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What I’ve been writing

I didn’t intend to cover the protests in Portland, but as they consumed national attention, friends convinced me to write about them as a local observer. The resulting piece for Arc Digital ended up as one of my most popular and controversial recent articles. It explores what’s going on at the protests, why they offer a lot for a libertarian to love, and how our first reality TV president is using Portland as a prop for his re-election campaign. Read it here:

For a city under siege, things are surprisingly tranquil. The latest figures from the police bureau suggest that most crime is actually down. Yet the proud weirdness of our mid-sized city has long invited outside observers to read into it what they want to. Not long after I moved here in 2008, Portlandia cemented our role as national hipster punchline, a place where chickens have names, where you can put a bird on something and call it art, where young people go to retire. Now it’s where young people go to light fires, at least in the right-wing imagination. Both depictions are highly fictionalized, but even in bleak 2020, Portlandia remains the truer approximation.

Though it received less attention, my other piece for Arc Digital is my favorite thing I’ve written this year. It’s about a visit to a tiny tobacco farm on a remote island in Denmark where a woman named Janni Bidstrup keeps the tradition of Danish cigarmaking alive:

The morning starts a little later here in Ærøskøbing, a historic trading outpost of fewer than a thousand people that’s so picturesque, so abundantly hygge, that even Danes describe it as a “fairytale town.” I have it to myself as I wander the cobblestone streets waiting for breakfast. Colorful houses exude Scandinavian charm in the bright morning sun, and many of them leave homemade foods and crafts out for sale to passersby: packages of biscotti, knit socks, jars of marmalade made from foraged apriplums. Although the marmalade is tempting, I’ve traveled here for a different kind of produce. Ærø is the unexpected home to one of the world’s rarest cigars, the tobacco planted, harvested, cured, and rolled by hand in a labor of love by one of the last cigarmakers in Denmark.

Photo by David L. Reamer.

I also have the cover story for the latest issue of Reason magazine, now free to read online. A lot has been written about bars and restaurants closing due to the pandemic. I focus instead on how some are finding innovative ways to survive and how the virus will change the hospitality industry for years to come:

When we think of things going back to “normal,” we really mean back to what we may eventually regard as a golden age of restaurant culture. The flourishing of the last decade or so was enabled by travel, immigration, international trade, intricately connected local suppliers, traditional food media, internet communities, and smartphones capable of taking professional quality photographs. Most of all, it was enabled by increasing prosperity and an openness to new experiences.

Prosperity and openness are both threatened now, the former by the economic crash and the latter by the fear that social gatherings will transmit an invisible and potentially deadly virus. The dream is that an effective vaccine will be developed in record time and we can hit a reset button on this year; the restaurant and bar economy, emerging from its deep sleep, will come back to life and pick up right where it left off. The reality is likely to be far more difficult.

I was also happy to contribute to this Esquire collection of home recipes from people laid off from work in bars and restaurants. It’s part of a larger package covering the business. My own suggestion for making drinks at home is the Honeysuckle, a lesser-known relative of the Daiquiri:

Springtime in Portland arrived about a week into our shutdown, and aside from my daily bike ride, I’ve been experiencing it mostly from my window. With everything in bloom, I associate honey cocktails with the season. Honey syrup is easy to make and brings an extra dimension of flavor that you don’t get with standard simple syrup. It’s also extremely versatile in basic three-ingredient cocktails, by combining it with citrus and a base spirit. The most well-known of these is the Bee’s Knees, which mixes gin, honey, and lemon, but it can work with just about any bottle you have on hand. Substitute bourbon for gin and you have a Gold Rush; rum, lime or lemon, and honey makes a Honeysuckle.

Lastly, for Inside Hook, I revisited the topic of my first book, how to make cocktails with beer, with three contemporary ways of using it in cocktails:

Does beer belong in a cocktail? Purists may recoil at the idea, thinking it sounds like a way to ruin a perfectly good beer, or perhaps recalling cheap “beergaritas” and other haphazard concoctions aimed more at maximizing alcohol content than at the harmonious commingling of ingredients. If that sounds like you, I’d urge you to reconsider. Beer is a surprisingly versatile addition to your mixology arsenal, and the secret ingredient for your next favorite summer cocktail may already be lurking in your refrigerator.

More recent writing

I have a new op/ed for the Oregonian up this week on the unexpected success of the Black Lives Matter protests shifting public opinion and the failure of anti-“big government” conservatives to contend with police brutality:

Despite some progress on the right, Republicans still lag far behind other groups in support for Black Lives Matter, the Pew survey notes. This is a conspicuous failing for a party that styles itself in opposition to “big government.” The videos of police brutality that have flooded social media document big government in action. No-knock warrants of the type that led to the killing of Breonna Taylor in Louisville, part of a drug war that, according to the Drug Policy Alliance, costs the United States nearly $50 billion every year, are big government in action. The predatory policing of Ferguson, where the police department treated black residents as a source of revenue rather than as equal citizens, is big government in action. The left-leaning politics of Black Lives Matter is no excuse for conservatives to avert their eyes from these flagrant abuses.

From the June print issue of Reason, now online, I review the new Dr. Oz-endorsed book Quit Vaping, which doubles as a look at how the media skews perceptions of e-cigarettes:

One shouldn’t judge a book by its cover, but in this case the text lives up to expectations. The opening section, “Lies and Facts,” offers a preponderance of the former. Initially I attempted to keep track of misleading statements and critical omissions by marking them with Post-its. By page 30, such a thicket had accumulated that I gave up. Adequately critiquing Lamm’s selective reading of the scientific literature would be like trying to perform a live fact-check of a Trump campaign rally; the torrent of error is too much for any one person to handle. This section is a greatest hits collection of anti-vaping stories, recounting every possible danger and dismissing every possible benefit. In that sense, it provides a useful look at how coverage of the topic has become increasingly fear-based.

I also have a couple of recent lifestyle pieces for Inside Hook. First up, the case for making your own tortillas at home:

Baking sourdough bread has become the de rigueur culinary endeavor for food lovers stuck at home during the coronavirus shutdown. Perhaps you’re tempted to join in on the activity, but there are a few obstacles. The spike in demand has made flour a scarce commodity. More importantly, making sourdough looks hard.

 If, like me, you’d like to take on a slightly less daunting but nonetheless immensely satisfying cooking project, I suggest switching grains from wheat to corn, and making your own tortillas.

And next, an article about Irish Coffee, both how to make it the classic way and how to change things up:

As a coffee purist, I generally don’t like adding anything to my coffee — not even booze, despite my career in cocktails. My routine is typically several cups of black coffee throughout the day, spirits and cocktails at night, and never the twain shall meet. But I can’t deny that coffee cocktails do have their place, and as coronavirus shutdowns and social distancing have thrown schedules into disarray, I’ve been enjoying them more often.

Lastly, I’m continuing to send out my semi-weekly Substack newsletter. It’s free to subscribe and features my own writing, links to topical stories, and tips for making social distancing more bearable (i.e. cocktail recipes). Subscribe here.

Coffee and cigarettes

Those are the topics of my two most recent articles. First, the coffee. I spoke with Peter Giuliano of the Specialty Coffee Association about making better coffee at home:

“In our research we’ve been quantifying how much different interventions affect the quality of the beverage,” he says. “What’s really clear is that the biggest impact is the coffee itself. There’s nothing that you can do that will have as big an effect as the quality of the coffee in the first place.”

Then at Slate, I look into the current state of the science on smoking, vaping, and COVID-19:

Are smokers and vapers more likely to die of COVID-19? To judge by news coverage of the topic, the answer is an unequivocal yes. The New York TimesWiredCNNBloomberg, and numerous other publications have run stories warning that smokers and vapers are at higher risk. Anti-tobacco groups are using the pandemic as an opportunity to push for new restrictions on nicotine, ranging from bans on vapor products to the complete prohibition of cigarettes. At least one senator, Richard Blumenthal of Connecticut, is citing the disease as justification for a national ban on flavored e-cigarettes, while House Democrats are urging the FDA to temporarily ban e-cigarettes entirely. Amid all this alarm, one complication has received relatively little notice: Emerging evidence on the risk factors for COVID-19 is ambiguous with regard to smoking and virtually nonexistent for its relationship to vaping.

Lastly, I moved my newsletter over to Substack. If you’d like to subscribe, click on over here.

Recent writing round-up

The past month has been extremely disruptive to my normal work, but one positive outcome is that I’ve had much more time for writing. I’ve also joined the trend, a few years late, of writers starting newsletters. The Liquidity Preference newsletter is going out 1-2 times a week with links to my work, discussion of COVID-19 and its economics fall out, and tips for making social distancing a little more tolerable. You can subscribe here or check out the archives for a taste of what to expect.

For the Neoliberal Project’s Exponents magazine, I took a look at the decades long campaign to stigmatize smokers via the dubious science of thirdhand smoke:

Now that we are all compelled to practice social distancing, we know too well what it’s like to live in a world where the air itself is suspect, where valued social spaces have been closed off to us, and where every brief encounter with another person requires undertaking a wary risk assessment. Despite the real effects of stigma experienced by smokers, it would be too much to suggest that they live in that world all the time. This is to the credit of ordinary people whose common sense leads them to ignore alarmist claims about thirdhand smoke; it’s certainly not for lack of trying on the part of anti-smoking activists or the journalists who uncritically amplify their fear-mongering.

The weblog is Truth on the Market is hosting a symposium on “The Law, Economics, and Policy of the COVID-19 Pandemic.” They invited me to contribute a post on how FDA regulations are preventing small distilleries from producing hand sanitizer:

In general, the redirection of craft distilleries to producing hand sanitizer is an example of private businesses responding to market signals and the evident challenges of the health crisis to produce much-needed goods; in some cases, sanitizer represents one of their only sources of revenue during the shutdown, providing a lifeline for small businesses. The Distilled Spirits Council currently lists nearly 600 distilleries making sanitizer in the United States.

There is one significant obstacle that has hindered the production of sanitizer, however: an FDA requirement that distilleries obtain extra ingredients to denature their alcohol.

I’ve also begun writing for the website Inside Hook. My first article advises what to make with some of the dusty bottles that may be taking up space in your liquor cabinet: Galliano, Drambuie, Jagermeister, and more. My second piece details my experiments making infinity bottles, including my 50+ ingredient Infinite Negroni:

As I write this, I’m sipping on a rum that’s not quite like any other I’ve had before. It’s funky and tropical on the nose, with notes of banana bread and fermented fruit. The palate is slightly sweet with vanilla, but also hot and high-proof, and hints of cinnamon and spice linger on the finish. If you’d like to try it, I’m afraid you’re out of luck: this rum exists only in my apartment, and it will taste different the next time I sample it, too.

The rum was poured from my favorite of my “infinity bottles.” The infinity bottle is a trend that has taken hold among spirits nerds as a way of creating a unique blend at home. The idea is pretty simple: You take an empty bottle and start creating your own personal blend of a chosen spirit, typically a whiskey. Then you keep adding to it over time. If you have an infinity bottle of bourbons, for example, you might drink some of it one night and then top it off with something new, creating a blend that continually evolves in the bottle.

Lastly, I’ve finally made The Rediscovery of Tobacco available on Apple books, so if you prefer reading on an Apple device, you’re out of excuses for not ordering it! I’ve also made the introduction available for free online.

Spillover, revisited

“You’re overreacting. Look at how many people die from the flu every year,” my mom said. This was a couple weeks ago, and we were on the phone discussing my plans to visit home. My parents live in Houston, I live in Portland, Oregon, and my annual work trip to SXSW in Austin presented an all too rare opportunity to visit Texas. I was expressing my doubts that the trip was going to happen. There was this new coronavirus, and it sounded serious.

My mom, like many at the time and some even now, thought the media might be blowing the whole thing out of proportion. She mentioned my own writing, which has often focused on debunking media-driven health panics. Could this be more of the same? At first, it seemed unthinkable to cancel an event as massive as SXSW. Then it began to feel inevitable. Today, the idea that they could have done anything less feels recklessly irresponsible.

The events I’d been planning for months were called off, but I still had plane tickets and an expensive, non-refundable hotel room. I still had parents who wanted me to visit. I still had a hunger for breakfast tacos and Texas barbecue. But I also had vague yet evocative memories of a book I’d read eight years ago, a book in which ordinary people pick up extraordinary diseases, with often fatal consequences for themselves, their loved ones, and the doctors and nurses who care for them. Transporting my body and its invisible passengers into my parents’ house, where any sneeze, cough, or lick from an affectionate terrier could spread contagion, didn’t feel worth the risk. And so, as my flight departed to Austin, I stayed home revisiting David Quammen’s prescient book, Spillover.

David Quammen is among a handful of authors whose books I’ll order as soon as they’re announced, regardless of whether I have any previous interest in the subject matter. (Perceptions of man-eating predators? I will – hopefully – never be devoured by a bear, but Monster of God was an engaging read nonetheless.) His 2012 book, Spillover, is devoted entirely to infections that make the leap from other animals into humans. In technical parlance, “zoonosis.” The list of previous zoonoses is long: AIDS, Ebola, Marburg, rabies, Nipah encephalitis, Lyme disease, too many more to mention. Some, like flu, have become an ever-fluctuating part of our familiar viral landscape. Others, like SARS, flare up, run their course with terrifying intensity, and burn out. Our lives move on. But Quammen’s book wasn’t intended as a curious catalogue of past events. It was a warning. Zoonosis, he cautioned, “is a word of the future, destined for use in the twenty-first century.” Eight years later, that future has arrived.

Is this new coronavirus the “Next Big One” that epidemiologists have been fearing? If not, it’s certainly big enough, and it’s exposing how unprepared we are for it. Though Spillover is too dense to cover fully, here are three points that stood out while re-reading it during the current pandemic.

“Everything comes from somewhere”

One of the things I appreciate about Quammen’s books is that he situates his topics in evolutionary and ecological contexts. “Although infectious disease can seem grisly and dreadful, under ordinary conditions it’s every bit as natural as what lions do to wildebeests and zebras, or what owls do to mice.” We are not separate from nature. We are not even fully human; each of us is an ecological niche unto ourselves, home to uncountable microbes. So is every other creature. Through the long, relentless pressure of evolution, most of these relationships become manageable, sometimes even beneficial. Occasionally these microbes find themselves outside of the reservoir hosts to which they’ve become adapted. And then? A dead end, typically. But also opportunity. Nearly 8 billion opportunities in the case of humans, an efflorescence of new environments packed densely into cities and connected by global travel. And while most of us in wealthier countries rarely come into contact with live animals other than our pets, we interact with them indirectly through farming, trade, and encroachment into wild habitats. “Shake a tree,” as Quammen writes, “and things fall out.”

From a microbe’s eye view, we humans are high-risk, high-reward. They may infect our bodies and ravage us so thoroughly that they are unable to spread, their path blocked by human response strategies or their own excessive virulence. That’s the Ebola story, so far: a handful outbreaks, extremely high fatality rates, but ultimately, containment. In other conditions, the microbe may take hold and find itself capable of transmitting from host to host indefinitely, keeping the humans it infects alive long enough to spread it to others. That’s HIV, a virus that jumped from the blood of other primates to a person. The circumstances are contingent; it might have happened lots of times, eventually fizzling out. It only had to break through once. (In actuality, it probably succeeded multiple times.)

You don’t have to slaughter a chimp or eat a bat for zoonosis to happen. Disease could spring from racehorses (Hendra), pigs and chickens (swine and avian flu), domesticated goats (Q Fever), cattle (“mad cow”), parrots (psittacosis), ticks (Lyme disease), or Old Yeller (rabies). Reasonable steps can be taken to prevent spillover, and the present epidemic will likely result in some reflection on how to do so, but there’s no way to stop it entirely. The next disease is out there, uncharted. The question is how to prepare for it.

SARS should have prepared us

Eight years after first reading Spillover, there were a few specific cases described within it that lingered in my memory. The Australian horse trainer who came down with Hendra. The Dutch tourist who picked up Marburg during a ten-minute venture into a Ugandan cave. And most relevant to the current epidemic, the “superspreaders” who inadvertently transmitted SARS far beyond its initial entry into the human population.

A surprising number of these cases can be traced to a single hotel in Hong Kong, where a professor from Guangzhou arrived for a wedding. He’d been ill two weeks before, then felt well enough to travel. At the hotel, he felt sick again. He stayed on the ninth floor. So did a seventy-eight-year-old grandmother from Toronto, who overlapped with him for one night. So did a young woman from Singapore. Within a few weeks, the professor had died. The grandmother died, too, after flying the virus back to Canada, where it killed thirty-one. The young woman returned to Singapore. She survived, but her mother, father, uncle, and pastor did not. A woman infected by the grandmother brought SARS to the Philippines; a man infected by the young woman took it to Germany. In the end, SARS infected 8,098 people and took the lives of 774.

This web of infections, vaguely remembered, is what was on my mind as I contemplated my forthcoming trip to Texas. The United States had restricted travel from China, but the new coronavirus was already here. Never mind the Chinese; I fit the profile of a superspreader. I’d just been to New York, cramming onto subways, squeezing into airplanes, massing at the rails of the Staten Island Ferry as we passed the Statue of Liberty. Then back to Portland, where I went to bars and restaurants, played soccer. And then? To Austin, where I would interact with thousands of other travelers who had non-refundable tickets? And on to the home of my parents, who are in their sixties? No, thank you. Better to stay in Oregon reading popular science books.

Another thing about SARS: It was also caused by a coronavirus, SARS-CoV, namesake for the virus you’re currently worried about, SARS-CoV-2. As frightening as the original SARS outbreak was, its spread was limited. Perhaps that’s part of why some people are downplaying risks now. We’ve had outbreaks like this before, and they weren’t that bad in the scheme of things. That’s the wrong way to think about it. A better question to ask is, “Under what conditions could SARS have been much, much worse?”

The fortunate thing about SARS is that the infected typically endured recognizable symptoms before they became highly contagious. That made it possible to contain it. “This was an enormously consequential factor in the SARS episode – not just lucky but salvational,” writes Quammen. For some other viruses, such as the flu, infectiousness can precede symptoms; that’s part of why they spread so easily. So, what’s scarier than SARS? SARS that spreads like the flu.

That’s not exactly what we’re facing now, but there are similarities. Toward the end of Spillover, Quammen recounts an interview with epidemiologist Donald S. Burke, who had given a lecture back in 1997 on the groups of viruses most likely to lead to the next pandemic. Coronaviruses stood out as a probable candidate even then, given their propensities toward infecting animals and rapidly evolving. The genomes of coronaviruses are encoded in error-prone RNA. That means they mutate often; they adapt, they evolve, the replicate in huge numbers. We were warned about this before SARS. SARS proved that the danger was real. Less than two decades after the initial SARS outbreak, the danger is here.

What we do now matters

I’m not writing this post to sound fatalistic. Yes, zoonoses are to some degree inevitable (though we can alter practices to prevent them). Yes, a bad one has arrived. But there’s a reason there are nearly eight billion of us: We are smart and we can change our behavior in light of new information. Toward the end of his book, Quammen considers how much that matters. “[Individual] effort, individual discernment, individual choice can have huge effects in averting the catastrophes that might otherwise sweep through a herd.”

Here in the United States, we’ve squandered our early opportunities to prevent the spread of this new coronavirus. Due to a lack of testing, we’re not even sure how many people have been infected. What happens next depends on a multitude of factors: how deadly the virus turns out to be, how many people get it (especially in vulnerable populations), and whether our hospital systems are able to deliver care without being overwhelmed by new patients. Under the rosiest estimates, deaths will be in the hundreds or thousands. If things don’t go well? Hundreds of thousands. If this goes very badly? More than a million.

The worst-case scenarios are not inevitable. But they are plausible. They are realistic. You should take them seriously. Even now, I feel like many people I talk to or interact with online are still complacent about how rapidly things can change. Here are the two points I think cannot be emphasized enough:

First, this is not something that only happens over there, or to other people. It’s not just the flu. You need to be thinking of this as something that could very well take the life of someone you care about.

Second, think about what you, as an individual, can do to prevent the worst-case scenarios from happening. Don’t be a superspreader. Try not to be a mediumspreader, either. Cancel your trip, cancel your events, cancel your parties. Work from home, if you can. Practice social distancing. How extreme? Honestly, I can’t tell you, but do think about it. If you’re reading this on your phone while waiting in line to get into a crowded bar, you’re doing it wrong.

What’s next?

What’s next, when the worst of this is over? I don’t mean next for this virus, or even for diseases generally. I mean what other disasters have we been warned about that many of us blithely ignore? That’s another thing I think about reading Spillover now. There’s climate change, obviously, which could spiral out in all sorts of terrible ways. Living in the Pacific Northwest, something more specific comes to mind: the other Next Big One, the earthquake and tsunami that will likely be triggered by the next great shift in the Cascadia subduction zone.

When Americans think of destructive earthquakes, we generally think of the San Andreas Faultline because it’s the most active. Due to all that activity, the cities along it are prepared. Little earthquakes and big earthquakes happen with too much frequency to ignore. The Cascadia subduction zone is different. Until fairly recently, scientists didn’t even recognize it as seismically active. That stillness belied a more frightening truth: The pressure is building up. Rather than releasing it gradually and actively, like the San Andreas, the CSZ releases it all at once in massively destructive megaquakes.

Based on current estimates, these megaquakes occur about every 243 years. The last one has been dated precisely to January of 1700. That’s… 320 years ago. You get the picture. I won’t go into detail here, but you can read grim predictions of what’s coming. Outside magazine devoted a feature to it in 2011. The New Yorker in 2015. Vice in 2016. The narrative structures differ but the basic story is always the same. The megaquake is coming and it’s going to be very, very bad.

Like many people living in the region, I read these stories when they were published. And like many of us, I haven’t done enough to prepare. There’s a suggestive parallel to COVID-19. Places with recent experience of respiratory disease outbreaks, particularly in Asia, knew to take it seriously and had plans in place for dealing with it. It’s similar to how cities that experience minor earthquakes are more prepared for the big ones. In the case of the Cascadia subduction zone, we are not the places prepared for coronavirus like Taiwan or Hong Kong or Taiwan. We’re Italy or the US. If you live in the Pacific Northwest and are currently lamenting the hardship of missing events or scrambling to find toilet paper because of the current epidemic, start thinking about what you can do now to be ready for the next disaster. We can’t say nobody warned us.

Thinking about coronavirus

As someone who’s naturally contrarian, and who is friends with or follows a lot of other contrarians, it’s interesting to follow how people are evaluating the risks of coronavirus. One potential split noted in this Tyler Cowen column is between “base-raters” and “growthers.” Another is partisanship: right-leaning people seem to be more dismissive of the risk, perhaps taking their cue directly or indirectly from Trump himself. (The response is far from uniform; see Michael Brendan Dougherty at NRO, for example.)

Much of my own writing has focused on debunking health panics: on secondhand smoke, on vaping. You might expect I’d take a similar position on this, too, and conclude that fears of coronavirus are overblown. But facing the decision of whether or not to travel this week — I planned to work at SXSW in Austin and visit family in Houston — I’ve been reading about it obsessively, and I’m persuaded right now that the case for taking preventive measures is strong. I’ve cancelled my own trip in part because of the virus. Though I’m not an authority, I’ve talked with a lot of other people who are unsure how to plan and I thought it worth writing out my reasoning. Some reasons I’m in the “growther” camp who’s worried that the US is not yet taking this epidemic seriously enough:

1) Potential spread of the virus is exponential. From data published by Max Roser and Hannah Ritchie at Our World in Data, the case doubling time is currently 5 days in some contexts, excluding China which has taken extreme measures to restrict its spread. (The page at Our World in Data is one of the best resources I’ve found for understanding the virus.)

2) Rates of testing have been extremely low in the US and there is evidence of community spread. Oregon, where I live, can test only 40 people per day. Over the weekend, the amount of known cases doubled twice. The absolute number of known cases is still low, but one has to wonder how many additional cases are out there.

3) The fact that many cases exhibit mild symptoms increases the chances that people may unknowingly spread the disease. Viruses with higher, faster fatality rates can seem scarier, but a virus that doesn’t kill its hosts quickly with debilitating symptoms has potential to spread more widely, doing more damage in the long-run. Relatively mild symptoms plus a long period of shedding may combine to make this virus difficult to contain.

4) Dismissive comparisons to the flu are unconvincing. First, the flu is quite bad to begin with! Second, even some optimistic case fatality rates for COVID-19 are about 10 times that of the flu. Unlike the flu, we do not have a vaccine for COVID-19. Also unlike the flu, it’s uncertain whether it will be seasonal. Absolute mortality is lower than the flu now, but given the factors above, there are plausible scenarios where it will grow alarmingly quickly. (See, again, Our World in Data.)

5) As a relatively young and healthy person, I’m not particularly worried about my own risks. I am worried about transmission to others. Observed fatality rates increase dramatically with age and certain medical conditions. Potential mortality among older populations is one of the most compelling reasons to take steps now to prevent the spread; see conditions at the Life Care nursing center in Washington or in Italian hospitals.

6) In addition to the direct risks of coronavirus, there will be second order effects if the medical system is overwhelmed. Patients suffering from other illnesses or accidents will be unable to get the care they need. If medical staff are also exposed to the virus, these patients then face even more risk, and challenges to the medical system will be compounded by shortages of doctors, nurses, and other staff. One thread on Twitter memorably describes this as “The Pinch.”

7) Perhaps, like the president, you believe that fear of the coronavirus is the product of the “Fake News Media and their partner, the Democrat Party.” Perhaps you distrust the media. Do you also distrust markets? Stocks have fallen and the 10-year bond yield fell to a record low. It’s not always possible to read the message of the markets, but right now it seems pretty clear: investors expect coronavirus to have large, lasting detrimental economic effects, and they are flocking to the safest assets.

8) Given all of the above, there’s a compelling case for mitigation. The below image, also from Our World in Data, is an abstract visualization of the benefits of slowing the spread of the virus, a.k.a “flattening the curve.” This prevents the hospital system from being overwhelmed and buys time to develop treatments and hopefully an effective vaccine.

Image courtesy of Our World in Data under Creative Commons license.

9) I see a lot of discussion about what the “real” case fatality rate of this virus is, as if that is an independent fact about the virus rather than a figure at least partially determined by the resources available to treat the sick. The rate is contextual and preventing the hospital system from being overwhelmed is one strategy for keeping it low.

10) We’re still learning what methods are effective for mitigating the spread of the virus, but improved sanitation and social distancing are smart approaches at minimum. Forgoing unnecessary travel strikes me as an obvious response, and it’s one reason I’m not going to Texas this week as I’d planned. Avoiding and cancelling mass gatherings, as costly as it is the short-run, is also the responsible decision right now. (See Yascha Mounk, “Cancel Everything.”)

11) I haven’t yet figured out how to incorporate this into the rest of my daily life. I expect a lot of people who can will start working from home. I have that option with writing, but all of my other work is public-facing to some degree. Even for my writing, events sell books. My other work is related directly or indirectly to hospitality: I tended bar last night. I have several small events planned or in the works. I still play soccer on weekends, though I suspect that may not last. How much of that is going to seem foolish from the perspective of a few weeks or months from now? I’m not sure. I’m arguing against interest by advocating for social distancing — my non-writing work is premised almost exclusively on encouraging the opposite of that — and I expect the next few months will be challenging. But at least I have writing! Many of my friends own or work in bars and restaurants full-time, and this is going to be very hard on them.

12) It’s possible that I’m overreacting. But as Yascha Mounk concluded in his own thread about this on Twitter, “If we all do the right thing, corona might yet pass without mass casualties. Like Y2K, it’ll become a punchline. (Let’s hope it will!) But consider two points: • Y2K passed without a hitch in part because we invested vast resources into preventing problems. • It’s rational to invest in avoiding the tail-end risk of a catastrophic outcome even if it pretty—or very!—likely that it’ll never come to pass.”

New York Magazine forgets that smokers exist

The cover story of this week’s issue of New York Magazine is all about vaping. The publication employs smart, talented writers, so despite the alarmism of the cover tease – “The making of a health crisis that’s only just begun” – I was hopeful that the story itself might offer more nuance. Regrettably, it’s a one-sided mess that fails to convey the complexities of the issue and pays virtually no attention to the needs of current and former smokers whose lives are risk.

Mainstream coverage of vaping tends to focus on the latest fears rather than the long-term case for harm reduction. Stephen Hall’s New York article is hardly unique in that respect. It is unique in that it manages to maintain this bias at such length. I’ll say this for his cover story: There certainly is a lot of it. It stretches on for a luxurious 6,000 words, providing copious detail, original reporting on the outbreak of lung illnesses, and quotes from leading figures in tobacco control. Yet despite all this, and regardless of Hall’s presumably good intentions, it essentially amounts to a hit piece.

The article opens, predictably, with scenes from the mysterious lung illness that dominated headlines since last summer. It’s been clear for months that a contaminant in cannabis cartridges is behind the outbreak, with vitamin E acetate recently confirmed by the CDC as the most likely culprit. The story of how this additive entered the THC market has been reported previously, most notably by the cannabis website Leafly, whose coverage has been far superior to that of most national news publications. Rehashing the story in New York serves mostly to provide drama and color. Which is fair: A feature story needs drama and color. But Hall devotes nearly 3,000 of his words to THC and the lung illness, taking up about half the article. For a writer who purports to have something important to say about the potential dangers of nicotine vaping, this is a dubious narrative decision.

The conflation of nicotine and THC vaping by government agencies and the media has caused immense confusion in the debate over e-cigarettes, which many of us who follow the issue have been striving to correct. New York muddies things up again by threading together two ideas that, taken separately, would be unobjectionable, but that combine to mislead the reader. The first is that contaminated THC cartridges have caused a truly frightening pulmonary illness that has tragically sickened and killed people who use them. The second is that the long-term health effects of nicotine vaping are not yet completely known. These are both valid stories, but they don’t have much of anything to do with each other. One is a short-run story about the illicit drug market. The other is a long-run story about the potential risks of vaporizing nicotine. The products vaporize different liquids, rely on different supply chains, are sold in different venues, are regulated (or not regulated) by different agencies, and appeal to different consumers. Mashing these stories together with the implication that fear of one should inform our response to the other generates more confusion than clarity.

Despite acknowledging the role of vitamin E acetate, Hall speculates that since not every case of lung illness has been definitively linked to it, perhaps nicotine e-cigarettes actually are causing some of the cases. While it’s impossible to rule out that someone, somewhere may have ended up with a contaminated e-cigarette, this would be extremely aberrant. E-cigarettes have been used by millions of people for more than a decade in multiple countries, raising the question of how they would trigger lung illnesses that are geographically and temporally clustered. There was clearly something new at work that was not inherent to e-cigarettes, and it would be a major a coincidence if a different contaminant causing the same symptoms just happened to enter the nicotine supply at the same time that vitamin E acetate was contaminating THC carts. The parsimonious explanation is that THC contaminants are the primary and perhaps exclusive cause of the outbreak, and that if any cases ever do get conclusively tied to e-cigarettes, they will be very weird outliers in the nicotine e-cigarette market.

By suggesting that killer e-cigarettes may be lurking behind any corner, suddenly striking down vapers by some unknown causal mechanism, New York Magazine exceeds the alarms of the CDC. The agency’s current guidance is that people should not “use THC-containing e-cigarette, or vaping, products, particularly from informal sources like friends, family, or in-person or online dealers.” It advises further that “[adults] using nicotine-containing e-cigarettes or vaping products as an alternative to cigarettes should not go back to smoking.” Also, “E-cigarette, or vaping, products should never be used by youths, young adults, or women who are pregnant. Adults who do not currently use tobacco products should not start using e-cigarette, or vaping, products.”  The CDC is generally antagonistic to e-cigarettes, and the agency rightly advises that minors and non-smokers shouldn’t go taking them up for fun. But it also recognizes that the alternative for many vapers is not abstinence, but a return to smoking combustible cigarettes. Which brings us to the bigger problem with New York’s coverage: it almost completely disregards the health of smokers.

I was alerted to Hall’s article on Twitter by CBS journalist Tony Dokoupil, who compared its alarmism to “old school pot coverage.” More to the point, he noted that it “shows little regard for [34 million] adult smokers who might benefit from a safer alternative” and “reeks of class judgement.” Tony could have also added that more than 400,000 of those smokers will die in the United States this year, or that 7 million annual deaths worldwide are attributed directly to tobacco use. Hall doesn’t mention these figures in his story, either of which would have helped put the 60 deaths due to lung injury that he does cover into perspective.

Hall wants readers to fear the long-term effects of vaping, which he describes as a potential epidemic in the making. What these risks may turn out to be is of course a vital concern, but the stakes are wildly different for smokers and non-smokers. A non-smoker who takes up vaping is increasing their risk; a smoker (or potential smoker) who takes up vaping is reducing it. At the population level, the degree to which these effects offset each other depends on the relative risks of smoking and vaping. If the latter is vastly lower-risk than the former, then vaping can be a net good for public health even if a substantial number of non-smokers become vapers and even if vaping is not “safe” in an absolute sense. This simple relationship (the “risk/use equilibrium”) is one of the main things that has convinced many health researchers that tobacco harm reduction holds promise.

The concept of harm reduction gets short shrift in Hall’s reporting. When he does mention it, it’s only to discredit it shortly after. He notes the influence of estimates from Public Health England and the Royal College of Physicians that the harms of vaping are unlikely to exceed 5% of those caused by smoking cigarettes, then immediately quotes Jeffrey Gotts of the University of California, San Francisco denouncing them as “ludicrous.” Similarly, the founders of Juul make an appearance in secondhand reporting about their goal of replacing smoking, only to have theirs aims immediately dismissed by Stanton Glantz, also of UCSF. Readers of New York Magazine wouldn’t even finish the piece with a clear idea of whether e-cigarettes are safer than smoking; “Now I think they’re about as dangerous as a cigarette,” says Glantz in one of the few paragraphs that addresses the question.

That Gotts and Glantz are both affiliated with UCSF is no coincidence. You’d be hard-pressed to find a research center more institutionally opposed to nicotine or tobacco use in any form. Glantz in particular wears his ideology on his sleeve. His career has long combined research and activism, aiming in his own words to define “smoking as an antisocial act,” and he has a demonstrated willingness to make ludicrous claims of his own when they suit political ends. (See, for example, his infamous Helena heart miracle study.) The other expert Hall cites repeatedly is Matthew Myers of the Campaign for Tobacco-Free Kids, who is an effective lawyer and activist, but far from a neutral source.

Quoting Gotts, Glantz, and Myers is a defensible editorial decision; they’re all significant figures in the field. What’s not defensible is to do so while ignoring the substantial scientific literature making the case for tobacco harm reduction. I’ve covered much of this elsewhere – at greatest length in chapter seven of The Rediscovery of Tobacco – but suffice to say that there’s a great deal that New York omits, from projections that widespread switching to e-cigarettes could prevent more than 6 million premature deaths in the United States to a large randomized control trial finding that smokers given e-cigarettes successfully abstained from smoking at nearly twice the rate of smokers provided with traditional nicotine replacement therapies. There are impeccably credentialed advocates of harm reduction in the United States, Scandinavia, Europe, and around the world whom Hall could have cited to present a more balanced view of the debate.

Similarly, If Hall bothered to interview smokers, vapers, vape shop owners, or vaping advocates, there’s scant evidence of that in the final product. There are more than 3 million ex-smokers who currently vape in the United States and millions of current smokers who struggle to quit. I’ve come to know many of them in person or online, and they beg to make their voices heard and to preserve access to products that have helped them quit smoking. Why are their stories overlooked while teenage drug dealers in Wisconsin take up thousands of words of coverage? This narrative decision reflects poorly on New York Magazine. As rates of cigarette smoking have declined, the practice has become concentrated among the financially worse off and less educated, which has made it all too easy for other Americans to dismiss their interests. Persuading smokers to change their behavior and providing them with tools to do so is among the most vital needs in public health. Yet notably absent from New York’s coverage is any suggestion for how to help them. The magazine hypes speculative fears about dangers of vaping that might appear decades from now, while neglecting the completely unspeculative deaths of more than 1,000 Americans every single day.

To be clear, worries about the long-term effects of vaping are absolutely a valid concern. I’m not suggesting that vaping is perfectly safe, that reasonable steps shouldn’t be taken to curb youth uptake, or that journalists shouldn’t explore the potential risks. As a physician friend of mine likes to say, “If you want lungs that outlast your hair, don’t inhale things that are not air.” Sound advice. But we also know that many people will inhale things that are not air, as they have done throughout human history. Taking their interests seriously requires contemplating trade-offs. Throughout his article, Hall instead maximizes every possible harm while minimizing every possible benefit. (One example: He cites the scariest figures about youth vaping but doesn’t mention that these refer mostly to occasional use or that youth smoking rates have fallen to the lowest levels ever recorded.) Regardless of what one thinks of the Royal College of Physicians’ estimate of the risks of vaping, one should heed their reminder that excessive risk aversion can itself be harmful: “If this approach also makes e-cigarettes less easily accessible, less palatable or acceptable, more expensive, less consumer friendly or pharmacologically less effective, or inhibits innovation and development of new and improved products, then it causes harm by perpetuating smoking.” New York evaluates vaping as if smokers did not exist.

Journalists, academics, and policymakers too often fail to treat nicotine consumers with dignity, respect, and genuine concern for their well-being. By choosing fear over nuance, absolutism over trade-offs, and ideologically-driven sources over balanced reporting, New York Magazine botched its opportunity to publish an informative feature that could improve the debate over vaping. The 34 million smokers and 10 million vapers in the United States deserve better.

Smoking bans revisited

National press is starting to come in for The Rediscovery of Tobacco. First up, Jacob Sullum reviews the book alongside Sarah Milov’s The Cigarette for the new issue of Reason. From the opening:

When Clara Gouin started running the Group Against Smokers’ Pollution (GASP) out of her College Park, Maryland, living room in 1971, she was rebelling against social norms she deemed oppressive. “Gouin was a housewife and the mother of two daughters, the youngest of whom had an allergy to smoke,” University of Virginia historian Sarah Milov writes in The Cigarette: A Political History. “The child’s reaction to cigarettes was so severe that it prevented the family from going out to eat. Even worse than being restricted in public was the expectation that nonsmokers had to accommodate smoking guests in their own homes. Ashtrays in the homes of nonsmokers were monuments to smokers’ supremacy. ‘What doormats we were!’ Gouin recalled thinking as she lay awake one night contemplating nonsmokers’ powerlessness.”

The understandable grievances of put-upon nonsmokers like Gouin gave birth to a movement that ultimately banished smokers from nearly every place they might want to light up. In many jurisdictions, that includes outdoor spaces. Sometimes it even includes smokers’ own homes. Half a century after Gouin founded GASP, as Jacob Grier shows in The Rediscovery of Tobacco, the dwindling minority of cigarette smokers (15 percent of American adults in 2019, per Gallup, down from 45 percent in 1954) is the group with the more plausible complaint of oppression.

Sticking to that theme, while in New York last fall I sat down for an interview with Monica Burton of Eater to discuss whether smoking bans in hospitality spaces have gone too far. You can read that here.

Recommended reading: the best books I read in 2019

My New Year’s resolution for 2018 was to finish writing my book on smoking. As it turned out, I needed to make the identical resolution for 2019, and this year I finally followed through. As a result, much of my reading this year remained focused on books and articles in that area, as well as on reading and revising my own writing until I could no longer stand the sight of it. The product of that labor is The Rediscovery of Tobacco: Smoking, Vaping, and the Creative Destruction of the Cigarette, which I published at last in September. Though I no longer have any desire to read it again myself any time soon, if you’ve come to this post looking for book recommendations, I’ll immodestly lead with that one.

In my free reading time, most of my non-fiction selections reflect the present dismal moment in American politics and a re-evaluation of how I define my own. My views have gone somewhat leftward over the past decade, but in the past few years, especially, my perception of who my allies are has shifted even more pronouncedly left. When I came into the libertarian movement in the early 2000s, the Cold War fusion of libertarians and conservatives was already straining. With the rise of Trumpist nationalism, that break feels complete.

When I worked in DC, it wasn’t uncommon to hear from other libertarians that it would be easier if we could simply refer to ourselves as “liberals” without the stuffy “classical” modifier and without the confused meaning “liberal” had taken on in the United States. With the Trumpian takeover of the Republican party, defending liberalism writ large — in the broad sense that encompasses libertarians, much of the democratic left, and those on the limited government, free market right — has become an urgent cause. The current trajectory of American and global politics has served to increase, for me personally, the salience of the longer, wider, tradition of liberal thought relative to the narrower libertarian movement, even though I situate my own views within both of them.

At the same time, more people on the left now describe themselves as “socialist” or “progressive,” perhaps even viewing liberalism with disdain. The word “liberal,” therefore, seems up for grabs, and feels increasingly comfortable for me personally. This is not a renunciation of the libertarian label — as evidenced by one of the recommendations below, I remain open to even more radical approaches to libertarian thought than I’ve adopted in the past — but I am more willing of late to use the terms liberal and libertarian interchangeably as accurate self-descriptors.

With that digression out of the way, these are the books that stood out for me in 2019. As always, these are books I read this year, not ones that necessarily came out this year.

The Revolt of the Public, Martin Gurri — This was one of the most consistently recommended recent books among people I follow online, and with good reason. Originally published in 2014 and re-published in 2018, it offers a strikingly prescient analysis of politics through the lens of a technologically empowered public striking out against delegitimized elites. A chapter in the new edition looks back on Trump and Brexit, and considers two possible ways forward: destructive nihilism, or a more decentralized, modest liberal democracy. Thought-provoking throughout, and I highly recommend it; see also this review from Noah Smith and a new post from Gurri examining the events of 2019.

Open, Kimberly Clausing — The subtitle describes this as a “progressive case” for free trade and immigration, though much of it could be aimed just as squarely at trade-wary Trump voters as to Bernie Bros. Clausing persuasively acknowledges the difficulties some parts of the US have suffered adapting to trade, while arguing that new restrictions would only exacerbate their woes. I’d suggest this without hesitation to my progressive friends, but to conservatives as well.

Open Borders, Bryan Caplan and Zach Weinersmith — I loved this book, which is both a compelling argument for immigration and a demonstration of how effective the graphic novel format can be for something like this. (While reading it, I couldn’t help imagining how fun it would be to do a similar treatment of tobacco.) It’s not just economics: It’s also funny and a joy to read, with subtle jokes appearing in the illustrations, and forcefully makes the philosophical and moral case for immigration in ways that economics writing often shies away from.

Why Liberalism Works, Deirdre McCloskey — As an avid reader of McCloskey’s Bourgeois trilogy, I was eagerly anticipating this as a more approachable introduction to her writing and the benefits of what she calls the “Great Enrichment” for those unwilling to take on such lengthy tomes. And it is that, but as a collection of assorted essays rather than a tightly structured argument begun from scratch, I wonder how well it will be received by those not already primed to enjoy her work. Recommended with that caveat.

Technology and the End of Authority, Jason Kuznicki — Part political theory survey, part quietly radical argument for decentering the state’s role in our thinking and using technology to reduce its scope. One of the most provocative paragraphs I read this year: “In any case, however, the state should be understood as a last resort. We ought to be embarrassed rather than proud whenever we reach for the apparatus of government to solve a problem. The use of the state is always an admission that either our other social technologies have failed us or we have prematurely abandoned them.”

Achieving Our Country, Richard Rorty — My first dive back into Rorty in well over a decade, at the recommendation of Adam Gurri. Though published in 1998, the discussion of how to balance national pride and shame in a nation’s failings in a way that encourages reform is every bit as relevant today. My preferred reforms would not be Rorty’s, but I found this no less valuable a read for that. (As Adam notes, the book is also a thematic complement to questions raised in The Revolt of the Public.)

Ordinary Vices, Judith Shklar — I was unfamiliar with Shklar’s work until this year, when I picked this up after multiple recommendations online by Jacob Levy. Of most interest here was the essay “Putting Cruelty First,” emphasizing awareness of the potential for cruelty as a fundamental guide for liberals. Or as Levy describes her approach, “Shklar’s was a liberalism motivated not by a summum bonum, an ultimate good, but by a summum malum, an ultimate evil, something to be avoided: namely, cruelty and the fear it inspires.” Compare this with Adam Serwer’s Atlantic article last year, “The Cruelty is the Point.” Of Trump’s many illiberal aspects, his embrace of cruelty and its acceptance by his supporters is the most repulsive.

The Cigarette, Sarah Milov — This history of the cigarette was released within a couple weeks of my own book on tobacco. Points of disagreement will be obvious to anyone who reads them both, so I’ll mention a couple ways in which I think they complement each other. While my book agrees that the shift away from ubiquitous smoking is a good thing, Milov’s more vividly illustrates how difficult earlier decades were for sensitive non-smokers. And though Milov briefly gestures at the downsides of stigmatizing smoking, mine spends much more space exploring the detriments of the anti-smoking movement’s illiberal turn. Reading them together will provide a fuller picture than reading either in isolation. Milov also provides the most in-depth look at the farming side of the cigarette industry that I’ve come across in any books covering the history of tobacco in the United States.

Finally, some brief recommendations for fiction: I loved Charles Portis’s The Dog of the South, guided by this review from The Ringer. The Dispossessed and The Night Manager were my long overdue introductions to Ursula K. Le Guin and John le Carre, respectively, and I plan on reading more Le Guin in particular this year. I read Mirror, Shoulder, Signal by Dorthe Nors on a trip to Denmark and enjoyed its portrayal of a conflicted woman from Jutland trying to make a life in urban Copenhagen. The Final Solution is a charming, affecting mystery from Michael Chabon starring a familiar detective, veering into a chapter told from a very surprising perspective that he pulls of remarkably well. Update: I’d meant to include Colson Whitehead’s The Underground Railroad, too, which is as good as everyone says it is.

The fight over flavor bans goes local

New from me at the Washington Examiner:

As the federal government has backed away from a ban on flavored e-cigarettes, opponents of the products are shifting their attention to state and local levels. It’s easy to understand the reasons for concern: Vaping is novel, we’re protective of the youth, the wave of lung illness is frightening, and the carnage caused by cigarettes has made us wary of nicotine in any form. But getting risk right requires taking a step back, calmly evaluating the evidence, and not giving in to panic.

Read the rest for my op/ed-length case for refraining from banning e-cigarettes.

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