapes. With Biden’s cancelation of leases in the refuge, we won a major battle—though not a permanent one—in that struggle.

The truth is, we can’t stop now. Biden’s cancelations will last for the length of his administration, but they could be undone by a future Republican administration. Right now, leading Republicans are calling to not just restore those leases but to open up even more Arctic lands for oil and gas drilling. Combine that with the environmental and climate consequences of Biden’s misguided approval for ConocoPhillips’s Willow project on the North Slope and the situation facing the Arctic could go from cautiously optimistic to catastrophic overnight.

What we need are stronger protections that ensure the lands and waters of the Arctic are preserved for generations to come. The Biden administration has several immediate opportunities to help achieve that. The Department of the Interior can use the regular environmental impact statements that determine the management of the Arctic Refuge to limit the acreage open to oil and gas leasing to the smallest amount allowed. The agency can also develop a new administrative rule phasing out drilling in the Western Arctic, another reserve of millions of acres of public lands. Protecting these areas would not only preserve lands, wildlife, and Alaska Native communities but also get us much closer to achieving the goal of protecting 30 percent of all lands and waters by 2030.

To its credit, the Biden administration has taken promising steps, but the real, and necessary, goal remains unchanged and unfulfilled: ending all new oil and gas leasing in the Arctic. The White House has flirted with this, from the lease cancelations to making the Arctic Ocean off-limits for drilling. Now is the time to draw the line in the tundra and end leases in the Arctic once and for all.

We’re at a critical moment. This year will likely be the hottest year in history, and temperatures in 2024 could easily break new records. The Arctic is on the front lines of climate change. It’s also on the front lines of climate action. The decisions we make there reverberate beyond those landscapes—for good and for ill. We need President Biden to make the right call.

Inquiry Finds Pharmacies Fail To Protect The Privacy Of Americans’ Medical Records

Many Major Pharmacy Chains Provide Prescription Records to Law Enforcement Agencies Without A Court Order; Birth Control, Mental Health And Other Sensitive, Personal Conditions Can Be Revealed

Washington, D.C. – Senate Finance Committee Chair Ron Wyden, D-Ore., with Rep. Pramila Jayapal, D-Wash., and Rep. Sara Jacobs, D-Calif., revealed that major pharmacy chains fail to protect the privacy of their customers, in the results of a new inquiry released today. The members called on the Department of Health and Human Services to improve federal health privacy regulations to better protect Americans’ prescriptions and other health records held by pharmacies, and to conduct follow-up pharmacy privacy policy surveys and publish the findings.

Wyden, Jayapal and Jacobs began their inquiry following the Dobbs Supreme Court decision that repealed Roe v. Wade. They asked eight major pharmacy chains — CVS Health, Walgreens Boots Alliance, Cigna, Optum Rx, Walmart Stores, The Kroger Company, Rite Aid Corporation, and Amazon Pharmacy — how the companies handle law-enforcement requests for prescription and other health records. These findings reaffirm the importance of revising federal privacy regulations to require a warrant for law enforcement demands for Americans’ medical records, so that Americans’ medical records would receive the same protections under federal law as their emails and location data, as 47 members of Congress called for in a July letter.

“Americans’ prescription records are among the most private information the government can obtain about a person,” the members wrote to HHS Secretary Xavier Becerra. “They can reveal extremely personal and sensitive details about a person’s life, including prescriptions for birth control, depression or anxiety medications, or other private medical conditions.”

The members found that none of the major pharmacies require a warrant to share prescription records with law enforcement agencies, unless there is a state law that requires one. They also found that only CVS Health had committed to publish annual transparency reports about law-enforcement requests for records. During the inquiry Walgreen Boots Alliance and The Kroger Company also agreed to produce transparency reports.

The inquiry also found that three companies — CVS Health, the Kroger Company and Rite Aid — said they do not require demands for records to be reviewed by a lawyer or paralegal. Instead, pharmacy staff are instructed to respond immediately to law enforcement demands. Finally, only Amazon Pharmacy has a policy of notifying customers about law enforcement demands for records, absent a legal prohibition on doing so.

Wyden, Jayapal and Jacobs called on HHS Secretary Becerra to update federal health privacy regulations in light of their findings.

“Americans deserve to have their private medical information protected at the pharmacy counter and a full picture of pharmacies’ privacy practices, so they can make informed choices about where to get their prescriptions filled,” the members wrote. “Our oversight has uncovered significant differences between the practices of major pharmacy chains under current HIPAA regulation and this initial inquiry resulted in immediate policy changes at some of these companies. If the landscape were made clearer, patients will finally be able to hold pharmacies with neglectful practices accountable by taking their business elsewhere.”

Read the full letter here.

Compare each pharmacy’s privacy practices here.

Who Will Win And Lose The AI Revolution?

As artificial intelligence advances, it poses an even bigger threat to all kinds of workers.

Former Secretary of Labor Robert Reich warns that AI will not just displace manufacturing jobs, but also workers in the knowledge economy.

Reich also predicts AI will be able to perform many professional jobs at least as well as humans and far more efficiently, leading to widespread job losses across the workforce.

Columbia University economics professor Jeffrey Sachs predicts workers will need to adapt to new skills and roles to thrive in the changing economy.

“A lot of people are going to find that the jobs that they had been remunerated for in the past are not going to be the jobs in the future,” said Sachs.

Watch the below video to see the full interviews with Jeffrey Sachs and Robert Reich.

 

Moody’s Analytics chief economist Mark Zandi, however, cautions against overreacting to the potential job displacement caused by AI. Zandi points to past examples of game-changing technologies that took years, even decades, to fully integrate into business practices. He suggests AI will follow a similar pattern, gradually affecting the job market over an extended period.

“Generally, it happens over periods of several years, even a couple decades,” said Zandi.

According to economist Mariana Mazzucato, a professor at University College London, inclusive and sustainable growth is particularly important in the context of AI, as these technologies have the potential to exacerbate existing inequalities if not carefully harnessed.

“How can we make sure these algorithms take into account issues that we know we care about?” said Mazzucato. “What kind of planet do we want to be living on? What kind of growth do we care about? Is it just growth for growth’s sake? Or is it inclusive and sustainable growth?” she asked.

– Above text by Jack Hillyer

 

Words Matter. Especially In Public Health

America Dissected – Episode 215:

It’s not only what you say — it’s how you say it. And that’s often where public health gets it wrong. Our producer Emma talks to a recovered anti-vaxxer about what ultimately brought him around. Then Abdul talks to Jessica Malaty Rivera, an epidemiologist and health communicator, about how far humility and accessible language can go to protecting health.

Dr. Abdul El-Sayed, narrating: The Texas State Supreme Court rules against an abortion for a non-viable pregnancy. The FDA approved a new therapy for sickle cell anemia. The first FDA approved therapy that uses CRISPR technology. The W.H.O. warns of impending public health disaster in Gaza as the death toll nears 20,000. This is America Dissected. I’m your host, Dr. Abdul El-Sayed. [music break] So much of what we say is about how we say it. And sometimes we don’t say it all that well. Our guest today is Jessica Malaty Rivera, an epidemiologist and health communicator. But this week, for our last episode of 2023, we wanted to do something different. To bring us some context for our discussion, our producer Emma went out into the field. She shared a conversation with Craig Idlebrook, a former anti-vaxxer. They talked about why he resisted getting his kid vaccinated and what ultimately brought him around.

 

Veterans’ Housing Case To Proceed In Federal Court

Concurring with arguments by several prominent constitutional and civil rights scholars, a federal judge has reversed himself and ruled that veterans can sue the Department of Veterans Affairs for housing they need to access healthcare and other VA benefits.

In a far-reaching ruling, U.S. District Judge David O. Carter also found that the leases of portions of the VA’s West Los Angeles campus to UCLA and a private school are not in compliance with the congressional requirement to “provide services that principally benefit veterans and their families.”

“It’s a historic ruling,” said Mark Rosenbaum, an attorney with the pro bono law firm Public Counsel, one of four firms that represented veterans in the case. “I think it’s the beginning of the end of veterans homelessness in Los Angeles and the nation.”

Carter urged lawyers representing the VA to reach a settlement with plaintiffs who are seeking to rewrite or suspend those leases and are demanding that the VA produce 3,700 units of housing within six months either on the campus or in leased housing nearby. Carter set a scheduling conference for Jan. 4 and said he would foresee a trial in June or July if the parties can’t reach an agreement.

“My hope is that this case never sees the inside of a courtroom again,” Rosenbaum said. “But if they are going to continue their war on veterans we’re going to go to court and we’re going to win.”

The lawsuit reprised an earlier one that ended with a 2015 agreement by the VA to build 1,200 units of housing on the campus with a commitment to complete more than 770 by the end of 2022. Only 54 of those units were completed by then, and by September only 233 were available.

In a statement to The Times, a spokesperson said that the VA does not comment on pending litigation but added that the agency has provided 1,464 homeless veterans with permanent housing this year and invested nearly $140 million over the last three years on infrastructure for the construction of the 1,200 units.

In filing the new lawsuit on behalf of 14 veterans in November, Rosenbaum acknowledged that the failure to include mechanisms to enforce that earlier agreement was an error. Public Counsel was joined by the Inner City Law Center, Brown Goldstein & Levy and Robins Kaplan.

An amended complaint broadened the case to a class action and added the U.S. Department of Housing and Urban Development and the Housing Authority of the City of Los Angeles as defendants, alleging that their policies provide too few rental subsidy vouchers for veterans while denying many disabled veterans access to the rent-restricted housing being constructed on the campus.

Veterans who receive disability are disqualified because the payments put them above the income threshold for apartments restricted to people making less than 30% of the area median income.

A tentative ruling by Carter in September found that the VA had a fiduciary duty to use the West L.A. campus primarily for housing and healthcare for disabled veterans but rejected, on technical grounds, the veterans’ claim that they could sue for housing under the federal Rehabilitation Act.

Carter said he tentatively agreed with lawyers representing the federal government that the Veterans’ Judicial Review Act, which created a separate court system to adjudicate veterans’ benefits claims, precludes the federal court from hearing claims under the Rehabilitation and Administrative Procedures acts.

However, after hearing oral arguments in September, he said he was likely to change his opinion and ordered the parties to file written arguments.

Lawyers for the veterans group Swords to Plowshares and the American Civil Liberties Union then filed friends of the court briefs in the case contending that the ruling would in effect deny veterans the right to use the courts to pursue injunctive relief for grievances over systemwide failures rather than the individual benefits covered by the veterans court.

“As a veterans service organization and advocacy group, some of the work that Swords to Plowshares does is in federal district court,” said the group’s attorney, Peter E. Perkowski. “It’s important for us to preserve access to that forum when the alternatives are unavailable or insufficient to provide relief for the clients and communities we serve.”

Six prominent legal scholars including UC Berkeley Law School Dean Erwin Chemerinsky and Harvard Law School professor Laurence H. Tribe joined in a friend of the court brief filed by the national ACLU.

Other scholars in the group were Yale Law School professors Michael J. Wishnie and Judith Resnik, USC Law School professor Adam Zimmerman, UCLA Law School professor David Marcus and Stanford Law School professor Pamela S. Karlan.

“You couldn’t come up with six or seven scholars of higher repute,” Rosenbaum said. “It’s obvious the court paid attention to what they have to say.”

The ACLU brief argued that the government’s position “would deprive Plaintiffs of a meaningful forum to air their claims,” adding that “the VA lacks the power to issue the full remedies Congress authorized for violations of the Rehabilitation Act.”

In a 41-page order, Carter emphatically sided with those arguments, as well as the plaintiffs’ right to sue the federal and local housing agencies for discrimination on the basis of disability.

“Perversely,” he wrote, “the more disabled a veteran, the less likely they are to receive a HUD- VASH voucher and become housed.”

He also addressed the VA leases, which he had not mentioned in the tentative ruling. The government, he wrote, had “not demonstrated that the Brentwood School leases 21 acres of athletic facilities in order to benefit veterans, rather than to provide premier athletic facilities for their students.”

If the lease was found to be consistent with the intent of Congress, “the entire West LA campus could be dismembered by private entities that provide marginal benefits to veterans,” he wrote.

Carter’s order directly addressed leases to the Brentwood school, a parking lot and an oil drilling operation. He did not mention UCLA, which built a baseball field on the VA property.

Rosenbaum said UCLA would be included in the settlement talks.

“We’re going to litigate all the leases,” he said. “They’re an example of the VA putting the interest of college baseball players and affluent high school students over the veterans who serve this nation.”

Though the lawsuit did not make a specific demand to amend or invalidate the leases, those demands will be on the table, said Rob Reynolds, a veterans’ housing advocate who has assisted in the lawsuit.

“I personally would like to see the leases invalidated,” Reynolds said. “The VA has been leasing off land that’s meant for housing decades and decades.”

Carter, who disclosed his status as a Marine veteran early in the case and has taken a hands-on role in a lengthy case that is forcing Los Angeles city and county to increase their homelessness initiatives, began his written analysis with an impassioned statement of the government’s failure to adequately address veteran homelessness.

“The number of unhoused veterans in Los Angeles is particularly shocking, even in the larger context of the area’s ongoing housing and homelessness crises, because the city boasts a unique property that was historically dedicated to housing veterans with disabilities,” he wrote.

Since the initial settlement of the lawsuit in 2015, he added, “the number of unhoused veterans in the area has more than tripled. It is unclear how many veterans have died on the streets of Los Angeles during that time, never having received housing or services.”

During a hearing Thursday, Carter posed provocative questions to the attorneys and, at one point, harked back to a time when the VA had thousands of veterans living there.

“Why isn’t this a home, a campus again for up to 4,000 or 3,000 people?” he asked.

In a lengthy closing soliloquy, he became philosophical.

Noting that all recent veterans were volunteers, he asked, “Do we owe a greater duty or not? By avoiding the draft, does that change the contractual relationship in terms of a fiduciary duty? Ask yourself that question.”

On the other hand, Vietnam veterans don’t have time to wait.

“If we stall this out, there’s a whole generation of people in their 70s and 80s who will just pass away without this issue being decided.”

He closed with a call to urgency.

“We’re the homeless veteran capital of the world right now,” he said. “So I don’t want to hear excuses about we can’t afford it. It’s the opposite. We can’t afford what’s happening right now, folks. That’s what we can’t afford.”