gratitude

What we still have to be thankful for

PNRJ core principles, current events, ethics, futurism, inequality, politics, public policy , , , , , , , , ,

Nov 30 JDN 2461010

This post has been written before, but will go live after, Thanksgiving.

Thanksgiving is honestly a very ambivalent holiday.

The particular event it celebrates don’t seem quite so charming in their historical context: Rather than finding peace and harmony with all Native Americans, the Pilgrims in fact allied with the Wampanoag against the Narragansett, though they did later join forces with the Narragansett in order to conquer the Pequot. And of course we all know how things went for most Native American nations in the long run.

Moreover, even the gathering of family comes with some major downsides, especially in a time of extreme political polarization such as this one. I won’t be joining any of my Trump-supporting relatives for dinner this year (and they probably wouldn’t have invited me anyway), but the fact that this means becoming that much more detached from a substantial part of my extended family is itself a tragedy.

This year in particular, US policy has gotten so utterly horrific that it often feels like we have nothing to be thankful for at all, that all we thought was good and just in the world could simply be torn away at a moment’s notice by raving madmen. It isn’t really quite that bad—but it feels that way sometimes.

It also felt a bit uncanny celebrating Thanksgiving a few years ago when we were living in Scotland, for the UK does not celebrate Thanksgiving, but absolutely does celebrate Black Friday: Holidays may be local, but capitalism is global.

But fall feasts of giving thanks are far more ancient than that particular event in 1621 that we have mythologized to oblivion. They appear in numerous cultures across the globe—indeed their very ubiquity may be why the Wampanoag were so willing to share one with the Pilgrims despite their cultures having diverged something like 40,000 years prior.

And I think that it is by seeing ourselves in that context—as part of the whole of humanity—that we can best appreciate what we truly do have to be thankful for, and what we truly do have to look forward to in the future.

Above all, medicine.

We have actual treatments for some diseases, even actual cures for some. By no means all, of course—and it often feels like we are fighting an endless battle even against what we can treat.

But it is worth reflecting on the fact that aside from the last few centuries, this has simply not been the case. There were no actual treatments. There was no real medicine.

Oh, sure, there were attempts at medicine; and there was certainly what we would think of as more like “first aid”: bandaging wounds, setting broken bones. Even amputation and surgery were done sometimes. But most medical treatment was useless or even outright harmful—not least because for most of history, most of it was done without anesthetic or even antiseptic!

There were various herbal remedies for various ailments, some of which even have happened to work: Willow bark genuinely helps with pain, St. John’s wort is a real antidepressant, and some traditional burn creams are surprisingly effective.

But there was no system in place for testing medicine, no way of evaluating what remedies worked and what didn’t. And thus, for every remedy that worked as advertised, there were a hundred more that did absolutely nothing, or even made things worse.

Today, it can feel like we are all chronically ill, because so many of us take so many different pills and supplements. But this is not a sign that we are ill—it is a sign that we can be treated. The pills are new, yes—but the illnesses they treat were here all along.

I don’t see any particular reason to think that Roman plebs or Medieval peasants were any less likely to get migraines than we are; but they certainly didn’t have access to sumatriptan or rimegepant. Maybe they were less likely to get diabetes, but mainly because they were much more likely to be malnourished. (Well, okay, also because they got more exercise, which we surely could stand to.) And they only reason they didn’t get Alzheimer’s was that they usually didn’t live long enough.

Looking further back, before civilization, human health actually does seem to have been better: Foragers were rarely malnourished, weren’t exposed to as many infectious pathogens, and certainly got plenty of exercise. But should a pathogen like smallpox or influenza make it to a forager tribe, the results were often utterly catastrophic.

Today, we don’t really have the sort of plague that human beings used to deal with. We have pandemics, which are also horrible, but far less so. We were horrified by losing 0.3% of our population to COVID; a society that had only suffered 0.3%—or even ten times that, 3%—losses from the Black Death would have been hailed as a miracle, for a more typical rate was 30%.

At 0.3%, most of us knew somebody, or knew somebody who knew somebody, who died from COVID. At 3%, nearly everyone would know somebody, and most would know several. At 30%, nearly everyone would have close family and friends who died.

Then there is infant mortality.

As recently as 1950—this is living memory—the global infant mortality rate was 14.6%. This is about half what it had been historically; for most of human history, roughly a third of all children died between birth and the age of 5.

Today, it is 2.5%.

Where our distant ancestors expected two out of three of their children to survive and our own great-grandparents expected five out of six can now safely expect thirty-nine out of forty to live. This is the difference between “nearly every family has lost a child” and “most families have not lost a child”.

And this is worldwide; in highly-developed countries it’s even better. The US has a relatively high infant mortality rate by the standards of highly-developed countries (indeed, are we even highly-developed, or are we becoming like Saudi Arabia, extremely rich but so unequal that it doesn’t really mean anything to most of our people?). Yet even for us, the infant mortality rate is 0.5%—so we can expect one-hundred-ninety-nine out of two-hundred to survive. This is at the level of “most families don’t even know someone who has lost a child.”

Poverty is a bit harder to measure.

I am increasingly dubious of conventional measures of poverty; ever since compiling my Index of Necessary Expenditure, I am convinced that economists in general, and perhaps US economists in particular, are systematically underestimating the cost of living and thereby underestimating the prevalence of poverty. (I don’t think this is intentional, mind you; I just think it’s a result of using convenient but simplistic measures and not looking too closely into the details.) I think not being able to sustainably afford a roof over your head constitutes being poor—and that applies to a lot of people.

Yet even with that caveat in mind, it’s quite clear that global poverty has greatly declined in the long run.

At the “extreme poverty” level, currently defined as consuming $1.90 at purchasing power parity per day—that’s just under $700 per year, less than 2% of the median personal income in the United States—the number of people has fallen from 1.9 billion in 1990 to about 700 million today. That’s from 36% of the world’s population to under 9% today.

Now, there are good reasons to doubt that “purchasing power parity” really can be estimated as accurately as we would like, and thus it’s not entirely clear that people living on “$2 per day PPP” are really living at less than 2% the standard of living of a typical American (honestly to me that just sounds like… dead); but they are definitely living at a much worse standard of living, and there are a lot fewer people living at such low standard of living today than there used to be not all that long ago. These are people who don’t have reliable food, clean water, or even basic medicine—and that used to include over a third of humanity and does no longer. (And I would like to note that actually finding such a person and giving them a few hundred dollars absolutely would change their life, and this is the sort of thing GiveDirectly does. We may not know exactly how to evaluate their standard of living, but we do know that the actual amount of money they have access to is very, very small.)

There are many ways in which the world could be better than it is.

Indeed, part of the deep, overwhelming outrage I feel pretty much all the time lies in the fact that it would be so easy to make things so much better for so many people, if there weren’t so many psychopaths in charge of everything.


Increased foreign aid is one avenue by which that could be achieved—so, naturally, Trump cut it tremendously. More progressive taxation is another—so, of course, we get tax cuts for the rich.

Just think about the fact that there are families with starving children for whom a $500 check could change their lives; but nobody is writing that check, because Elon Musk needs to become a literal trillionaire.

There are so many water lines and railroad tracks and bridges and hospitals and schools not being built because the money that would have paid for them is tied up in making already unfathomably-rich people even richer.

But even despite all that, things are getting better. Not every day, not every month, not even every year—this past year was genuinely, on net, a bad one. But nearly every decade, every generation, and certainly every century (for at least the last few), humanity has fared better than we did the last.

As long as we can keep that up, we still have much to hope for—and much to be thankful for.

Serenity and its limits

PNRJ cognitive science, core principles, personal , , , , , , , , , , ,

Feb 25 JDN 2460367

God grant me the serenity
to accept the things I cannot change;
courage to change the things I can;
and wisdom to know the difference.

Of course I don’t care for its religious message (and the full prayer is even more overtly religious), but the serenity prayer does capture an important insight into some of the most difficult parts of human existence.

Some things are as we would like them to be. They don’t require our intervention. (Though we may still stand to benefit from teaching ourselves to savor them and express gratitude for them.)

Other things are not as we would like them to be. The best option, of course, would be to change them.

But such change is often difficult, and sometimes practically impossible.

Sometimes we don’t even know whether change is possible—that’s where the wisdom to know the difference comes in. This is a wisdom we often lack, but it’s at least worth striving for.

If it is impossible to change what we want to change, then we are left with only one choice:

Do we accept it, or not?

The serenity prayer tells us to accept it. There is wisdom in this. Often it is the right answer. Some things about our lives are awful, but simply cannot be changed by any known means.

Death, for instance.

Someday, perhaps, we will finally conquer death, and humanity—or whatever humanity has become—will enter a new era of existence. But today is not that day. When grieving the loss of people we love, ultimately our only option is to accept that they are gone, and do our best to appreciate what they left behind, and the parts of them that are still within us. They would want us to carry on and live full lives, not forever be consumed by grief.

There are many other things we’d like to change, and maybe someday we will, but right now, we simply don’t know how: diseases we can’t treat, problems we can’t solve, questions we can’t answer. It’s often useful for someone to be trying to push those frontiers, but for any given person, the best option is often to find a way to accept things as they are.

But there are also things I cannot change and yet will not accept.

Most of these things fall into one broad category:

Injustice.

I can’t end war, or poverty, or sexism, or racism, or homophobia. Neither can you. Neither can any one person, or any hundred people, or any thousand people, or probably even any million people. (If all it took were a million dreams, we’d be there already. A billion might be enough—though it would depend which billion people shared the dream.)

I can’t. You can’t. But we can.

And here I mean “we” in a very broad sense indeed: Humanity as a collective whole. All of us together can end injustice—and indeed that is the only way it ever could be ended, by our collective action. Collective action is what causes injustice, and collective action is what can end it.

I therefore consider serenity in the face of injustice to be a very dangerous thing.

At times, and to certain degrees, that serenity may be necessary.

Those who are right now in the grips of injustice may need to accept it in order to survive. Reflecting on the horror of a concentration camp won’t get you out of it. Embracing the terror of war won’t save you from being bombed. Weeping about the sorrow of being homeless won’t get you off the streets.

Even for those of us who are less directly affected, it may sometimes be wisest to blunt our rage and sorrow at injustice—for otherwise they could be paralyzing, and if we are paralyzed, we can’t help anyone.

Sometimes we may even need to withdraw from the fight for justice, simply because we are too exhausted to continue. I read recently of a powerful analogy about this:

A choir can sing the same song forever, as long as its singers take turns resting.

If everyone tries to sing their very hardest all the time, the song must eventually end, as no one can sing forever. But if we rotate our efforts, so that at any given moment some are singing while others are resting, then we theoretically could sing for all time—as some of us die, others would be born to replace us in the song.

For a literal choir this seems absurd: Who even wants to sing the same song forever? (Lamb Chop, I guess.)

But the fight for justice probably is one we will need to continue forever, in different forms in different times and places. There may never be a perfectly just society, and even if there is, there will be no guarantee that it remains so without eternal vigilance. Yet the fight is worth it: in so many ways our society is already more just than it once was, and could be made more so in the future.

This fight will only continue if we don’t accept the way things are. Even when any one of us can’t change the world—even if we aren’t sure how many of us it would take to change the world—we still have to keep trying.

But as in the choir, each one of us also needs to rest.

We can’t all be fighting all the time as hard as we can. (I suppose if literally everyone did that, the fight for justice would be immediately and automatically won. But that’s never going to happen. There will always be opposition.)

And when it is time for each of us to rest, perhaps some serenity is what we need after all. Perhaps there is a balance to be found here: We do not accept things as they are, but we do accept that we cannot change them immediately or single-handedly. We accept that our own strength is limited and sometimes we must withdraw from the fight.

So yes, we need some serenity. But not too much.

Enough serenity to accept that we won’t win the fight immediately or by ourselves, and sometimes we’ll need to stop fighting and rest. But not so much serenity that we give up the fight altogether.

For there are many things that I can’t change—but we can.