Which country is the best? is the wrong question

Policy advisor Simon Anholt believes the question we should ask is, which country is the "goodest"?

Politics & Current Affairs
  • The popularity of Trump's "Make America Great Again" slogan shows many Americas fear their country has fallen from greatness.
  • The Good Country Index measures how much good countries do for the world, not themselves.
  • Being viewed as a good country, not a great one, improves a country's national brand, in turn helping them grow and improve internally.

Make America Great Again. The campaign slogan of then-candidate Donald Trump resonated fiercely with many Americans. They put it on hats;, they chanted it at rallies, and they erected giant billboards to proclaim its gospel to any passersby. Joy Villa even wore a transforming dress dedicated to it.

Underlining the sentiment is the belief that at some point in its history, America was the best country in the world. But it's fallen from its former glory, and the new imperative is to reclaim that title. Recent events have shown that the idea still holds sway over right-leaning voters, and while toxic to left-leaning voters today, it wasn't long ago that the message stirred their hearts as well.

While Trump trademarked the phrase in 2012, American candidates have been using it for decades. It was cultivated during the fervid isolationism of the 1930s. Ronald Reagan resuscitated it for his 1980 bid. Bill Clinton, who claimed the phrase was a racist dog whistle in 2016, used it frequently in his 1991 stump speeches. Even if not those exact words, the promise has been made on both sides of the aisle by many hoping to obtain office.

But Simon Anholt, who has advised heads of state and government in more than 50 countries, argues that striving to be the best or greatest country is the wrong solution to our problems, both domestic and aboard. He believes we should strive to be the "goodest country."

No country is an island unto itself (even the island countries)

As a political adviser, Anholt has thought a lot about countries and government. In his musings, he noticed two particular trends shaping today's world.

First, globalization has benefited us nearly worldwide, but created problems at that same scale. A world linked by highways and air travel allows diseases to move abroad as efficiently as goods and services. The multitudinous roots of global finance mean that if a key American bank fails, the effects are felt the world over. And greenhouse gases produced by one country inflame the climate crisis facing us all.

We have connected the world and humanity in ways never before conceivable, but this leads Anholt to his second point. Our governments continue to interact as they did in the centuries before globalization.

"The politicians that we elect and the politicians we don't elect, on the whole, have minds that microscope. They don't have minds that telescope," Anholt said during a Ted talk. "They look in. They pretend, they behave, as if they believed that every country was an island that existed quite happily, independently of all the others on its own little planet in its own little solar system."

Anholt dubs governments that think about being the best at the expense of others "cultural psychopaths." Like psychopaths, these governments view other countries with a lack of empathy and conscience.

In a globalized world, however, such tribalism exacerbates problems. States that fight in needless trade wars may reap short-term rewards, but they can't maximize those rewards in the long-term. A tribal mindset further prevents us from collaborating effectively on global-scale problems such as nutrition, finance, immigration, and climate change, all of which leak through porous borders.

Pickin' up good vibrations

The United States Air Force delivers food, provisions, and humanitarian aid to Port-Au-Prince, Haiti, to help victims of the 2016 hurricane strike. (Photo: Staff Sgt. Robert Waggoner/Defense Logistics Agency)

To combat tribalism, Anholt created the Good Country Index. His goal was to measure countries' contributions to the world — not their own population but humanity as a whole.

To be clear, "good" in this context is defined as the opposite of "selfish" or "cultural psychopathy." It is not a moral judgment but a calculation drawn from 35 reliable datasets gathered by the United Nations, international agencies, and non-government organizations.

From this data, the Good Country Index scores nations based on their contributions to seven categories: Culture, World Order, Planet and Climate, Health and Wellbeing, Science and Technology, Prosperity and Equality, and International Peace and Security. The scores are then divided by gross domestic product to prevent larger, richer countries from having an unfair advantage.

The index tries to be comprehensive, sporting 153 of the world's countries; however, countries such as Cuba, Bhutan, and Ethiopia are absent due to a lack of data.

When the Good Country Index began in 2014, Ireland was number one and the United States ranked 21st. In the index's fourth iteration, the Emerald Isle is now the third "goodest" country in the world. Finland and the Netherlands have taken first and second, respectively.

Finland is particularly interesting. Not only has the country scored highly on every iteration of the Good Country Index, but it ranks well on other global evaluations, including those measuring education, happiness, and health and wellness. Clearly, the Finns have something that other countries should be taking note of (and it's not salmiakki).

But again, the Good Country Index isn't design to be an instrument of judgement or competition. It is a tool for elucidation and improvement. Finland may rank first overall, but it doesn't hold first place in any one category. While scoring highly in prosperity and environmentalism, the country dithers in international peace and security. Finland scores particularly low in arms exports, which measures the circulation of weapons and ammunition relative to the country's economy.

As such, Finland can enhance its humanitarian efforts by improving its contributions to international security. For inspiration its leaders may want to look to Georgia, which ranked number one in that category despite coming in 38th overall.

As for the United States, its position was reduced from 21st to 40th between 2014 and 2018. The U.S. brackets highest in health (11th), thanks to its contributes to worldwide food aid, pharmaceutical exports, and donations to humanitarian organizations and the World Health Organization.

The country stumbles, however, in international peace (101st). This is due to the its endowment of arms and organized violence across the world, of which the U.S. bombs used to kill civilians in the Yemen Crisis​ is but the latest of many devastating example.

Is being the best country bad branding?

To many politicians and voters, domestic and international agendas seem incompatible. Through a zero-sum lens, it appears that one country's gain is another's loss, and the goal of a country's government should be to compete in the global system to net as many gains as possible for its people.

But Anholt and the Good Country Index want to show that the altruism and self-interest aren't necessarily antonyms. Domestic and international agendas can be compatible and harmonized to the benefit of all. This is shown by another pet project of Anholt's, the National Brands Index.

In collaboration with Ipsos, a global market research and consulting firm, the National Brands Index measures and compares countries' reputations in areas including culture, exports, tourism, and governance. Germany won the top spot in 2008, 2014, 2017, and 2018. The country is also well-recognized for its humanitarian efforts, placing highly on the Good Country Index.

Like companies, a country's brand is important for its stability and access to cooperative relationships. Anholt explains: "If a country has a great, positive image, like Germany has or Sweden or Switzerland, everything is easy and everything is cheap. You get more tourists. You get more investors. You sell your products more expensively. If, on the other hand, you have a country with a very weak or a very negative image, everything is difficult and everything is expensive."

The United States' brand has remained strong in current years, though it has slipped in tandem with its Good Country Index ranking. In a press release, Ipsos notes that the U.S. saw the greatest overall drop in its brand approval in 2018. This was due largely in part to negative perceptions in China, Canada, and Mexico.

Pew Research Center concurs. Its surveys have shown that the U.S.'s brand remains favorable, but there are worrisome trends in the data. Western Europeans overwhelmingly lack confidence in President Trump. They don't believe the United States protects personal freedoms — the first time a majority of respondents have answered in the negative since Pew began asking the question in 2008. And people from several nations believe the United States doesn't consider other countries in its international policy.

At home, Americans don't believe their leaders are up to the challenge.

Keep America Good

Trump wears a Make America Great Again hat during his 2016 campaign. (Photo: Gage Skidmore/Wikimedia Commons)

"Today, leaders must realise that they're responsible not only for their own people, but for every man, woman, child and animal on the planet; not just responsible for their own slice of territory, but for every square inch of the earth's surface and the atmosphere above it," the Good Country Index's website states.

To Anholt's point, there are many inspiring examples of what can happen when countries look outside their boundaries to collaborate on humanitarian goals. Historically, we can look to the European Recovery Program. Today, we have the United Nations' Sustainable Development Goals — 17 directives aimed at improving the quality of life for all people in the world.

The U.N.'s goals are lofty and include ending extreme poverty and undernourishment the world over. But it is only thanks to the collaborative effort of many countries that such goals can even be considered possibilities. For the first time in world history, extreme poverty has fallen to under 10 percent. There is still much to do, and issues that may still arise, it is only through collaboration that we've made the progress we have.

Looking forward to 2020, President Trump appears to be upgrading his slogan to "Keep America Great." Perhaps we would all be better served if we decided to Keep America Good, instead.

Yale scientists restore brain function to 32 clinically dead pigs

Researchers hope the technology will further our understanding of the brain, but lawmakers may not be ready for the ethical challenges.

Still from John Stephenson's 1999 rendition of Animal Farm.
Surprising Science
  • Researchers at the Yale School of Medicine successfully restored some functions to pig brains that had been dead for hours.
  • They hope the technology will advance our understanding of the brain, potentially developing new treatments for debilitating diseases and disorders.
  • The research raises many ethical questions and puts to the test our current understanding of death.

The image of an undead brain coming back to live again is the stuff of science fiction. Not just any science fiction, specifically B-grade sci fi. What instantly springs to mind is the black-and-white horrors of films like Fiend Without a Face. Bad acting. Plastic monstrosities. Visible strings. And a spinal cord that, for some reason, is also a tentacle?

But like any good science fiction, it's only a matter of time before some manner of it seeps into our reality. This week's Nature published the findings of researchers who managed to restore function to pigs' brains that were clinically dead. At least, what we once thought of as dead.

What's dead may never die, it seems

The researchers did not hail from House Greyjoy — "What is dead may never die" — but came largely from the Yale School of Medicine. They connected 32 pig brains to a system called BrainEx. BrainEx is an artificial perfusion system — that is, a system that takes over the functions normally regulated by the organ. The pigs had been killed four hours earlier at a U.S. Department of Agriculture slaughterhouse; their brains completely removed from the skulls.

BrainEx pumped an experiment solution into the brain that essentially mimic blood flow. It brought oxygen and nutrients to the tissues, giving brain cells the resources to begin many normal functions. The cells began consuming and metabolizing sugars. The brains' immune systems kicked in. Neuron samples could carry an electrical signal. Some brain cells even responded to drugs.

The researchers have managed to keep some brains alive for up to 36 hours, and currently do not know if BrainEx can have sustained the brains longer. "It is conceivable we are just preventing the inevitable, and the brain won't be able to recover," said Nenad Sestan, Yale neuroscientist and the lead researcher.

As a control, other brains received either a fake solution or no solution at all. None revived brain activity and deteriorated as normal.

The researchers hope the technology can enhance our ability to study the brain and its cellular functions. One of the main avenues of such studies would be brain disorders and diseases. This could point the way to developing new of treatments for the likes of brain injuries, Alzheimer's, Huntington's, and neurodegenerative conditions.

"This is an extraordinary and very promising breakthrough for neuroscience. It immediately offers a much better model for studying the human brain, which is extraordinarily important, given the vast amount of human suffering from diseases of the mind [and] brain," Nita Farahany, the bioethicists at the Duke University School of Law who wrote the study's commentary, told National Geographic.

An ethical gray matter

Before anyone gets an Island of Dr. Moreau vibe, it's worth noting that the brains did not approach neural activity anywhere near consciousness.

The BrainEx solution contained chemicals that prevented neurons from firing. To be extra cautious, the researchers also monitored the brains for any such activity and were prepared to administer an anesthetic should they have seen signs of consciousness.

Even so, the research signals a massive debate to come regarding medical ethics and our definition of death.

Most countries define death, clinically speaking, as the irreversible loss of brain or circulatory function. This definition was already at odds with some folk- and value-centric understandings, but where do we go if it becomes possible to reverse clinical death with artificial perfusion?

"This is wild," Jonathan Moreno, a bioethicist at the University of Pennsylvania, told the New York Times. "If ever there was an issue that merited big public deliberation on the ethics of science and medicine, this is one."

One possible consequence involves organ donations. Some European countries require emergency responders to use a process that preserves organs when they cannot resuscitate a person. They continue to pump blood throughout the body, but use a "thoracic aortic occlusion balloon" to prevent that blood from reaching the brain.

The system is already controversial because it raises concerns about what caused the patient's death. But what happens when brain death becomes readily reversible? Stuart Younger, a bioethicist at Case Western Reserve University, told Nature that if BrainEx were to become widely available, it could shrink the pool of eligible donors.

"There's a potential conflict here between the interests of potential donors — who might not even be donors — and people who are waiting for organs," he said.

It will be a while before such experiments go anywhere near human subjects. A more immediate ethical question relates to how such experiments harm animal subjects.

Ethical review boards evaluate research protocols and can reject any that causes undue pain, suffering, or distress. Since dead animals feel no pain, suffer no trauma, they are typically approved as subjects. But how do such boards make a judgement regarding the suffering of a "cellularly active" brain? The distress of a partially alive brain?

The dilemma is unprecedented.

Setting new boundaries

Another science fiction story that comes to mind when discussing this story is, of course, Frankenstein. As Farahany told National Geographic: "It is definitely has [sic] a good science-fiction element to it, and it is restoring cellular function where we previously thought impossible. But to have Frankenstein, you need some degree of consciousness, some 'there' there. [The researchers] did not recover any form of consciousness in this study, and it is still unclear if we ever could. But we are one step closer to that possibility."

She's right. The researchers undertook their research for the betterment of humanity, and we may one day reap some unimaginable medical benefits from it. The ethical questions, however, remain as unsettling as the stories they remind us of.

'Upstreamism': Your zip code affects your health as much as genetics

Upstreamism advocate Rishi Manchanda calls us to understand health not as a "personal responsibility" but a "common good."

Sponsored by Northwell Health
  • Upstreamism tasks health care professionals to combat unhealthy social and cultural influences that exist outside — or upstream — of medical facilities.
  • Patients from low-income neighborhoods are most at risk of negative health impacts.
  • Thankfully, health care professionals are not alone. Upstreamism is increasingly part of our cultural consciousness.
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Objective reality may not exist, European researchers say

A new experiment shows that two observers can experience divergent realities (if they go subatomic).

Photo credit: Georgia O'Callaghan via Getty Images
Surprising Science
  • In 1961, Nobel Prize-winning physicist Eugene Wigner proposed a thought experiment by which the reality of two observers can diverge by measuring a single photon.
  • Researchers recently tested Wigner's thought experiment and concluded that realities can be made irreconcilable.
  • Do these results put the entire scientific method at risk? Let's not get ahead of ourselves.
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