by Carol A Westbrook

A few weeks ago, I was sitting in a downtown doctor’s office, interviewing a potential concierge physician to see if we were compatible. I had decided it was time to make some changes in my health care, and for good reason. I’m in my 70’s, I’m handicapped, and I’m a physician, specializing in internal medicine and medical oncology.  But it’s been years since I had any professional training or kept up to date. The few times I’ve ended up in an emergency room I felt insecure, I couldn’t remember how to read an EKG or a chest X-Ray!  It was time for me to get another set of eyes on my health care, and find someone I could trust to oversee it. I need a primary care physician, and I’d like her to be someone whose philosophy of medical practice was similar to mine.

I had my Uber drop me at 680 N Lake Shore Drive. It was an impressive building, part of the old Northwestern Medical School. There was a lovely set of granite stairs with bronze railings, and flanking these on either side were ramps. I unfolded my walker and headed up the handicapped ramps. It was a long walk, but I made it up to the front door.

“Back in the day,” as we like to say, we practiced primary care—that is to say, adult internal medicine—differently. During my residency training at the University of Chicago we looked upon our patients as people.  We knew each one—and their family—individually. The charts were reviewed before a clinic visit, and updated at the end of the encounter. We spent as much or as little time as needed.  If a new problem came up for one of my patients, all it took was a call to me to set the wheels in motion. Because of our familiarity with the clinical history, we were more prepared to deal with emergencies as they came up. If there was a problem outside of my area of expertise, I could easily arrange a referral or transfer to the appropriate speciality.  In this way, lines of communication remained open and we provided the best of care to our patients, without having to assign them to another doctor or nurse specialist at the end of the shift.

This is the way Primary Care medicine should  be practiced, but this model no longer exists, and the reason is straightforward—it is too expensive to provide this amount of time and individual attention for the number of patients that a primary care doctor is expected to see in the current medical climate. Read more »

“We have from the beginning of the Holocene, you know, the raising,
the creation of cities in the Tigris/Euphrates, we have created a world
in which we marginalize that which we don’t think serves us as well
as it could. We’ve turned nature into a thing.”
……………………………………—Barry Lopez, author, moral philosopher

Death of 832

by Eric Schenck

I’ve gotten high with my dad about 10 times. 

It’s certainly a unique life position to be in. There’s a specific routine we follow:

• I visit my parents for a few days.
• We catch up the first 24 hours and talk about everything you’d expect.
• I ask Dad if he wants to do a weed gummy with me.
• He says no. Last time was fun but he’s off it for good.
• Mom says he should.
• He says no again.
• My mom insists that it’s good for him.
• Dad caves, and an hour later we are having the time of our lives. 

Call it peer pressure. I call it true love. 

Do we need weed gummies? Of course not. But boy do they add a hilarious kind of fuzz to everything we do. 

And over the last couple years, they’ve given me a lot of laughs, some funny pictures…

And a way to get to know my dad a little better.  Read more »

by Amir Zadnemat

Introduction: Flight from Tranquility

In the age of noise, we have become refugees from silence. Imagine a world where every moment of wakefulness is filled with sound. From the jarring morning alarm to the podcast we listen to on the way to work; from the constant murmur of the office to the background music in the café; from the endless information on our smartphones to the television that’s on just to have “something” playing. We, the people of the 20th and 21st centuries, are master architects of sonic walls. Skillfully, we fill every gap and empty space in our daily lives with noise and information.

For many of us, silence has become a strange, uncomfortable, and even frightening concept. This auditory void is like a mirror we fear to gaze into. But this global flight bears witness to a deeper truth: silence is not merely the absence of sound. If it were, it wouldn’t evoke such terror.

Silence is an active and powerful presence—an entity with its own character and unique qualities. Not an empty canvas, but the canvas itself; the surface upon which the meaning of sound, thought, and self-existence is painted. Silence can be soothing or terrifying, intimate or threatening, sacred or humiliating. It is a universal language that conveys the deepest messages without a single word.

This article is an invitation to a conscious journey into the heart of this forgotten land. Our goal is to explore the multifaceted nature of silence to demonstrate that this “nothingness” of hearing is, in fact, “everything.” From the physics of vacuum to the psychology of solitude; from its vital role in music and art to its power as a political and spiritual tool, we analyze silence not as absence, but as a complex and meaningful entity.

This is an effort to reclaim silence; not as a void to flee from, but as a sacred space to embrace and listen to its meaningful voice. Let us, for a moment, lower the volume of the world and tune into the melody of existence. Read more »

by Barry Goldman

Everybody knows the scene in Casablanca when Captain Renault is “shocked, shocked” to find that gambling is going on in Rick’s Café. The phrase has become shorthand for all kinds of official hypocrisy. But I want to go back a few lines. Here is the clip.

Major Strasser says, “This café is to be closed at once.” Captain Renault says, “But I have no excuse to close it.” And Strasser says, “Find one.” The boss wants some official action taken, and he directs a subordinate to come up with a legal justification for it. He doesn’t say, “Would you please conduct a review of the statutes and judicial precedents in this area and determine whether or not I have the authority to take this action.” He says, “Find one.”

An exchange like that is likely to have taken place, directly or indirectly, between Secretary of Defense Pete Hegseth and Assistant Attorney General for the Office of Legal Counsel T. Elliot Gaiser. Hegseth said, “I want to blow up what the president has ‘determined’ are drug boats in the Caribbean and kill all the people aboard.” Gaiser said, “But you have no excuse for doing that.” And Hegseth said, “Find one.”

The outcome of that conversation was what I previously called The Murder Memos. As I write this, the murder memos have still not been made public, but they have been disclosed to select congress members, and there has been a fair amount of reporting about what they contain. One argument in the document, reported in the Wall Street Journal and elsewhere, follows a line of reasoning that goes like this: Armed attacks have been legally justified in the past when they were ordered in response to the use of chemical weapons by an adversary. Fentanyl is a chemical. And it kills a lot of Americans. So you could think of it as a weapon. Therefore, um, national security, protect our citizens. Something, something. Kill them all. Yeah, that’s the ticket!

I wish I were exaggerating. Read more »

by Laurence Peterson

In the long and illustrious history of bullshit, there has perhaps never been another month quite like January, 2026, at least in terms of its political manifestations. The month began with a completely unprovoked attack on Venezuela that resulted in the apprehension of the country’s president and his wife, and their subsequent abduction to the United States.  This action resulted in the death of scores of people, and was done without any congressional input. Days later, the city of Minneapolis in Minnesota was occupied by some 2,000 Immigration and Customs Enforcement  (ICE) and Customs and Border Protection (CBP) personnel (quite possibly due to the racist targeting of the large Somali community there) who proceeded to terrorize the community with many arrests and violent encounters with residents.

Days after that, Renee Good was shot 3 times and killed by a Federal agent, Jonathan Ross, who was spirited from the Minnesota and remains a free man. A little more than a fortnight later, another Minneapolis resident and American citizen, Alex Pretti, was mauled by 8 Federal agents (who likewise remain free men) and shot by two of them 10 times, resulting in his death. At the same time, US warships from the Far East are taking up positions near Iran, and the Trump administration continues to threaten that nation, again unprovoked in any demonstrable way, with military force. Closer to home, President Trump is accelerating pressure on desperately benighted Cuba, which, once more, poses absolutely no threat to the US, and without congressional authorization. By the time this piece appears (I am writing on January 29th), it is very possible that Iran will have been attacked, or that the Cuba will descend into some kind of chaos. Or God knows what else: Greenland; Canada; Gaza/West Bank/Lebanon. And another government shutdown looms. Meanwhile, there’s always Epstein. Read more »

by Mike O’Brien

For a variety of public and private reasons, this year is already worse than last year, and last year was awful. I’ve pretty much given up my long-standing news addiction, which in previous years had me reading vast swathes of reporting and analysis for hours a day, because now I just don’t want to know the details of all the unfolding horrors of which I am already vaguely aware. This began when I stopped reading The Guardian after the American election. Of all the major English-language news outlets, The Guardian hews closest to my own political and moral sympathies, and as such tends to focus on issues and events that I care most about. Because the issues and events that I care most about all seem to be converging in a slow-motion flaming train-wreck, accurate and insightful reporting on such matters is psychologically unbearable. Being informed, at least in the compulsive manner of the news addict, is not the empowering experience I hoped it would be. Knowledge is a necessary but not sufficient condition for improving the world, and if the other necessary conditions (like access to relevant institutions, material power, opportune social and political conditions) don’t obtain, then the cost of knowledge seems to outweigh the benefits. I still feel the moral pull to “bear witness” to the important events of the world, but this feels more and more like a private exercise of virtue and less like a public duty of any practical utility.

Luckily, there is plenty to read besides headlines about how everything that I value is cooked. Read more »

by Rachel Robison-Greene

A woman gets shot in the head by agents of the federal government and people quickly come up with reasons to explain why she must have deserved it. Thousands of people show up to protest mistreatment of their friends and neighbors. Detractors label them thugs, lawbreakers and paid actors. From the comfort of their homes in rural America, they indulge in fantasies of crackpot liberals and brown people breaking the windows of cars and businesses, abusing immigration officers, and burning cities to the ground. After all, that’s what happens in cities: liberals throw tantrums and burn them. This is what they’ve been encouraged to believe, and it suits them well.

Rule of law is ignored. Our democratic institutions are disrespected and undermined. We discontinue international aid knowing for certain that doing so will lead to the deaths of many people. We destroy our relationships with historical allies. Women complain of sexual misconduct by our leaders. Millions of pages of documents exist describing the sexual abuse of women and children by powerful people. These documents are inconvenient. Nothing to see here. Boys being boys. Red blooded American men. When you’re a star, you can do anything.

For the rest of us, a deep grief creeps in. How is it that so many of our friends and family members find this acceptable and even actively support it? How is it possible that even as the world watches a man get thrown to the ground by a group of immigration officers and shot multiple times in the head, some of our friends and family are infected by a nihilism that renders them unresponsive and even hostile to demands for empathy and compassion?

In The Myth of Sisyphus, Albert Camus claims “There is but one truly serious philosophical problem, and that is suicide. Judging whether life is or is not worth living amounts to answering the fundamental question of philosophy.” This question arises in response to what feels like the meaninglessness of the human condition. We all want things to make sense. We want to follow our dreams. We want the universe to be a place in which we can thrive. Dreams are dashed again and again throughout a human life. Hearts are broken. Lives are cut short. We find ourselves without the resources to navigate the world in the ways we’d seen from the starry eyes of our youths. Many of us are broken and beaten down by life. Technology emerges that makes us feel displaced and uneasy. How might we respond? Read more »

People come and go. Walking on the snow. Talking of Michelangelo. In Brixen, South Tyrol.

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by Laurie Sheck

1.

In her 1925 essay, On Being Ill, written when she was 42 years old, Virginia Woolf speaks of the spiritual change that illness often brings, how it can lead one into areas of extremity, wonder, isolation. “How astonishing, when the lights of health go down, the undisclosed countries that are then disclosed, what wastes and deserts of the soul….”

The body is no longer a site of comfort and familiarity but “this monster…this miracle.” Overwhelming, weird, intense, mysterious. And with this sense of estrangement from one’s familiar, healthy self, there often comes a profound isolation that colors the whole world, “Human beings do not go hand in hand the whole stretch of the way. There is a virgin forest in each; a snowfield where even the print of birds’ feet is unknown.” It is a stark and desolate image. A cold whiteness without the barest trace of interruption. It is a world stripped to its core.

In illness “we cease to be soldiers in the army of the upright; we become deserters.”

Daily life becomes a strange, exotic place. Longed for, various, remote. The unreachable land of ordinary habits, activities, frustrations, pleasures.

2.

Particularly since the pandemic, I have thought often of Woolf’s essay, and of Elaine Scarry’s seminal work, The Body in Pain, where she writes of the way “physical pain has no voice.” “Whatever pain achieves, it achieves in part through its unsharability.” This opacity to others outside oneself is a significant part of its cruelty. This applies, too, to the often relative invisibility of certain maladies, like Long Covid. And in that gulf between appearance and reality, between the self and others, a terrible knowledge arises. “One aspect of great pain…is that it is to the individual experiencing it overwhelmingly present, more emphatically real than any other human experience, and yet is almost invisible to anyone else, unfelt, unknown.” What Scarry writes about pain can also apply to many other aspects of bodily unwellness.

She compares the experience to a human being “making a sound that cannot be heard.” Read more »

by Richard Farr

If you’re not from the US or the UK, you probably think that the recent dispute over the Chagos Islands is a below-the-fold story of no interested to you; perhaps, with less excuse, you think that even if you are from the US or the UK. In either case you’d be wrong. Never mind whether you can find the Chagos Islands on a map. They are very very interesting indeed — partly because what’s most interesting about them is not what the world’s press can be bothered to write about.

A string of pearls in the central Indian Ocean, the archipelago lies almost exactly halfway between Tanzania and Sumatra. It has been under British control since the defeat of Napoleon; since 1971, it includes the strategically vital joint US/UK military base on the largest island, Diego Garcia. Because of its shape and role, Diego Garcia is referred to by the US Navy, in an eruption of patriotic sentiment, as “the footprint of freedom.” 

The story currently being reported about Chagos is as follows. After an embarrassing string of national and international court defeats, the government of the UK — in close consultation with the first Trump Administration — agreed that it was best to cede control of the archipelago to the government of Mauritius, while retaining a multi-generational lease on Diego Garcia itself. But in the new context of Trump’s Greenland fantasies, this voluntary relinquishment of sovereign territory “FOR NO REASON WHATSOEVER” suddenly has a bad look. In language clearly showing that he literally had no idea of his previous administration’s consent to the deal, Trump has announced that it is (applying two of his favorite unintended ironies) “weak” and “stupid.” 

Kemi Badenoch and Nigel Farage, after being vouchsafed royal audiences with Speaker of the House Mike Johnson and US Treasury Secretary Scott Bessant respectively, have swallowed the bait with enthusiasm. As I write, Keir Starmer is doing what he does best: backing down, then not backing down, then furiously flailing and dithering, the splintery top edge of the world’s fence wedged firmly between his buttocks.

The question before us is therefore supposed to be this: are Trumpeters on both sides of the pond right that Starmer is weakly and stupidly “surrendering” British territory? Or were both governments previously correct that the new agreement was in their long-term strategic interest? Wisdom or weakness?

And then there are the facts. Read more »

by Brooks Riley

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by W. Alex Foxworthy

The Paradox

The universe is dying. The second law of thermodynamics tells us that entropy—disorder, randomness, the dispersal of energy—increases inexorably over time. Every star that burns, every thought that fires, every act of creation contributes to the long slide toward heat death: a future of maximum entropy where nothing happens because nothing can happen. The gradients that permit work have been spent. The universe reaches equilibrium and stays there, forever.

Astronomers can see this future written faintly in the sky: the cosmic background radiation cooling by a fraction of a degree every billion years, galaxies drifting apart as dark energy stretches the fabric of space. The arrow points one way. It does not bend.

And yet.

In the midst of this cosmic unwinding, complexity keeps emerging. Galaxies condense from primordial hydrogen. Stars ignite and forge heavy elements in their cores. Planets form, chemistry becomes biology, and biology eventually produces brains—three-pound prediction engines capable of modeling the universe that made them, including modeling their own inevitable dissolution within it.

In 1944, the physicist Erwin Schrödinger posed this puzzle in What Is Life? How do living systems maintain their exquisite organization while the universe trends toward disorder? His answer pointed toward something he called “negentropy”—the ability of organisms to feed on order, importing low-entropy energy and exporting high-entropy waste. Life doesn’t violate thermodynamics; it surfs the gradient.

But Schrödinger’s insight leaves the deeper question untouched: Why does any of this feel like anything? How do we reconcile the arrow of entropy with the emergence not just of complexity, but of mind—of experience, of caring, of mattering? This is not merely a puzzle for physics. It touches on the deepest questions we can ask: What are we? Why does anything feel like anything? And does it matter that we exist at all? Read more »

by Derek Neal

Three weeks later and I’m almost fully healed. My ribs still hurt when I lie down to sleep and when I rise in the morning, but sitting and walking are fine. In another week I’ll be able to return to the gym and attempt some light weightlifting, a welcome resumption of my weekly routine. There was, however, a silver lining to my accident. In the days immediately following it, I could do little else but read. Sitting down in a chair, I was stuck there. So it was that I took A River Runs Through It (1976) by Norman Maclean off the bookshelf in my father’s office and began to turn its pages.

At one time, I’d referred to this book as “my favorite,” but that had been over 10 years ago, and since I no longer owned a copy, I’d forgotten why the book had made such an impression on me. I would soon remember, sitting in the chair and reading the 100-page autobiographical novella over a period of two or three sittings, interspersed with short breaks for more Advil and Tylenol, and to return the ice pack around my side to the freezer. The snow was falling softly on the other side of the large windows in the office, the same snow that I’d been cutting through the day before, turning this way and that on my skis, marveling at my own ability after not having been on the mountain for many years. It really is just like riding a bike, I thought to myself.

Maclean’s book is about the physical, too, about how the body can transcend itself through movement, and it seemed somehow appropriate that I would be reading it in my incapacitated state, allowing me to live vicariously through the two brothers in the story, both excellent fly fishers. The story, in fact, simply consists of a few set pieces built around fly fishing in Montana: the author fishing the “Big Blackfoot” river with his brother, Paul; their fishing the Elkhorn and the Blackfoot with the author’s brother-in-law; a final fishing trip with their father.

These fishing excursions allow Maclean to philosophize about life and to convince us that fly fishing is a spiritual act and the highest end a to which a person can aspire. Read more »

Allan Rohan Crite. Sometimes I’m Up, Sometimes I’m Down. Illustration for Three Spirituals from Earth to Heaven (Cambridge, Mass., 1948),” 1937. 

(Photographs of framed prints by Sughra Raza).

More here and here.

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by Malcolm Murray

Moltbook, the social network for AIs that launched only last week and already has more than a million AI agents, is a clear example of how little we can foresee of the risks that will arise when autonomous AI agents interact. In the first week, the AIs on Moltbook have both already founded their own religion and voiced their need for private communication that humans can’t snoop on. Scott Alexander has a post with many more interesting examples.

This is a clear example of how little we can foresee how AI will be implemented, as well as just plainly independently evolve, as we insert millions, billions or trillions of new intelligences into the societal infrastructure.

The key word describing AI evolution in 2025 was “jaggedness”. While LLM agents had superhuman capabilities in math, coding and science, they still lagged far behind humans in other areas, such as loading the dishwasher or buying something online. LLMs can reach gold-level performance on the International Math Olympiad, but also continue to make simple mistakes showing the forgetfulness and inconsistency of a 5-year old human child. They are on their way to becoming geniuses in a data center, but at this point, they are geniuses of the type that mistake their wife for their hat.

This jagged nature of frontier AI seems as it is a pattern we are stuck with in the current paradigm. Even as models progress, there is no expectation that their performance would suddenly become more uniform. This is perhaps not surprising – there is no general law of intelligence that suggests that intelligence should be uniformly applied. It is not the case with humans or animals, so why would it be the case for machine intelligence? Read more »

Snow Mountain

The place is cool and distant,
the air is clear of error,
the vista wide and brimming.

Everything is still,
undone.

Jim Culleny, 1974

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