Forum – A column where you get eyes on both sides of a hot button issue.
Should Biden Steer More Left Given the Vocal Voices In the Democratic Party? Yes!
In a recent statement, GM pledged to stop selling Internal Combustion Engine Vehicles by 2035. This is not much different than one of the merely aspirational goals set out in the green new deal put forth by AOC and others. In other words, the so-called left-of-center Democrats are much closer to reality than they are given credit for.
On the other hand, we have 139 house republicans and 9 republican senators voting to overturn the 2020 election. This was after the failed insurrection attempt by the Trump mob. In other words, 80% of the GOP representation in Washington is willing to overthrow democracy. A significant majority of the registered republicans agree with this seditious position. As If sedition was not enough, the GOP is rich with Q-conspiracy followers and white supremacy groups to round out their core support. The principal policy position of this group is to hold onto power at all costs.
The COVID-19 pandemic and economic recession are exasperating inherent inequality and preventing us from focusing on the climate crisis and crumbling infrastructure. In this un-precedented environment of crisis and political chaos, the word centrist is meaningless. I hope the Biden Administration does the right thing and executes their plan to address these issues. They shouldn’t feel any pressure to make a common cause with the sedition caucus!
Mani Subramani is a veteran of the semiconductor equipment industry. He enjoys following politics and economics.
Should Biden Steer More Left Given the Vocal Voices In the Democratic Party? No!
The Democrats won the Presidency and also a narrow majority in both houses of Congress. However, this win is not a license to pursue an ultra-left wing agenda as AOC, Sanders, etc. are advocating for. Pursuing socialist policies will be a death knell to the party in future elections.
Ours remains a center-right country. The country itself was founded by immigrants who shunned communism and socialism to make land emphasize personal liberty and freedom. Both Bill Clinton and Barack Obama were successful in part because they governed as moderates. Barack Obama did not pursue a Medicare for All socialist medicine but rather made insurance available to many more Americans at affordable rates. Neither Clinton nor Obama tried to make college free for all. Yes, Americans would support aid to low-income students of merit to attend college. But there would be outrage if colleges are made free for all.
President Biden and the Congressional Democrats would be wise to pursue a centrist agenda that will ensure their re-election and prosperity for the USA.
Rameysh Ramdas is a resident of the SF Bay Area and has a keen interest in Politics and Current Events.
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Loneliness is like a cold hand resting on your heart. It can tighten your chest, and make you desperate with longing for company and support. I have certainly felt it on many an occasion: while new to a place, recovering from a loss, a death, a fractured friendship. You may have too. It can only be shaken off by the warm hand of a friend, a loved one, or sometimes, even a stranger.
Vivek Murthy comes across in this book as a gentle soul, deeply understanding of the feelings of loneliness from his own life experiences. This understanding, coupled with his medical training, scientific bent, intellectual curiosity, keen powers of observation, and obvious commitment to public health makes this a very readable, thought-provoking book.
His tone, sincerity, and story-telling skills reminded me of another physician and author, Abraham Verghese, whose book The Tennis Partner is a beautiful account of friendship, addiction, and loneliness.
Murthy starts by laying out the different types of loneliness identified by research:
Intimate, or emotional, loneliness – the longing for a close confidante or intimate partner;
Relational, or social, loneliness – the yearning for quality friendships and social companionship and support;
Collective loneliness – the hunger for a network or community of people who share your sense of purpose and interests.
All three dimensions are needed for us to thrive; one may have fulfillment in one or two areas but still feel lonely.
Murthy makes the case for how loneliness has evolved, the scientific, neurological underpinnings. Throughout history and evolution over millions of years, humans have depended on community for survival. Together, humans were stronger and better able to withstand dangers, such as attacks by other groups. When one strayed or was separated from the group, one’s very life could be at risk. Hence, the importance of community is practically hardwired into us.
The science underlying loneliness, along with the implications to one’s health, is well researched by Murthy and presented with the requisite references. Dr. John Cacioppo, one of the founders of the field of social neuroscience, first likened loneliness to hunger and thirst, as an important warning signal with biochemical and genetic roots, calling it “a biological and social imperative rooted in thousands of years of human evolution.” The work of Dr. Julianne Holt-Lundstad, a health and social psychologist, showed that weak social connections can be a significant danger to our health.
There are fascinating accounts of research into brain activity during the times we are engaged with others. One of the most striking findings for me was to learn that the same part of the brain that responds to physical pain also responds to emotional pain. Connecting the dots, Murthy makes the connection clear: that people in emotional pain and despair often reach for a numbing drug or drink, as they might for physical pain. This is particularly insightful for the opioid epidemic, from which society is currently reeling.
Murthy’s relates several examples of how people’s lives have been affected by loneliness: children, young, middle-aged, and older adults, both men and women. His account of his own childhood, being bullied for looking and sounding different, will strike a chord with many who have struggled with fitting in and felt they didn’t belong. In a section of friendships among middle school girls, I paused to remember my own daughter’s deep sadness when a close friendship broke off. So many children go through this in middle school, a critical period in their social and emotional development. Support and love are essential to help them tide over such times, until they feel more secure in themselves.
Some of Murthy’s accounts of children subjected to toxic stress (from neglect and or abuse) were heartbreaking. He said studies that have shown, mercifully, that all it takes is one caring adult to prevent and reverse the effects. He gives the example of Big Brothers and Big Sisters of America, a non-profit which matches children with supportive adults in one-to-one mentoring relationships.
While the physiological underpinnings of loneliness are the same for all, circumstances may vary, and the effective countermeasure depends on individual inclinations, preferences, and reservations people may have. It’s no big secret or surprise that men are typically less inclined to openly share what is troubling them than are women. Their styles of communicating, and hence their preferred ways of seeking and finding comfort and support, are very different. For example,“Men’s sheds”, local non-profit organizations where men gather around a common activity, build trust, companionship, and community, is an initiative that was started in one locality in Australia and has spread to different parts of the world.
In the second section of the book, he speaks of the different ways we can connect with one another to preempt or assuage loneliness, and with that, be on the path to a healthier life and a healthier society. The circles of connection he describes track with the different types of loneliness; the friendship circles consist of:
an inner circle of close friends and confidants,
a middle circle of occasional companions, and
an outer circle of colleagues and acquaintances.
In a beautiful section on the importance of solitary reflection, Murthy encourages us to tune in to ourselves with an analogy to the heart pumping blood: while the heart pumps blood in systole, it is in diastole that the blood is supplied with oxygen. Hence, “pausing is what sustains the heart.” Art, music, reading, and being in nature are all experiences that can be enjoyed in solitude but make us feel connected with others. One shining example for me is that of Andrea Bocelli on Easter Sunday, singing “Amazing Grace” from the Duomo Cathedral in Italy at the height of the pandemic, bringing the whole world together as we all sat apart in fear and worry. Iwrote of this and other ways we have been able to come together during the pandemic.
Murthy describes the three-way relationship between service, loneliness, and addiction. He quotes Rabindranath Tagore, India’s Nobel laureate poet, and from the scriptures of Hinduism, Christianity, Judaism, and Islam, all of which have service written into them. I was reminded of a prominent scientist in the bay area, the late Nagesh Mhatre, who would exhort people “If you are feeling down, find someone who is suffering more and help them. You will both feel better.” The very act of helping someone makes one feel more needed, less lonely, adds a feeling of self-worth.
There are several inspiring examples of individuals, a college freshman namedSerena Bian, for one, who surmounted her feelings of loneliness and depression. Even with these inspiring anecdotes and observations, the second section doesn’t hold together as well as the first. There are newer problem statements: connecting kids in the digital age, seeking support from one’s community during parental crises. Parents struggle with childcare. When anything goes awry, a carefully constructed day can fall apart in minutes. While this book was written in pre-pandemic days, parents’ struggles have only become greater. Being responsible for months for children’s schooling from home has stretched many a family to breaking point. Those who must work outside the home have sometimes been forced to make a choice between work and caring for their children. Most of the time, the burden falls on women. The economics are sobering. There have been articles stating that in the workplace, the pandemic will set back women by decades.
While the last two chapters are filled with inspiring anecdotes, I am left wondering how all this can be formalized, how scalable the approaches are without a coordinated nationwide initiative. It requires effort, work, to build community, and it might take more energy than many have when they are burdened by their circumstances or depression.
In America, we live in a deeply individualistic society. Murthy seems optimistic of the ways in which we can build community even with everything that keeps us apart. I find myself less hopeful: since this book was published, we have had the most sobering, divisive period in American history since the struggle to end segregation. Building community seems harder now than ever. On the positive side, we have a new administration, of which Murthy is an important part, and perhaps there will be change for the better.
Towards the end of the book, Murthy’s states surprisingly that “as hard as we may work… the future will depend on our children. It’s up to all of us to teach them how to build a more connected and compassionate world.” Indeed it is, we must strive to be good parents. But are we to just kick the can down the road to our children? I was reminded ofGreta Thunberg’s outrage at the 2019 UN climate summit when she exclaimed to the adults who had left things to her generation: “This is all wrong. I shouldn’t be up here. I should be back at school on the other side of the ocean. You come to us young people for hope. How dare you?”
This book presents an important concept that leads to a policy focus on child development. How about assuring social-emotional development at the national level, instead of relying on countless non-profit organizations to pick up where schools and society have dropped the ball?
InAmanda Gorman’s powerful words, delivered at the inauguration of President Joe Biden.
“…our inaction and inertia will be the inheritance of the next generation.
Our blunders become their burdens.
But one thing is certain:
If we merge mercy with might, and might with right, then love becomes our
legacy and change, our children’s birthright.”
Vivek Murthy has used his pulpit to shine a light on a key contributor to our health and well-being. This book explicitly callout loneliness as a critical contributor to much of what ails us, our physical health as well as the health of our society. If the purpose of the book is to increase awareness and understanding, it has succeeded. If it is to show a clear path forward, it falls short. A diagnosis is the first step. A remedy must follow. In the UK, in 2018,an initiative to combat lonelinesswas started at the ministerial level. It is not clear what progress has been made. Perhaps the US needs to follow suit.
Dr. Murthy is in a position to chart out the role the government might play, now that he is starting his second stint as Surgeon General, this time in the Biden administration. With his deeply realized perspective on loneliness and health, perhaps we can expect to see more work on this front.
All the best, Dr. Murthy, and Godspeed.
Upcoming Silicon Valley Reads book events are shownhere.
Raji Pillai lives in the SF Bay Area and writes at www.rajiwrites.com where this article was originally published.