- The "Fauci effect" has helped produce a record number of medical school applications.
- We'll soon no longer be able to avoid the reality of climate change, prompting more decisive action.
- Work from home trends are likely to continue and, in many cases, become permanent.
That was either the longest or shortest year in history. Most people are happy to say goodbye to 2020, but what does 2021 hold in store? Given how woefully inaccurate we were rolling into 2020, let's not be too sure of ourselves. That said, a few predictions can't hurt. Let's see what we can create.
These five predictions offer big-picture views of potential societal shifts in America. There are many other trends to take note of: Is this the beginning of the end of the movie theater? Are travel subscriptions the future of tourism? Are millennials ready to step up and rule the world? Will antitrust suits finally put a dent in Big Tech? Will we finally have more women leaders in C-level positions? Given the horror of Christmas Day, is a third Wonder Woman really necessary?
Let's be honest: We don't know what's going to happen in January, much less the duration of 2021. We can consciously help shape the five trends below, however. Here's to a prosperous and progressive New Year.
A deeper appreciation for science
As we're well aware, the media focuses on the tragic and boisterous far too often, stories that consume the most oxygen and frighten us most. There's no indication that this will change; fear and uncertainty draw our attention, and attention is its own economy. Nowhere has this been more apparent than in coverage of the pandemic in America, which Brown University researchers showed to be far more pessimistic than in any other nation.
While anti-vaxxers tend to grab headlines and dominate social media, there are signs that Americans appreciate medicine and science more than ever. The "Fauci effect" has resulted in a record number of medical school applications being submitted this year. The intent to get a vaccine is also rising, up to 60 percent this month (one poll claims 73 percent)—nowhere near the 90 percent Dr. Fauci says might be needed to reach herd immunity, but still moving in the right direction.
While many Americans are rightly suspicious of pharmaceutical companies—the rollout of these vaccines require transparency and accountability, as evidenced by problems with the Astra Zeneca trials—the reason a vaccine was created in record time is due to good science. Consumers rarely complain when chip processors speed up their phones, which is how R&D is supposed to work. The same can be said for medicine: Researchers have more tools and knowledge at their disposal than ever. This is cause for cautious celebration, not fear-mongering.A renewed focus on climate change
Speaking of sucking all the oxygen out of the room, the last four years have been dominated by Trump. Coverage of climate change has been cut. That must change. The pandemic is a wake-up call that we're not as in control of nature as we thought, with one-third of the global population predicted to become climate refugees by 2070.
Climate change continues to ravage the planet even as we pay less attention. We're not going to have that option much longer, especially as warming temperatures and biodiversity loss contribute to the proliferation of viruses.
Interestingly, the congressional spending bill (currently being held up) includes key provisions to help curb climate change, including funding for carbon capture storage and a drawdown on HFCs. Joe Biden has vowed to make climate change an immediate focus of his administration. He's staying true to his word by appointing key staff members to senior positions to address the environment on day one.
International businesses and governments are already addressing such issues: The first zero-carbon social housing project is underway in Italy while the Dutch government is replacing 10 percent of asphalt roads with green spaces (more is planned). Here in America, engineers are creating concrete variants out of bacteria in hopes of promoting more sustainable architecture. A marriage between public and private efforts is going to be needed.
Letting go of the unnecessary
As with climate change, consumer spending is down out of necessity more than desire. While online shopping is up since the pandemic began, overall average spending is down in food and beverages, digital entertainment, media and books, fashion, household products, and online education. The travel industry has been hit especially hard.
These trends have created even more outsized economic imbalances, with centibillionaires (people worth more than $100 billion) adding trillions of dollars to their already unimaginable wealth. For most, however, the pandemic has forced people to reconsider their spending habits by focusing only on the necessary. While the initial pain point of such an exercise is emotionally challenging, this is a net positive, especially given the fact that man-made stuff now outweighs natural biomass. Humans can't continue to produce so many goods without consequences; this spending slowdown is a wake-up call to that fact.
Photo: dottedyeti / Adobe Stock
Remote working is our new reality
The work-from-home (WFH) phenomenon has been expedited thanks to the pandemic. Now that half of the US labor force is accustomed to remote work, it's going to be difficult to convince many employees of an imminent return to the office.
WFH is not without its challenges. The social aspect of many workplaces is irreplaceable; Zoom just doesn't cut it. Social comforts aside, WFH is a positive trend in many aspects. Commercial real estate is taking a hit—well, some cities are merely seeing a shift, not an exodus—but benefits include no commute time (which has a positive impact on carbon emissions) and spending more time with your family.
Not every career will allow for WFH. Tech, finance, and media companies will allow continued WFH or at least flex time between home and office. Supply chain companies will have no such luck, at least not on the ground. For many businesses, it's up to C-level executives, with some believing that communing together in a shared space is essential for the health of the company and others happy to save on office costs. The future of remote work will be decided on a case-by-case basis, but one thing is certain: More companies will choose to try out this model.
Remembering that community matters
In the most fractured time in modern history, will Americans come together? While there's no clear answer, we can hope.
"Calling in" is one sign that we're progressing. Instead of the famous (some would say infamous) trend of calling people out, women like Smith college professor Loretta J Ross are helping create a call-in culture. Instead of alienating people, they're looking to empower them.
This follows up decades of business research by Hungarian-American psychologist Mihaly Csikszentmihalyi, who coined the terms "flow" and "flow states" in 1975. In his 2003 book, Good Business, he points out that managers are more successful in implementing better work habits when inspiring employees, not chastising them for flubbing a duty. Extrapolating from this research, we can apply such a mindset broadly. Shame certainly has a place in society, just not as dominant a one as we currently believe.
This is no easy task in an age governed by quick trigger fingers on social media. That said, perhaps necessity will once again inspire us; many people are tired and frustrated by the constant bickering and call-outs. A time when everyone is called in is unlikely given our tribal nature, but any uptick in attempts of creating genuine community is worthwhile.
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Stay in touch with Derek on Twitter and Facebook. His new book is "Hero's Dose: The Case For Psychedelics in Ritual and Therapy."
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Due to ours being a richer world today, and advances in rocketry and other technologies, a 21st century space race is just starting to heat up. This time, it isn’t just the US and Russia competing, but India, China, the EU, and private organizations such as SpaceX and Mars One. They all want to build the first permanent colony on the Red Planet. Mars One has the swiftest timeline, placing people on the surface by 2025. NASA has a far more cautious plan, establishing a permanent colony by 2040. But there are lots of stumbling blocks to overcome.
From the surface, Mars looks like a cold and forbidding wasteland, devoid of a breathable atmosphere, running water, and virtually uninhabitable, without spacesuits and airtight shelters. It’s worse than that, however. The planet is being constantly bombarded by solar radiation. Consistent exposure is likely to cause deadly cancers and early onset Alzheimer’s among colonists. How quickly or slowly these develop however, is anyone’s guess. It depends upon shielding and lots of other factors.
Astronauts working on the international space station (ISS) encounter the same amount of radiation as workers at a nuclear power plant. But those astronauts are only up there for a limited time. The longest mission to date is 215 days. What happens if you are constantly exposed for the rest of your life? There could also be serious consequences in terms of fertility. Radiation exposure can cause mutations in the genetic code, birth defects, and even infertility. How could a colony survive?
Artist rendition of Mars being buffeted by solar radiation. By: NASA/Jim Green.
Despite terrific obstacles, the planet has potential. All the things that are needed to terraform the planet are there, minus a strong magnetic field. There is water for instance, frozen at the poles and within the soil. It once had an atmosphere, free flowing water, an ocean, and perhaps even life.
Many colonization plans suggest terraforming the planet, which is expected to take hundreds of years. Some include releasing greenhouse gasses into the atmosphere from factories, or as Elon Musk has proposed, using nuclear weapons at the poles to melt the ice caps. But with this new plan, nature actually does all the work itself, without the dangers inherent in those other options.
At a recent NASA workshop, held at its headquarters in Washington, D.C., Planetary Science Division director Jim Green, proposed a captivating alternative—encapsulate the planet in an “artificial magnetosphere.” The Planetary Science Vision 2050 Workshop is an unveiling of proposals, which could occur or at least begin, by midcentury.
Dr. Green’s presentation was entitled, "A Future Mars Environment for Science and Exploration." Green and a panel of colleagues proposed an artificial "magnetic shield" provided by a device, dubbed Mars L1. This would remain in steady orbit between the planet and the sun, shielding it from solar bombardment.
The basic idea is having an object create a large electric circuit or dipole, generating enough energy to cover the planet in an artificial magnetic field. This would be composed of two oppositely charged magnets connected to inflatable structures, placed in orbit somewhere between Mars and the sun. One important aspect according to Dr. Green, "We need to be able then to also modify that direction of the magnetic field so that it always pushes the solar wind away.”
Building an artificial magnetosphere around Mars. By: NASA/Jim Green.
Though it sounds, what the presenter called “fanciful,” experiments creating miniature magnetospheres are already ongoing. These are in hopes of devising a way to protect astronauts aboard the ISS as well as manned spacecraft. Green wants to scale up such a system to cover a whole planet. "It may be feasible that we can get up to these higher field strengths that are necessary to provide that shielding," he said.
Once stable, the “magnetotail” is expected to allow a revival of the atmosphere. Half the atmospheric pressure of our own planet could occur within just a few years. 4.2 billion years ago, something caused the Red Planet’s magnetic field to severely weaken. Since that time, highly charged solar particles have slowly stripped it of its atmosphere, causing Mars to go from a warm, wet planet, to a dry, cold one. Today, the atmosphere is 100 times thinner than ours.
Shielding from such particles would warm the surface ~7 °F (4 °C). This would then melt the CO² at the poles, helping to build up the atmosphere. By creating a greenhouse effect, the ice on the planet’s surface should melt. "Perhaps one-seventh of the ancient ocean could return to Mars," Dr. Green said. At its current rate, this would take 700 million years.
Though the plan is entirely theoretical, if it worked, the planet could actually be livable in about a century or so, NASA scientists claim. That’s just a few generations. It’s vital to colonization too, as any sustainable colony will sooner or later have to start growing its own food. The distance from Earth to Mars is just too great. If it works, it could add an important tool to terraforming and help us colonize other places. “The solar system is ours, let’s take it,” Green said.
To learn more about Terraforming Mars, click here:
Does humanity have a chance for a better future, or are we just unable to stop ourselves from driving off a cliff? This was the question that came to me as I participated in a conference entitled The Future of Humanity hosted by Marcelo's Institute for Cross-Disciplinary Engagement. The conference hosted an array of remarkable speakers, some of whom were hopeful about our chances and some less so. But when it came to the dangers facing our project of civilization, two themes appeared in almost everyone's talks.
And here's the key aspect that unifies those dangers: we are doing it to ourselves.
The problem of climate change
The first existential crisis that was discussed was, as you might guess, climate change. Bill McKibben, the journalist and now committed activist who first began documenting the climate crisis as far back as the 1980s, gave us a history of humanity's inability to marshal action even in the face of mounting scientific evidence. He spoke of the massive, well-funded disinformation efforts paid for by the fossil fuel industry to keep that action from being taken because it would hurt their bottom lines.
It's not like some alien threat has arrived and will use a mega-laser to drive the Earth's climate into a new and dangerous state. Nope, it's just us — flying around, using plastic bottles, and keeping our houses toasty in the winter.
Next Elizabeth Kolbert, one of America's finest non-fiction writers, gave a sobering portrait of the state of efforts that attempt to deal with climate change through technological fixes. Based on her wonderful new book, she looked at the problem of control when it comes to people and the environment. She spoke of how often we get into trouble when we try to exert control over things like rivers or animal populations only to find that these efforts go awry due to unintended consequences. This requires new layers of control which, in turn, follow the same path.
Credit: Jo-Anne McArthur via Unsplash
At the end of the talk, she focused on attempts to deal with climate change through new kinds of environmental controls with the subtext being that we are likely to run into the same cycle of unintended consequences and attempts to repair the damage. In a question-and-answer period following her talk, Kolbert was decidedly not positive about the future. Because she had looked so deeply into the possibilities of using technology to get us out of the climate crisis, she was dubious that a tech fix was going to save us. The only real action that will matter, she said, is masses of people in the developed would reducing their consumption. She didn't see that happening anytime soon.
The problem of artificial intelligence
Another concern was over artificial intelligence. Here the concern was not so much existential. By this, I mean the speakers were not fearful that some computer was going to wake up into consciousness and decide that the human race needed to be enslaved. Instead, the danger was more subtle but no less potent. Susan Halpern, also one of our greatest non-fiction writers, gave an insightful talk that focused on the artificial aspect of artificial intelligence. Walking us through numerous examples of how "brittle" machine learning algorithms at the heart of modern AI systems are, Halpern was able to pinpoint how these systems are not intelligent at all but carry all the biases of their makers (often unconscious ones). For example, facial recognition algorithms can have a hard time differentiating the faces of women of color, most likely because the "training data sets" the algorithms were taught were not representative of these human beings. But because these machines supposedly rely on data and "data don't lie," these systems get deployed into everything from making decisions about justice to making decisions about who gets insurance. And these are decisions that can have profound effects on people's lives.
Then there was the general trend of AI being deployed in the service of both surveillance capitalism and the surveillance state. In the former, your behavior is always being watched and used against you in terms of swaying your purchasing decisions; in the latter, you are always being watched by those in power. Yikes!
The banality of danger
In listening to these talks I was struck by how mundane the sources of these dangers were when it comes to day-to-day life. Unlike nuclear war or some lone terrorist building a super-virus (threats that Sir Martin Rees eloquently spoke of), when it comes to the climate crisis and an emerging surveillance culture, we are collectively doing it to ourselves through our own innocent individual actions. It's not like some alien threat has arrived and will use a mega-laser to drive the Earth's climate into a new and dangerous state. Nope, it's just us — flying around, using plastic bottles, and keeping our houses toasty in the winter. And it's not like soldiers in black body armor arrive at our doors and force us to install a listening device that tracks our activities. Nope, we willingly set them up on the kitchen counter because they are so dang convenient. These threats to our existence or to our freedoms are things that we are doing just by living our lives in the cultural systems we were born into. And it would take considerable effort to untangle ourselves from these systems.
So, what's next then? Are we simply doomed because we can't collectively figure out how to build and live with something different? I don't know. It's possible that we are doomed. But I did find hope in the talk given by the great (and my favorite) science fiction writer Kim Stanley Robinson. He pointed to how different eras have different "structures of feeling," which is the cognitive and emotional background of an age. Robinson looked at some positive changes that emerged in the wake of the COVID pandemic, including a renewed sense that most of us recognize that we're all in this together. Perhaps, he said, the structure of feeling in our own age is about to change.
Let us hope, and where we can, let us act.
The football world was rocked recently when Denmark's Christian Eriksen collapsed while suffering from cardiac arrest on the field during a European Championship match on June 12. The 29-year-old star has won the Danish Football Player of the year five times. Doctors are still baffled as to why an athlete in prime shape would experience sudden cardiac arrest.
While Eriksen's case remains a mystery, a large team of researchers from the University of Maryland School of Medicine recently looked into the reasons a person with no apparent health problems dies from sudden cardiac death (SCD). Their study, published in JAMA Cardiology, found that roughly 20 percent of unexplained cases involve genetics.
The mystery of sudden cardiac death
SCDs are common, with between 180,000 to 450,000 occurring every year in the United States. While coronary heart disease is involved in between 50 to 75 percent of these cases, doctors are uncertain of the reasons in 30 to 40 percent of cases.
The team notes that most research on SCDs, such as in New Zealand, Denmark, and South Korea, tend to focus on homogenous populations of people under age 35. One study based in New York investigated a racially diverse cohort but included a number of infants. While these studies looked at genetic components of SCD, they write, "No systematic comparison of the genetics underlying cases of unexplained SCD between adult White and African American descendants has ever been conducted."
The State of Maryland's medical examiner's office has been collecting data on SCDs for over two decades, which gave the team a rich collection of data to pull from — over 5,000 such cases. From that data set, the researchers looked at 683 African American and white adults (median age: 41). In total, the DNA of 413 patients who died from unexplained SCD was genetically sequenced. Thirty different cardiomyopathy genes and 38 arrhythmia genes were examined.
Genetic screens for sudden cardiac death
Clinical associate professor of medicine and corresponding author Aloke Finn explains the importance of rooting out the cause of SCDs: "Genetic screening isn't routinely used in cardiology, and far too many patients still die suddenly from a heart condition without having any previously established risk factors. We need to do more for them."
One surprising finding was the large number of the deceased that carried the genetic variant for hypertrophic cardiomyopathy (HCM), which causes the heart's muscle tissue to be abnormally thick. This could explain why people with no apparent heart disease experience cardiac arrest seemingly out of nowhere. While HCM is a somewhat common heart disorder (with a prevalence as high as 0.2 percent), we're only just now learning the role of genes in determining who suffers from a fatal attack.
What is clear, however, is that those with particular genetic variants are likelier to die from unexplained SCD earlier in life than others who die from unexplained SCD.By identifying these genes, researchers hope this information could be used in future medical screenings. E. Albert Reece, Dean of the University of Maryland School of Medicine, believes this could save lives.
"This is a fascinating study that provides important new insights into devastating deaths due to unexplained cardiac abnormalities. It certainly makes the case for more research to address this urgent health need and save lives in the future."
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Stay in touch with Derek on Twitter. His most recent book is "Hero's Dose: The Case For Psychedelics in Ritual and Therapy."
