Month: May 2024

Medical progress, at least, is real

PNRJ core principles, development economics, futurism, personal , , , , , , , , , , , , , ,

May 26 JDN 2460457

The following vignettes are about me.

Well, one of them is about me as I actually am. The others are about the person I would have been, if someone very much like me, with the same medical conditions, had been born in a particular place and time. Someone in these times and places probably had actual experiences like this, though of course we’ll never know who they were.

976 BC, the hilled lands near the mouth of the river:

Since I was fourteen years old, I have woken up almost every day in pain. Often it is mild, but occasionally it is severe. It often seems to be worse when I encounter certain plants, or if I awaken too early, or if I exert myself too much, or if a storm is coming. No one knows why. The healers have tried every herb and tincture imaginable in their efforts to cure me, but nothing has worked. The priests believe it is a curse from the gods, but at least they appreciate my ability to sometimes predict storms. I am lucky to even remain alive, as I am of little use to the tribe. I will most likely remain this way the rest of my life.

24 AD, Rome:

Since I was fourteen years old, I have woken up almost every day in pain. Often it is mild, but occasionally it is severe. It often seems to be worse when I encounter certain plants, or if I awaken too early, or if I exert myself too much, or if a storm is coming. No one knows why. The healers have tried every herb and tincture imaginable in their efforts to cure me, but nothing has worked. The priests believe it is a curse from the gods, but at least they appreciate my ability to sometimes predict storms. I am lucky that my family was rich enough to teach me reading and mathematics, as I would be of little use for farm work, but can at least be somewhat productive as a scribe and a tutor. I will most likely remain this way the rest of my life.

1024 AD, England:

Since I was fourteen years old, I have woken up almost every day in pain. Often it is mild, but occasionally it is severe. It often seems to be worse when I encounter certain plants, or if I awaken too early, or if I exert myself too much, or if a storm is coming. No one knows why. The healers have tried every herb and tincture imaginable in their efforts to cure me, but nothing has worked. The priests believe it is a curse imposed upon me by some witchcraft, but at least they appreciate my ability to sometimes predict storms. I am lucky that my family was rich enough to teach me reading and mathematics, as I would be of little use for farm work, but can at least be somewhat productive as a scribe and a tutor. I will most likely remain this way the rest of my life.

2024 AD, Michigan:

Since I was fourteen years old, I have woken up almost every day in pain. Often it is mild, but occasionally it is severe. It often seems to be worse when I encounter certain pollens, fragrances, or chemicals, or if I awaken too early, or if I exert myself too much, or when the air pressure changes before a storm. Brain scans detected no gross abnormalities. I have been diagnosed with chronic migraine, but this is more a description of my symptoms than an explanation. I have tried over a dozen different preventative medications; most of them didn’t work at all, some of them worked but gave me intolerable side effects. (One didn’t work at all and put me in the hospital with a severe allergic reaction.) I’ve been more successful with acute medications, which at least work as advertised, but I have to ration them carefully to avoid rebound effects. And the most effective acute medication is a subcutaneous injection that makes me extremely nauseated unless I also take powerful anti-emetics along with it. I have had the most success with botulinum toxin injections, so I will be going back to that soon; but I am also looking into transcranial magnetic stimulation. Currently my condition is severe enough that I can’t return to full-time work, but I am hopeful that with future treatment I will be able to someday. For now, I can at least work as a writer and a tutor. Hopefully things get better soon.

3024 AD, Aegir 7, Ran System:

For a few months when I was fourteen years old, I woke up nearly every day in pain. Often it was mild, but occasionally it was severe. It often seemed to be worse when I encountered certain pollens, fragrances or chemicals, or if I awakened too early, or if I exerted myself too much, or when the air pressure changed before a storm. Brain scans detected no gross abnormalities, only subtle misfiring patterns. Genetic analysis confirmed I had chronic migraine type IVb, and treatment commenced immediately. Acute medications suppressed the pain while I underwent gene therapy and deep-effect transcranial magnetic stimulation. After three months of treatment, I was cured. That was an awful few months, but it’s twenty years behind me now. I can scarcely imagine how it might have impaired my life if it had gone on that whole time.

What is the moral of this story?

Medical progress is real.

Many people often doubt that society has made real progress. And in a lot of ways, maybe it hasn’t. Human nature is still the same, and so many of the problems we suffer have remained the same.

Economically, of course we have had tremendous growth in productivity and output, but it doesn’t really seem to have made us much happier. We have all this stuff, but we’re still struggling and miserable as a handful at the top become spectacularly, disgustingly rich.

Social progress seems to have gone better: Institutions have improved, more of the world is democratic than ever before, and women and minorities are better represented and better protected from oppression. Rates of violence have declined to some of their lowest levels in history. But even then, it’s pretty clear that we have a long, long way to go.

But medical progress is undeniable. We live longer, healthier lives than at any other point in history. Our infant and child mortality rates have plummeted. Even chronic conditions that seem intractable today (such as my chronic migraines) still show signs of progress; in a few generations they should be cured—in surely far less than the thousand years I’ve considered here.

Like most measures of progress, this change wasn’t slow and gradual over thousands of years; it happened remarkably suddenly. Humans went almost 200,000 years without any detectable progress in medicine, using basically the same herbs and tinctures (and a variety of localized and ever-changing superstitions) the entire time. Some of it worked (the herbs and tinctures, at least), but mostly it didn’t. Then, starting around the 18th century, as the Enlightenment took hold and Industrial Revolution ramped up, everything began to change.

We began to test our medicine and see if it actually worked. (Yes, amazingly, somehow, nobody had actually ever thought to do that before—not in anything resembling a scientific way.) And when we learned that most of it didn’t, we began to develop new methods, and see if those worked; and when they didn’t either, we tried new things instead—until, finally, eventually, we actually found medicines that actually did something, medicines worthy of the name. Our understanding of anatomy and biology greatly improved as well, allowing us to make better predictions about the effects our medicines would have. And after a few hundred years of that—a few hundred, out of two hundred thousand years of our species—we actually reached the point where most medicine is effective and a variety of health conditions are simply curable or preventable, including diseases like malaria and polio that had once literally plagued us.

Scientific medicine brought humanity into a whole new era of existence.

I could have set the first vignette 10,000 years ago without changing it. But the final vignette I could probably have set only 200 years from now. I’m actually assuming remarkable stagnation by putting it in the 31st century; but presumably technological advancement will slow at one point, perhaps after we’ve more or less run out of difficult challenges to resolve. (Then again, for all I know, maybe my 31st century counterpart will be an emulated consciousness, and his chronic pain will be resolved in 17.482 seconds by a code update.)

Indeed, the really crazy thing about all this is that there are still millions of people who don’t believe in scientific medicine, who want to use “homeopathy” or “naturopathy” or “acupuncture” or “chiropractic” or whatever else—who basically want to go back to those same old herbs and tinctures that maybe sometimes kinda worked but probably not and nobody really knows. (I have a cousin who is a chiropractor. I try to be polite about it, but….) They point out the various ways that scientific medicine has failed—and believe me, I am painfully aware of those failures—but then where the obvious solution is to improve scientific medicine, they instead want to turn the whole ship around, and go back to what we had before, which was obviously a million times worse.

And don’t tell me it’s harmless: One, it’s a completewaste of resources that could instead have been used for actual scientific medicine. (9% of all out-of-pocket spending on healthcare in the US is on “alternative medicine”—which is to say, on pointless nonsense.) Two, when you have a chronic illness and people keep shoving nonsense treatments in your face, you start to feel blamed for your condition: “Why haven’t you tried [other incredibly stupid idea that obviously won’t work]? You’re so closed-minded! Maybe your illness isn’t really that bad, or you’d be more desperate!” If “alternative medicine” didn’t exist, maybe these people could help me cope with the challenges of living with a chronic illness, or even just sympathize with me, instead of constantly shoving stupid nonsense in my face.

Not everything about the future looks bright.

In particular, I am pessimistic about the near-term future of artificial intelligence, which I think will cause a lot more problems than it solves and does have a small—but not negligible—risk of causing a global catastrophe.

I’m also not very optimistic about climate change; I don’t think it will wipe out our civilization or anything so catastrophic, but I do think it’s going to kill millions of people and we’ve done too little, too late to prevent that. We’re now doing about what we should have been doing in the 1980s.

But I am optimistic about scientific medicine. Every day, new discoveries are made. Every day, new treatments are invented. Yes, there is a lot we haven’t figured out how to cure yet; but people are working on it.

And maybe they could do it faster if we stopped wasting time on stuff that obviously won’t work.

Are eliminativists zombies?

PNRJ cognitive science , , , , , , , , , , ,

May 19 JDN 2460450

There are lots of little variations, but basically all views on the philosophy of mind boil down to four possibilities:

  1. Dualism: Mind and body are two separate types of thing
  2. Monism: Mind and body are the same type of thing
  3. Idealism: Only mind exists; body isn’t real
  4. Eliminativism: Only body exists; mind isn’t real

Like most philosophers and cognitive scientists, I am a die-hard monist, specifically a physicalist: The mind and the body are the same type of thing. Indeed, they are parts of the same physical system.

I call it the Basic Fact of Cognitive Science, which so many fail to understand at their own peril:

You are your brain.

You are not a product of your brain; you are not an illusion created by your brain; you are not connected to your brain. You are your brain. Your consciousness is generated by the activity of your brain.

Understanding how this works is beyond current human knowledge. I ask only that you understand that it works. Treat it as a brute fact of the universe if you must.

But precisely because understanding this mechanism is so difficult it has been aptly dubbed The Hard Problem, I am at least somewhat sympathetic to dualists, who say that the reason we can’t understand how the mind and brain are the same is that they aren’t, that there is some extra thing, the soul, which somehow makes consciousness and isn’t made of any material substance.

(If you want to get into the weeds a bit more, there are also “property dualists”, who try to bridge the gap between dualism and physicalism, but I think they are trying to have their cake and eat it too. So-called “predicate dualism” is really just physicalism; nobody says that tables or hurricanes are non-physical just because they are multiply-realizable.)

The problem, of course, is that dualism doesn’t actually explain anything. In fact, it adds a bunch of other mysteries that would then need to be explained, because there are clear, direct ways that consciousness interacts with physical matter. Affecting the body affects the mind, and vice-versa.

You don’t need anything as exotic as fMRI or brain injury studies to understand this. All you need to do is take a drug. In fact, all you need to do is get hungry and eat food. Eating food—obviously a physical process—makes you no longer hungry—a change in your conscious state. And the reason you ate food in the first place was because you were hungry—your mental state intervened on your bodily action.

The fact that mind and body are deeply connected is therefore an obvious fact, which should have been apparent to anyone throughout history. It doesn’t require any kind of deep scientific knowledge; all you have to do is pay close enough attention to your ordinary life.

But I can at least understand the temptation to be a dualist. Consciousness is weird and mysterious. It’s tempting to posit some whole new class of substance beyond anything we know in order to explain it.

Then there’s idealism, which theoretically, in principle, could be true—it’s just absurdly, vanishingly unlikely. Technically, all that I experience, qua experience, happens in my mind. So I can’t completely rule out the possibility that everything I think of as physical reality is actually just an illusion, and only my mind exists. It’s just that, well… the whole of my experience points pretty strongly to this not being the case. At the very least, it’s utterly impractical to live your life according to such a remote possibility.

That leaves eliminativism. And this, I confess, is the one I really don’t get.

Idealism, I can’t technically rule out; dualism, I understand the temptation; monism is in fact the truth. But eliminativism? I just can’t grok how anyone can actually believe it.

Then again, I think they sort of admit that.

The weirdest thing about eliminativism is that what they are actually saying is that things like beliefs and knowledge and feelings don’t actually exist.

If you ask an eliminativist if they believe eliminativism is true, they should answer “no”: because their assertion is precisely that nobody believes anything at all.

The more sophisticated eliminativists say that these “folk terms” are rough approximations to deeper concepts that cognitive science will someday understand. That’s not so ridiculous, but it still seems pretty bizarre to me to say that iron doesn’t exist because we now understand that an iron atom has precisely 26 protons. Perhaps indeed we will understand the mechanisms underlying beliefs better than we do now; but why would we need to stop calling them beliefs?

But some eliminativists—particularly behaviorists—seem to think that the these “folk terms” are just stupid, unscientific notions that will be one day discarded the same way that phlogiston and elan vital were discarded. And that I absolutely cannot fathom.

Consciousness isn’t an explanation; it is what we were trying to explain.

You can’t just discardthe phenomenonyou were trying to make sense of! This isn’t giving up on phlogiston; it’s giving up on fire. This isn’t abandoning the notion of elan vital; it’s abandoning the distinction between life and death.

But the more I think about this, the more I wonder:

Maybe eliminativists are right—about themselves?

Maybe the reason they think the rest of us don’t have feelings and beliefs is that they actually don’t. They don’t understand all this talk about the inner light of consciousness, because they just don’t have it.

In other words:

Are eliminativists zombies?

No, not the shambling, “Brains! Brains!” kind of zombie; the philosophical concept of a zombie (sometimes written “p-zombie” to clarify). A zombie is a being that looks human, acts human, is externally indistinguishable from a human, yet has no internal experience. They walk and talk, but they don’t actually think. A zombie acts like us, but lacks the inner light of consciousness.

Of course, what I’d really be saying here is that they are almost indistinguishable, but you can sometimes tell them apart by their babbling about the non-existence of consciousness.

But really, almost indistinguishable makes more sense anyway; if they were literally impossible to tell apart under any conceivable test, it’s difficult to even make sense of what we mean when we say they are different. (I am certainly not the first to point this out, and indeed it’s often used as an argument against the existence of zombies.)

Do I actually think that eliminativists are zombies?

No. I don’t.

But the weird thing is that they seem to, and so I feel some compulsion to let them self-identify that way. It feels wrong to attribute beliefs to someone that they say they don’t actually hold, and eliminativists have said that they don’t hold any beliefs whatsoever.

Yet, somehow, I don’t think they’ll appreciate being called zombies, either.

How Effective Altruism hurt me

PNRJ core principles, development economics, ethics, inequality, personal, public policy , , , , , , , ,

May 12 JDN 2460443

I don’t want this to be taken the wrong way. I still strongly believe in the core principles of Effective Altruism. Indeed, it’s shockingly hard to deny them, because basically they come out to this:

Doing more good is better than doing less good.

Then again, most people want to do good. Basically everyone agrees that more good is better than less good. So what’s the big deal about Effective Altruism?

Well, in practice, most people put shockingly little effort into trying to ensure that they are doing the most good they can. A lot of people just try to be nice people, without ever concerning themselves with the bigger picture. Many of these people don’t give to charity at all.

Then, even among people who do give to charity, typically give to charities more or less at random—or worse, in proportion to how much mail those charities send them begging for donations. (Surely you can see how that is a perverse incentive?) They donate to religious organizations, which sometimes do good things, but fundamentally are founded upon ignorance, patriarchy, and lies.

Effective Altruism is a movement intended to fix this, to get people to see the bigger picture and focus their efforts on where they will do the most good. Vet charities not just for their honesty, but also their efficiency and cost-effectiveness:

Just how many mQALY can you buy with that $1?

That part I still believe in. There is a lot of value in assessing which charities are the most effective, and trying to get more people to donate to those high-impact charities.

But there is another side to Effective Altruism, which I now realize has severely damaged my mental health.

That is the sense of obligation to give as much as you possibly can.

Peter Singer is the most extreme example of this. He seems to have mellowed—a little—in more recent years, but in some of his most famous books he uses the following thought experiment:

To challenge my students to think about the ethics of what we owe to people in need, I ask them to imagine that their route to the university takes them past a shallow pond. One morning, I say to them, you notice a child has fallen in and appears to be drowning. To wade in and pull the child out would be easy but it will mean that you get your clothes wet and muddy, and by the time you go home and change you will have missed your first class.

I then ask the students: do you have any obligation to rescue the child? Unanimously, the students say they do. The importance of saving a child so far outweighs the cost of getting one’s clothes muddy and missing a class, that they refuse to consider it any kind of excuse for not saving the child. Does it make a difference, I ask, that there are other people walking past the pond who would equally be able to rescue the child but are not doing so? No, the students reply, the fact that others are not doing what they ought to do is no reason why I should not do what I ought to do.

Basically everyone agrees with this particular decision: Even if you are wearing a very expensive suit that will be ruined, even if you’ll miss something really important like a job interview or even a wedding—most people agree that if you ever come across a drowning child, you should save them.

(Oddly enough, when contemplating this scenario, nobody ever seems to consider the advice that most lifeguards give, which is to throw a life preserver and then go find someone qualified to save the child—because saving someone who is drowning is a lot harder and a lot riskier than most people realize. (“Reach or throw, don’t go.”) But that’s a bit beside the point.)

But Singer argues that we are basically in this position all the time. For somewhere between $500 and $3000, you—yes, you—could donate to a high-impact charity, and thereby save a child’s life.

Does it matter that many other people are better positioned to donate than you are? Does it matter that the child is thousands of miles away and you’ll never see them? Does it matter that there are actually millions of children, and you could never save them all by yourself? Does it matter that you’ll only save a child in expectation, rather than saving some specific child with certainty?

Singer says that none of this matters. For a long time, I believed him.

Now, I don’t.

For, if you actually walked by a drowning child that you could save, only at the cost of missing a wedding and ruining your tuxedo, you clearly should do that. (If it would risk your life, maybe not—and as I alluded to earlier, that’s more likely than you might imagine.) If you wouldn’t, there’s something wrong with you. You’re a bad person.

But most people don’t donate everything they could to high-impact charities. Even Peter Singer himself doesn’t. So if donating is the same as saving the drowning child, it follows that we are all bad people.

(Note: In general, if an ethical theory results in the conclusion that the whole of humanity is evil, there is probably something wrong with that ethical theory.)

Singer has tried to get out of this by saying we shouldn’t “sacrifice things of comparable importance”, and then somehow cash out what “comparable importance” means in such a way that it doesn’t require you to live on the street and eat scraps from trash cans. (Even though the people you’d be donating to largely do live that way.)

I’m not sure that really works, but okay, let’s say it does. Even so, it’s pretty clear that anything you spend money on purely for enjoyment would have to go. You would never eat out at restaurants, unless you could show that the time saved allowed you to get more work done and therefore donate more. You would never go to movies or buy video games, unless you could show that it was absolutely necessary for your own mental functioning. Your life would be work, work, work, then donate, donate, donate, and then do the absolute bare minimum to recover from working and donating so you can work and donate some more.

You would enslave yourself.

And all the while, you’d believe that you were never doing enough, you were never good enough, you are always a terrible person because you try to cling to any personal joy in your own life rather than giving, giving, giving all you have.

I now realize that Effective Altruism, as a movement, had been basically telling me to do that. And I’d been listening.

I now realize that Effective Altruism has given me this voice in my head, which I hear whenever I want to apply for a job or submit work for publication:

If you try, you will probably fail. And if you fail, a child will die.

The “if you try, you will probably fail” is just an objective fact. It’s inescapable. Any given job application or writing submission will probably fail.

Yes, maybe there’s some sort of bundling we could do to reframe that, as I discussed in an earlier post. But basically, this is correct, and I need to accept it.

Now, what about the second part? “If you fail, a child will die.” To most of you, that probably sounds crazy. And it is crazy. It’s way more pressure than any ordinary person should have in their daily life. This kind of pressure should be reserved for neurosurgeons and bomb squads.

But this is essentially what Effective Altruism taught me to believe. It taught me that every few thousand dollars I don’t donate is a child I am allowing to die. And since I can’t donate what I don’t have, it follows that every few thousand dollars I fail to get is another dead child.

And since Effective Altruism is so laser-focused on results above all else, it taught me that it really doesn’t matter whether I apply for the job and don’t get it, or never apply at all; the outcome is the same, and that outcome is that children suffer and die because I had no money to save them.

I think part of the problem here is that Effective Altruism is utilitarian through and through, and utilitarianism has very little place for good enough. There is better and there is worse; but there is no threshold at which you can say that your moral obligations are discharged and you are free to live your life as you wish. There is always more good that you could do, and therefore always more that you should do.

Do we really want to live in a world where to be a good person is to owe your whole life to others?

I do not believe in absolute selfishness. I believe that we owe something to other people. But I no longer believe that we owe everything. Sacrificing my own well-being at the altar of altruism has been incredibly destructive to my mental health, and I don’t think I’m the only one.

By all means, give to high-impact charities. But give a moderate amount—at most, tithe—and then go live your life. You don’t owe the world more than that.

Of men and bears

PNRJ core principles, current events, ethics, personal, politics, tribal paradigm , , , , , , , , , , , , ,

May 5 JDN 2460436

[CW: rape, violence, crime, homicide]

I think it started on TikTok, but I’m too old for TikTok, so I first saw it on Facebook and Twitter.

Men and women were asked:
“Would you rather be alone in the woods with a man, or a bear?”

Answers seem to have been pretty mixed. Some women still thought a man was a safer choice, but a significant number chose the bear.

Then when the question was changed to a woman, almost everyone chose the woman over the bear.

What can we learn from this?

I think the biggest thing it tells us is that a lot of women are afraid of men. If you are seriously considering the wild animal over the other human being, you’re clearly afraid.

A lot of the discourse on this seems to be assuming that they are right to be afraid, but I’m not so sure.

It’s not that the fear is unfounded: Most women will suffer some sort of harassment, and a sizeable fraction will suffer some sort of physical or sexual assault, at the hands of some men at some point in their lives.

But there is a cost to fear, and I don’t think we’re taking it properly into account here. I’m worried that encouraging women to fear men will only serve to damage relationships between men and women, the vast majority of which are healthy and positive. I’m worried that this fear is really the sort of overreaction to trauma that ends up causing its own kind of harm.

If you think that’s wrong, consider this:

A sizeable fraction of men will be physically assaulted by other men.

Should men fear each other?

Should all men fear all other men?

What does it do to a society when its whole population fears half of its population? Does that sound healthy? Does whatever small increment in security that might provide seem worth it?

Keep in mind that women being afraid of men doesn’t seem to be protecting them from harm right now. So even if there is genuine harm to be feared, the harm of that fear is actually a lot more obvious than the benefit of it. Our entire society becomes fearful and distrustful, and we aren’t actually any safer.

I’m worried that this is like our fear of terrorism, which made us sacrifice our civil liberties without ever clearly making us safer. What are women giving up due to their fear of men? Is it actually protecting them?

If you have any ideas for how we might actually make women safer, let’s hear them. But please, stop saying idiotic things like “Don’t be a rapist.” 95% of men already aren’t, and the 5% who are, are not going to listen to anything you—or I—say to them. (Bystander intervention programs can work. But just telling men to not be rapists does not.)

I’m all for teaching about consent, but it really isn’t that hard to do—and most rapists seem to understand it just fine, they just don’t care. They’ll happily answer on a survey that they “had sex with someone without their consent”. By all means, undermine rape myths; just don’t expect it to dramatically reduce the rate of rape.

I absolutely want to make people safer. But telling people to be afraid of people like me doesn’t actually seem to accomplish that.

And yes, it hurts when people are afraid of you.

This is not a small harm. This is not a minor trifle. Once we are old enough to be seen as “men” rather than “boys” (which seems to happen faster if you’re Black than if you’re White), men know that other people—men and women, but especially women—will fear us. We go through our whole lives having to be careful what we say, how we move, when we touch someone else, because we are shaped like rapists.

When my mother encounters a child, she immediately walks up to the child and starts talking to them, pointing, laughing, giggling. I can’t do that. If I tried to do the exact same thing, I would be seen as a predator. In fact, without children of my own, it’s safer for me to just not interact with children at all, unless they are close friends or family. This is a whole class of joyful, fulfilling experience that I just don’t get to have because people who look like me commit acts of violence.

Normally we’re all about breaking down prejudice, not treating people differently based on how they look—except when it comes to gender, apparently. It’s okay to fear men but not women.

Who is responsible for this?

Well, obviously the ones most responsible are actual rapists.

But they aren’t very likely to listen to me. If I know any rapists, I don’t know that they are rapists. If I did know, I would want them imprisoned. (Which is likely why they wouldn’t tell me if they were.)

Moreover, my odds of actually knowing a rapist are probably lower than you think, because I don’t like to spend time with men who are selfish, cruel, aggressive, misogynist, or hyper-masculine. The fact that 5% of men in general are rapists doesn’t mean that 5% of any non-random sample of men are rapists. I can only think of a few men I have ever known personally who I would even seriously suspect, and I’ve cut ties with all of them.

The fact that psychopaths are not slavering beasts, obviously different from the rest of us, does not mean that there is no way to tell who is a psychopath. It just means that you need to know what you’re actually looking for. When I once saw a glimmer of joy in someone’s eyes as he described the suffering of animals in an experiment, I knew in that moment he was a psychopath. (There are legitimate reasons to harm animals in scientific experiments—but a good person does not enjoy it.) He did not check most of the boxes of the “Slavering Beast theory”: He had many friends; he wasn’t consistently violent; he was a very good liar; he was quite accomplished in life; he was handsome and charismatic. But go through an actual psychopathy checklist, and you realize that every one of these features makes psychopathy more likely, not less.

I’m not even saying it’s easy to detect psychopaths. It’s not. Even experts need to look very closely and carefully, because psychopaths are often very good at hiding. But there are differences. And it really is true that the selfish, cruel, aggressive, misogynist, hyper-masculine men are more likely to be rapists than the generous, kind, gentle, feminist, androgynous men. It’s not a guarantee—there are lots of misogynists who aren’t rapists, and there are men who present as feminists in public but are rapists in private. But it is a tendency nevertheless. You don’t need to treat every man as equally dangerous, and I don’t think it’s healthy to do so.

Indeed, if I had the choice to be alone in the woods with either a gay male feminist or a woman I knew was cruel to animals, I’d definitely choose the man. These differences matter.

And maybe, just maybe, if we could tamp down this fear a little bit, men and women could have healthier interactions with one another and build stronger relationships. Even if the fear is justified, it could still be doing more harm than good.

So are you safer with a man, or a bear?

Let’s go back to the original thought experiment, and consider the actual odds of being attacked. Yes, the number of people actually attacked by bears is far smaller than the number of people actually attacked by men. (It’s also smaller than the number of people attacked by women, by the way.)

This is obviously because we are constantly surrounded by people, and rarely interact with bears.

In other words, that fact alone basically tells us nothing. It could still be true even if bears are far more dangerous than men, because people interact with bears far less often.

The real question is “How likely is an attack, given that you’re alone in the woods with one?”

Unfortunately, I was unable to find any useful statistics on this. There area lot of vague statements like “Bears don’t usually attack humans” or “Bears only attack when startled or protecting their young”; okay. But how often is “usually”? How often are bears startled? What proportion of bears you might encounter are protecting their young?

So this is really a stab in the dark; but do you think it’s perhaps fair to say that maybe 10% of bear-human close encounters result in an attack?

That doesn’t seem like an unreasonably high number, at least. 90% not attacking sounds like “usually”. Being startled or protecting their young don’t seem like events much rarer than 10%. This estimate could certainly be wrong (and I’m sure it’s not precise), but it seems like the right order of magnitude.

So I’m going to take that as my estimate:

If you are alone in the woods with a bear, you have about a 10% chance of being attacked.

Now, what is the probability that a randomly-selected man would attack you, if you were alone in the woods with him?

This one can be much better estimated. It is roughly equal to the proportion of men who are psychopaths.


Now, figures on this vary too, partly because psychopathy comes in degrees. But at the low end we have about 1.2% of men and 0.3% of women who are really full-blown psychopaths, and at the high end we have about 10% of men and 2% of women who exhibit significant psychopathic traits.

I’d like to note two things about these figures:

  1. It still seems like the man is probably safer than the bear.
  2. Men are only about four or five times as likely to be psychopaths as women.

Admittedly, my bear estimate is very imprecise; so if, say, only 5% of bear encounters result in attacks and 10% of men would attack if you were alone in the woods, men could be more dangerous. But I think it’s unlikely. I’m pretty sure bears are more dangerous.

But the really interesting thing is that people who seemed ambivalent about man versus bear, or even were quite happy to choose the bear, seem quite consistent in choosing women over bears. And I’m not sure the gender difference is really large enough to justify that.

If 1.2% to 10% of men are enough for us to fear all men, why aren’t 0.3% to 2% of women enough for us to fear all women? Is there a threshold at 1% or 5% that flips us from “safe” to “dangerous”?

But aren’t men responsible for most violence, especially sexual violence?

Yes, but probably not by as much as you think.

The vast majority of rapesare committed by men, and most of those are against women. But the figures may not be as lopsided as you imagine; in a given year, about 0.3% of women are raped by a man, and about 0.1% of men are raped by a woman. Over their lifetimes, about 25% of women will be sexually assaulted, and about 5% of men will be. Rapes of men by women have gone even more under-reported than rapes in general, in part because it was only recently that being forced to penetrate someone was counted as a sexual assault—even though it very obviously is.

So men are about 5 times as likely to commit rape as women. That’s a big difference, but I bet it’s a lot smaller than what many of you believed. There are statistics going around that claim that as many as 99% of rapes are committed by men; those statistics are ignoring the “forced to penetrate” assaults, and thus basically defining rape of men by women out of existence.

Indeed, 5 to 1 is quite close to the ratio in psychopathy.

I think that’s no coincidence: In fact, I think it’s largely the case that the psychopaths and the rapists are the same people.

What about homicide?

While men are indeed much more likely to be perpetrators of homicide, they are also much more likely to be victims.

Of about 23,000 homicide offenders in 2022, 15,100 were known to be men, 2,100 were known to be women, and 5,800 were unknown (because we never caught them). Assuming that women are no more or less likely to be caught than men, we can ignore the unknown, and presume that the same gender ratio holds across all homicides: 12% are committed by women.

Of about 22,000 homicides in the US last year, 17,700 victims were men. 3,900 victims were women. So men are 4.5 times as likely to be murdered than women in the US. Similar ratios hold in most First World countries (though total numbers are lower).

Overall, this means that men are about 7 times as likely to commit murder, but about 4.5 times as likely to suffer it.

So if we measure by rate of full-blown psychopathy, men are about 4 times as dangerous as women. If we measure by rate of moderate psychopathy, men are about 5 times as dangerous. If we measure by rate of rape, men are about 5 times as dangerous. And if we measure by rate of homicide, men are about 7 times as dangerous—but mainly to each other.

Put all this together, and I think it’s fair to summarize these results as:

Men are about five times as dangerous as women.

That’s not a small difference. But it’s also not an astronomical one. If you are right to be afraid of all men because they could rape or murder you, why are you not also right to be afraid of all women, who are one-fifth as likely to do the same?

Should we all fear everyone?

Surely you can see that isn’t a healthy way for a society to operate. Yes, there are real dangers in this world; but being constantly afraid of everyone will make you isolated, lonely, paranoid and probably depressed—and it may not even protect you.

It seems like a lot of men responding to the “man or bear” meme were honestly shocked that women are so afraid. If so, they have learned something important. Maybe that’s the value in the meme.

But the fear can be real, even justified, and still be hurting more than it’s helping. I don’t see any evidence that it’s actually making anyone any safer.

We need a better answer than fear.