Global Population Boom: Are People the Problem, the Solution, or Both?
In his lecture, Professor Joel Cohen teaches you how demography can provide answers to the life or death questions caused by the world's swelling population and dwindling resources.
My name is Joel Cohen
I’m Professor of Populations at the Rockefeller University and at Columbia University in New York City.
My background is partially in public health and partially in applied mathematics.
Why should you consider taking a course in demography in college?
You will be growing up in the generation where the baby boomers are going into retirement and dying. You will face problems in the aging of the population that have never been faced before.
You will hear more and more about migration into the United States and in some cases, out, into Europe and out between rural areas and cities.
You need to understand as a citizen and as a tax payer and as a voter what’s really behind the arguments.
INTRODUCTION TO PROBLEMS IN DEMOGRAPHY
I want to tell you about the past, present and future of the human population. So let’s start with a few problems. Right now, a billion people are chronically hungry. That means they wake up hungry, they’re hungry all day and they go to sleep hungry. A billion people are living in slums, not the same billion people, but there is some overlap. Living in slums means they don’t have tenure in their homes, they don’t have infrastructure to take the garbage away, they don’t have secure water supplies to drink.
Nearly a billion people are illiterate. Try to imagine your life being illiterate. You can’t read the labels on the bottles in the supermarket, if you can get to a supermarket. Two-thirds of those people who are illiterate are women and about 200 to 215 million women don’t have access to the contraceptives they want so that they can control their own fertility.
This is not only a problem in developing countries; about half of all pregnancies are unintended. So those are examples of population problems.
DEMOGRAPHY AS A TOOL FOR SOLUTIONS
Demography gives you the tools to address and to understand these problems. It’s the study of populations of humans and non-human species that includes viruses like influenza, the bacteria in your gut, plants that you eat, animals that you enjoy or that provide your domestic animals. And it includes non-living objects like light bulbs, and taxi cabs and buildings because these are also populations. And it includes the study of these populations in the past, present and future using quantitative data and mathematical models as tools of analysis.
I see demography as a central subject related to economics, to human wellbeing as in material terms; related to the environment, to the wellbeing of the other species with which we share the planet; and the wellbeing and culture which affects our values and how we interact with one another.
WORLD POPULATION: THE PAST
The key fact you need to remember, is that since the inventions of agriculture between 6,000 and 14,000 years ago, the population of the earth, the human population, has grown 1,000 fold from approximately seven million to nearly seven billion this year. Put three zeroes on the end of seven million, you get seven billion.
Over the same interval, the earth has not gotten any bigger. The continents haven’t expanded 1,000 fold or at all. The oceans are the same size as they were before. The atmosphere is the same size as it was before. So the question that concerns a lot of people and me is whether the impacts that seven billion people or more in the future will have on the earth will endanger, will threaten our own well being and the well being of other species on the earth. We know that humans have already caused the extinction of many species. The question is, is that going to come back and bite us, and if so, in what ways?
Demography provides us with a reliable way to imagine and to reimagine the future. So let’s get down to some nitty-gritty details here. About 2,000 years ago, there were roughly a quarter of a billion people on the planet. Today, there are almost seven billion. More than six-seventh of the growth since the beginning of humans 50,000 years ago has occurred in the last 200 years.
To go from a quarter of a billion to half a billion took 16 centuries. So we reached about half a billion humans about 1600, more or less. The population of the earth, the human population, if it were growing exponentially would go from a quarter billion to half in 16 centuries and from half to one in another 16 centuries.
What actually happened was that the human population of the earth reached a billion around 1800. Why? Because of food stuffs that came from the New World to the old; notably potato and corn or maize. And because many of the people who were overcrowded in Europe went to America where there were fertile and unoccupied lands to use. So the East/West exchange, the Columbian exchange across the Atlantic liberated population growth in the European sector, there was a similar development in Japan, an acceleration of population growth around the same time.
In 1800, the Industrial Revolution began and the population doubled from one billion to two billion by 1930, 1927, we don’t know exactly. Why don’t we know exactly? Because we didn’t have censuses that covered the whole world at that time. So it’s a retrospective guess.
So our doubling times went from 1,600 years to 200 years, 1600 to 1800, to 130 years, 1800 to 1930. The next doubling from two billion to four billion took only 44 years, 1974.
So for the last 2,000 years at least, except for the Black Death in the 14th century, the population growth rate was going up, up, up, up and around 1965, it began to decline.
So in absolute terms and in percentage terms, the number of people we are adding to the planet has begun to slow.
FERTILITY IS THE KEY TO UNDERSTANDING HUMAN POPULATION
Since 1950, humans have made the swiftest, voluntary change in reproduction in human history. Around 1950 the average number of children per woman, per lifetime was very close to five. Today, the average number of children per woman is about 2.5 or 2.6. In other words, billions of people have changed their reproductive behavior to lower the number of children born in a lifetime from five to two-and-a-half, but not everywhere.
In Sub-Saharan Africa, the decline has been much less. From perhaps 6.6 children to 5.1 over the half… the second half of the 21st century. To understand the consequences of this fall to two-and-a-half children per woman, you need to know what is meant by replacement level fertility.
So I am going to introduce that by telling you about the theory of bathtubs. A regular bathtub with no stopper. So two things happen with a bathtub with no stopper. Water comes in and water goes out. And you can see intuitively that if the amount of water coming in per minute exceeds the amount of water going out per minute, the level of water in the bathtub is going to go up, and if the amount of water come in per minute is less than the amount being drained out, the level in the bathtub is going to go down. So the amount of water coming in that just matches the amount going out keeps the level of the bathtub steady. Okay? That’s replacement level bathtub water.
Now, water coming in corresponds to births to the earth. And water going out corresponds to death. And the level of the bathtub corresponds to the total population size. So, if the number of births just matches the number of deaths, the population stays steady and that’s the replacement level of fertility.
Now, you’re asking yourself, what is the replacement level of fertility? The answer is, it’s about 2.1 children per woman.
There has been an amazing transformation in the distribution of fertility across the world.
In 2003, this was not in any newspaper anywhere, but it was a very important event. In 2003, half of all the women in the world were having replacement level or less. And now more than half of humanity lives in a country at or below replacement level fertility. It’s the first time in human history that this has happened. And it’s important. But you remember that the total fertility rate, the average number of children per woman is at 2.5, not 2.1. And that’s because on this curve, the green curve, the folks with high fertility are further to the right of the red line than most of the folks with low fertility are to the left. So the average is skewed to the right. So we still have a growing population. But this change is continuing and how fast it continues is something that you as voters, as potential scientists, as citizens will influence by what you choose to do about the 215 million women who have an unmet need for contraception.
So much for the past, let’s go on to the present. This is a population pyramid. It is one of the basic descriptive tools of demography and you should understand what it is. Let’s start with the left side of the picture.
The horizontal axis, the width of the bar tells you how many people there are and the vertical axis correspondence to age group. So the lowest bar is for people aged zero to four with males on the left and females on the right. The next bar is people age five to nine. The top bar is 95 to 100. And what you see is that in the rich countries, there are about as many people aged, let’s say zero to four as there are aged 85 or 90, but it’s basically a slender column.
Now compare it with the age pyramid for the poor countries. The base of the pyramid is enormous compared to the number of elderly. So there are many more workers to support the elderly, per elderly person. The width of the bar, again is the number of people, so in the ranges from five to 14 of five to 19, that’s the school age population. It means that the challenge of educating those children is much greater in the developing countries than it is in the rich countries because those bars keep getting wider as the developing countries pump in more children at the bottom of the pyramid and the age groups move up with time as they get older. And so the larger school age population is followed 10 years later by a much larger military age population.
So if you look at the age groups 19 to 30 or 15 to 30, whatever the legal ages or illegal ages are for fighting, you can see that the potential military force in the developing countries vastly exceeds that in the rich countries. It doesn’t mean it’s military power for them, it means they can afford a military engagement in a way that the human resources of the rich countries make very difficult, increasingly difficult.
So where is the growth going? The demographic growth is happening in the countries that can least afford to deal with the additional population.
What’s the average income? The reason we call a rich country as rich is that their average income is about $32,000 a year per person and in the poor countries it is about $5,000 a year.
What fraction of people are living on less than $2.00 a day? Nobody lives on less than $2.00 a day in the rich countries and 51 percent, just about half in the poor countries. In other words, about 3.5 billion people on our planet are living on $2.00 a day or less.
So you might ask yourself, if things are so bad there how is it that their population is growing so rapidly? And the fact is that the difference in death rates is much smaller than the difference in fertility rates. So even though a higher fraction of children die before they reproduce, the average number of children that people have when they do reproduce in the poor countries more than compensates for the increase in the death rate. So that’s why we have rapid population growth at the same time that we have high fertility, high mortality because we had even higher fertility.
The global economic inequality means that the most rapid demographic growth is associated with the people who have the least means to take care of the children that are born and the people with the greatest need for reproductive healthcare and services have the least means to afford it.
It’s an important general question, How does the rich world benefit from the prosperity and development of the poor world? There are lots of different answers you can give. One is, purely economic. Richer people in China and Africa will buy more American music CD’s and more movies and more software and more high tech engines from General Electric and more products because they have more means to buy. So that’s one kind of an answer.
A second is public health. There are millions of flights in both directions from the poor countries to the rich countries every year. And the microbes don’t know about passports. And they cross from Bombay or Mumbai to New York just a fast as they go from New York to Mumbai. And when there are outbreaks of drug resistant tuberculosis, those can travel around the world and they pose a danger to me and to you guys. So we have an interest in the health and well being. A direct, personal interest in the health and well-being of people in poor countries.
So now we’ve talked about the demographic past, and the demographic present. And next we’re gonna talk about the demographic future.
Woody Allen said, “Eternity is very long, especially near the end.” So, we’re not going to talk about eternity. We are only going to talk about the near term future. How much of the future is relevant to you? Well, according to the United States Life Tables, published by the National Center for Health Statistic. An 18-year-old in the United States in the year 2011 has a 91 percent chance of surviving to 2050, 91 percent. Based on survival rates in 2006. If you behave wisely and if economic and medial progress continues, you have at least that good a chance of making it to 2050. So we’re going to talk about the world from now to 2050.
I can say with confidence that four things will happen over the next 40 years or so. The world’s population will get bigger. It will grow more slowly. It will be older in the sense that the fraction of older people will increase dramatically and it will be more urban. And I’m going to go through each of those four to explain some of the details.
What we don’t know too much about is what will be the future of migration, the future of household structures, and the future of families. We have some ideas about that, but that’s relatively less certain.
THE FUTURE OF THE WORLD’S POPULATION : BIGGER
This graph shows four different curves of the history and future population out to 2050. At the top, the curve shows the anticipated population if fertility remains at the level it is today and there’s no further decline in fertility. That’s called the Constant Fertility Assumption. And it shows that the world would go to about 11 billion people by 2050. However, if fertility drops as it has dropped in the past, the medium projection of the U.N. Population Division is that population would rise to about 9.1 billion by 2050. So that’s a difference of two billion. In other words, we’re counting on a continuing decline in fertility to lower the population size by about two billion by 2050.
What we do between now and 2050 will have a huge impact on how difficult it is to feed, house, shelter, educate, and provide health for the billions of people on the planet in 2050. It will affect an enormous range of human problems.
It’s possible that population growth would end before 2100 depending on the choices we make now. What choices am I talking about? Choices like, educating women, providing credit to women in countries where women are not now allowed to have credit. Providing reproductive healthcare so that women are not forced as they are in some countries to have children when they don’t want to. Raising the age of marriage so that 12-year-olds, 13-year-olds and 14-year-olds aren’t put into marriage. There’s a lot of things we can do to raise people, including even women, raise people’s control over their own lives. And we should be doing those things.
I am not trying to persuade people not to have children. I think that is nuts, but I am trying to persuade people to have children that they can take care of and do well for and to focus on quality of children rather than numbers. And, I view demography rather broadly so I think you also need to know how your body works, how contraception works, what’s more reliable, what’s less reliable, what are the factors that affect contraception and how to take care of your own reproductive health and to help your children take care of their reproductive health and your friends and your family.
THE FUTURE OF THE WORLD’S POPULATION : SLOWER GROWTH
So the first fact about the future is that the population is going to get bigger and the second fact is that the population is going to grow more slowly depending… the slowing will depend on what we do now.
By 2050 in the medium projection from the United Nations Population Division, the world will be growing by 31 million people a year.
What’s it doing now? It’s growing by 76 million people a year.
In the poor countries, the population will be growing by 32 million a year while in the rich countries; the population will actually be declining
by a million people a year. Already today in 2011, population is declining in more than 50 countries. Not well-known.
What’s happening here is a shift in childbearing desires and action from quantity to quality as people urbanize, as people get educated, as wealth improves, people are making greater investments in a smaller number of children.
THE FUTURE OF THE WORLD’S POPULATION : OLDER
So we’ve talked about population size, growth rate, slowing. The next is aging.
So by 2050, there will be about three times as many elderly as children. This is the first time in human history that the elder population has outnumbered the young population.
So what? Well, aging affects energy demand. So even if you are interested in the environment, you need to know about the age structure of populations. Older householders spend, at least in the United States, India and China, the three countries where it’s been studied in detail, spend more than younger households measured by the age of the head on utilities services and healthcare. Utilities are the most energy intensive part of the household budget. That’s not the only reason to care. The rise in the fraction of elderly poses an increasing challenge to a relatively reduced number of workers. And it’s possible that the well-being of elderly people could improve, if they’re educated or could get worse if they are warehoused in old people’s homes.
We know for example, that people who are educated in their youth have much lower disability when they get older. And in fact, disability rates at any given age in the United States have been dropping by about one-and-a-half percent per year for the last 25 years. So there are far fewer disabled elderly now than there used to be. That’s the meaning of 60 is the new 40, 50 is the new 30. People are healthier at older ages. That’s the result of investment in education in youth. So, there are policy implications for a rising aged population, we better invest in educating people when young.
THE FUTURE OF THE WORLD’S POPULATION : URBAN
And the last of the four topics is cities. And I’m going to give you a very simplified and boiled down demographic history of the first half of the 21st century. In 2000, you could divide the world into two equal parts; half rural and half urban, about three billion rural and three billion urban. In 2050 the rural population will still be at three billion and the urban population will have doubled from three billion to six billion. That’s a simplified history. All of those additional three billion urban people will be in poor countries.
The equivalent of a city of one million will have to be built every five days from now to 2050 and all of them in poor countries.
So what’s the consequence? What is this massive shift towards urbanization mean?
If we under invest in cities, we can go from a billion people living in slums today to four billion people living in slums. And if we invest in the cities, if the real estate companies realize the opportunities, the incredible demand that people have to live in decent housing, we could reduce the size of the slums. So, I cannot give you a deterministic picture. I can tell you what would be awful. We could have infectious diseases rampant. We could have warfare in the cities. We could have disorder, but that’s not necessary.
We could have clean water supplies; we could have security for people in their houses. That doesn’t get as much news attention, but the point I want to make is, we have choices about the future of cities and many things about urbanization are positive. And I want to tell you a few of the things that are positive. Not because they’re automatic, but because they are positive in fact and because we can enhance the positive.
Compared to rural areas, urban areas have lower fertility rates. Why? I’m a woman on the farm. You might not think so, but I am… okay. I’m a woman on the farm. The more children I have, the more help I can have in collecting the water, collecting the fire wood and tending to the goats and sheep. As soon as I move into a city, those children convert from an asset to a liability. I have to buy them clothing. I have to send them to school. There are school fees, the apartment is too small. The incentives completely shift direction. Urbanization makes people want to have fewer children.
Cities also have higher usage of modern contraception and lower unmet needs for contraception. Why? I am a woman; you might not know it… I don’t have to walk 15 miles to the nearest health center and be exposed to the inspection of my husband’s friends when I go in for contraception. No. When I’m in the city, I just go around the corner and it’s anonymous. So, urbanization brings many features of liberation as well as changing the incentives.
Cities concentrate economic productivity. Eighty percent of the world’s gross domestic product is produced in cities, although there are only 50 percent of the world’s people in cities. Cities generate cultural assets, educational resources, public health resources, medical care and they can promote energy efficiency.
Let me give you an example. This graph shows the passenger transport, carbon dioxide per person. The denser the city, the lower the amount of carbon dioxide per person. New York City is reported, according to the Mayor’s office, to have less than one-third the carbon dioxide emissions per person of the U.S. average. People take the subway, people ride the bus.
Cities also have hazards. Many cities are built along coastlines. Coastlines are where the continental plates of the oceans collide with the continents. That means they are prone to earthquakes. We just had the big example in Japan, but it’s true all around the world. The Ring of Fire around the Pacific Ocean coincides with where the cities are because cities are coastal. A lot of the world’s urban people live near the coastline and that’s where the subduction zones are in California. So cities are vulnerable to rising sea level, to coastal storms, cities concentrate people so they’re vulnerable to infectious diseases, water supply attacks, and cities are excellent targets for military and terrorist attacks, as we know in New York City and many other cities.
It used to be, battles were fought on battlegrounds. No more. They’re fought in cities. And that will increasingly be the case as cities concentrate assets.
This is New York City as it is now. The red zone will be underwater if the water level rises by one meter on the average. One meter is probably more than we’ll have in the next 50 years, but could easily happen by the end of this century at current rates. Now, a six meter rise would happen if the Greenland and Antarctic ice masses melted. Six meters is about 20 feet. And that would be a catastrophe in many respects including for me, there’s a little place over here in New Jersey which is my favorite nudist colony. And it would be completely underwater. So that would be a terrible thing to happen.
Urban growth could affect the food supply. Right now, cities occupy three percent of the land surface of the earth. The land, the arable land, the land where we can grow food well is about 10 or 11 percent of the land surface of the earth. It’s not surprising that many cities are smack in the middle of the best arable land because that was where a food surplus could be easily produced without having to ship the food. Now, if cities are going to double, we have another choice. Do we double the area from three percent to six percent and eat up our arable land, literally or do we double the density and keep the areas of the cities constant at three percent. This is a choice for the future and it depends on zoning and culture and real estate developers and economics and choices that we make as citizens.
CONCLUSION - FOOD: THE WORLD IS RUNNING OUT OF RESOURCES TO SUPPORT ITS GROWING POPULATION
How do we address the problems that we have.
There are three kinds of solutions that people have put forward; bigger pie, fewer forks, better manners. The bigger pie people say we should use technology to increase production. The fewer forks people say, we should use contraception to reduce population growth and we should consume less material products. And the better manners people say, we should eliminate violence, inequities between men and women, inequities between rich and poor, inequities between young and old. We should eliminate rational subsidies and just make things work more efficiently. Get rid of corruption.
We need all of those and I took a few years to try to figure out what’s my best way to support those three strategies, all of them. And I came to the conclusion that the best response would be to educate all children, boys and girls, well for 10 to 12 years, high quality, primary and secondary education. I realized there is no chance of educating people if their brains haven’t been fed adequately, in utero and after birth, especially for the first three years.
So I am now moving around to working on the problem of getting food, adequate, good food, to pregnant women, lactating women, and infants up to the age of three because there are many countries where by the time a child gets to school, it’s too late the brain has lost its capacity to learn.
It comes back to my ecological interests in food. You can’t educate without a brain that works.
So now we’re talking about food. I started this conversation saying that there are a billion hungry people, chronically hungry. I want to come back to this. We depend on other species. Here is a list of what other species provide to humans. And I’m going to read the list because it’s important. Food for people, feed for our domestic animals, fuel, biofuel for example, and wood to burn, biomass. And in many countries people burn dung. The waste products of animals. That’s an important source of fuel. Fiber, so we depend on trees for many paper and other products. Fascination, we love to go to the zoo and see animals. We love to see wildlife. When people go out in nature, they’re thrilled if they see a deer or some other kind of wildlife. In fact, in Central Park, the German tourists are thrilled to see squirrels. We find animals fascinating. Pharmaceuticals, most of our drugs are natural products tuned up to serve human needs. Animals provide transport, they carry people places. They provide traction, they pull plows, they pull carts. Other species provide symbioses. I’ve talked about the animals, not the animals, the bacteria that live in our guts. And they provide infection. They can cause disease.
So the question I want to address now is can we grow enough food to bring us to 2050 without catastrophe? These are data from the Food and Agricultural Organization in Rome. They are estimates of the number of people in the world who are chronically under nourished day after day. The current estimate is about 925 million people. That’s nearly a billion and it is higher than the number has been in the last 40 years. Ninety-eight percent of these people live in poor countries. Not only poor countries. Here is something that shocked me and I hope it will shock you. At some point during 2009, 17.4 million U.S. households, one household in seven in the United States, lacked enough money and other resources to provide food for all members of the household.
The current level of food insecurity in the United States is higher than it has been since the USDA started collecting the statistics by sample surveys in 1995. We are at an all time high of hunger in this country.
So the question you should be asking yourself is, well aren’t we growing enough food? What’s the problem?
We’ve got seven billion people and there are a billion of them hungry. The answer is, less than half of the grain that we grow goes into people’s mouths. Divide the world’s grain into six equal pieces. One piece we use to make biofuels, starches, for seed and other industrial uses; plastics. Two-sixths, we feed to our domestic animals of the rich people, those who have the means to afford those animals and meet products. Less than half, the other three-sixths goes directly into human mouths. We could be feeding 11 billion, but we only feed half of that amount, 5 ½ billion into human mouths.
We put machines and animals in line before people who don’t have money to express demand in markets. Hunger does not fit into our economic theories. It’s economically invisible because people who are very poor, remember, half a billion are only living on $2.00 a day or less. People who are very poor can’t enter the market and plunk down their cash and say, “I want that.” They are invisible economically. So my hunger does not affect your costs for grain. This is a problem with our economics. And it’s a reflection of our values.
CONCLUSION - WHAT’S THE SOLUTION?
So, here’s Joel’s formula for how to solve the world’s problems.
Well, population; let’s go at it with all hammer and tongs. Eliminate all unintended pregnancies and educate all children to give people control over their bodies and over their own lives.
Economics, open credits and markets to small farmers. A majority of the world’s farmers are women. They are the ones out in the field actually doing the work. Eliminate perverse subsidies in rich countries make it very difficult for poor farmers to enter markets because they lower the price in artificial ways. And let’s raise the incomes of the poor.
Environment. Use the best farm lands for farms and internalize the external costs of agriculture. Get rid of the pollution and use chemicals in a way that doesn’t damage the environment.
And fourth, promote healthy diets and value adequate nutrition for every person. I would add one other thing under this culture question and that is, we need to fund more research in agricultural productivity for the crops that matter in poor countries. Not only for the industrial craps that fund our biofuel habit, but for the crops that provide food to the poor.
CONCLUSION - SUMMATION
When you walk away from this conversation, I hope that you’ll remember that population interacts with economics, the environment and culture so that you immunize yourself against people who will try to sell you an overly simple bill of goods. And there are a lot of people. There are people who say, “Demography is destiny,” and all we have to do is get a contraceptive in every pot and we’ll solve the world’s problems. That’s wrong.
And there are people who say all we have to do is get the market right. Let the market take care of all the prices. In my view, that is equally wrong and much more dangerous. There are people who say, “It’s only a matter of law and getting the laws right.” Yeah, but it’s also a matter of technology and contraception and economics. And there are people who say, “Forget about the people, let’s just save the environment.” I don’t believe that because I’m a human being and I value other human beings. We’ve got to get all of these things working together and the environment can be on the side of human well being because poor rural people depend directly on the environment for their sustenance. If they want to have a sustainable sustenance, they have to have a sustainable environment.
Demography makes it possible to imagine and to re-imagine the future.
I’d encourage any freshman, sophomore, junior, senior, adult, high school student—I’m not age prejudiced—anybody who wants to do three things to consider demography. It’s not the only field that offers these attractions but it does offer them in spades. It’s really very attractive. First of all, demography gives you tools and analytical perspectives to understand better the world around you. That’s understanding.
Secondly, it gives you equipment to solve problems mentally. It’s mentally exciting; you really have to use your noggin, and if you’ve got one use it or lose it. So it’s use it. And third, it is the means to intervene more wisely and more effectively in the real world to improve the wellbeing, not only of yourself—important as that may be—but of people around you and of other species with whom we share the planet.
So it prepares you to go out and do something that’s worth doing for a larger good than only yourself. So there’s an old saying, “If I am not for myself who will be; but if I am only for myself what am I; and if not now, when”? So now is the time. Pull up your pants and get to work.
Professor Joel Cohen first asks and answers the question, "How did humans grow from small populations on the African savannah to almost seven billion people?" After holding steady for thousands of years, the world population exploded after 1800, more than tripling in 200 years. And while the rate of population growth is slowing down, Cohen shows how high birth rates in poor countries are turning societies on their head and leading to explosive problems in the future. Can we prevent an outcome where rich western countries are in permanent population decline while cities in Africa, South America, and Asia swell into massively overcrowded slums with no access to education, healthcare, or hope? Cohen applies demography to this pressing question with fascinating results.
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- Behind the nasopharynx is a set of salivary glands that no one knew about.
- Finding the glands may allow for more complication-free radiation therapies.
PSMA PET/CT technology<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="676e611b970c9b516cace0870447b325"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/RHAyoQF09X4?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>PSMA PET/CT is a new combination of <a href="https://www.mayoclinic.org/tests-procedures/pet-scan/about/pac-20385078" target="_blank">PET scans</a> and <a href="https://www.mayoclinic.org/tests-procedures/ct-scan/about/pac-20393675" target="_blank">CT scans</a> that is believed to offer a more reliable means of locating prostate cancer metastasis. A <a href="https://www.cancer.gov/news-events/cancer-currents-blog/2020/prostate-cancer-psma-pet-ct-metastasis" target="_blank" rel="noopener noreferrer">study</a> published last spring suggests it may be the most accurate way to diagnose prostate cancer metastasis than any method previously available.</p><p>Prior to PSMA PET/CT, the primary way to look for metastatic prostate cancer was to image the body using x-ray-based CT scans and to perform bone scans, since bone is where prostate cancer often spreads. CT scans, however, often miss small tumors, and bone scans can generate false positives as a result of other damage or abnormalities that have nothing to do with prostate cancer.</p><p>PSMA PET/CT scans track the travels of an intravenously administered radioactive glucose tracer throughout the body. For hunting down prostate cancer, this tracer contains a molecule that binds to the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1472940/" target="_blank">PSMA</a> protein that's present in large amounts in prostate tumors. The molecule is linked to a radioisotope, <a href="https://netrf.org/2018/11/13/gallium-68-scan-for-neuroendocrine-tumors/" target="_blank" rel="noopener noreferrer">gallium-68</a> (Ga-68).</p><p>In last spring's research, PSAM PET/CT was shown to be 27 percent more accurate than previous methods at finding metastases (92 percent accuracy as opposed to 65 percent). In addition, it was found to be much less likely to produce false positives, and it was particularly good at detecting tumors far removed from the prostate.</p>
A good kind of avoidance behavior<p>"Radiation therapy can damage the salivary glands," says Vogel, "which may lead to complications. Patients may have trouble eating, swallowing, or speaking, which can be a real burden."</p><p>The researchers looked back through the cases of 723 patients who had undergone radiation treatment, interested in seeing if inadvertent radiation of the tubarial glands was associated with the complications experienced by the patients. It turned out that this <em>was</em> the case: In cases where more radiation had been delivered to this area, patients did indeed report more in the way of complications of the type one would expect when salivary glands are radiated.</p><p>Now that we know the tubarial salivary glands exist, therapists can stay out of their way. Vogel says, "For most patients, it should technically be possible to avoid delivering radiation to this newly discovered location of the salivary gland system in the same way we try to spare known glands."</p><p>He's hopeful that that things may be about to get at least a bit better for cancer patients: "Our next step is to find out how we can best spare these new glands and in which patients. If we can do this, patients may experience less side effects which will benefit their overall quality of life after treatment."</p>
A new survey found that 27 percent of millennials are saving more money due to the pandemic, but most can't stay within their budgets.
Taking control of bad luck<p>According to <a href="https://themanifest.com/accounting/budgeting-money-tips-for-millennials" target="_blank">a recent survey by The Manifest</a>, a business news website, millennials agree with Cramer. The study found that, of millennials surveyed, their largest expenses were housing (66 percent), educational expenses (9 percent), and health insurance (6 percent). In light of the COVID-19 pandemic, millennials are using the remaining 19 percent of their paychecks to budget and increase their savings.</p><p>About a third of millennials said they are saving more money in response to the pandemic and creating new budgets for themselves. In fact, of all generations surveyed, millennials felt the most comfortable creating personal budgets. They were also willing to think critically and adjust budgets to match financial changes, both signs that this highly-educated generation is willing to learn and adapt.</p><p>Millennials still have a rough road ahead, though. According to the survey, about half of millennials make less than $50,000 a year. That puts them into the upper-lower or lower-middle <a href="https://www.pewresearch.org/fact-tank/2020/07/23/are-you-in-the-american-middle-class/#:~:text=In%202018%2C%20the%20national%20middle,(incomes%20in%202018%20dollars)." target="_blank">income class</a>, depending on where in the country they live. That matches <a href="https://www.bls.gov/opub/mlr/2019/article/time-use-of-millennials-and-nonmillennials.htm#:~:text=Among%20full%2Dtime%20wage%20and,with%2031%20percent%20of%20nonmillennials." target="_blank" rel="noopener noreferrer">BLS data</a>, which shows millennials earning less than older non-millennials. <a href="https://www.bls.gov/opub/mlr/2019/beyond-bls/the-kids-are-alright-millennials-and-the-economy.htm" target="_blank" rel="noopener noreferrer">The BLS also notes</a> that while millennials have less debt than GenXers, most of that is student loan debt rather than mortgages.</p><p>And despite their budgetary plans, only 11 percent of millennials surveyed were able to stay within budget, while uncertainty still looms in the future job market.<em></em></p><p>With all this said, there are caveats to The Manifest survey. It hosted a relatively small sample size, only surveying 502 Americans. Of those, millennials made up 22 percent of respondents. They weren't even the largest cohort in the study. That was the baby boomers at 32 percent. </p><p>This makes the survey more suggestive than indicative. But the suggestion is that millennials, to borrow a phrase from writer Vicki Robin, are ready to reinterpret their relationship with finances.</p>
A push for financial freedom<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="a463513bfbe5a2b7d5bcc59f8be265a7"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/J-B-b393epk?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>While budgeting and financial savvy have always been important, the millennial generation will need to be far more critical of their relationship with the economy. What <a href="https://www.youtube.com/watch?v=T_tDthUWsVM" target="_blank" rel="noopener noreferrer">Robin calls the old roadmap</a>—the idea that "growth is good, more is better, game over"—is unlikely to support millennials as it did past generations. They'll need a new roadmap, charting both a new macro (the relationship between our economic and ecological footprints, for example) and micro (our individual relationships with money).</p><p>Because the macro is a whole other article, we'll stick with the micro here:</p><p><strong>1) Track and cut your spending</strong></p><p>The first step to financial freedom is to track your spending and cut unnecessary purchases. For Robin, these are often the things, services, and subscriptions that we buy out of habit, but we no longer consider whether they add value to our lives.</p><p>A pernicious modern example is the subscription economy. We subscribe to services for food, clothes, television, exercise, self-help, video games, bric-a-brac, computer programs, and on and on. These services quickly fade into the financial background as just another bill we pay. </p><p>But if we watch Netflix nine times out of ten, why pay for Hulu and Disney+ and HBO Max and CBS All access? Instead, every month or so, we should scrutinize our subscriptions to ask whether they still add value to our lives. If they don't, unsubscribe.</p><p><strong>2) Kill your debt</strong></p><p>Debt doesn't just take away money we could save elsewhere; it's also a self-replicating devourer of wealth. Your debt interest rates are almost certainly higher than your investment returns, especially on credit cards. Because of this, no matter your saving rituals, you're likely bleeding wealth the longer you remain in debt.</p><p>Instead, focus on removing debt from your life. Again, credit card debt especially. The good news is that most companies have hardship programs to help debtors. You can call them to see if they can lower your interest rates or provide other helpful services.</p><p>"Financial accommodations are generally readily available right now," Amy Thomann, the head of consumer credit education at TransUnion, <a href="https://www.nytimes.com/2020/08/29/at-home/manage-finances-save-money-millennials-coronavirus.html" target="_blank" rel="noopener noreferrer">told the New York Times</a><u>.</u> "Lenders, just like consumers, understand the hardships that are going on in the economy."</p><p><strong>3) Have an emergency fund</strong></p><p>Of course, you'll need some savings when the unexpected happens. Say—I don't know—a worldwide pandemic? Experts like Robin and Thomann recommend people have three to six months' worth of expenses on reserve. These should be in liquid assets so you can access them easily and quickly.</p><p>Of course, that's not always feasible, but you should save what you can. </p><p><strong>4) Find social outlets that don't cost</strong></p><p>The economic shutdown has offered one financial boon: It has revealed ways we can enjoy each other's company with overspending. We can host movies remotely with our friends. Play video games online. Enjoy physical-distance strolls through the park. And a host of other creative connections. After the pandemic, the occasional bar hop or Friday dinner out can still be a guilty pleasure. But unlike sitcom characters, we shouldn't be spending our social lives on the set of our favorite coffee shops or local watering holes.</p><p><strong>5) Reconsider your relationship with money</strong></p><p>Robin pushes her readers to be financially free. That is, to understand that there's an economy, people have a relationship with it, but it shouldn't become an obsession that runs their lives. As <a href="https://www.youtube.com/watch?v=xDaBjc4QyWU" target="_blank" rel="noopener noreferrer">she told <em>Big Think</em></a>: "It's like there are so many presumptions that drive us into wage [slavery], and it doesn't matter whether you are at the low end or the high end. If you are engaged in that sort of anxious process of 'more, more, more,' you are not free."</p><p>The millennial generation has certainly been dealt a bum hand, but it's perhaps defeatist, and more than a little premature, to label them the unluckiest generation. Perhaps after being led astray by the old roadmap, they will be the generation to reconsider their relationship with money—not as an end itself but a means to a healthier and more beneficial life. </p>
Two massive clouds of dust in orbit around the Earth have been discussed for years and finally proven to exist.
- Hungarian astronomers have proven the existence of two "pseudo-satellites" in orbit around the earth.
- These dust clouds were first discovered in the sixties, but are so difficult to spot that scientists have debated their existence since then.
- The findings may be used to decide where to put satellites in the future and will have to be considered when interplanetary space missions are undertaken.
What are they?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xODgyMDA0NC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzNTM1ODc0Mn0.NH33LuauIo__sUBi4tvhwxDcsvhflDFD-Nhx9FjlSNk/img.jpg?width=1245&coordinates=148%2C0%2C149%2C0&height=700" id="cec96" class="rm-shortcode" data-rm-shortcode-id="acb78abe2ab46a17e419ad30906751d6" data-rm-shortcode-name="rebelmouse-image" />
Artist's impression of the Kordylewski cloud in the night sky (with its brightness greatly enhanced) at the time of the observations.
G. Horváth<p>The<a href="https://en.wikipedia.org/wiki/Kordylewski_cloud" target="_blank"> Kordylewski clouds</a> are two dust clouds first observed by Polish astronomer Kazimierz Kordylewski in 1961. They are situated at two of the <a href="https://www.space.com/30302-lagrange-points.html" target="_blank">Lagrange points</a> in Earth's orbit. These points are locations where the gravity of two objects, such as the Earth and the Moon or a planet and the Sun, equals the centripetal required to orbit the objects while staying in the same relative position. There are five of these spots between the Earth and Moon. The clouds rest at what are called points four and five, forming a triangle with the clouds and the Earth at the three corners.</p><p>The clouds are enormous, taking up the same space in the night sky as twenty lunar discs; covering an area of 45,000 miles. They are roughly 250,000 miles away, about the same distance from us as the Moon. They are entirely comprised of specks of dust which reflect the light of the sun so faintly most astronomers that looked for them were unable to see them at all. </p><p>The clouds themselves are probably ancient, but the model that the scientists created to learn about them suggests that the individual dust particles that comprise them can be blown away by solar wind and replaced by the dust from other cosmic sources like comet tails. This means that the clouds hardly move but are <a href="https://www.nationalgeographic.com/science/2018/11/news-earth-moon-dust-clouds-satellites-planets-space/" target="_blank">eternally changing</a>. </p>
How did they discover this?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xODgyMDAzNi9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY1Nzc4MjQ4MX0.7uU9OqmQcWw5Ll1UXAav0PCu4nTg-GdJdAWADHanC7c/img.jpg?width=1245&coordinates=0%2C180%2C0%2C181&height=700" id="952fb" class="rm-shortcode" data-rm-shortcode-id="a778280a20f1c54cd2c14c8313224be2" data-rm-shortcode-name="rebelmouse-image" />
"In this picture the central region of the Kordylewski dust cloud is visible (bright red pixels). The straight tilted lines are traces of satellites."
J. Slíz-Balogh<p>In their study published in the <a href="https://academic.oup.com/mnras" target="_blank">Monthly Notices of the Royal Astronomical Society</a>, Hungarian astronomers Judit Slíz-Balogh, András Barta, and Gábor Horváth described how they were able to find the dust clouds using polarized lenses.</p><p>Since the clouds were expected to polarize the light that bounces off of them, by configuring the telescopes to look for this kind of light the clouds were much easier to spot. What the scientists observed, polarized light in patterns that extended outside the view of the telescope lens, was in line with the predictions of their mathematical model and ruled out other possible sources. </p>
Why are we just learning this now?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xODgyMDAzOS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY2MjUyNDMyMH0.Zl8GmQ_rJHiL4b7hN0r_YBmgb6_ZqIRvqOVuko2ubpw/img.jpg?width=1245&coordinates=0%2C141%2C0%2C185&height=700" id="87afe" class="rm-shortcode" data-rm-shortcode-id="dd4c0b5088e601d7279cc5eb226f8b7b" data-rm-shortcode-name="rebelmouse-image" />
"Mosaic pattern of the angle of polarization around the L5 point (white dot) of the Earth-Moon system. The five rectangular windows correspond to the imaging telescope with which the patterns of the Kordylewski cloud were measured."
J. Slíz-Balogh<p>The objects, being dust clouds, are very faint and hard to see. While Kordylewski observed them in 1961, other astronomers have looked there and given mixed reports over the following decades. This discouraged many astronomers from joining the search, as study co-author Judit Slíz-Balogh <a href="https://ras.ac.uk/news-and-press/research-highlights/earths-dust-cloud-satellites-confirmed" target="_blank">explained</a>, <em>"The Kordylewski clouds are two of the toughest objects to find, and though they are as close to Earth as the Moon are largely overlooked by researchers in astronomy. It is intriguing to confirm that our planet has dusty pseudo-satellites in orbit alongside our lunar neighbor."</em></p>
Will this have any impact on space travel?<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="c3d797fff5430c64afcb5a49bddc3616"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/Ou8N3v9SFPE?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>Lagrange points have been put forward as excellent locations for a space station or satellites like the <a href="https://jwst.nasa.gov/about.html" target="_blank">James Webb Telescope</a> to be put into orbit, as they would require little fuel to stay in place. Knowing about a massive dust cloud that could damage sensitive equipment already being there could save money and lives in the future. While we only know about the clouds at Lagrange points four and five right now, the study's authors suggest there could be more at the other points.</p><p>While the discovery of a couple of dust clouds might not seem all that impressive, it is the result of a half-century of astronomical and mathematical work and reminds us that wonders are still hidden in our cosmic backyard. While you might never need to worry about these clouds again, there is nothing wrong with looking at the sky with wonder at the strange and fantastic things we can discover. </p>
Your health and the health of the planet are not indistinguishable.
- Transitioning to a plant-based diet could help reduce obesity, cardiovascular disease, and type 2 diabetes.
- Humans are destroying entire ecosystems to perpetuate destructive food habits.
- Understanding how to properly transition to a plant-based diet is important for success.
Richard Dawkins: No Civilized Person Accepts Slavery So Why Do We Accept Animal Cruelty? | Big Think<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="c09f23c34faacc8ec55aba054fae9c7c"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/_4SnBCPzBl0?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><h3>Get your hands dirty—in the kitchen</h3><p>Quarantine offered an entire world the opportunity to get into the kitchen and put on a chef's apron. Complaints about "not enough time" are the biggest barriers to preparing home-cooked meals. Of course, pandemic fatigue has resulted in a number of recent chefs ordering out more. That said, this is the perfect time to try your hand at new dishes. With infection rates <a href="https://www.vox.com/coronavirus-covid19/2020/10/11/21511641/covid-19-us-cases-update-testing-deaths-hospitalizations" target="_blank">increasing across the country</a>, stocking up on seasonal vegetables is a great idea. </p><p>Simple seasonal ways to begin your plant-based exploration include <a href="https://nomnompaleo.com/post/11136213353/roasted-kabocha-squash" target="_blank" rel="noopener noreferrer">roasted kabocha squash</a>, <a href="https://www.delicious.com.au/recipes/no-chop-pumpkin-soup/seblnp2r?r=recipes/collections/autumnrecipes&c=f3bf723a-05a7-487d-bd4b-5bc8af042ca9/autumn%20recipes%20you%27ll%20fall%20in%20love%20with" target="_blank" rel="noopener noreferrer">Bombay potatoes</a>, and <a href="https://www.delicious.com.au/recipes/no-chop-pumpkin-soup/seblnp2r?r=recipes/collections/autumnrecipes&c=f3bf723a-05a7-487d-bd4b-5bc8af042ca9/autumn%20recipes%20you%27ll%20fall%20in%20love%20with" target="_blank" rel="noopener noreferrer">no-chop pumpkin soup</a>. If you're feeling a bit more adventurous, <a href="https://www.thecuriouschickpea.com/masoor-dal-tadka/" target="_blank" rel="noopener noreferrer">Masoor Dal Tadka</a> will keep you warm into the winter months. A delicious <a href="https://www.delish.com/cooking/recipe-ideas/a23362341/sweet-potato-salad-recipe/" target="_blank" rel="noopener noreferrer">sweet potato salad</a> will never fail you. This <a href="https://www.buzzfeed.com/hannahloewentheil/easy-meatless-monday-recipes" target="_blank">round-up of 25 vegetarian recipes</a> will keep you busy for a few months (or a month if you're ambitious). </p><h3>Educate yourself on the benefits</h3><p>Education is essential for beginning any endeavor. Weeding through propaganda and bunk science to find credible evidence of any diet is difficult, though many experts agree that for individual and societal health, a plant-based diet is key. </p><p>Even vegetarianism has its pitfalls. For example, <a href="https://michaelpollan.com/books/cooked/" target="_blank">one-fifth of all calories</a> consumed by Americans come from nutritionally-worthless white flour. If you're eating processed bread every day, you're missing out on the benefits of a rich and varied diet. </p><p>Many of the "<a href="https://www.who.int/chp/chronic_disease_report/media/Factsheet4.pdf?ua=1" target="_blank">diseases of affluence</a>," such as cardiovascular and obesity-related ailments, originate with a poor diet (and lack of exercise). Meat has been an essential component of the human diet throughout our evolution. Today, we eat too much of it—and too much of it is produced in factory farms. Transitioning to a plant-based diet could help cut down on carbon emissions and the aforementioned diseases. </p><p>Plants are full of valuable phytochemicals and antioxidants that support a <a href="https://www.mdanderson.org/publications/focused-on-health/5-benefits-of-a-plant-based-diet.h20-1592991.html" target="_blank" rel="noopener noreferrer">strong immune system</a>. A (non-processed) plant-based diet reduces inflammation and offers plenty of fiber. It has been shown to reduce your risk of diabetes, stroke, and heart diseases. Those are all great reasons to transition. </p><h3>Begin your journey with a single step</h3><p>Going cold turkey rarely works for addicts. The same is true of diets. If you're interested in a plant-based diet, try to eat veg every other day for a few weeks. Notice how your body reacts on days you eat this way compared to other days. Gradually phase out meat products. Attempt meat-free weekdays and see if your craving for meat persists on the weekend. Try using meat as a garnish instead of the main course. </p><p>More importantly, have a replacement plan. Dropping all meat products to consume frozen dinners isn't the best course of action. Filling your cart with bags of foods you've never eaten before will overwhelm you. Prepare meals as you taper off of meat; arm yourself with a broad knowledge of healthy plants and vegetables. At some point, you might forget what you've been missing. </p>
Photo: anaumenko / Adobe Stock<h3>Start with foods you already love</h3><p>The good news is that you likely have a number of plant-based side and main dishes that you love. Transitioning into a new diet requires a certain level of enjoyment. Otherwise, you're going to loathe eating, and eating should bring some level of satisfaction. </p><p>Try a one-to-one ratio to begin. On one night, cook a meal you love. Then try something completely new the next night. Follow that up with old faithful. This way, you constantly have new dishes to look forward to yet don't get stuck in thinking you have to be creative every single day. You'll likely find some winners and decide not to repeat other dishes. Regardless, you'll have a broader menu to work from. </p><h3>Avoid ingredients you can't pronounce</h3><p>The produce section of your grocery store provides almost everything you need to survive. You can likely pronounce every ingredient in this section. There's a vast difference between food and foodstuffs. Plenty of plant-based companies offer too much of the latter. Potato chips are technically vegetarian, and some use simple ingredients, yet it's easy to fill your cart with foodstuffs. The health benefits of this are not only negligible but potentially dangerous. </p><p>Qi Sun, an assistant professor of nutrition at the Harvard T.H. Chan School of Public Health, <a href="https://www.webmd.com/diet/obesity/news/20191104/are-there-health-downsides-to-vegetarian-diets" target="_blank">explains</a>. "If you eat a vegan diet, but eat a lot of french fries, refined carbs like white bread, white rice, that's not healthy." He suggests "emphasizing fruits and vegetables. Not fruit juice but whole food. And nuts."</p><h3>Utilize the wisdom of the internet—but don't get indoctrinated</h3><p>There's a lot of terrible advice—and worse, propaganda—on the internet. While you likely don't want to eat eggs every day, they're not "toxic," as one popular documentary claims. Eggs are <a href="https://www.bbcgoodfood.com/howto/guide/ingredient-focus-eggs" target="_blank">one of the best</a> low-cost, high-value foods around. </p><p>Read websites like <a href="https://www.everydayhealth.com/diet-nutrition/scientific-benefits-following-plant-based-diet/" target="_blank">Everyday Health</a>, which uses clear language, like "may improve" and "may decrease," with links to credible studies. This way you follow the going science without becoming fanatical about a particular diet or being disappointed if it turns out the research doesn't hold up. Good science evolves with evidence. And right now, the evidence points to more vegetables in our diets. </p><p>--</p><p><em>Stay in touch with Derek on <a href="http://www.twitter.com/derekberes" target="_blank">Twitter</a> and <a href="https://www.facebook.com/DerekBeresdotcom" target="_blank" rel="noopener noreferrer">Facebook</a>. His new book is</em> "<em><a href="https://www.amazon.com/gp/product/B08KRVMP2M?pf_rd_r=MDJW43337675SZ0X00FH&pf_rd_p=edaba0ee-c2fe-4124-9f5d-b31d6b1bfbee" target="_blank" rel="noopener noreferrer">Hero's Dose: The Case For Psychedelics in Ritual and Therapy</a>."</em></p>