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- Russian President Vladimir Putin recently stated that liberalism has "outlived its purpose."
- Research suggests, however, that liberal ideals — among them, democracy, individual agency, and economic freedom — are not only on the rise but improve the wellbeing of people living in countries that support them.
- Recent challenges to liberalism are serious but have not overpowered the liberal tradition.
During an interview with the Financial Times, Russian President Vladimir Putin proclaimed liberalism dead:
"What is the reason for the Trump phenomenon, as you said in the United States? What is happening in Europe as well? The ruling elites have broken away from the people. There is also the so-called liberal idea, which has outlived its purpose. Our Western partners have admitted that some elements of the liberal idea, such as multiculturalism, are no longer tenable."
He later doubled-down, saying that liberals "cannot simply dictate anything to anyone" and liberalism "presupposes that nothing needs to be done."
A gander at recent headlines may suggest Putin has read liberalism's fate correctly: white supremacists and nationalists marching in the streets; Europe's upsurge of support for populists parties; and President Donald Trump touting military might at a Fourth of July parade that critics said reeked of rinky-dink Soviet propaganda. It can certainly seem like we are living in a strange dream.
While these recent trends are disturbing, and offer a challenge to liberal ideals, the data shows that liberalism remains alive and well in the world today.
Not your American-style liberalism

Vladimir Putin and Donald Trump shake hands at the 2017 G-20 Summit, Hamburg. (Photo: The Kremlin/Wikimedia Commons)
First, let's clarify what we mean by "liberalism." For Americans, the term has drifted to become a catchall for political ideologies that lean left (and an epithet for those who lean right).
This is how President Trump understood it when asked about Putin's comments: "I guess you look at what's happening in Los Angeles, where it's so sad to look, and what's happening in San Francisco, and a couple other cities which are run by an extraordinary group of liberal people, I don't know what they're thinking but [Putin] does see things that are happening in the United States that would probably preclude him from saying how wonderful it is."
To be fair to Trump, "liberalism" is a slippery term spread out across an expansive historical lineage — and that's before we start qualifying it with prefixes (e.g., neoliberalism) and adjectives (cultural, social, classical, and muscular liberalism). But Putin meant "liberalism" in its more traditional and European sense.
For our purposes, we can hew the term to mean an ideology that puts primacy on individual rights and human agency. Under liberalism, all people should be free to pursue their dreams, be able to compete in an open market, and be allowed to decide for themselves — all offered with equal opportunity under the law and free of government coercion.
In other words, liberalism provides the foundation of modern liberal democracies that stand in opposition to Putin's own ideology, an old Soviet-era belief in the primacy of the state and the nobility found in sacrificing individuality for its glory. (Dulce et decorum est pro Putin mori, as it were.)
As Masha Gessen, a Russian-American journalist, whose book The Future is History: How Totalitarianism Reclaimed Russia won the 2017 National Book Award, reminds us:
"Putin is a bloody dictator who jails and kills his opponents and has waged several illegal wars to the tune of hundreds of thousands of lives [and] has presided over the near complete destruction of [the Russian] public sphere."
Liberalism rising

A graph showing the number of democracies and autocracies in the world over time. Image source: Our World in Data
Putin may ardently wish for liberalism's death, but the facts of history aren't on his side.
In an article disputing Putin, Martin Wolf, chief economics commentator for the Financial Times, combined the World Bank's measure of "voice and accountability" in governance and the Heritage Foundation's "index of economic freedom." He found that liberal societies perform better economically than repressive ones. Furthermore, post-communist states that have transitioned into liberal democracy — such as Poland, Romania, and Lithuania — have all economically outpaced Putin's Russia.
"Mr. Putin's posturing on the world stage is a way of turning the attention of the Russian people away from his regime's corruption and its failure to give them a better life," Wolf writes.
It isn't just by economic success by which we can measure liberalism's success. We can measure the number of countries that have made the transition into liberal democracies.
Starting in the 20th century, worldwide autocracies began to dwindle in tandem with democratic growth. According to the Varieties of Democracy Project, by 2001, the world held a roughly even number of both. Ever since, democracies have outnumbered autocracies, while the latter continue to lose ground.
Of course, political anocracies don't fall neatly in the democratic vs. autocratic binary, leading to some differentiation in absolute numbers. But the trend lines remain consistent: countries are becoming more democratic than autocratic.
Why? Because by almost any measure of human happiness, liberal democracies provide better for their citizens. They are less corrupt than other forms of governance. They score significantly higher on metrics looking at happiness, life satisfaction, human development, and protecting human rights. And though public perception in the U.S. is that violence is at an all-time high, the opposite is true. Rates of homicide in Europe are at historic lows, and the United States has seen its homicide rate fall sharply in the last quarter century.
Can liberalism meet the challenges ahead?
Putin's claim of liberalism's death isn't an analysis off the world stage based on data and well-reasoned argument. It's old-school agitprop courtesy an international troll. Liberalism is not only alive but making the lives for billions of people better the world over.
Of course, to say liberalism is alive and well is not to say that it does not face challenges. It does, and it always has.
Some originate from Putin himself. The Muller Report found the Kremlin exploited security gaps in the United States' election security to mount an online campaign in support of populist Donald Trump. Russian agencies have used similar tactics in European campaigns, in addition to providing European populists with loans.
"The goal here is bigger than any one election," Daniel Jones, a former FBI analyst, told the New York Times. "It is to constantly divide, increase distrust and undermine our faith in institutions and democracy itself. They're working to destroy everything that was built post-World War II."
But as Masha Gessen reminds us, Putin isn't some Bond villain (though he styles himself as one). Any influence he achieved over American and European elections originated with discontent and disinformation already metastasizing within liberal countries.
"Russian attempts to sow discord — first of all, they're predictable. Second of all, they're ridiculous," Gessen told The Atlantic. "They've been doing pretty much the same thing for at least 50 years. American political reality has moved a lot closer to the Russian perception — what used to be a really distorted perception, it used to be a total caricature — which I think is a little disturbing."
This discontent centers on issues as complex as immigration, economic equity, social mobility, and political polarization. In response, conservatives have sacrificed their liberal heritage in favor of strongman populists and promises of returning to a halcyon, if ill-defined, past. On the left, progressives have grown to mistrust the liberal experiment, having seen its boons disseminated unevenly or, in some cases, entirely pass over those who have been historically disenfranchised.
But as Martin Wolf reminds us, liberalism is not a "Utopian project." It is a "work in perpetual progress" that "requires constant adaption and adjustment." Such progress requires good data, an honest assessment of the problem, a willingness for political compromise, and an understanding that a perfect solution is the enemy of a good one.
In other words, the opinion of a wannabe-SPECTRE autocrat may not be the one we should listen to.
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COVID-19 amplified America’s devastating health gap. Can we bridge it?
The COVID-19 pandemic is making health disparities in the United States crystal clear. It is a clarion call for health care systems to double their efforts in vulnerable communities.
Willie Mae Daniels makes melted cheese sandwiches with her granddaughter, Karyah Davis, 6, after being laid off from her job as a food service cashier at the University of Miami on March 17, 2020.
- The COVID-19 pandemic has exacerbated America's health disparities, widening the divide between the haves and have nots.
- Studies show disparities in wealth, race, and online access have disproportionately harmed underserved U.S. communities during the pandemic.
- To begin curing this social aliment, health systems like Northwell Health are establishing relationships of trust in these communities so that the post-COVID world looks different than the pre-COVID one.
COVID-19 deepens U.S. health disparities
<p>Communities on the pernicious side of America's health disparities have their unique histories, environments, and social structures. They are spread across the United States, but they all have one thing in common.</p><p>"There is one common divide in American communities, and that is poverty," said <a href="https://www.northwell.edu/about/leadership/debbie-salas-lopez" target="_blank">Debbie Salas-Lopez, MD, MPH</a>, senior vice president of community and population health at Northwell Health. "That is the undercurrent that manifests poor health, poor health outcomes, or poor health prognoses for future wellbeing."</p><p>Social determinants have far-reaching effects on health, and poor communities have unfavorable social determinants. To pick one of many examples, <a href="https://www.npr.org/2020/09/27/913612554/a-crisis-within-a-crisis-food-insecurity-and-covid-19" target="_blank" rel="noopener noreferrer">food insecurity</a> reduces access to quality food, leading to poor health and communal endemics of chronic medical conditions. The U.S. Centers for Disease Control and Prevention has identified some of these conditions, such as obesity and Type 2 diabetes, as increasing the risk of developing a severe case of coronavirus.</p><p>The pandemic didn't create poverty or food insecurity, but it exacerbated both, and the results have been catastrophic. A study published this summer in the <em><a href="https://link.springer.com/article/10.1007/s11606-020-05971-3" target="_blank">Journal of General Internal Medicine</a></em> suggested that "social factors such as income inequality may explain why some parts of the USA are hit harder by the COVID-19 pandemic than others."</p><p>That's not to say better-off families in the U.S. weren't harmed. A <a href="https://voxeu.org/article/poverty-inequality-and-covid-19-us" target="_blank" rel="noopener noreferrer">paper from the Centre for Economic Policy Research</a> noted that families in counties with a higher median income experienced adjustment costs associated with the pandemic—for example, lowering income-earning interactions to align with social distancing policies. However, the paper found that the costs of social distancing were much greater for poorer families, who cannot easily alter their living circumstances, which often include more individuals living in one home and a reliance on mass transit to reach work and grocery stores. They are also disproportionately represented in essential jobs, such as retail, transportation, and health care, where maintaining physical distance can be all but impossible.</p><p>The paper also cited a positive correlation between higher income inequality and higher rates of coronavirus infection. "Our interpretation is that poorer people are less able to protect themselves, which leads them to different choices—they face a steeper trade-off between their health and their economic welfare in the context of the threats posed by COVID-19," the authors wrote.</p><p>"There are so many pandemics that this pandemic has exacerbated," Dr. Salas-Lopez noted.</p><p>One example is the health-wealth gap. The mental stressors of maintaining a low socioeconomic status, especially in the face of extreme affluence, can have a physically degrading impact on health. <a href="https://www.scientificamerican.com/index.cfm/_api/render/file/?method=inline&fileID=123ECD96-EF81-46F6-983D2AE9A45FA354" target="_blank" rel="noopener noreferrer">Writing on this gap</a>, Robert Sapolsky, professor of biology and neurology at Stanford University, notes that socioeconomic stressors can increase blood pressure, reduce insulin response, increase chronic inflammation, and impair the prefrontal cortex and other brain functions through anxiety, depression, and cognitive load. </p><p>"Thus, from the macro level of entire body systems to the micro level of individual chromosomes, poverty finds a way to produce wear and tear," Sapolsky writes. "It is outrageous that if children are born into the wrong family, they will be predisposed toward poor health by the time they start to learn the alphabet."</p>Research on the economic and mental health fallout of COVID-19 is showing two things: That unemployment is hitting <a href="https://www.pewsocialtrends.org/2020/09/24/economic-fallout-from-covid-19-continues-to-hit-lower-income-americans-the-hardest/" target="_blank" rel="noopener noreferrer">low-income and young Americans</a> most during the pandemic, potentially widening the health-wealth gap further; and that the pandemic not only exacerbates mental health stressors, but is doing so at clinically relevant levels. As <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7413844/" target="_blank" rel="noopener noreferrer">the authors of one review</a> wrote, the pandemic's effects on mental health is itself an international public health priority.Working to close the health gap
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDc5MDk1MS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYxNTYyMzQzMn0.KSFpXH7yHYrfVPtfgcxZqAHHYzCnC2bFxwSrJqBbH4I/img.jpg?width=980" id="b40e2" class="rm-shortcode" data-rm-shortcode-id="1b9035370ab7b02a0dc00758e494412b" data-rm-shortcode-name="rebelmouse-image" />Northwell Health coronavirus testing center at Greater Springfield Community Church.
Credit: Northwell Health
<p>Novel coronavirus may spread and infect indiscriminately, but pre-existing conditions, environmental stressors, and a lack of access to care and resources increase the risk of infection. These social determinants make the pandemic more dangerous, and erode communities' and families' abilities to heal from health crises that pre-date the pandemic.</p><p>How do we eliminate these divides? Dr. Salas-Lopez says the first step is recognition. "We have to open our eyes to see the suffering around us," she said. "Northwell has not shied away from that."</p><p>"We are steadfast in improving health outcomes for our vulnerable and underrepresented communities that have suffered because of the prevalence of chronic disease, a problem that led to the disproportionately higher death rate among African-Americans and Latinos during the COVID-19 pandemic," said Michael Dowling, Northwell's president and CEO. "We are committed to using every tool at our disposal—as a provider of health care, employer, purchaser and investor—to combat disparities and ensure the <a href="https://www.northwell.edu/education-and-resources/community-engagement/center-for-equity-of-care" target="_blank" rel="noopener noreferrer">equity of care</a> that everyone deserves." </p><p>With the need recognized, Dr. Salas-Lopez calls for health care systems to travel upstream and be proactive in those hard-hit communities. This requires health care systems to play a strong role, but not a unilateral one. They must build <a href="https://www.northwell.edu/news/insights/faith-based-leaders-are-the-key-to-improving-community-health" target="_blank" rel="noopener noreferrer">partnerships with leaders in those communities</a> and utilize those to ensure relationships last beyond the current crisis. </p><p>"We must meet with community leaders and talk to them to get their perspective on what they believe the community needs are and should be for the future. Together, we can co-create a plan to measurably improve [community] health and also to be ready for whatever comes next," she said.</p><p>Northwell has built relationships with local faith-based and community organizations in underserved communities of color. Those partnerships enabled Northwell to test more than 65,000 people across the metro New York region. The health system also offered education on coronavirus and precautions to curb its spread.</p><p>These initiatives began the process of building trust—trust that Northwell has counted on to return to these communities to administer flu vaccines to prepare for what experts fear may be a difficult flu season.</p><p>While Northwell has begun building bridges across the divides of the New York area, much will still need to be done to cure U.S. health care overall. There is hope that the COVID pandemic will awaken us to the deep disparities in the US.</p><p>"COVID has changed our world. We have to seize this opportunity, this pandemic, this crisis to do better," Dr. Salas-Lopez said. "Provide better care. Provide better health. Be better partners. Be better community citizens. And treat each other with respect and dignity.</p><p>"We need to find ways to unify this country because we're all human beings. We're all created equal, and we believe that health is one of those important rights."</p>Who is the highest selling artist from your state?
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Vegans are more likely to suffer broken bones, study finds
Vegans and vegetarians often have nutrient deficiencies and lower BMI, which can increase the risk of fractures.
- The study found that vegans were 43% more likely to suffer fractures than meat eaters.
- Similar results were observed for vegetarians and fish eaters, though to a lesser extent.
- It's possible to be healthy on a vegan diet, though it takes some strategic planning to compensate for the nutrients that a plant-based diet can't easily provide.
Comparison of fracture cases by diet group
Credit: Tong et al.
<p>The results showed that vegans were especially vulnerable to hip fractures, suffering 2.3 times more cases than meat-eaters. Vegetarians and pescatarians were also more likely to suffer hip fractures, though to a lesser extent.</p><p>One explanation may be that non-meat eaters consume less calcium and protein. Calcium helps the body build strong bones, particularly before age 30, after which the body begins to lose bone mineral density (though consuming enough calcium through diet or supplement can <a href="https://ods.od.nih.gov/factsheets/Calcium-Consumer/" target="_blank">help offset losses</a>). Lower bone mineral density means higher risk of fracture.</p><p>Protein seems to help the body absorb calcium, <a href="https://www.bonejoint.net/blog/did-you-know-that-certain-foods-block-calcium-absorption/#:~:text=Historically%2C%20nutritionists%20have%20warned%20that,may%20increase%20intestinal%20calcium%20absorption." target="_blank" rel="noopener noreferrer">when consumed in normal levels</a>. The recent study, along with past research, shows that people who don't eat meat tend to have lower levels of both protein and calcium. When the researchers accounted for non-meat eaters who supplemented their diets with calcium and protein, fracture risk decreased, but still remained significant.</p>Credit: Pixabay
<p>Another explanation is body mass index (BMI). Non-meat eaters tend to have a lower BMI, which is associated with higher fracture risk, particularly hip fractures. In the new study, vegans with a low BMI were especially likely to suffer hip fractures. That might be because having more body mass provides a cushioning effect when people fall.</p><p>Still, the study has some limitations. For one, White European women were overrepresented in the sample. The researchers also didn't collect precise data on the type of calcium or protein supplementation, diet quality or causes of fractures.</p><p>Another complicating factor: Producers of vegan products, such as plant-based milk, are increasingly fortifying foods with nutrients like calcium and protein, so modern vegans are potentially at lower risk of deficiency.</p><p>The researchers wrote that their findings "suggest that bone health in vegans requires further research."</p>Staying healthy on a vegan diet
<p>So, does a vegan diet necessarily lead to worse bone health? Not necessarily. But it's safe to say that people who don't consume meat, dairy and eggs should be extra vigilant about consuming enough essential nutrients. That can be harder than it seems.<br></p><p>One major reason is that the body generally has an easier time absorbing nutrients from animal foods than plant-based products. So, while a salad could contain the same amount of calcium as a glass of milk, the body absorbs more calcium when you drink milk. What's more, there are some molecules and <a href="https://www.healthline.com/nutrition/7-nutrients-you-cant-get-from-plants#5.-Docosahexaenoic-acid-(DHA)" target="_blank">nutrients you simply can't get from plants</a>.</p><p>As such, many vegans round out their diets with supplements, including zinc, iron, iodine, long-chain omega-3s, and vitamins D, K-2, and B-12, to name a few. If you're on a vegan diet or considering making the switch, it's probably best to consult a dietician, and to make sure you maintain a <a href="https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/english_bmi_calculator/bmi_calculator.html" target="_blank" rel="noopener noreferrer">healthy BMI</a>.</p>How long does turkey take to thaw? There’s a calculator for that
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