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Map provides first glimpse of post-apocalypse states
Across the land, state-driven pacts, partnerships, councils and task forces replace a coordinated federal response.
- Responding to the corona crisis, U.S. governors are banding together in regional clubs.
- While some states are coordinating with more than one group, other states haven't joined any yet.
- The phenomenon may not be a sign of the impending apocalypse, but it does indicate that something obvious is missing: a coordinated federal response.
A peek behind the curtain
Is it really such a big leap from New Normal to Mad Max?
Image: Massden, CC BY 3.0
What comes after the United States? If you enjoy post-apocalyptic fiction, you know the answer: successor countries with exotic names, weird flags, and strange customs.
- In "The Hunger Games," there are the twelve districts of Panem – North America reduced due to rising sea levels – which owe tribute to the Capitol, tucked away in the Rocky Mountains.
- "The Handmaid's Tale" is set in the Republic of Gilead, a fundamentalist dystopia that has replaced the United States.
- Stephen King's "The Stand" has good and evil survivors of a global pandemic coalesce around Mother Abagail in Boulder and Randall Flagg in Las Vegas, respectively.
It looks like the current pandemic is providing us with a peek behind the curtain of the post-apocalypse, with individual states banding together to respond to the ongoing crisis.
On April 13, the governors of California, Oregon, and Washington announced that they would be coordinating their response to the coronavirus, in particular with regard to protecting senior citizens and other vulnerable groups, procuring protective gear for hospital staff, minimizing the impact of the emergency on living standards and healthcare provision, and rolling back the lockdown if and when appropriate.
On April 27, Nevada and Colorado joined this 'Western State Pact'. Short of joining the pact, Hawaii has announced that it will be coordinating with the group.
Furthermore, Washington state will be coordinating with its Canadian neighbor, the province of British Columbia, about border reopening; and the state has also indicated that Idaho may be invited to join the pact.
Names are important
Councils, partnerships and more.
Image: Alfred Twa, reproduced with kind permission.
Also on April 13, on the other side of the country, New York and other northeastern states inaugurated the Regional Advisory Council. With an appellation this ominously abstract, it is our favorite candidate for post-apocalyptic prominence.
Encompassing New York, Connecticut, Rhode Island, Massachusetts, Pennsylvania, New Jersey, and Delaware, the RAC is working on a coordinated reopening plan.
RAC member Massachusetts is shown in two colors, as it is also coordinating its efforts with three other northeastern states: Vermont, New Hampshire, and Maine. Vermont is striped in the same two colors, because it is thinking about joining the RAC.
Unless Maine and Vermont come up with a zippy name for their club, they're going to be swallowed up wholesale by the group headed by President – sorry, Governor – Cuomo.
Because yes, names are important. Take 'Midwest Partnership', for instance: it exudes the level-headed pragmatism for which the region likes to be known. But not everybody's equally pragmatic, it appears: while Minnesota, Wisconsin, Michigan, Illinois, Indiana, Ohio, and Kentucky banded together under the Midwestern banner, four other states were offered a seat at the table but declined, i.e. North and South Dakota, Iowa, and Missouri.
Those four states, plus Nebraska, Kansas, and Arkansas, are working together as the Missouri River States. That doesn't seem like the most solid bloc of the bunch, though. A lot of members are hedging their bets. North Dakota is in a mutual-aid pact with Montana, while Kansas is also coordinating with Colorado, Utah, Wyoming, and New Mexico. On a lower level, Missouri counties along the Mississippi are working with their counterparts on the other bank of the river, in Illinois.
A logical fit
Last one wins or last one loses?
Image: Alfred Twa, reproduced with kind permission.
And Arkansas is one of the 16 states participating in the Higher Education Recovery Task Force. Set up by the Southern Regional Education Board, the HERTF brings together higher education leaders from its member states to address the challenges facing colleges, universities, and students during the COVID-19 pandemic and recovery.
Out west the situation is complicated by the considerable overlap between the aforementioned coordination effort uniting Wyoming, Kansas, Colorado, Utah, and New Mexico, and another coordination effort that brings together the latter two states, plus Arizona and the Navajo Nation, but not the other states. Why not just merge both and call it Four Corners Plus?
Back east, filling up the rest of the seaboard are two nameless collectives, one bringing together Maryland, D.C., Virginia, and North Carolina; the other prospectively roping in South Carolina, Georgia, Florida, Alabama, Mississippi, and Tennessee.
A few states are still unsure whether they're playing a last-one-wins or a last-one-loses game. Apart from Idaho, five other states – Alaska, West Virginia, Oklahoma, Louisiana, and Texas – are still completely without any association. The latter three seem a logical fit for a club of their own.
An "extraordinary step"
A map of the Untied States of America.
Image: Alfred Twa, reproduced with kind permission.
Several lower-level governments aren't waiting for the states – or the federal government, for that matter – and have started their own thing: a number of counties in Texas, as well as Tennessee's major metro areas, and four counties in southern Florida.
The latter will coordinate the phased re-opening of outdoor spaces, retail, and hotels, under the label 'New Normal Initiative'. Another top-notch post-apocalyptic name. It's not that hard to imagine them battling the Regional Advisory Council for the last of the country's dwindling strategic Twinkie reserve.
A caveat: this map is a few days old, and the situation it describes may have changed in the mean time. And another one: of course, states banding together to respond to a national emergency is not one of the warning signs of the apocalypse. It's an indication that something obvious is lacking: a coordinated federal response.
Or, as Andy Borowitz noted sardonically in The New Yorker: "In order to better coördinate their efforts to combat the coronavirus, the nation's governors are considering the extraordinary step of forming a country."
Strange Maps #1026
Map produced by Alfred Twa, reproduced with kind permission.Check out his twitter here.
Got a strange map? Let me know at firstname.lastname@example.org.
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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.
- 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>
With just a few strategical tweaks, the Nazis could have won one of World War II's most decisive battles.
- The Battle of Britain is widely recognized as one of the most significant battles that occurred during World War II. It marked the first major victory of the Allied forces and shifted the tide of the war.
- Historians, however, have long debated the deciding factor in the British victory and German defeat.
- A new mathematical model took into account numerous alternative tactics that the German's could have made and found that just two tweaks stood between them and victory over Britain.
Two strategic blunders<p>Now, historians and mathematicians from York St. John University have collaborated to produce <a href="http://www-users.york.ac.uk/~nm15/bootstrapBoB%20AAMS.docx" target="_blank">a statistical model (docx download)</a> capable of calculating what the likely outcomes of the Battle of Britain would have been had the circumstances been different. </p><p>Would the German war effort have fared better had they not bombed Britain at all? What if Hitler had begun his bombing campaign earlier, even by just a few weeks? What if they had focused their targets on RAF airfields for the entire course of the battle? Using a statistical technique called weighted bootstrapping, the researchers studied these and other alternatives.</p><p>"The weighted bootstrap technique allowed us to model alternative campaigns in which the Luftwaffe prolongs or contracts the different phases of the battle and varies its targets," said co-author Dr. Jaime Wood in a <a href="https://www.york.ac.uk/news-and-events/news/2020/research/mathematicians-battle-britain-what-if-scenarios/" target="_blank">statement</a>. Based on the different strategic decisions that the German forces could have made, the researchers' model enabled them to predict the likelihood that the events of a given day of fighting would or would not occur.</p><p>"The Luftwaffe would only have been able to make the necessary bases in France available to launch an air attack on Britain in June at the earliest, so our alternative campaign brings forward the air campaign by three weeks," continued Wood. "We tested the impact of this and the other counterfactuals by varying the probabilities with which we choose individual days."</p><p>Ultimately, two strategic tweaks shifted the odds significantly towards the Germans' favor. Had the German forces started their campaign earlier in the year and had they consistently targeted RAF airfields, an Allied victory would have been extremely unlikely.</p><p>Say the odds of a British victory in the real-world Battle of Britain stood at 50-50 (there's no real way of knowing what the actual odds are, so we'll just have to select an arbitrary figure). If this were the case, changing the start date of the campaign and focusing only on airfields would have reduced British chances at victory to just 10 percent. Even if a British victory stood at 98 percent, these changes would have cut them down to just 34 percent.</p>
A tool for understanding history<p>This technique, said co-author Niall Mackay, "demonstrates just how finely-balanced the outcomes of some of the biggest moments of history were. Even when we use the actual days' events of the battle, make a small change of timing or emphasis to the arrangement of those days and things might have turned out very differently."</p><p>The researchers also claimed that their technique could be applied to other uncertain historical events. "Weighted bootstrapping can provide a natural and intuitive tool for historians to investigate unrealized possibilities, informing historical controversies and debates," said Mackay.</p><p>Using this technique, researchers can evaluate other what-ifs and gain insight into how differently influential events could have turned out if only the slightest things had changed. For now, at least, we can all be thankful that Hitler underestimated Britain's grit.</p>
The next era in American history can look entirely different. It's up to us to choose.
- The timeline of America post-WWII can be divided into two eras, according to author and law professor Ganesh Sitaraman: the liberal era which ran through the 1970s, and the current neoliberal era which began in the early 1980s. The latter promised a "more free society," but what we got instead was more inequality, less opportunity, and greater market consolidation.
- "We've lived through a neoliberal era for the last 40 years, and that era is coming to an end," Sitaraman says, adding that the ideas and policies that defined the period are being challenged on various levels.
- What comes next depends on if we take a proactive and democratic approach to shaping the economy, or if we simply react to and "deal with" market outcomes.
A new MIT report proposes how humans should prepare for the age of automation and artificial intelligence.
- A new report by MIT experts proposes what humans should do to prepare for the age of automation.
- The rise of intelligent machines is coming but it's important to resolve human issues first.
- Improving economic inequality, skills training, and investment in innovation are necessary steps.