Spain

Article

Spain is a recurring place in the Astral Codex Ten archive, appearing 36 times across 36 issues between March 03, 2021 and April 01, 2026. The archive places it in contexts such as “the park of Cidacos de Calahorra, Spain”; “list of Best Practice Peer Countries including: Spain”; “why this didn’t happen to fellow Discoverers like France, Spain, and Portugal”. It most often appears alongside Germany, France, India.

Metadata

Category: Places
Mention count: 36
Issue count: 36
First seen: March 03, 2021
Last seen: April 01, 2026

Appears In

- Germany (21 shared issues)
- France (20 shared issues)
- India (20 shared issues)
- China (18 shared issues)
- United States (18 shared issues)
- Israel (16 shared issues)
- Italy (16 shared issues)
- Mexico (16 shared issues)
- Europe (15 shared issues)
- Japan (15 shared issues)
- Canada (14 shared issues)
- Scott (14 shared issues)

External Links

Source Context

Recovered passages from the original issue text. When the raw archive preserved outbound links inside the source passage, they are listed directly under the quote.

Links For March

March 03, 2021 · Original source

28: How the poplar pollen burns in the park of Cidacos de Calahorra, Spain:

Inline links: How the poplar pollen burns

Prospectus On Próspera

April 14, 2021 · Original source

Australia, Austria, Belgium, Canada, Chile, Denmark, Dubai, Estonia, Finland, France, Germany, Iceland, Ireland, Hong Kong, Israel, Italy, Japan, South Korea, Luxembourg, Mexico, Netherlands, New Zealand, Norway, Poland, Spain, Sweden, Singapore, Switzerland, United Kingdom, and United States of America

Book Review: Global Economic History

April 21, 2021 · Original source

And this part also isn't very clear. During the 1500s and 1600s, first the Netherlands and then Britain experienced a sort of mini-boom. Probably this was because of the Age Of Discovery in some way, although the book leaves us to fill in the details, including why this didn't happen to fellow Discoverers like France, Spain, and Portugal. Colonial trade goods played a role, but so did Northern European ships trading in various non-colonial ways, eg in the Mediterranean. Whatever the reason, these countries saw increasing wages, increasing literacy, urbanization, and the development of a strong mercantile class.

These places didn't adopt the new British technology. Sometimes this was for simple reasons: Britain tried to keep it secret, some of these places were British colonies banned from competing with the mother country, some of these places (eg Spain) had stupid policies. But the book focuses on the idea that these places' wages were too low to make the machinery competitive. I was pretty boggled by this: either wages were so low that the machines weren't necessary (in which case these places can outcompete Britain), or these places were being outcompeted by Britain (in which case they would be incentivized to adopt the new machines, which they should be able to do better than Britain given how cheap the operators' wages would be). The book does a poor job explaining what's going on here, but my impression is that Britain had more of the know-how, network effects, and industrial base to make the machines work, and it would have been more difficult and expensive to try to create them in India. The cheap Indian labor meant it wasn't profitable to do this once you added in all the other costs. This will become important later.

Your Book Review: Through The Eye Of A Needle

May 06, 2021 · Original source

City Based Empire. In the introductory chapters, it was sometimes difficult to know whether Brown was describing how society functioned in the 4th century alone or how it had functioned over the past 500 years. He describes a Mediterranean world built around cities. There were some 2,500 cities in the Roman empire. In the west, the most densely urbanized areas were central Italy (including Rome), Sicily, northeastern Africa (including Carthage), and southern Spain. In those regions, cities were no more than 10 miles apart. A larger, less dense area where cities were located around 25 miles apart includes northern and parts of southern Italy, the Dalmatian coast (modern Croatia), the Mediterranean regions of Gaul (modern France), most of modern Spain and Portugal, much of north Africa within 60 miles inland. Brown refers to each city as a little social pyramid. The most massive pyramids were Rome, Carthage, and the center of the imperial court at Milan (the capital of the western empire was relocated to be closer to the frontier during the 3rd century). Rome and Carthage especially were massive cities with between 500 thousand to 1 million residents at their peaks.

Your Book Review: The Accidental Superpower

May 21, 2021 · Original source

Zeihan gives us a story of the Ottoman Empire entering a prolonged decline as deepwater navigation technologies took off in the fourteenth century. These technologies enabled the European powers (first Portugal and Spain, and then England) to capture increasing shares of trade with Asia, dropping prices in Europe and depriving the Ottomans of much of the income to which they had grown accustomed. Most significantly, they turned “the ocean from a death sentence to a sort of giant river.” Trade became global, but it was still mostly among people with nearby water-based transportation.

We didn’t just get tremendous economic growth though – we got “magical” results, but they were based on a one-time confluence of factors that “overwhelmed the normal rule that lots of twenty-and thirty-somethings make for an expensive-capital environment.” What were these one-time accelerants? He identifies the peace dividend – cuts in military spending that allowed capital to be put to more productive uses – as one such change, along with the emergent dominance of the US dollar, particularly boosted by Russian demand thanks to the collapse of their currency, and a later boost in demand thanks to the East Asian financial crisis. With the Europeans’ decision to eliminate national currencies (agreed upon in a 1992 treaty, with the Euro to be introduced in 1999), they became relatively unattractive, and the Euro itself (an “unprecedented experiment in pan-government planning”) was too risky. Many holders of European currencies switched to the US dollar, such that between 1994 and 2002 (“when the euro finally got some traction and the surge dialed back”) there was a $2 trillion increase in the money supply. Zeihan also points to a collapse in commodities prices influenced by the elimination of Russian demand, but continued Russian production of oil and other commodities, followed by a collapse in demand thanks to the East Asian financial crisis. This story of capital coming to the West (“allowing consumption-driven growth not simply to soar, but to explode”) is one of chance world events. However, the story of capital coming from the Boomer cohort is one of demographics. By the 2000s, they’re the mature workers of Zeihan’s four stages described above – and as the bulge in the demographic pyramid, they started flooding the world with capital. Accordingly, “The cost of credit plummeted to levels never before experienced.” Zeihan suggests that developed-world demographics are the cause of booms in places that haven’t been well-developed, from Southern Europe to Brazil, Russia, and India. But he says it’s quickly coming to an end; Boomer savings into stocks and bonds will be moving to low-risk instruments and then turning into withdrawals rather than savings, and the cohort behind them is too small to replace all of that capital. And it’s a worldwide phenomenon: In every single developed country there is currently an American-style population inversion between the about-to-retire and the about-to-be-mature-workers age groups. Japan’s Boomers bulge is a decade older than the American equivalent, while Spain’s is roughly fifteen years younger. Everyone else falls somewhere in between. It dictates a period of chronically low growth and high credit costs, just not on precisely the same time frame. The undeveloped world is that way because it can’t self-fund, so without foreign capital, their growth will come to an end. In sum, the 1990-2005 period of high growth and easy capital was a historical anomaly; “the post-Cold War financial flight was a once-in-a-generation event” and the demographic bulge that coincided with it won’t come around again for decades, if ever. 4 2: America’s incredible advantages As noted above, Zeihan really likes America’s position in the world. He likes its demographics (relative to other developed countries) and loves its geography. Taking the population question first, in America, “the demographic inversion is only a temporary development.” America is younger than the rest of the developed world, as it urbanized later and its enormous size made having kids easier despite that urbanization (i.e., the suburbs exist). This makes the demographic crunch a single-generation issue, as the Millennials are a huge cohort. And even if they weren’t, America assimilates immigrants more easily than other places – Zeihan attributes this to it being a “settler society” – which can help with demographic problems. The rest of the developed world doesn’t have similar cohorts following their massive Boomer and Gen-X analogues. Accordingly: While the American financial world will be past its period of maximum stress by 2030, for the rest of the world 2030 will simply be another year of an ever-deepening imbalance between retirees and taxpayers, with smaller and smaller generations coming up the ranks generating less and less growth. For the developed world beyond the United States—and even large portions of the developing world—chronic capital poverty and permanent recession will be the new normal from which there is no return. Together with America’s Millennial-led growth and abundant energy (there’s a chapter explaining how shale is a done deal that, as of the mid-2014 writing, already made America the world’s largest energy producer 5), by 2030 Zeihan sees it as practically the only country with an economy worth noting. Anyone who is familiar with American geography should see the argument that’s coming about that aspect of Zeihan’s model. Isn’t the Mississippi River a pretty big deal? And those oceans on the east and west coasts seem like nice borders. Indeed, while he gives us many reasons why there was always going to be an American superpower, geography is central to his story. He has lots to say about America’s internal river systems, farmland, and other geographic features. What mountain barriers exist are apparently better than in other countries in terms of allowing internal transport; the Rockies have major passes, several of which have large cities within them, and the easiest pass in the Appalachians featured America’s first National Road, 130 miles of buried logs that linked two rivers, and thus the east coast with the best farmland in the world. As we saw with his exposition on the Nile, Zeihan puts a lot of emphasis on the value of river systems. He argues that America’s waterway network alone should be sufficient for “global dominance.” The numbers he provides in support of this point are impressive. For example, “the Mississippi is only one of twelve major navigable American rivers. Collectively, all of America’s temperate-zone rivers are 14,650 miles long. China and Germany each have about 2,000 miles, France about 1,000. The entirety of the Arab world has but 120.” He praises US barrier islands that mitigate oceanic destruction and effectively create another river system, as well as the fact that the river system is an actual network. All of this gives America more internal waterways than the rest of the world combined. Thus, we get cheap transportation for “Nebraska corn or Tennessee whiskey or Texas oil or New Jersey steel or Georgia peaches or Michigan cars,” enabling savings that “can be used for whatever Americans (or their government) want, from iPhones to aircraft carrier battle groups.” America doesn’t have to spend on artificial infrastructure, like German roads and rails, but when it does, the competition from the rivers keeps transport costs low. Cheap internal transportation has other benefits. “It’s a recipe for small government and high levels of entrepreneurship,” as small government keeps taxes low, leaving people with plenty of capital. Some people may think of the American consumer with disdain, but it isn’t a new phenomenon. Zeihan points out that America has been the world’s largest consumer market “since shortly after the Civil War.” His observation about a robust food supply forming the base of any civilization bodes well for America, which apparently has the largest connected stretch of quality farmland in the world (the Midwest), the value of which is exponentially increased by the fact that it overlaps with so many of these amazing river systems. It isn’t just the Midwest that he gushes over. California’s Central Valley and the Sacramento River, and Washington and Oregon’s farmland with the Columbia and Snake Rivers get praise. The only major farmland more than 150 miles from a navigable waterway is some of the Great Plains near the Rockies. ***** Zeihan provides a reminder that national security is actually a thing, and that at its most basic level, it’s about protection against invasions. It was something of a shock reading about America’s land borders in that context. “As Santa Anna discovered during the Texas Independence War, there is no good staging location in (contemporary) Mexican territory that could strike at American lands.” And, “Canada’s border with the United States is much longer, more varied, and even more successful at keeping the two countries separated,” thanks to mountains and thick forests over much of it. The mid-continent lands are much more connected, but Zeihan frames these Canadian areas as basically American; they’re physically separated from Canada’s core eastern provinces, so trade with them is weaker than with the closer American states. Then there are the oceans. As much as Zeihan loves deserts for protection, he loves oceans more (particularly in a post-World War II world; more on that below). We get a story about the War of 1812 nearly splitting America into three when the British attacked Baltimore. America learned about “strategic vulnerability and sea approaches,” as the attack “on Baltimore—indeed, the entire war effort—would have been impossible without launching grounds in Canada and the Caribbean.” American foreign policy since then can be understood with respect to this lesson. Zeihan cites it as inspiration for America’s steps to make its ocean borders truly impenetrable, such as working to sever Canada from Britain, and the imperial-era acquisitions of Alaska, Hawaii, Midway, Puerto Rico, and de facto control of Cuba (preventing enemies from cutting off Mississippi River-based trade from the rest of the world). There’s more to Zeihan’s being awestruck by America than his analysis of its balance of transport advantages. He argues that America has been the world leader for agriculture, technology, finance, and industry since the Civil War, and runs through a litany of reasons for its preeminence: America is like a continent-sized island (because of its effective land borders), which is always going to be a more natural naval power than a more landlocked country.

Inline links: 4, 5

Your Book Review: The Collapse Of Complex Societies

June 03, 2021 · Original source

For a one-time infusion of wealth from each conquered province, Rome had to undertake administrative and military responsibilities that lasted centuries. For Rome, the costs of administering some provinces (such as Spain and Macedonia) exceeded their revenues. And although he was probably exaggerating, Cicero complained in 66 B.C. that, of all Roman conquests, only Asia yielded a surplus. In general, most revenues were raised in the richer lands of the Mediterranean, and spent on the army in the poorer frontier areas such as Britain, the Rhineland, and the Danube.

Highlights From The Comments On "How Asia Works"

July 01, 2021 · Original source

I tried tracking down the original source, and I think it’s this paper, although it lists only 13 countries: Equatorial Guinea, Greece, Hong Kong, Ireland, Israel, Japan, Mauritius, Portugal, Puerto Rico, South Korea, Singapore, Spain, Taiwan.

Inline links: this paper

Equatorial Guinea struck oil. Puerto Rico is not a country. Ireland, Portugal, Spain, and Greece are European countries that missed the general First Worldification of Europe for various reasons which then went away. Israel is chosen by God. That leaves just the East Asian countries and Mauritius (which sounds fascinating, and which I should try to learn more about).

Inline links: chosen by God

Book Review: The Revolt Of The Public

September 17, 2021 · Original source

In Spain, a vague formless group called the indignados (or Real Democracy Now, or Youth Without A Future) took to the streets. For months, they filled public squares, streets, and tent cities. Some protests attracted tens of thousands of participants; a few, hundreds of thousands. Some of them were vaguely socialist, but it wasn't exactly a socialist protest; in fact, the government they were protesting was dominated by the Socialist Workers Party. They were just sort of vaguely angry. From their manifesto:

The Israeli protesters attracted contradictory political fantasies because of the fuzziness of their definition. This repeated a pattern established in Egypt and Spain. The lack of leaders, programs, and organizational structure was if anything more pronounced. Those who spoke to the media on a regular basis, like Leef, were attractive and clever, but they lacked the power to command or decide, and they quarreled constantly among themselves. The question of whether to negotiate with the government divided the protesters. The goal of social justice - supposedly the North Star of the uprising - appeared to be as foggy a notion to them as to their media admirers.

Gurri isn't shy about his contempt for this. Not only were these some of the most privileged people in their respective countries, but (despite the legitimately-sucky 2008 recession), they were living during a time of unprecedented plenty. In Spain, the previous forty years had seen the fall of a military dictatorship, its replacement with a liberal democracy, and a quintupling of GDP per capita from $6000 to $32000 a year - "in 2012, four years into the crisis there were more cell phones and cars per person in Spain than in the US". The indignado protesters in Spain had lived through the most peaceful period in Europe's history, an almost unprecedented economic boom, and had technologies and luxuries that previous generations could barely dream of. They had cradle-to-grave free health care, university educations, and they were near the top of their society's class pyramids. Yet they were convinced, utterly convinced, that this was the most fraudulent and oppressive government in the history of history, and constantly quoting from a manifesto called Time For Outrage!

Links For September

September 20, 2021 · Original source

33: Related: Poniente Almeriense, the greenhouse plain of Spain:

Inline links: Poniente Almeriense

Highlights From The Comments On Orban

November 11, 2021 · Original source

This means that if you have a large border with a non-EU country, EU countries further inland can send refugees back to wherever they first entered. Since Hungary has a border with non-EU countries, the Hungarians risk being stuck with refugees, even if the refugees themselves would prefer to move further West or North. (The problem is even larger in countries like Italy and Spain.)

Ivermectin: Much More Than You Wanted To Know

November 17, 2021 · Original source

A defiant Flavio Cadegiani. Imagine a guy who looks like this telling you to take ultra-high-dose antiandrogens. Ahmed et al: And we’re back in Bangladesh. 72 hospital patients were randomized to one of three arms: ivermectin only, ivermectin + doxycycline, and placebo. Primary endpoint was time to negative PCR, which was 9.7 days for ivermectin only and 12.7 days for placebo (p = 0.03). Other endpoints including duration of hospitalization (9.6 days ivermectin vs. 9.7 days placebo, not significant). This looks pretty good for ivermectin and does not have any signs of fraud or methodological problems. If I wanted to pick at it anyway, I would point out that the ivermectin + doxycycline group didn’t really differ from placebo, and that if you average out both ivermectin groups (with and without doxycycline) it looks like the difference would not be significant. I had previously committed to considering only ivermectin alone in trials that had multiple ivermectin groups, so I’m not going to do this. I can’t find any evidence this trial was preregistered so I don’t know whether they waited to see what would come out positive and then made that their primary endpoint, but virological clearance is a pretty normal primary endpoint and this isn’t that suspicious. It’s impossible to find any useful commentary on this study because Elgazzar (the guy who ran the most famous fraudulent ivermectin study) had the first name Ahmed, everyone is talking about Elgazzar all the time, and this overwhelms Google whenever I try to search for Ahmed et al. For now I’ll just keep this as a mildly positive and mildly plausible virological clearance result, in the context of no effect on hospitalization length or most symptoms. Chaccour et al: 24 patients in Spain were randomized to receive either medium-dose ivermectin or placebo. The primary outcome was percent of patients with negative PCR at day 7; secondary outcomes were viral load and symptoms. The primary endpoint ended up being kind of a wash - everyone still PCR positive by day 7 so it was impossible to compare groups. Ivermectin trended toward lower viral load but never reached significance. Weirdly, ivermectin did seem to help symptoms, but only anosmia and cough towards the end (p = 0.03), which you would usually think of as lingering post-COVID problems. The paper says: Given these findings, consideration could be given to alternative mechanisms of action different from a direct antiviral effect. One alternative explanation might be a positive allosteric modulation of the nicotinic acetylcholine receptor caused by ivermectin and leading to a downregulation of the ACE-2 receptor and viral entry into the cells of the respiratory epithelium and olfactory bulb. Another mechanism through which ivermectin might influence the reversal of anosmia is by inhibiting the activation of pro-inflammatory pathways in the olfactory epithelium. Inflammation of the olfactory mucosa is thought to play a key role in the development of anosmia in SARS-CoV-2 infection This seems kind of hedge-y. If you’re wondering where things went from there, Dr. Chaccour is now a passionate anti-ivermectin activist: @Finneganporter in @BusinessInsider \n\nThe roots of #ivermectin mania: How South America incubated a fake-medicine craze that took the US by storm\n\n","username":"carlos_chaccour","name":"Dr. Carlos Chaccour ??????","profile_image_url":"","date":"Sun Nov 07 18:40:28 +0000 2021","photos":[],"quoted_tweet":{},"reply_count":0,"retweet_count":2,"like_count":9,"impression_count":0,"expanded_url":{"url":"https://www.businessinsider.in/international/news/the-roots-of-ivermectin-mania-how-south-america-incubated-a-fake-medicine-craze-that-took-the-us-by-storm/articleshow/87554081.cms","image":"https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/88d08e70-c9e2-46d4-a5df-96807b6c3a13_2000x1000.jpeg","title":"The roots of ivermectin mania: How South America incubated a fake-medicine craze that took the US by storm","description":"The popularity of unproven anti-parasitic drug ivermectin as a COVID-19 treatment is surging. Its use has roots in South America, where it was hyped by populist","domain":"businessinsider.in"},"video_url":null,"belowTheFold":true}" data-component-name="Twitter2ToDOM"> So I guess he must think of this trial as basically negative, although realistically it’s 24 people and we shouldn’t put too much weight on it either way. Ghauri et al: Pakistan, 95 patients. Nonrandom; the study compared patients who happened to be given ivermectin (along with hydroxychloroquine and azithromycin) vs. patients who were just given the latter two drugs. There’s some evidence this produced systematic differences between the two groups - for example, patients in the control group were 3x more likely to have had diarrhea (this makes sense; diarrhea is a potential ivermectin side effect, so you probably wouldn’t give it to people already struggling with this problem). Also, the control group was twice as likely to be getting corticosteroids, maybe a marker for illness severity. Primary outcome was what percent of both groups had a fever: on day 7 it was 21% of ivermectin patients vs. 65% of controls, p < 0.001. No other outcomes were reported. I don’t hate this study, but I think the nonrandom assignment (and observed systematic differences) is a pretty fatal flaw. I can’t find anyone else talking about this one. At least no one seems to be saying anything bad. Babaloba et al: Be warned: if I have to refer to this one in real-life conversation, I will expand out the “et al” and call it “Babalola & Alakoloko”, because that’s really fun to say. This was a Nigerian RCT comparing 21 patients on low-dose ivermectin, 21 patients on high-dose ivermectin, and 20 patients on a combination of lopinavir and ritonavir, a combination antiviral which later studies found not to work for COVID and which might as well be considered a placebo. Primary outcome, as usual, was days until a negative PCR test. High dose ivermectin was 4.65 days, low dose was 6 days, control was 9.15, p = 0.035. Figure 2 is apparently a photograph of the computer screen where they did this calculation. Gideon Meyerowitz-Katz, part of the team that detects fraud in ivermectin papers, is not a fan of this one: He doesn’t say there what means, but elsewhere he tweets this figure: It’s always a bad sign when your study features in an image with “NUMEROUS IMPOSSIBLE NUMBERS” in red at the top. I think his point is that if you have 21 people, it’s impossible to have 50% of them have headache, because that would be 10.5. If 10 people have a headache, it would be 47.6%; if 11, 52%. So something is clearly wrong here. Seems like a relatively minor mistake, and Meyerowitz-Katz stops short of calling fraud, but it’s not a good look. I’m going to be slightly uncomfortable with this study without rejecting it entirely, and move on. Ravakirti et al: Here we’re in Eastern India - not exactly Bangladesh again, but a stone’s throw away from it. In this RCT patients were randomized into an ivermectin group (57) and a placebo group (58). Primary outcome was negative PCR on day 6, because doing it on day 7 like everyone else would be too easy. As with several other groups, this was a bad move; too few people had it to make a good comparison; it was 13% of intervention vs. 18% of placebo, p = 0.3. Secondary outcomes were also pretty boring, except for the most important: 4 people in the placebo group died, compared to 0 in ivermectin (p = 0.045). On the one hand, this is one outcome of many, reaching the barest significance threshold. Another fluke? Still, there are no real problems with this study, and nobody has anything to say against it. Let’s add this one to the scale as another very small and noisy piece of real evidence in ivermectin’s favor. Bukhari et al: Now we’re in Pakistan. 50 patients were randomized to low-dose ivermectin, another 50 got standard of care including vitamin D. There was no placebo, but primary outcome was number of days to reach negative PCR, which it seems hard for placebo to affect much, so I don’t care. 5 controls and 9 ivermectin patients left the hospital against medical advice and could not be followed up, which is bad but not necessarily study-ruining. They never measured their supposed primary outcome of “days to reach negative PCR” directly, but they did measure how many people had negative PCR on various days, and ivermectin had a clear advantage - for example, on day 7, it was 37/50 for IVR and only 20/50 for control. Even if we assume all the lost-to-followup patients had maximally bad-for-the-hypothesis results, that’s still a positive finding. Nobody else has much to say about this one, certainly no accusations that they’ve found anything suspicious. Keep. Mohan et al: India. RCT. 40 patients got low-dose ivermectin, 40 high-dose ivermectin, and 45 placebo. Primary outcomes were time to negative PCR, and viral load on day 5. In the results, they seem to have reinterpreted “time to negative PCR” as the subtly different “percent with negative PCR on some specific day”. High-dose ivermectin did best (47.5% negative on day 5) and placebo worst (31% negative), but it was insignificant (p = 0.3). There was no difference in viral load. All groups took about the same amount of time for symptoms to resolve. More placebo patients had failed to recover by the end of the study (6) than ivermectin patients (2), but this didn’t reach statistical significance (p = 0.4). Overall a well-done, boring, negative study, although ivermectin proponents will correctly point out that, like basically every other study we have looked at, the trend was in favor of ivermectin and this could potentially end up looking impressive in a meta-analysis. Biber et al: This is an RCT from Israel. 47 patients got ivermectin and 42 placebo. Primary endpoint was viral load on day 6. I am having trouble finding out what happened with this; as far as I can tell it was a negative result and they buried it in favor of more interesting things. In a "multivariable logistic regression model, the adjusted odds ratio of negative SARS-CoV-2 RT-PCR negative test" favored ivermectin over placebo (p = 0.03 for day 6, p = 0.01 for day 8), but this seems like the kind of thing you do when your primary outcome is boring and you’re angry. Gideon Meyerowitz-Katz is not a fan: He notes that the study excluded people with high viral load, but the preregistration didn’t say they would do that. Looking more closely, he finds they did that because, if you included these people, the study got no positive results. So probably they did the study, found no positive results, re-ran it with various subsets of patients until they did get a positive result, and then claimed to have “excluded” patients who weren’t in the subset that worked. I’m going to toss this one. Elalfy et al: What even is this? Where am I? As best I can tell, this is some kind of Egyptian trial. It might or might not be an RCT; it says stuff like “Patients were self-allocated to the treatment groups; the first 3 days of the week for the intervention arm while the other 3 days for symptomatic treatment”. Were they self-allocated in the sense that they got to choose? Doesn’t that mean it’s not random? Aren’t there seven days in a week? These are among the many questions that Elalfy et al do not answer for us. The control group (which they seem to think can also be called “the white group”) took zinc, paracetamol, and maybe azithromycin. The intervention group took zinc, nitazoxanide, ribavirin, and ivermectin. There were very large demographic differences between the groups of the sort which make the study unusable, which they mention and then ignore. From there, they follow this normal and totally comprehensible flowchart: There is no primary outcome assigned, but viral clearance rates on day seven were 58% in the yellow group compared to 0% in the white group, which I guess is a strong positive result. This table… …looks very impressive, in terms of the experimental group doing better than the control, except that they don’t specify whether it was before the trial or after it, and at least one online commentator thinks it might have been before, in which case it’s only impressive how thoroughly they failed to randomize their groups. Overall I don’t feel bad throwing this study out. I hope it one day succeeds in returning to its home planet. Lopez-Medina et al: Colombian RCT. 200 patients took ivermectin, another 200 took placebo. They originally worried the placebo might taste different than real ivermectin, then solved this by replacing it with a different placebo, which is a pretty high level of conscientiousness. Primary outcome was originally percent of patients whose symptoms worsened by two points, as rated on a complicated symptom scale when a researcher asked them over the phone. Halfway through the study, they realized nobody was worsening that much, so they changed the primary outcome to time until symptoms got better, as measured by the scale. In the ivermectin group, symptoms improved that much after 10 days; in the placebo group, after 12, p = 0.53. By the end of the study, symptoms had improved in 82% of ivermectin users and 79% of controls, also insignificant. 4 patients in the ivermectin group needed to be hospitalized compared to 6 in the placebo group, again insignificant. This study is bigger than most of the other RCTs, and more polished in terms of how many spelling errors, photographs of computer screens, etc, it contains. It was published in JAMA, one of the most prestigious US medical journals, as opposed to the crappy nth-tier journals most of the others have been in. When people say things like “sure, a lot of small studies show good results for ivermectin, but the bigger and more professional trials don’t”, this is one of the two big professional trials they’re talking about. Ivermectin proponents make some good arguments against it. In order to get as big as it did, Lopez-Medina had to compromise on rigor. Its outcome is how people self-score their symptoms on a hokey scale in a phone interview, instead of viral load or PCR results or anything like that. Still, this is basically what we want, right? In the end, we want people to feel better and less sick, not to get good scores on PCR tests. Also, it changed its primary outcome halfway through; isn’t that bad? I think maybe not; the reason we want a preregistered primary outcome is so that you don’t change halfway through to whatever outcome shows the results you want. The researchers in this study did a good job explaining why they changed their outcome, the change makes sense, and their original outcome would also have shown ivermectin not working (albeit less accurately and effectively). I don’t know of any evidence that they knew (or suspected) final results when switching to this new outcome, and it seems like the most reasonable new outcome to switch to. Finally, their original placebo tasted different from ivermectin (though they switched halfway through). This is one of the few studies where I actually care about placebo, because people are self-rating their symptoms. But realistically most of these people don’t know what ivermectin is supposed to taste like. Also, they did a re-analysis and found there was no difference between the people who got the old placebo and the new one. I’m making a big deal of this because ivmmeta.com - the really impressive meta-analysis site I’ve been going off of - puts a special warning letter underneath their discussion of this study, urging us not to trust it. They don’t do this for any of the other ones we’ve addressed so far - not the one by the guy whose other studies were all frauds, not the one where 50% of 21 people had headaches, not the unrandomized one where the groups were completely different before the experiment started, not even the one by the guy accused of crimes against humanity. Only this one. This makes me a lot less charitable to ivmmeta than I would otherwise be; I think it’s hard to choose this particular warning letter strategy out of well-intentioned commitment to truth. They just really don’t like this big study that shows ivermectin doesn’t work. Also, the warning itself irritates me, and includes paragraphs like: RCTs have a fundamental bias against finding an effect for interventions that are widely available — patients that believe they need treatment are more likely to decline participation and take the intervention [Yeh], i.e., RCTs are more likely to enroll low-risk participants that do not need treatment to recover (this does not apply to the typical pharmaceutical trial of a new drug that is otherwise unavailable). This trial was run in a community where ivermectin was available OTC and very widely known and used. Nobody else worries about this, and there are a million biases that non-randomized studies have that would be super-relevant when discussing those, but somehow when they’re pro-ivermectin the site forgets to be this thorough. I think a better pro-ivermectin response to this study is to point out that all the trends support ivermectin. Symptoms took 10 days to resolve in the ivermectin group vs. 12 in placebo; 4 ivermectin patients were hospitalized vs. 6 placebo patients, etc. Just say that this was an unusually noisy trial because of the self-report methodology, and you’re confident that these small differences will add up to significance when you put them into a meta-analysis. Roy et al: We’re back in East India, and back to non-randomized trials. 56 patients were retrospectively examined; some had been given ivermectin + doxycycline, others hydroxychloroquine, other azithromycin, and others symptomatic treatment only. We don’t get any meaningful information about how this worked, but we are told that they did not differ in “clinical well-being reporting onset timing”. Whatever. Chahla et al: The first of many Argentine trials. 110 patients received medium-dose ivermectin; 144 were kept as a control (no placebo). This was “cluster randomized”, which means they randomize different health centers to either give the experimental drug or not. This is worse than regular randomization, because there could be differences between these health centers (eg one might have better doctors who otherwise give better treatment, one might be in the poor part of town and have sicker patients, etc). They checked to see if there were any differences between the groups, and it sure looks like there were (the experimental group had twice as many obese people as the controls), but as per them, these differences were not statistically significant. Note that if this did make a difference, it would presumably make ivermectin look worse, not better. The primary outcome was given as “increase discharge from outpatient care with COVID-19 mild disease”. This favored the treatment; only 2/110 patients in the ivermectin group failed to be discharged, compared to 20 patients in the control group. But, uh, these were at different medical centers. Can’t different medical centers just have different discharge policies? One discharges you as soon as you seem to be getting better, the other waits to really make sure? This is an utterly crap endpoint to do a cluster randomized controlled trial on. If you’re going to do cRCT, which is never a great idea, you should be using some extremely objective endpoint that doctors and clinic administrators can’t possibly affect, like viral load according to some third-party laboratory, using the same third-party laboratory for both clinics. This is such a bad idea that I can’t help worrying I’m missing or misunderstanding something. If not, this is dumb and bad and should be ignored. Mourya et al: We’re back in India. This is a nonrandomized study comparing 50 patients given ivermectin to 50 patients given hydroxychloroquine. No primary outcome was named, but they focus on PCR negativity. Only 6% of patients in the hydroxychloroquine group were negative, compared to 90% of patients in the ivermectin group! On what day did they do the test? Uh, kind of random, and they admit that “in [the hydroxychloroquine group], mean time difference from the date of initiation of treatment and second test was significantly longer (7.24±2.75 days) as compared to 5.22±1.21 days in [the ivermectin group] (p=0.021).” Since they assessed these groups at different times, we shouldn’t draw any conclusions from them getting different results. Except that as far as I can tell this should handicap ivermectin, making it especially impressive that it did better. But also, the ivermectin group was made mostly of people who had been asymptomatic at the beginning (70%), and the hydroxychloroquine group had almost no asymptomatic cases (8%) . They were giving the ivermectin to healthy people and the hydroxychloroquine to sick people! They admit deep in the discussion that this “may be a confounding factor”. So basically they got totally different groups of people, tested them at totally different times, and the two sets of test results differed. So what? So this is why normal people do RCTs instead of whatever the heck this is, that’s what. Loue et al: …this one isn’t going to be an RCT either. Loue tells a story about a cluster of COVID cases at the French nursing home where he works. He asked people if they wanted to try ivermectin; 10 did and 15 didn’t. 1 ivermectin patient died, compared to 5 non-ivermectin patients. The non-ivermectin group looked a bit sicker than the ivermectin group in the inevitable Table 1, though it’s hard to tell. One interesting possible confounder (not mentioned, but I’m imagining it) is that demented patients probably couldn’t consent to ivermectin and ended up in the control group. This is another case of “I’m not going to trust anything that isn’t an RCT”. Merino et al: Another (sigh) non-RCT. Mexico City tried a public health program where if you called a hotline and said you had COVID, they sent you an emergency kit with various useful supplies. One of those supplies was ivermectin tablets. 18,074 people got the kit (and presumably some appreciable fraction took the ivermectin, though there’s no way to prove that). Their control group is people from before they started giving out the kits, people from after they stopped giving out the kits, and people who didn’t want the kits. There are differences in who got COVID early in the epidemic vs. later, and in people who did opt for medical kits vs. didn’t. To correct these, the researchers tried to adjust for confounders, something which - as I keep trying to hammer home again and again - never works. They found that using the kit led to a 75% or so reduction in hospitalization, though they were unable to separate out the ivermectin from the other things in the kit (paracetamol and aspirin), or from the placebo effect of having a kit and feeling like you had already gotten some treatment (if I understand right, the decision to go to the hospital was left entirely to the patient). I think this study is a moderate point in favor of giving people kits in order to prevent hospital overcrowding, but I’m not willing to accept that it tells us much about ivermectin in particular. Faisal et al: This one was published in The Professional Medical Journal (mispelled as “Profesional Medical Journal” in its URL), so you know it’s going to be good! It describes itself as “a cross-sectional study”, but later says it “randomized patients into two groups”, which would make it an RCT - I think they might just be using the term “cross-sectional” different from the standard American usage. A hospital in Pakistan got 50 patients on ivermectin + azithromycin, and another 50 on azithromycin alone. Primary outcome was not mentioned, and the data were presented confusingly, but a typical result is that only 4% of the ivermectin group had symptoms lasting more than 10 days, whereas 16% of the control group did, p < 0.01. They do a really weird thing where they compare how long it took symptoms to resolve between IVM and control groups within each bin. That is, if I’m understanding correctly, they ask “of the people who took between 3-5 days for symptoms to resolve, did they resolve faster for IVM or control?”. This is an utterly bizarre analysis to perform, although it doesn’t affect the fact that their other results still seem to favor ivermectin. Maybe I’m confused about what’s going on here. I’ve mostly been letting people off easy on no placebo, but I as far as I can tell (not very far) this paper seems to be going off whether patients reported continuing to have symptoms to the hospital doing the study, and I think that is potentially susceptible to placebo effects. Additionally, there’s no preregistration, and even though they talk a lot about doing PCR tests they don’t present the results. This is by no means the worst study here but I still think it’s pretty low quality and I don’t trust it. Aref et al: This one is published in the International Journal Of Nanomedicine, even though I’m pretty sure that isn’t a real thing. In this case the “nanomedicine” is a new nasal spray version of ivermectin which is so confusing I cannot for the life of me figure out what dose they are giving these patients. This Egyptian study gives 57 patients intranasal ivermectin plus hydroxychloroquine, azithromycin, oseltamavir, and some vitamins; another 57 patients get all that stuff except the ivermectin. Primary outcome is not stated, but they look at various symptoms, all of which look better in the ivermectin group: 95% of ivermectin patients got negative PCRs at some time point, compared to 75% of controls, p = 0.004. I am pretty suspicious of this study, not least because it comes from Egypt which has an awful reputation for fake studies, and it returns extreme results that I wouldn’t expect even if ivermectin was actually a wonder drug. But I cannot find any particular thing wrong with it, nor did anyone else I looked at, so I will grudgingly let it stand. Krolewiecki et al: Another Argentine study. This one is a real RCT. 30 patients received ivermectin, 15 were the control group (no placebo, again). Primary outcome was difference in viral load on day 5. The trend favored ivermectin but it was not statistically significant, although they were able to make it statistically significant if they looked at a subset of higher-IVM-plasma-concentration patients. They did not find any difference in clinical outcomes. A pro-ivermectin person could point out that in the subgroup with the highest ivermectin concentrations, the drug seemed to work. A skeptic could point out that this is exactly the kind of subgroup slicing that you are not supposed to do without pre-registering it, which I don’t think this team did. I agree with the skeptic. Vallejos et al: Another Argentine study. It’s big (250 people in each arm). It’s an RCT. It tries to define a primary outcome (“Primary outcome: the trial ended when the last patient who was included achieved the end of study visit”), but that’s not what “primary outcome” means, and they don’t offer an alternative. Other outcomes: no difference in PCR on days 3 or 12. Hospitalization is nonsignificantly better in the ivermectin group (14 vs. 21, p = 0.2), but death is nonsigificantly better in the placebo group (3 vs. 4, p = 0.7). This isn’t even the kind of nonsignificant that might contribute to an exciting meta-analysis later. This is just a pure null result. I cannot find any problem with this study, and neither can anyone else I checked. This is the biggest RCT we’ve seen so far, so we should take it seriously. TOGETHER Trial: Speaking of big RCTs… This one hasn’t been published yet. There’s a video of a talk about it, but I am not going to watch it, because it is a video, so I am getting information secondhand from eg here. Apparently, it compares 677 people (!) randomized to ivermectin to 678 people randomized to placebo. 86 ivermectin patients ended up in the hospital compared to 95 placebo patients, p-value not significant. This was a really big professional trial done by bigshot researchers from a major Canadian university, and the medical establishment is taking it much more seriously than any of these others. When it comes out, it will probably get published in a top journal. When discussing Lopez-Medina, I wrote: When people say things like “sure, a lot of small studies show good results for ivermectin, but the bigger and more professional trials don’t”, this is one of the two big professional trials they’re talking about. This is the other one. Not coincidentally, it’s also the other trial that ivmmeta.com has a warning letter underneath telling you to disregard. Their main concern is that instead of truly randomizing patients to ivermectin vs. placebo, they did a time-dependent randomization that meant during some weeks more patients were getting one or the other. This is a problem because the trial takes place in Brazil, where different variants were more common at different times. Here’s their image: On the one hand, I have immense contempt for ivmmeta for letting all those other awful studies pass and then pulling out all the stops to try to nitpick this one. I have no idea if their proposed randomization failure really happened. And no doubt the reason they’re even able to investigate this is that this study is really careful and transparent - most of them don’t tell you anything about their randomization method. I would be shocked if other studies don’t have all these problems and worse. On the other hand, the point isn’t to be fair, it’s to be right. And this is a potential confounder. Not a huge one. But a potential one. I guess all we can do is try to bound the damage. Even if the confounding is 100% real and bad, there’s no way to make this study consistent with the crazy super-pro-ivermectin results of studies like Espitia-Hernandez and Aref. And even if we deny any confounding, we see the same slight pro-ivermectin trend - 86 hospitalizations vs. 95 - that we’ve seen in so many other studies. Nothing is going to make me believe that this isn’t in the top 33% of studies we’ve been looking at, so let’s add it as grist for the meta-analysis (though maybe not quite as much grist as its vast size indicates) and move on, angrily. Buonfrate et al: An Italian RCT. Patients were randomized into low-dose ivermectin (32), placebo (29), or high-dose ivermectin (32). Primary outcome was viral load on day 7. There was no significant difference (average of 2 in ivermectin groups, 2.2 in placebo group). They admit that they failed to reach the planned sample size, but did a calculation to show that even if they had, the trial could not have returned a positive result. Clinically, an average of 2 patients were hospitalized in each of the ivermectin arms, compared to 0 in the placebo arm - which bucks our previously-very-constant pro-ivermectin trend. Mayer et al: Not an RCT. Patients in an Argentine province were offered the opportunity to try ivermectin; 3266 said yes and become the experimental group, 17966 said no and became the control group. There were many obvious differences between the groups, but they all seemed to handicap ivermectin. There was a nonsignificant trend toward less hospitalization and significantly less mortality (1.5% vs. 2.1%, p = 0.03). While looking into this study, I learned the term “immortal time bias”. This means a period in between selection for the study and the beginning of study recording where patient outcomes are not counted. I think the problem here is that if you signed up for the system on Day X, and if you got sick before they could give you ivermectin, you were in the control group. See this Twitter thread, I have not confirmed everything he says. This only hardens my resolve to stay away from non-RCTs. Borody et al: Our last paper! …is it a paper? I can’t find it published anywhere. It mostly seems to be on news sites. Doesn’t look peer-reviewed. And it starts with “Note that views expressed in this opinion article are the writer’s personal views”. Whatever. 600 Australians were treated with ivermectin, doxycycline, and zinc. The article compares this to an “equivalent control group” made of “contemporary infected subjects in Australia obtained from published Covid Tracking Data”; this is not how you control group, @#!% you. Then it gets excited about the fact that most patients had better symptoms at the end of the ten-day study period than the beginning (untreated COVID resolves in about ten days). Why are these people wasting my time with this? Let’s move on. The Analysis If we remove all fraudulent and methodologically unsound studies from the table above, we end up with this: Gideon Meyerowitz-Katz, who investigated many of the studies above for fraud, tried a similar exercise. I learned about his halfway through, couldn’t help seeing it briefly, but tried to avoid remembering it or using it when generating mine (also, I did take the result of his fraud investigations into account), so they should be considered not quite independent efforts. His looks like this: He nixed Chowdhury, Babaloba, Ghauri, Faisal, and Aref, but kept Szenta Fonseca, Biber (?), and Mayer. There was correlation of 0.45, which I guess is okay. I asked him about his decision-making, and he listed a combination of serious statistical errors and small red flags adding up. I was pretty uncomfortable with most of these studies myself, so I will err on the side of severity, and remove all studies that either I or Meyerowitz-Katz disliked. We end up with the following short list: We’ve gone from 29 studies to 11, getting rid of 18 along the way. For the record, we eliminated 2/19 for fraud, 1/19 for severe preregistration violations, 10 for methodological problems, and 6 because Meyerowitz-Katz was suspicious of them. …but honestly this table still looks pretty good for ivermectin, doesn’t it? Still lots of big green boxes. Meyerowitz-Katz accuses ivmmeta of cherry-picking what statistic to use for their forest plot. That is, if a study measures ten outcomes, they sometimes take the most pro-ivermectin outcome. Ivmmeta.com counters that they used a consistent and reasonable (if complicated) process for choosing their outcome of focus, that being: If studies report multiple kinds of effects then the most serious outcome is used in calculations for that study. For example, if effects for mortality and cases are both reported, the effect for mortality is used, this may be different to the effect that a study focused on. If symptomatic results are reported at multiple times, we used the latest time, for example if mortality results are provided at 14 days and 28 days, the results at 28 days are used. Mortality alone is preferred over combined outcomes. Outcomes with zero events in both arms were not used (the next most serious outcome is used — no studies were excluded). For example, in low-risk populations with no mortality, a reduction in mortality with treatment is not possible, however a reduction in hospitalization, for example, is still valuable. Clinical outcome is considered more important than PCR testing status. When basically all patients recover in both treatment and control groups, preference for viral clearance and recovery is given to results mid-recovery where available (after most or all patients have recovered there is no room for an effective treatment to do better). If only individual symptom data is available, the most serious symptom has priority, for example difficulty breathing or low SpO2 is more important than cough. I’m having trouble judging this, partly because Meyerowitz-Katz says ivmmeta has corrected some earlier mistakes, and partly because there really is some reasonable debate over how to judge studies with lots of complicated endpoints. By this point I had completely forgotten what ivmmeta did, so I independently coded all 11 remaining studies following something in between my best understanding of their procedure and what I considered common sense. The only exception was that when the most severe outcome was measured in something other than patients (ie average number of virus copies per patient), I defaulted to one that was measured in patients instead, to keep everything with the same denominator. My results mostly matched ivmmeta’s, with one or two exceptions that I think are within the scope of argument or related to my minor deviations from their protocol. Placebo vs. ivermectin groups sometimes differed in size, which I’ve adjusted for and rounded off. Probably I’m forgetting some reason I can’t just do simple summary statistics to this, but whatever. It is p = 0.15, not significant. This is maybe unfair, because there aren’t a lot of deaths in the sample, so by focusing on death rather than more common outcomes we’re pointlessly throwing away sample size. What happens if I unprincipledly pick whatever I think the most reasonable outcome to use from each study is? I’ve chosen “most reasonable” as a balance between “is the most severe” and “has a lot of data points”: Now it’s p = 0.04, seemingly significant, but I had to make some unprincipled decisions to get there. I don’t think I specifically replaced negative findings with positive ones, but I can’t prove that even to myself, let alone to you. [UPDATE 5/31/22: A reader writes in to tell me that the t-test I used above is overly simplistic. A Dersimonian-Laird test is more appropriate for meta-analysis, and would have given 0.03 and 0.005 on the first and second analysis, where I got 0.15 and 0.04. This significantly strengthens the apparent benefit of ivermectin from ‘debatable’ to ‘clear’. I discuss some reasons below why I am not convinced by this apparent benefit.] (how come I’m finding a bunch of things on the edge of significance, but the original ivmmeta site found a lot of extremely significant things? Because they combined ratios, such that “one death in placebo, zero in ivermectin” looked like a nigh-infinite benefit for ivermectin, whereas I’m combining raw numbers. Possibly my way is statistically illegitimate for some reason, but I’m just trying to get a rough estimate of how convinced to be) So we are stuck somewhere between “nonsignificant trend in favor” and “maybe-significant trend in favor, after throwing out some best practices”. This is normally where I would compare my results to those of other meta-analyses made by real professionals. But when I look at them, they all include studies later found to be fake, like Elgazzar, and unsurprisingly come up with wildly positive conclusions. There are about six in this category. One of them later revised their results to exclude Elgazzar and still found strong efficacy for ivermectin, but they still included Niaee and some other dubious studies. The only meta-analysis that doesn’t make these mistakes is Popp (a Cochrane review), which is from before Elgazzar was found to be fraudulent, but coincidentally excludes it for other reasons. It also excludes a lot of good studies like Mahmud and Ravakirti because they give patients other things like HCQ and azithromycin - I chose to include them, because I don’t think they either work or have especially bad side effects, so they’re basically placebo - but Cochrane is always harsh like this. They end up with a point estimate where ivermectin cuts mortality by 40% - but say the confidence intervals are too wide to draw any conclusion. I think this basically agrees with my analyses above - the trends really are in ivermectin’s favor, but once you eliminate all the questionable studies there are too few studies left to have enough statistical power to reach significance. Except that everyone is still focusing on deaths and hospitalizations just because they’re flashy. Mahmud et al, which everyone agrees is a great study, found that ivermectin decreased days until clinical recovery, p = 0.003? So what do you do? This is one of the toughest questions in medicine. It comes up again and again. You have some drug. You read some studies. Again and again, more people are surviving (or avoiding complications) when they get the drug. It’s a pattern strong enough to common-sensically notice. But there isn’t an undeniable, unbreachable fortress of evidence. The drug is really safe and doesn’t have a lot of side effects. So do you give it to your patients? Do you take it yourself? Here this question is especially tough, because, uh, if you say anything in favor of ivermectin you will be cast out of civilization and thrown into the circle of social hell reserved for Klan members and 1/6 insurrectionists. All the health officials in the world will shout “horse dewormer!” at you and compare you to Josef Mengele. But good doctors aren’t supposed to care about such things. Your only goal is to save your patient. Nothing else matters. I am telling you that Mahmud et al is a good study and it got p = 0.003 in favor of ivermectin. You can take the blue pill, and stay a decent respectable member of society. Or you can take the horse dewormer pill, and see where you end up. In a second, I’ll tell you my answer. But you won’t always have me to answer questions like this, and it might be morally edifying to observe your thought process in situations like this. So take a second, and meet me on the other side of the next section heading. … … … … … The Synthesis Hopefully you learned something interesting about yourself there. But my answer is: worms! As several doctors and researchers have pointed out (h/t especially Avi Bitterman and David Boulware), the most impressive studies come from places that are teeming with worms. Mahmud from Bangladesh, Ravakirti from East India, Lopez-Medina from Colombia, etc. Here’s the prevalence of roundworm infections by country (source). But alongside roundworms, there are threadworms, hookworms, blood flukes, liver flukes, nematodes, trematodes, all sorts of worms. Add them all up and somewhere between half and a quarter of people in the developing world have at least one parasitic worm in their body. Being full of worms may impact your ability to fight coronavirus. Gluchowska et al write: Helminth [ie worm] infections are among the most common infectious diseases. Bradbury et al. highlight the possible negative interactions between helminth infection and COVID-19 severity in helminth-endemic regions and note that alterations in the gut microbiome associated with helminth infection appear to have systemic immunomodulatory effects. It has also been proposed that helminth co-infection may increase the morbidity and mortality of COVID-19, because the immune system cannot efficiently respond to the virus; in addition, vaccines will be less effective for these patients, but treatment and prevention of helminth infections might reduce the negative effect of COVID-19. During millennia of parasite-host coevolution helminths evolved mechanisms suppressing the host immune responses, which may mitigate vaccine efficacy and increase severity of other infectious diseases. Treatment of worm infections might reduce the negative effect of COVID-19! And ivermectin is a deworming drug! You can see where this is going… The most relevant species of worm here is the roundworm Strongyloides stercoralis. Among the commonest treatments for COVID-19 is corticosteroids, a type of immunosuppresant drug. The types of immune responses it suppresses do more harm than good in coronavirus, so turning them off limits collateral damage and makes patients better on net. But these are also the types of immune responses that control Strongyloides. If you turn them off even very briefly, the worms multiply out of control, you get what’s called “Strongyloides hyperinfection”, and pretty often you die. According to the WHO: The current COVID-19 pandemic serves to highlight the risk of using systemic corticosteroids and, to a lesser extent, other immunosuppressive therapy, in populations with significant risk of underlying strongyloidiasis. Cases of strongyloidiasis hyperinfection in the setting of corticosteroid use as COVID-19 therapy have been described and draw attention to the necessity of addressing the risk of iatrogenic strongyloidiasis hyperinfection syndrome in infected individuals prior to corticosteroid administration. Although this has gained importance in the midst of a pandemic where corticosteroids are one of few therapies shown to improve mortality, its relevance is much broader given that corticosteroids and other immunosuppressive therapies have become increasingly common in treatment of chronic diseases (e.g. asthma or certain rheumatologic conditions). So you need to “address the risk” of strongyloides infection during COVID treatment in roundworm-endemic areas. And how might you address this, WHO? Treatment of chronic strongyloidiasis with ivermectin 200 µg/kg per day orally x 1-2 days is considered safe with potential contraindications including possible Loa loa infection (endemic in West and Central Africa), pregnancy, and weight <15kg. Given ivermectin’s safety profile, the United States has utilized presumptive treatment with ivermectin for strongyloidiasis in refugees resettling from endemic areas, and both Canada and the European Centre for Disease Prevention and Control have issued guidance on presumptive treatment to avoid hyperinfection in at risk populations. Screening and treatment, or where not available, addition of ivermectin to mass drug administration programs should be studied and considered. This is serious and common enough that, if you’re not going to screen for it, it might be worth “add[ing] ivermectin to mass drug administration programs” in affected areas! Dr. Avi Bitterman carries the hypothesis to the finish line: First two images are with all relevant studies; second two are a sensitivity analysis that removes some of the most dubious. The good ivermectin trials in areas with low Strongyloides prevalence, like Vallejos in Argentina, are mostly negative. The good ivermectin trials in areas with high Strongyloides prevalence, like Mahmud in Bangladesh, are mostly positive. Worms can’t explain the viral positivity outcomes (ie PCR), but Dr. Bitterman suggests that once you remove low quality trials and worm-related results, the rest looks like simple publication bias: This is still just a possibility. Maybe I’m over-focusing too hard on a couple positive results and this will all turn out to be nothing. Or who knows, maybe ivermectin does work against COVID a little - although it would have to be very little, fading to not at all in temperate worm-free countries. But this theory feels right to me. It feels right to me because it’s the most troll-ish possible solution. Everybody was wrong! The people who called it a miracle drug against COVID were wrong. The people who dismissed all the studies because they F@#king Love Science were wrong. Ivmmeta.com was wrong. Gideon Meyerowitz-Katz was…well, he was right, actually, I got the worm-related meta-analysis graphic above from his Twitter timeline. Still, an excellent troll. Also, the best part is that I ignorantly asked, in my description of Mahmud et al above: And it was! It was a fluke! A literal, physical, fluke! For my whole life, God has been placing terrible puns in my path to irritate me, and this would be the worst one ever! So it has to be true! The Scientific Takeaway About ten years ago, when the replication crisis started, we learned a certain set of tools for examining studies. Check for selection bias. Distrust “adjusting for confounders”. Check for p-hacking and forking paths. Make teams preregister their analyses. Do forest plots to find publication bias. Stop accepting p-values of 0.049. Wait for replications. Trust reviews and meta-analyses, instead of individual small studies. These were good tools. Having them was infinitely better than not having them. But even in 2014, I was writing about how many bad studies seemed to slip through the cracks even when we pushed this toolbox to its limits. We needed new tools. I think the methods that Meyerowitz-Katz, Sheldrake, Heathers, Brown, Lawrence and others brought to the limelight this year are some of the new tools we were waiting for. Part of this new toolset is to check for fraud. About 10 - 15% of the seemingly-good studies on ivermectin ended up extremely suspicious for fraud. Elgazzar, Carvallo, Niaee, Cadegiani, Samaha. There are ways to check for this even when you don’t have the raw data. Like: The Carlisle-Stouffer-Fisher method: Check some large group of comparisons, usually the Table 1 of an RCT where they compare the demographic characteristics of the control and experimental groups, for reasonable p-values. Real data will have p-values all over the map; one in every ten comparisons will have a p-value of 0.1 or less. Fakers seem bad at this and usually give everything a nice safe p-value like 0.8 or 0.9.

Does Georgism Work? Part 1: Is Land Really A Big Deal?

December 09, 2021 · Original source

Here are two graphs that you might remember from the book review. The first shows that something like 40% of all gross personal assets in Spain represent land. About 25-30% are "financial assets" that must ultimately cash out to some mixture of real assets (land and capital), so the true percentage due to land is probably higher than 40%.

source: Wealth in Spain, 1900-2014 by Blanco, Bauluz, & Martínes-Toledano The second chart shows that about half of real assets in the United Kingdom are due to land.

Inline links: Wealth in Spain, 1900-2014

Land represents about 40% of household assets in the USA. It also represents more than 40% of asset values in Spain and somewhere between 50-60% of asset values in the France and UK.

Highlights From The Comments On Health Care Systems

January 27, 2022 · Original source

I've lived in the US, China, Australia, Singapore and Spain. I'm really surprised that the book didn't even consider Spain, which has a pretty cheap system, the world's highest life expectancy at birth and, by far, the best health system of all those I've had a first-hand experience with. No need to tell you much about the US, and Australa's system is, in my limited experience, marginally better. Singapore is hyper-expensive and hyper-effective and anyone who includes China in such a comparison must be doing it for the laughs. Very expensive and second-rate at best in big cities, third-worldist for hundreds of millions in the countryside.

ACX Grants ++: The First Half

February 03, 2022 · Original source

#38: Promote Citizens’ Assemblies And Lotteries The newDemocracy Foundation is an organisation in Australia that develops, demonstrates, and promotes innovations in democracy. Its focus is on deliberative democracy and random selection. We have worked with the UN and the OECD to develop international standards of best practice and founded the Democracy R&D network. We’re designed and operated ground-breaking projects in Melbourne, Geelong, and Canberra, and have collaborated with international partners in Brazil, Spain, North Macedonia, and Malawi. We require funding to take advantage of an opportunity in Australian politics. Citizens’ assemblies and democratic lottery are gaining traction but the ecosystem for their implementation still requires support and training that is best provided by an independent organisation like ours. Additional funding could allow us to expand our project capacity, conduct needed research or improve our advocacy and reach to politicians. I’m happy to answer any questions or provide a brief organisation overview, you can reach me at kyle.redman@newdemocracy.com.au You can view our website here: www.newdemocracy.com.au.

Highlights From The Comments On Self-Determination

April 06, 2022 · Original source

I feel the whole assumption there is some list of features that grant a group of people the right to self-determination is kind of a category mistake. Sometimes it will make the world better to let a group of people form a separate country sometimes it won't. The difference between Ukraine and the confederacy is as simple as: the world was better off not letting the confederacy self-determine and worse if Russia stops Ukraine from doing so. It even plausibly depends on who the occupier is and how they treat them (if the Basque region was in China not Spain no question it would be better to allow self-determination...as of now unclear to me as it imposes costs on both sides).

Spring Meetups In Seventy Cities

April 10, 2022 · Original source

MADRID, SPAIN Contact: Pablo V (pvillalobos at protonmail dot com) Date: April 25 Time: 6:30 PM Coordinates: https://plus.codes/8CGRC897+F7Q Location: El Retiro Park Group info: There is no ACX group per se, but a subgroup of the EA/rationality community.

Inline links: https://plus.codes/8CGRC897+F7Q

SEVILLA, SPAIN Contact: Edu (edur.acx@gmail.com) Date: April 30 Time: 6:00 PM Coordinates: https://plus.codes/8C9P92F6+3R Location: Parque de María Luisa. I'll be on the grass behind the Museum of Popular Arts and Traditions. I'll be the guy next to an "ACX" sign, a white wooden chair, and a cardboard ukulele with a tiny cardboard hat on it.

Inline links: https://plus.codes/8C9P92F6+3R

Your Book Review: The Castrato

June 03, 2022 · Original source

Farinelli was originally called to Spain by the doctor of King Philip V in hopes that his singing could ease the King’s melancholia. “According to lore, it was arranged that Farinelli should sing in a room adjacent to the royal apartments. By the time he had finished the second song, the king appeared much moved by the beauty of his voice and ordered the singer brought before him. Philip overwhelmed Farinelli with compliments and agreed to pay him a salary for life. Farinelli would sing eight or nine arias for the king and queen every night, usually with a trio of musicians.” (“Music to soothe the Mad King”)

Inline links: Music to soothe the Mad King

“Farinelli was part and parcel of a new bourgeois order. He had made his fame singing in large commercial theaters attended by thronging publics that included members of the haute bourgeoisie and nobility, servants, dignitaries, middle-class doctors, lawyers, teachers, merchants, military men, and sometimes royals. He had negotiated with agents over contracts. He had also purchased numerous things for himself, including practical items, musical instruments, real estate, horses, and luxury objects, and had been given many luxurious things and lots of cash…Fifteen years later, when the king of Spain made him a knight of the exalted ancient military order of Calatrava, the" crowning" was not just musical or metaphorical. By then Farinelli had already been carrying out extensive state duties in his high-powered role as minister of entertainments and had been a household intimate of two successive pairs of Spanish royal heads of state. He had consorted with numerous crown heads of Europe along the way. To commemorate all that, Corrado Giaquinto pictured him in 1755 majestically attired, wearing the cross of Calatrava with the royals of Spain hovering in the background among the angels—almost as if to declare the castrato de facto king.” [pg. 9]

As you can see, the castrati were not mere bystanders in the political arena. In fact, some even ended up joining the ranks of the nobility themselves through the granting of knighthood (as mentioned previously, Farinelli was inducted into the exalted ancient military order of Calatrava by the king of Spain) or by purchasing lands that came with a title (Caffarelli, Rivani, and Arnaboldi).

Your Book Review: The Future Of Fusion Energy

June 17, 2022 · Original source

TJ-II (Spain, 1997)

Your Book Review: The Internationalists

July 01, 2022 · Original source

His legal justification for the war looked back to 1821, when Mexico secured its independence from Spain. The years following independence brought deep instability. Mexico went through thirty-five administrations in thirty-four years. U.S. citizens conducting business there were subject to illegal confiscations of property and physical assaults by government officials and made numerous claims against Mexico for compensation. U.S. diplomats collected these complaints and presented them to the Mexican government. (Chapter 2)

Any unequal support provided by the United States to France would have been a casus belli, an act of belligerency warranting a military response. The Girondins should have realized that the United States government could not let its territory be used as a recruiting ground for a rebel army to foment insurrections. To aid France this way would have been an act of war against Britain and Spain.

The Axis powers stood for the Old World Order. Germany, Japan, and Italy had each rejected the principles of the Peace Pact—Japan by invading Manchuria and continuing into China, French Indochina, British Malaya, Indonesia, and Singapore; Italy by invading Ethiopia, Greece, Yugoslavia, and North Africa; and Germany by seeking to gain control of nearly all of Europe. Each had a reason to resent the Allies and their efforts to outlaw war. The Axis powers had largely missed out on the colonial land grab. Japan only began to participate in international affairs in the 1860s, and it was more than a generation before it was prepared to project military force outside its own borders, too late to successfully participate in the empire-building scramble. Both Germany and Italy finally achieved unification in the same year—1871. They joined the land grab soon after, but were never as successful as France, Spain, Portugal, Britain, and the Netherlands, which built extensive empires. Without the authority to wage war and conquer new territory, the Axis powers saw little possibility of ever achieving equality. (Chapter 8)

Meetups Everywhere 2022: Times & Places

August 26, 2022 · Original source

VIENNA, AUSTRIA Contact: Manuel, manuel[dot]turonian[at]gmail[dot]com Time: Saturday, September 10, 2:00 PM Location: Wiener Stadtpark at the Strauss Monument; will have an ACX Meetup sign. Coordinates: 8FWR693H+GP2 Event link(s): LessWrong Group info: Rationality Vienna is a group of about 30 people who meet once a month in person or via Zoom. You can join our Facebook group. Notes: We may want to shift to an indoor location depending on weather and the local Covid numbers. BRUSSELS, BELGIUM Contact: Bruno D, bruno[dot]astral[dot]codex[at]gmail[dot]com Time: Sunday, September 18, 4:00 PM Location: Guingette Henri, George Henri parc Coordinates: 9F26RCWC+84 Event link(s): LessWrong SOFIA, BULGARIA Contact: Anastasia, sofia[dot]acx[dot]meetup[at]gmail[dot]com Time: Saturday, September 17, 4:00 PM Location: Shade Garden (Сенчестата градинка; part of Borisova garden) Coordinates: 8GJ5M8GW+J9 Event link(s): LessWrong Group info: Sofia ACX started with last year's Meetups Everywhere round. We have Serious Meetups once per month at which we discuss a blog post, a short story, or a book (for instance, The Scout Mindset, The Money Illusion, The Metropolitan Man); and sporadic non-serious social meetups that mostly include getting dinner, going on a walk, watching a film, or playing board games. Attendance hovers around 6-8 people out of a pool of 13. People get invited to the Discord server after they've attended at least one in-person meetup. ZAGREB, CROATIA Contact: DJStern, dorian[dot]sternvukotic[at]gmail[dot]com Time: Saturday, September 3, 6:00 PM Location: Krivi Put Coordinates: 8FQQRX38+V6W Event link(s): LessWrong Group info: Croatian LessWrong active group communicates mainly through a Telegram group, we meetup semi regularly, approx once a month. The group is mostly social, and the meetups are not structured (sometimes we all just meet at a random party) Notes: Send me an Email and I will add you to a Telegram group where everything (active) LessWrong Croatia/Zagreb happens LIMASSOL, CYPRUS Contact: Arseniy, runescape[at]list[dot]ru, @anchorheld (Telegram / Instagram) Time: Saturday, September 3, 12:00 PM Location: By the Municipal Zoo Coordinates: 8G6MM3M3+Q6 Event link(s): LessWrong Notes: Please hit me up on Mail, Telegram, or Instagram if you're actually going PRAGUE, CZECH REPUBLIC Contact: Jiri Nadvornik, jiri[dot]nadvornik[at]efektivni-altruismus[dot]cz Time: Thursday, October 6, 6:00 PM Location: Garden of Dharmasala Teahouse Coordinates: 9F2P3CRW+FP7 Event link(s): LessWrong, Facebook event COPENHAGEN, DENMARK Contact: Søren Elverlin, soeren[dot]elverlin[at]gmail[dot]com Time: Saturday, September 24, 3:00 PM Location: Rundholtsvej 10, 2300 København S Coordinates: 9F7JMH38+GFP Event link(s): LessWrong, Facebook event, Meetup.com Notes: Please RSVP on LessWrong TALLINN, ESTONIA Contact: Andrew W, andrew_n_west[at]yahoo[dot]co[dot]uk Time: Monday, September 26, 7:00 PM Location: St Vitus, Tallinn. I don't know if anyone will turn up, but I'll be wearing a suit, a beard, and a book. Coordinates: 9GF6CPRH+MQ Event link(s): LessWrong HELSINKI, FINLAND Contact: Joe Nash, joenash499[at]gmail[dot]com Time: Saturday, September 3, 4:00 PM Location: Restaurant Töölönranta, Helsinginkatu 56 Coordinates: 9GG65WMJ+2J Event link(s): LessWrong Group info: LessWrong group FONTAINEBLEAU, FRANCE Contact: Ebrahim Akbari, ea[dot]akbari[at]gmail[dot]com Time: Saturday, September 10, 6:00 PM Location: Glasgow bar, Fontainebleau Coordinates: 8FW4CP32+J8 Event link(s): LessWrong PARIS, FRANCE Contact: Olivier, w20l2qtf[at]mailer[dot]me, We have a Discord and a matrix server (both servers are bridged together) Time: Friday, September 23, 6:00 PM Location: In the jardin du carrousel, next to jardin des Tuileries Coordinates: 8FW4V86J+GH Event link(s): LessWrong Group info: Regular meetups organized via discord or the newsletter every 3 months with around 20 people. Notes: We have a mailing list if you are interested in future meetups. Please don't hesitate to send me an email to RSVP that you're coming to help gauge the interest. TOULOUSE, FRANCE Contact: Alfonso, barsom[dot]maelwys[at]gmail[dot]com Time: Saturday, October 8, 7:00 PM Location: Bar 'Le Biergarten' (60 Gd Rue Saint-Michel, 31400 Toulouse). We'll be sitting at a table with an ACX MEETUP sign on it. Coordinates: 8FM3HCQW+9H Event link(s): LessWrong Notes: Please RSVP by email TBILISI, GEORGIA Contact: Evgenia Karunus, lakesare[at]gmail[dot]com, https://twitter.com/lakesare Time: Saturday, September 17, 7:00 PM Location: Coffee Place Coordinates: 8HH6MRQ2+WH Event link(s): LessWrong AACHEN, GERMANY Contact: Jörn, acx[at]j[dot]stoehler[dot]eu Time: Tuesday, September 27, 7:00 PM Location: Chico Mendes Coordinates: 9F28Q3HJ+9Q Event link(s): LessWrong Notes: Please RSVP here so I can reserve the right number of tables. BERLIN, GERMANY Contact: Ruben Arslan, ssc[at]alphabattle[dot]xyz Time: Sunday, October 2, 2:00 PM Location: Südplateau Fritz-Schloss-Park Coordinates: 9F4MG9H4+4X Event link(s): LessWrong, Google Calendar Notes: Please RSVP on LessWrong. I'll bring some beverages. COLOGNE, GERMANY Contact: Marcel Müller, marcel_mueller[at]mail[dot]de Time: Saturday, October 8, 5:00 PM Location: Marienweg 43, 50858 Köln, private venue, just ring the bell or follow the sign. Coordinates: 9F28WRMX+96H Event link(s): LessWrong Group info: LW / ACX / Rationalist meetup group. Monthly, mostly social meetups. Other activities welcome. Unless noted otherwise we will meet at Marienweg 43 in 50858 Cologne on the 2nd Saturday of each month at 5 pm. Please email me to be added to our mailing list where deviations will be posted. Caution! September Meetup will be at a different venue! Notes: If you read this you are welcome. Our Covid rules are still in effect: You must be tested negative on the same day. Self tests will be available at the meetup. If there is any problem, like you do not find us or I did not see your mail, call me +491788862254. FREIBURG IM BREISGAU, GERMANY Contact: Omar, info[at]rationality-freiburg[dot]de Time: Friday, October 14, 6:00 PM Location: FlexRooms, Salzstr. 1, 79098 Freiburg. We will carry a cardboard sign saying “Rationality Freiburg”. Coordinates: 8FV9XVV2+V56 Event link(s): LessWrong, Meetup.com, Website Group info: The group started in May 2022 and before the summer break we had five meetups with 4-11 people attending. Every two weeks seems like a good rhythm, but nothing is set in stone. So far we always read something beforehand and then discussed it, as well as trying some practical exercises such as TAPs and Personal Calibration. Afterwards we went to have dinner and continued talking about everything and anything for hours. Everything is new and flexible, so come and help us improve! Notes: We have a Signal messenger group and ask you to attend a meetup once to be able to join. HAMBURG, GERMANY Contact: Gunnar Zarncke, g[dot]zarncke[at]gmail[dot]com Time: Saturday, September 17, 5:00 PM Location: Kleine Wallanlagen on the lawn near Memorial Holstenglacis. Look for pink blankets; I will also have an ACX sign. Here is an Open Street Map link which also shows the short-cut tunnel from the subway station. Coordinates: 9F5FHX4H+RXC Event link(s): LessWrongLessWrong Notes: Please RSVP on LessWrong KARLSRUHE, GERMANY Contact: Marcus Wilhelm, mail[at]marcuswilhelm[dot]de Time: Saturday, September 24, 3:00 PM Location: Botanischer Garten Karlsruhe Coordinates: 8FXC2C72+85X Event link(s): LessWrong Group info: We meet weekly, alternating offline and online, see our LessWrong page KASSEL, HESSEN, GERMANY Contact: Tobias, Sphinxfire[at]outlook[dot]de Time: Saturday, September 10, 2:00 PM Location: Friedrichsplatz, to the left of the DocumentaHall Coordinates: 9F3F8F6X+R6 Event link(s): LessWrong Group info: Telegram group Notes: Please join the Telegram group if you are interested in coming. It will be helpful for coordinating something beyond 'let's just see who shows up and take it from there', plus, it will also make me feel a lot better on a purely subjective level if I know beforehand that at least one other person is interested. If you prefer the surprise factor of 'knowing as little as possible about who you're going to meet', you can also just write me via E-mail, of course. LEIPZIG, GERMANY Contact: Gunther Forderung, notavailable[at]riseup[dot]net Time: Tuesday, October 4, 6:00 PM Location: In the Lene-Voigt-Park, in the secluded area opposite of the swings Coordinates: 9F3J8CM2+PF Event link(s): LessWrong TÜBINGEN, GERMANY Contact: Emma, emma[dot]tuebingen[at]gmail[dot]com Time: Sunday, October 23, 6:00 PM Location: The ACX/SSC meetup and dinner (with vegan options) will be on October 23rd at the Annette Kade dormitory (Mohlstraße 44, 8FWFG3H5+XR). If you’d like to attend, please write me an email, and I’ll send you an invitation to our WhatsApp group. Coordinates: 8FWFG3H5+XR Event link(s): LessWrong Notes: Please email me to get my phone number. If a lot of people are out of town for the holidays and can't come we could meet on, say, October 1st. I would like to know how many people to expect. ATHENS, GREECE Contact: Spyros, spyros[dot]dovas[at]gmail[dot]com Time: Monday, September 5, 7:00 PM Location: On the plaza in front of the National Library Coordinates: 8G95WMQR+WRP Event link(s): LessWrong, Meetup.com Group info: We have organized 2 events so far, fall and spring, we just sit around and discuss. We have a Whatsapp group that hasn't picked up momentum yet. Notes: Please RSVP on LessWrong or Meetup.com BUDAPEST, HUNGARY Contact: Tim Underwood, timunderwood9[at]gmail[dot]com, WhatsApp 19513120591 Time: Sunday, September 11, 2:00 PM Location: Champs Sziget bar on Margit Sziget, near the front. I'll have a big hardcover copy in Hungarian of a book by Richard Dawkins. Coordinates: 8FVXG2CW+2H Event link(s): LessWrong Group info: We've been meeting in Budapest for two years now, with our first meeting being the 2020 ACX meetups everywhere. We meet about once a month, and usually we have two articles that are suggested reading that we discuss. CORK, IRELAND Contact: Mikey, Godojhana[at]gmail[dot]com Time: Thursday, September 29, 6:00 PM Location: If sunny: The Lough. If not, then the game arcade on the parade Coordinates: 9C3HVGQ7+JQ Event link(s): LessWrong DUBLIN, IRELAND Contact: Lucius, lucius[at]bushnaq[dot]de, LessWrong profile Time: Sunday, October 2, 12:30 PM Location: Clement & Pekoe, William Street South, Dublin 2. We'll be sitting inside, and there'll be a sign with ACX written on it on the table Coordinates: 9C5M8PRP+JV Event link(s): LessWrong Group info: LessWrong FOLIGNO, ITALY Contact: Mauro, orfino[at]yandex[dot]com, LW profile, Telegram Time: Saturday, September 24, 5:00 PM Location: Parco dei Canapé, at the open air cafe, ask the barista Coordinates: 8FJJXP22+HC Event link(s): LessWrong Notes: Please RSVP on LessWrong so I know how much food to get. No kids please. MILANO, ITALY Contact: Raffaele, raffa[dot]mauro[at]gmail[dot]com Time: Friday, September 16, 6:30 PM Location: Viale Luigi Majno, 18, 20129 Milano MI - Primo Ventures / T8P, IInd floor. Coordinates: 8FQFF6C4+9C Event link(s): LessWrong Group info: We meet once per month. The group started in May 2022. Notes: Please RSVP by email by the 1st of September PADOVA, ITALY Contact: Carlo, carlo[dot]martinucci[at]gmail[dot]com Time: Saturday, October 1, 3:30 PM Location: Prato della Valle, fountain in the middle. I'll be carrying a sign with ACX MEETUP on it :) Coordinates: 8FQH9VXG+9J Event link(s): LessWrong Notes: We'll probably find a bar to have a hot chocolate or tea or something :) PISA, ITALY Contact: Raffaele, raffaelesalvia[at]alice[dot]it Time: Saturday, October 22, 5:00 PM Location: We will meet in Piazza dei Cavalieri, near the steps of Palazzo della Carovana Coordinates: 8FMGPC92+R44 Event link(s): LessWrong ROMA, ITALY Contact: Grigorio, greghero12[at]gmail[dot]com, Facebook, +393920366026 Time: Saturday, October 8, 6:00 PM Location: We'll be around Gardenie metro station, at the benches, and I will be wearing a red shirt and sitting on top of the station to be seen Coordinates: 8FHJVHP9+8F Event link(s): LessWrong Group info: We meet around 20-25 times a year but it is asymmetrical, focused in summer, Christmas and Easter. We discuss opinions, engage in circling, play games where we spot logical fallacies and biases by attacking our members ideological weakpoints and formalize some debating stances. Occasionally we find the willpower to devote meetups in steelmanning and understanding the outgroup (roughly 4-5 times a year) Notes: If you are into ACX enough to see this post, I believe we have enough common ground to be worth meeting each other. Aren't you curious who else is within this niche community in Rome? Come on, take a leap of faith. P.S. Would be nice if you sent me a message in WhatsApp with your name and probability of attendance, but I love walk-ins just fine. No space limit after all ;-) RIGA, LATVIA Contact: Andis, cerulean[dot]lemniscate[at]protonmail[dot]com Time: Saturday, September 17, 4:00 PM Location: Bastejkalns (on top of the hill) Coordinates: 9G86X426+Q5Q Event link(s): LessWrong AMSTERDAM, NETHERLANDS Contact: Pierre, pierreavdb[at]gmail[dot]com Time: Saturday, September 10, 3:00 PM Location: Kanarie Klub (Bellamyplein 51, 1053 AT Amsterdam) Coordinates: 9F469V89+W4 Event link(s): LessWrong Group info: The rationality community is growing in the Netherlands, and we're now planning on having monthly meetups! Join the Rationality NL Discord server. Notes: Please RSVP on LessWrong so I can plan a different venue if needed DELFT, NETHERLANDS Contact: Pierre Bongrand, bongrand[dot]pierre[at]gmail[dot]com, 0033620644013 (Whatsapp/Telegram/Signal) Time: Thursday, September 22, 6:30 PM Location: Delftse Hout Beach, on the grass, in the center of the beach, I will be wearing a red T-shirt and carrying a sign with ACX MEETUP on it. Coordinates: 9F4629FG+66 Event link(s): LessWrong HATTEM, NETHERLANDS Contact: Shoshannah, shos[dot]rationality[at]gmail[dot]com, Discord: Dark#0849 Time: Saturday, October 8, 2:00 PM Location: Lijsterbeslaan 6, Hattem Coordinates: 9F48F378+PR Event link(s): LessWrong, Facebook event Group info: We support and coordinate groups across the country, including everything from social meetups to structured events and applied rationality. The intention is to connect all Dutch rationalists and rationalists in the Netherlands. We also discuss rationality topics online and coordinate events on our Discord server. Notes: Feel free to bring kids. Ours will be there :) Also, please park 't Heem if you are coming by car. It's a 2 minute walk to our house. HELMOND, NETHERLANDS Contact: Rutger, silvery[dot]swift[at]protonmail[dot]com Time: Saturday, September 17, 3:00 PM Location: De Motte (On top of the hill). Nearest road is Palladio. Coordinates: 9F37FMC5+VR Event link(s): LessWrong THE HAGUE, NETHERLANDS Contact: Kristof Redei, acxmeetup[at]kristof[dot]me Time: Wednesday, September 14, 6:00 PM Location: Paleistuin, Prinsessewal, 2513 EE Den Haag, Netherlands. We'll have a picnic blanket with an ACX sign on the large central field, somewhere near the playground. Coordinates: 9F4638J3+GP Event link(s): LessWrong, Facebook event Notes: Please RSVP on Facebook if possible! All ages/species welcome. If it's not outdoor weather, we'll go to The Bookstor Cafe next door as a backup. OSLO, NORWAY Contact: Hans Andreas & Jonas, acxoslomeetup[at]gmail[dot]com Time: Saturday, September 17, 1:00 PM Location: Look for the sign of Moloch at Café Billabong - Bogstadveien 53B 0366 Oslo Coordinates: 9FFGWPH7+QP Event link(s): LessWrong, Meetup.com Group info: We're hoping to do at least a quarterly meetup, but we'll base it on the turnout and enthusiasm of this event. Notes: The cafe has historically been accepting of guests' not ordering--please don't let financial reasons keep you away! GDAŃSK, POLAND Contact: Frank, frankastralcodexten[at]gmail[dot]com, Discord: frhrpr#1663 Time: Saturday, August 27, 3:00 PM Location: Next to Park Kuźniczki, opposite the train station, on the circular benches around the water pump; I will be wearing a red armband Coordinates: 9F6W9JJ4+JW Event link(s): LessWrong KRAKÓW, POLAND Contact: Mateusz Bagiński, bagginsmatthew[at]gmail[dot]com Time: Saturday, September 17, 2:30 PM Location: Celna 6/9, the office of the Optimum Pareto Foundation Coordinates: 9F2X2WVX+V2 Event link(s): LessWrong, Facebook event Group info: We meet every month, here is our Facebook group. LUBLIN, POLAND Contact: Piotr, piotrekzlublina[at]gmail[dot]com Time: Saturday, September 17, 5:00 PM Location: Między Słowami cafe, Rybna 4, Lublin Coordinates: 9G346HX8+FX Event link(s): LessWrong POZNAŃ, POLAND Contact: Ofelia Kerr, ofel[dot]kerr[at]gmail[dot]com, Discord: ofelia#0001 Time: Saturday, October 8, 6:00 PM Location: Van Gogh Pub, Żydowska 12, 61-761. I'll most likely be on the ground floor and I'll have an ACX sign. Coordinates: 9F4RCW5P+X3F Event link(s): LessWrong WARSAW, POLAND Contact: Michał, rationalwarsaw[at]gmail[dot]com Time: Sunday, September 4, 6:00 PM Location: Południk Zero, Wilcza 25 Coordinates: 9G4362G8+2V Event link(s): LessWrong, Meetup.com Group info: The community of Warsaw LessWrong/SSC/ACX/etc. readers is active for over 8 years now. We're trying to organise regular monthly meetups. You can join our Facebook group or Meetup.com. LISBOA, PORTUGAL Contact: Luís Campos, luis[dot]filipe[dot]lcampos[at]gmail[dot]com Time: Saturday, September 10, 3:00 PM Location: Jardim Amália Rodrigues, close to Linha d'Água cafe, in the top of a hill, below a bunch of trees Coordinates: 8CCGPRJW+V8 Event link(s): LessWrong Group info: We've been meeting every month for around 1 year. Get in contact if you want to participate in the WhatsApp group. :) BUCHAREST, ROMANIA Contact: Tony, skyrimtracer[at]gmail[dot]com Time: Sunday, October 16, 3:00 PM Location: Plaza România Mall, Bd. Timișoara 26 - food court Coordinates: 8GP8C2HM+9X Event link(s): LessWrong Notes: Please RSVP by email CLUJ-NAPOCA, ROMANIA Contact: Marius Pop, pop[dot]marius[at]gmail[dot]com Time: Saturday, September 3, 11:00 AM Location: Deva Host, Strada Deva 1-7 Coordinates: 8GR5QH8F+MW Event link(s): LessWrong BELGRADE, SERBIA Contact: Ivica Bogosavljevic, ibogosavljevic[at]gmail[dot]com, Viber +381 65 3473 433 Time: Monday, September 12, 6:00 PM Location: Pool Cafe on Prve pruge Coordinates: 8GP2RCP7+G7 Event link(s): LessWrong Notes: Please RSVP on my Viber number, so I know how big the room we need. BRATISLAVA, SLOVAKIA Contact: Viliam, viliam[at]bur[dot]sk Time: Saturday, September 10, 3:00 PM Location: Medická záhrada, by the fountain Coordinates: 8FWV44X9+XW8 Event link(s): LessWrong Notes: I will post an announcement on LessWrong later. In case of rain, a new meeting place nearby will be announced there. LJUBLJANA, SLOVENIA Contact: Demjan Vester, demjan[dot]vester[at]gmail[dot]com Time: Wednesday, September 14, 6:00 PM Location: Probably Lili Novy bar, near modern gallery and park Tivoli Coordinates: 8FRP3F3X+6V Event link(s): LessWrong, Meetup.com Group info: We meet about 0.7 times a month. Notes: Please RSVP because last time we just barely got a place big enough. BARCELONA, SPAIN Contact: Alfonso, alfonso[dot]martinez[at]upf[dot]edu, WhatsApp +34693846738 Time: Sunday, October 2, 5:30 PM Location: Parc de la Ciutadella, by the Lion Catcher statue; I'll have an ACX sign Coordinates: 8FH495QP+96 Event link(s): LessWrong Notes: The idea is to sit on the grass; bring a foulard along for your comfort, or a foldable chair if preferred. Don't worry about the language: English, Spanish, Catalan, we'll find a way. MADRID, SPAIN Contact: Jaime, jaimesevillamolina[at]gmail[dot]com Time: Saturday, September 10, 5:00 PM Location: Teatro de títeres del Parque del Retiro. We'll be on the stands with an ACX sign Coordinates: 8CGRC897+F8C Event link(s): LessWrong Group info: We are an EA / rationality group, we've been active for around 5 years but have less in-person activity since the pandemic started. We have a WhatsApp group and a channel in the Spanish-speaking EA Slack. SEVILLA, SPAIN Contact: Edu, edur[dot]acx[at]gmail[dot]com Time: Saturday, September 10, 8:00 PM Location: Parque de María Luisa. I'll be on the grass behind the Museum of Popular Arts and Traditions. I'll be the guy next to an ACX sign, a white wooden chair, and a cardboard ukulele with a tiny cardboard hat on it. Coordinates: 8C9P92F6+3RG Event link(s): LessWrong GOTHENBURG, SWEDEN Contact: Joacim, joacimj[at]gmail[dot]com Time: Saturday, September 24, 3:00 PM Location: Condeco Fredsgatan. I'll have a stack of three books on my table. Coordinates: 9F9HPX4C+39G Event link(s): LessWrong, Facebook event STOCKHOLM, SWEDEN Contact: Sal, niktonick[at]gmail[dot]com, Telegram Time: Sunday, September 25, 3:00 PM Location: Humlegården, Karlavägen. We will meet near blue gazebo, I will have 'ACX meetup' sign. Coordinates: 9FFW83RF+3M5 Group info: Facebook group BERN, SWITZERLAND Contact: Daniel, dd14214+acx[at]gmail[dot]com Time: Sunday, October 2, 4:00 PM Location: Grosse Schanze, at the statue in front of the main uni building, heading to the Pittaria if it's cold or raining Coordinates: 8FR9XC2Q+4G Event link(s): LessWrong GENEVA, SWITZERLAND Contact: Eric, eric[dot]c[dot]p[dot]meier[at]gmail[dot]com Time: Sunday, September 11, 4:00 PM Location: Park de la Grange, just towards the lake below Villa de la grange Coordinates: 8FR86548+J4 Event link(s): LessWrong Group info: We have a small persistent group who has tried to meet up once a month since last years Meetup. Notes: Feel free to bring other people you think would be interested! ZURICH, SWITZERLAND Contact: MB, acxzurich[at]proton[dot]me Time: Saturday, September 24, 3:00 PM Location: TBD Event link(s): LessWrong ISTANBUL, TURKEY Contact: J, jinai[dot]jyap[at]gmail[dot]com Time: Sunday, September 25, 4:00 PM Location: The House Cafe in Ortaköy. I am a young Asian woman and imagine I'll be easy to spot, but will also try to bring a sign with ACX MEETUP on it. Coordinates: 8GHF22XG+23P Event link(s): LessWrong, Partiful Group info: I do not live here; I am just digital nomading for an indefinite amount of time and would like to meet anyone who's here! Notes: Please RSVP via the Partiful link (you can RSVP as a Maybe)! BIRMINGHAM, UK Contact: Thomas Read, thomas[dot]read[dot]acx[at]gmail[dot]com Time: Saturday, September 3, 1:00 PM Location: We'll be at The Wellington, 37 Bennetts Hill, on the roof terrace if possible. I'll wear an orange shirt and have a sign saying ACX on the table. Coordinates: 9C4WF3JX+7Q Event link(s): LessWrong Notes: It's only a few minutes walk from the stations, so hopefully people can join from all over the West Midlands! BRIGHTON, UK Contact: Alan Enright, alanenright[at]protonmail[dot]com Time: Saturday, September 10, 11:00 AM Location: We'll be at the Alcampo Lounge on London Road—we will try and get a table on the raised area in front of you and to the left as you come in but will also have a little ACX sign. Coordinates: 9C2XRVM6+3X Event link(s): LessWrong, Meetup.com BRISTOL, UK Contact: Nick Lowry, bristoleffectivealtruism[at]gmail[dot]com Time: Saturday, September 24, 2:00 PM Location: We’ll be meeting at entrance closet to Tesco Express in the Galleries, Bristol City Centre Coordinates: 9C3VFC45+RJM Event link(s): LessWrong, Facebook event, Meetup.com Group info: Meet twice monthly for socials, more regular 'productive' meetups. Been active for 3+ years, please message for WhatsApp group CAMBRIDGE, UK Contact: Hamish Todd, hamish[dot]todd1[at]gmail[dot]com Time: Saturday, September 17, 2:00 PM Location: Bath House Pub, UPSTAIRS!! I will have a copy of Peter Singer's The Most Good You Can Do Coordinates: 9F426439+J9 Event link(s): LessWrong, Facebook event Group info: We meet on the third Saturday of every month. The group has been around almost a year and is well-attended! Notes: My phone/WhatsApp number is +44 0730 *** 3550, where the *** are replaced by the serial number of the Boeing plane whose first flight was on September 2, 1998. Email me to get on the mailing list for future events if you'd like that :) CARDIFF, WALES Contact: AF, strmnova[at]gmail[dot]com Time: Friday, September 16, 5:00 PM Location: Little Man Coffee (note new location!) Coordinates: 9C3RFRHH+W2 Event link(s): LessWrong EDINBURGH, SCOTLAND, UK Contact: Sam, acxedinburgh[at]gmail[dot]com Time: Saturday, September 24, 2:00 PM Location: Pleasance Cafe. Go through the arch and the door to the cafe is on your left Coordinates: 9C7RWRW9+M8 Group info: ~Monthly meetups, often in Pleasance Cafe but have experimented with other locations. Email me to join the mailing list & WhatsApp group. LANCASTER, UK Contact: Gruffydd Gozali, gruffyddgozali[at]gmail[dot]com Time: Saturday, October 15, 3:00 PM Location: Lancaster University Library, will be on the ground floor by the tree wearing an EA shirt. Coordinates: 9C6V2657+WJR Event link(s): LessWrong LINCOLN, UK Contact: Tobias, tobias[dot]showan[at]yahoo[dot]co[dot]uk Time: Saturday, September 10, 2:00 PM Location: Nosey Parker pub, I'll bring a little paper ACX sign. Coordinates: 9C5X6C9R+XJ Event link(s): LessWrong LONDON, UK Contact: Edward Saperia, edsaperia[at]gmail[dot]com Time: Sunday, September 25, 2:00 PM Location: Newspeak House Coordinates: 9C3XGWGH+3F7 Event link(s): LessWrong, Facebook event, Meetup.com, Eventbrite Group info: You can join our mailing list or our Meetup.com group MANCHESTER, UK Contact: Matthew Gibson, melkartmtg[at]hotmail[dot]com Time: Sunday, September 18, 11:00 AM Location: Sackville Gardens, Alan Turing Memorial Coordinates: 9C5VFQG7+MH Event link(s): LessWrong NEWCASTLE UPON TYNE, UK Contact: Joshua William, iamjoshwilliam[at]icloud[dot]com, Telegram Time: Saturday, September 3, 12:30 PM Location: Trinity Square, High Street Gosforth. You can get the bus to Gosforth from the city center just outside the famous 'Tyneside Cinema' (bus number: 30, 31, or 35 at Monument Pilgrim Street bus stop), or you can take a walk if you want to get your 'steps' in (if you'd like to do the latter, send me an email and I'll send you the directions), which takes ~60-min. Coordinates: 9C7W294H+5V Event link(s): LessWrong Group info: To my knowledge, there isn't an ACX meet up in this city, or region of the UK, though if there is a demand for a reoccurrence, I'd be happy to keep facilitating such. I'd also happily formulate a WhatsApp group if theres interest, after the meet up. Notes: We have a deli, '1901 cafe', on the square, which we can grab an immediate bite to eat at [so save some hunger if you'd like to do that]. There's a safe [and lovely] park with some benches just by the way, which, if the weather is nice, we can sit at after a bite to eat, or, otherwise, we can remain in the cafe. OXFORD, UK Contact: Sam, ssc[at]sambrown[dot]eu, There's a Signal group people can join :) contact Sam for info Time: Wednesday, October 19, 6:30 PM Location: The Star, Rectory Road, Oxford. We'll be in the beer garden round the back, with a sign ?? Coordinates: 9C3WPQX6+QP9 Event link(s): LessWrong, Facebook event, Meetup.com Group info: We run socials every months, and applied rationality workshops from time to time! Notes: Please RSVP on any of the platforms (or email) for free pizza PENRYN, CORNWALL, UK Contact: mini t, tminns[at]btinternet[dot]com Time: Saturday, August 27, 3:00 PM Location: glasney playing field and valley Coordinates: 9C2P5V8V+P9 Event link(s): LessWrong Notes: I don't mind rescheduling, or organizing another event, not many people are likely to turn up this far out of the way.

Highlights From The Comments On Columbus Day

October 10, 2022 · Original source

I cannot find anyone denying that Columbus promised the king and queen of Spain that he would provide them with lots of slaves, and did indeed raid the native villages of the Indies, capture many of them as slaves, and send 500 back to Spain (200 of whom died en route). He talks about doing this in his own letters, so I don’t think this one is a rumor spread by his enemies.

Spain began to trade slaves in the 15th century and this trade reached its peak in the 16th century. The history of Spanish enslavement of Africans began with Portuguese captains Antão Gonçalves and Nuno Tristão in 1441. The first large group of African slaves, made up of 235 slaves, came with Lançarote de Freitas three years later. In 1462, Portuguese slave traders began to operate in Seville, Spain. During the 1470s, Spanish merchants began to trade large numbers of slaves. Slaves were auctioned at market at a cathedral, and subsequently were transported to cities all over Imperial Spain. This led to the spread of Moorish, African, and Christian slavery in Spain. By the 16th century, 7.4 percent of the population in Seville, Spain were slaves. Many historians have concluded that Renaissance and early-modern Spain had the highest amount of African slaves in Europe.

I have a mild interest in weird historical prophecies, and in this context I came across Columbus’ Book Of Prophecies, which he wrote late in his life. This actually touches on the Garden of Eden claim - Columbus believed that the Second Coming could not occur until the Garden of Eden was found. I don’t know how seriously to take his own self-presentation, but Columbus always presented himself as deliberately setting out to fulfill as many preconditions for the Second Coming as he could - for example, he said that he was looking for gold so he could enrich Spain to the point where it reconquered the Holy Land. New EA hero?

Inline links: Book Of Prophecies

Book Review: The Geography Of Madness

February 22, 2023 · Original source

She reminded me that yesterday she was unusually grumpy, so much so that she had apologized to me for it and tried to come up with explanations - and then later yesterday she had her period. Meanwhile, Bures’ counterargument is - what? That it sounds kind of sexist to accuse female hormones of making women overly emotional? Hasn’t he ever heard of stereotype accuracy? That people asked their doctors to be treated for it more often after they knew it was considered a medical condition, and was treatable? That seems to have a much simpler explanation! That there are no biomarkers? There are inconsistent biomarkers that work sometimes but not other times, just like for schizophrenia, epilepsy, cancer, and half the other conditions in medicine. That these conditions don’t occur in most cultures? From here: A World Health Organization (WHO) study on menstruation (1981) surveyed 5,322 women from Egypt, India, Indonesia, Jamaica, Korea, Mexico, Pakistan, Philippines, United Kingdom and Yugoslavia. . . The majority of women in all cultures report some premenstrual physical discomfort in addition to negative mood changes, however fewer women report mood change than physical change. The main cross-cultural difference was in the prevalence of specific symptoms. Immigrants to the United States report more PMDD the longer they’re here? True (source), but it’s a matter of degree, and seems more true of the PMDD diagnosis than specific symptoms. The diagnosis requires impairment, which is subjective. I imagine an immigrant from a culture where mental disorders are unthinkable - something that only happens to a few psychos in asylums - and where you work 12-hour days in sweatshops. Someone asks her “hey, has this mental disorder ever prevented you from working?”, and she says no, because obviously you grit your teeth and work through the symptoms. And I imagine an American seeing the same question and saying “Yeah, I did decide I had to take a couple of sick days because of that.” I’m not saying this definitely happened, just that it’s a possibility. Meanwhile, this entire area of study is a mess. The “PMDD is culture-bound” hypothesis was originally invented by feminist scholars trying to argue that the diagnosis was a sexist attempt to pathologize women as overemotional and untrustworthy (this is also where Bures got his “it’s just hysteria by a different name” idea). See for example here and here, the second of which says that “the feminist argument is that if women are angry/distressed, it is for good reason, not due to pathology”. Bures somehow swallowed and repeated this, and then some feminists on Vox wrote an article attacking him as a “male writer” who was denying women’s lived experiences of PMS and stereotyping them as stupid and gullible. Neither side has an argument beyond “I can think of a reason it would be sexist for people to disagree with me” and neither side will acknowledge that the other side is also feminists basing their argument entirely on how it would be sexist to disagree with them. Everything in every area of social science has been like this for at least the past twenty years. But also, this highlights the difficulties with declaring something culture-bound. How do you know if something’s culture-bound, vs. people don’t notice it or mention it if they don’t have a name for it? How do you know if something’s culture-bound vs. some cultures consider it too embarrassing or taboo to think about? How do you know if something’s culture-bound, vs. people will go to doctors about it if they think doctors can treat it, and otherwise they won’t? I’ll discuss these questions more later, but I want to finish Bures’ argument. He gestures at a few other possible candidates for culture-bound mental disorders, including repetitive strain injury and chronic pain. But he quickly moves on to a long section that tries to establish the reality of “voodoo death”, ie the thing where if you believe you are going to die hard enough, you actually die. I think most arguments for voodoo death are pretty bad, and I didn’t find Bures’ convincing. But bonus points for referencing a study claiming that chronically stressed people only die at higher rates if they believe chronic stress is bad for them, and if not then they don’t (this is not really how I interpret the abstract, but I haven’t looked closely) Is it weird to stay on the crazy train long enough to agree that cultural effects are strong enough to make you think witches are stealing your penis, and then get off it once people start talking about voodoo death? I think no - these are very different situations. Believing in koro can make you hallucinate that your penis is shrunken or gone, but no belief, however strong, can (directly) remove your penis itself. Culture → beliefs is fine; culture → reality is a step I’m not willing to take. V. Since I rejected Bures’ PMDD example, I want to digress to what I think is a stronger argument: anorexia, which Ethan Watters discusses in his book Crazy Like Us. Anorexia was mostly unknown in the West, until becoming “trendy” in the mid-1800s. During that period, doctors reported high prevalence of anorexia among “hysterics”, but the fad ended after about ten or twenty years, and it went back to being basically unknown. In 1983, famous singer Karen Carpenter died of anorexia, thrusting it back into the national news, and suddenly lots of people (in the West) were anorexic again. Meanwhile, foreign doctors who trained in the West went back to their home countries, searched far and wide for it, and found almost nothing. The few cases they did see didn’t resemble the typical Western version at all - for example, one Hong Kong psychiatrist was able to find a woman who refused to eat out of grief when a boyfriend left her, but she didn’t think she was fat, or feel any cultural pressure to be thinner. The absence of anorexia abroad was especially surprising since anorexics tend to end up in the hospital with extremely noticeable malnutrition that doesn’t really mimic anything else. It’s not really possible to hide severe anorexia the way you can hide severe depression. In 1994, Hong Kong got its own Karen Carpenter - a young girl died of anorexia, setting off a national panic and many public awareness campaigns. Near-instantly, anorexia rates shot up to the same level as the West, with the appropriate number of people presenting to hospital ERs with severe malnutrition. This story raises a lot of questions. For example: where did the first anorexics (Karen Carpenter, the girl in Hong Kong) come from? Why anorexia and not something else? And how come knowing about anorexia makes it spread so quickly? VI. Past this point I’m using this review to discuss my own thoughts, not Bures’ or Watters’. “Culture-bound” is less all-or-nothing than you’d think. Look hard enough, and you’ll find people having “culture-bound syndromes” from cultures they’ve never heard of. Ntouros et al in Thessaloniki describe “koro-like symptoms in two Greek men”. One, a paranoid schizophrenic: . . . reported for the first time a sensation that his penis retracts into the abdomen and a fear that it will subsequently be lost. This would be accompanied by anxiety and sadness pertaining only to the loss itself. He would then proceed to search manually for his penis and masturbate. No pleasure was gained by masturbation, but the anxiety would be lifted. Romero et al describe a case of koro in "an intellectually disabled Caucasian patient" in Spain. They write that "although it is widely regarded as an epidemic in South-east Asia, there are some isolated cases in other cultures as well." Wilson and Agin describe a 29 year old white male from New York, "not exposed to the Chinese culture”, who went to the doctor with a five month history of worrying that his genitals were retracting into his body: Sometimes, he would manually reaffirm the presence of his genitals. Occasionally he would, in private, remove his garments and visually confirm the presence of his genitals. On one occasion, while taking the train home from work, he experienced an acute exacerbation of these symptoms. His pain increased from 3/10 to 10/10, and he felt as if his genitals had fully retracted within his belly. Upon reaching his hometown, he immediately went to the local hospital emergency room where examinations for inguinal hernia, urinary tract infection, proctitis, prostatitis, and testicular disorders proved negative. He improved significantly on the anti-anxiety medication desipramine. Chowdhury surveys the evidence on koro and divides the condition into two types: culture-bound and non-culture-bound. The culture-bound type usually goes in large epidemics, hundreds to thousands of people, in koro-believing parts of Africa and Asia; the victims were usually previously psychologically normal. The non-culture-bound type hits a few scattered individuals, is not contagious, and can happen anywhere - Greece, Spain, America. Some patients are psychologically normal, but there are a disproportionate number of schizophrenics, drug users, brain damage victims, and other previously-mentally-ill people. Other culture-bound illnesses seem to be like this too. Running amok has been big in Malaysia for 300 years. The Columbine shooters seem to have been autocthonous American cases, equivalent to that one New Yorker who got koro - before their fame inscribed amok onto the US collective consciousness the same way Karen Carpenter’s inscribed anorexia. Japan’s jikoshu-kyofu affects occasional victims in the US under the name olfactory reference syndrome. Watters admits there were a tiny handful of unusual anorexia cases in Hong Kong before Westernization. And even that Indian there’s-a-lizard-in-my-skin condition differs only in species from delusional parasitosis. Delusional parasitosis - the false belief that you are infested with parasites and can feel them crawling in your skin - is actually an especially interesting case. Two groups are disproportionately represented among patients: menopausal women and cocaine addicts. Relatedly, two biological conditions that can sometimes cause weird skin sensations that feel like crawling insects are . . . menopause and cocaine use. So there’s no mystery here. But, also represented among delusional parasitosis patients are the roommates and family members of these people. The index case hallucinates insects for a well-understood biological reason; their close contacts hallucinate insects through social contagion. So a unified theory of these conditions might be: Some people have the condition for a normal biological or psychiatric reason. For example, someone might believe a lizard is crawling under their skin because they use cocaine, which causes hallucinatory crawling sensations. Or someone might believe their penis is missing because they’re schizophrenic, which makes them naturally hallucination-prone.

Inline links: stereotype accuracy, inconsistent biomarkers that work sometimes but not other times, here, source, here, here, and then some feminists on Vox wrote an article, chronic pain, are pretty bad, a study, Ethan Watters discusses in his book, Ntouros et al, Romero et al, Wilson and Agin, surveys the evidence, olfactory reference syndrome, delusional parasitosis

Book Review: Paper Belt On Fire

March 23, 2023 · Original source

An advertisement for the author’s hedge fund Michael Gibson’s memoir Paper Belt On Fire succeeds on all counts. The year was 2007. Gibson had just dropped out of Oxford (grad student, philosophy), and applied for a job with the CIA. His secret reason: when he was one year old, his father had admitted to his mother that he was a spy and might be in danger. Before he could tell her anything else, he was found dead, apparently of a heart attack. He thought maybe if he worked at the CIA, he would have access to more information about what happened. The CIA evaluated him (along with a telephone interview, an “IQ test, a personality test, a statement of values, [and] a set of essay questions”) and rejected him. Gibson got a job as an editorial assistant at a tech magazine and blogged on the side. Some of his blog posts came to the attention of Peter Thiel, who offered him a job at his hedge fund. Wasn’t it a bit bold to offer an Oxford philosopher a hedge fund job? Yes, the book mentions how brave and radical and unconventional Thiel’s hiring policies are about twice per paragraph. For example: The media consistently gets Peter wrong . . .The Atlantic’s George Packer wrote . . . that Peter’s hedge fund had the reputation of being a “Thiel cult” that was “staffed by young libertarian brains who were in awe of their boss, emulating his work habits, chess-playing, and aversion to sports.” Packer is a great writer, but in this he was dead wrong, as anyone actually working on the desk knew. Sure, Patrick “the Wolf Man” Wolff was technically a chess grandmaster, ranked higher than Peter, but hardly anyone else ever played. More importantly, the Wolf Man was a diehard Krugman Keynesian. Woersching was a lefty, too, an ardent fan of the egalitarian philosophy of John Rawls. And Josh, he was a dirt-road California Democrat who was a downhill ski junkie […] In truth, Peter didn’t hire just libertarians. He hired scapegoats who’d survived a mob. People who felt comfortable being a minority of one. Thiel in no way selects employees who agree with all of his controversial libertarian opinions. But, by total coincidence, Michael Gibson does agree with all of Peter Thiel’s controversial libertarian opinions. He writes about Cardwell’s Law; historian Donald Cardwell noted that no country remains on the cutting edge for long. During the early Renaissance, Italy was where it was at; a century later, it was Spain and Holland; later still, Britain and Germany, and now new discoveries and businesses come disproportionately from the United States. Why? Gibson and Thiel think that innovation is a rare and fragile plant, which thrives only in the hidden cracks between power structures. Established structures either stamp it out as a threat, or rent-seek off of it so hard that they bleed it dry. Wherever it succeeds, it has succeeded through weird quirks that prevent fat cats from parasitizing it to death. Hong Kong’s economic miracle was during the administration of John Cowperthwaite, an eccentric British libertarian who refused to collect economic statistics because he thought they would make it too easy for meddlers to extract value. America’s economic miracle happened because of a vast frontier - which not only provided freedom for westerners, but served as a BATNA for easterners, preventing their own institutions from sucking them too dry. Now the frontier has closed. New York City recently abandoned its attempt to build a light rail line to the airport: after reaching a $2.4 billion price tag and spending eight years in the planning phase, the government realized it wouldn't be able to overcome all the legal hurdles necessary to grant itself permission. The San Francisco Chronicle reported that it requires 87 permits, two to three years, and $500,000 to get permission to build houses in SF - and your plan might still get shot down because a planning commissioner thinks its glass windows are “a statement of class privilege”. The cracks have shut; the rare fragile plant has been shredded by a combine harvester. Gibson, like Thiel, is a believer in the Great Stagnation - the theory that we’re already reaping the consequences of our newly parasitic society. The early 20th century gave us cars, airplanes, electricity, and penicillin; the early 21st has so far given us some truly excellent social media sites but not much else. Innovation in the world of bits - unbound by geography, comparatively hard to regulate or extort - has sort of continued; innovation in the world of atoms has ground to a halt. And Gibson, like Thiel, talks like a man on a mission. What is good in man thrives only in a few tiny cracks, easily found and destroyed. The last crack was closed within living memory, but its legend hasn’t completely died; the few people who managed to pick up a little of its lore are racing against time to open a new crack before it is entirely forgotten and their project is left to the vicissitudes of history. The cover of “Paper Belt On Fire” goes hard. And yes, the “money” part is a reference to Bitcoin. Gibson’s heart was originally in charter cities - asking some government to open a tiny controlled crack in a sliver of its territory, promising it more meat in the end if it lets its victims grow fat and healthy than if it strangled them in the cradle. But for whatever reason they thought the time wasn’t ripe (the right time, apparently, would be 2019). Instead, Thiel asked Gibson to work on what would become the Thiel Fellowship. He teamed up with Danielle Strachman, a dangerously-hippie-adjacent burnt-out former charter school principal. Their plan was simple: offer talented kids $100,000 to drop out of school and do something exciting in the real world (usually start a company). Paper Belt spends long pages on the hate they got. Larry Summers called it “the single most misdirected bit of philanthropy this decade”. Journalist Jacob Weisberg said anyone who accepted the Fellowship would “halt their intellectual development at the onset of adulthood, maintaining a narrow-minded focus on getting rich as young as possible and thereby avoid the siren lure of helping others or pursuing knowledge for its own sake” (this was before journalists decided that helping others was also evil). Others focused on how there was no way any of these young people would possibly succeed or make money - when the first batch of Thiel fellows failed to revolutionize the world within one year, journalist Vivek Wadhwa wrote Billionaire’s Failed Education Experiment Proves There’s No Shortcut To Success. In fact (slightly conflating the part with the Fellowship with its successor fund): The press . . . hated us. In a 2016 New York Times op-ed, science journalist and author Tom Clynes claimed that “radical innovation has yet to emerge” from anything related to the Thiel Fellowship, and that “the biggest hits have been the most pedestrian.” Antonio Garcia Martinez, the author of the Silicon Valley memoir Chaos Monkeys, spewed forth his bile for us on social media: “For fans of ironic stupidity, Silicon Valley is a never-ending feast”, he wrote on Facebook. He went on to explain, with great vulgarity, why our fund would fail by backing young dropouts. My favorite . . . has to be the challenge issued by Scott Galloway, a professor and bloviator in marketing from NYU’s business school . . . who told Business Insider that if he picked ten smart recent graduates from his alma mater, the University of California at Berkeley, they would outperform any ten dropouts we worked with on some dimension of success related to income or startup formation. Of course he wouldn’t have written the book if any of these people had been right. I can’t find a list of all Thiel fellows, but there are ~20 per year and it’s been running about 12 years, so maybe 200 - 250? At least eight have founded companies valued at over a billion dollars, and others have become impressive philanthropists, activists, and scientists. Pretty good success rate. Gibson argues it’s not about the money, it’s about the mission. We’ve told young people they can’t succeed without the stamp of approval from big institutions. In order to get that stamp, they sacrifice their childhood on the altar of doing things that look nice to admissions officials, then go deep into debt to pay ruinous tuitions. All to waste four years of their lives listening to some professor drone on about post-colonial gender relations in Harry Potter so they can satisfy their gen ed requirement so they can learn the stuff they want to learn so they can get hired by McKinsey so that one day they can be cool and important enough to make a difference in the world. Why not tell young people they can just make the difference right now, without doing any of that? It’s not about the money - but when your graduates are routinely founding billion dollar companies, you’d be crazy to keep it that way. After a few years, Gibson and Strachman noticed the billion-dollar-bill lying on the ground, left the Thiel Fellowship, and started a new VC fund, 1517 (named after the year Martin Luther did some institution-challenging of his own). Their business plan was to do roughly the same thing as the Thiel Fellowship - only this time, invest in the companies beforehand (the parting with Thiel seems to have been amicable; he invested $4 million). So Gibson adopted the life of a venture capitalist. He talks frankly about the difficulties. For example, in one case he found someone nobody else believed in, gave them enough money to keep going, and helped them start their company in exchange for them giving Gibson a certain stake. After the company succeeded, Gibson accuses bigger VC firm Sequoia Capital of convincing the founder to kick him out, and stealing his stake. He says that in the world of VCs it’s poison to sue founders for any reason, so nobody can enforce contracts, so if your founders defect to a different VC for more money, there’s nothing you can do (this is not legal advice). Also, “please give me millions of dollars so I can invest it in college dropouts” is a tough sale for everyone except Peter Thiel. Still, he got a bit of money and tried his best. He takes as his - would it be insensitive to say “role model”? - John Walker Lindh, the American who defected to the Taliban (and who he apparently looked like). Probably it depends on the angle or something. Lindh was the only American to find Osama bin Laden in the early 2000s - he went to lots of jihadi training camps in the process of learning how to jihad, and Osama happened to be at one of them. The lesson, Walker says, is that if you want to find people who are hard to find, you need to steep yourself in their culture, truly understand them, become one with them. Good founders are hard to find. But he and Strachman went to dozens of dingy college dorms, math competitions, group houses, and hackathons, looking for people with the right sort of talent. After pooh-poohing IQ (“Marilyn vos Savant is listed as having the highest recorded IQ, and what does she do? She writes a column for a Sunday supplement in the newspaper”) he lists some of his own preferred metrics for judging would-be Thiel fellows and founders: Polytropon - a famously untranslatable Greek word (“of-many-turns”? “always-has-a-trick-up-his-sleeve” “clever bastard”?) used to describe Odysseus. Edge control - willingness to constantly surf the boundary between order and disorder Crawl-walk-run - ability to scale from a tiny startup to a big company. …and several others, including “tensive brilliance” and “Friday night Dyson sphere”. He and Danielle searched the country for people with these qualities, annoying colleges (he was banned from MIT after showing up too often to convince their students to drop out) and doing various stunts (on October 31 2017, the 500th anniversary of Luther’s theses, he nailed a list of anti-formal-education theses to the doors of the admin buildings of top colleges (“Our commercial printer had misunderstood our request and printed them on seven-foot-long scrolls. They were ridiculous . . . but it turned out for the best.”) At one point, he negotiated with a brilliant 21 year old who may have discovered a transformative diabetes therapeutic, but the hidebound conformist novelty-hating establishment refused to work with him just because he liked the Marvel Cinemat - okay, fine, he may have legally changed his name to “Tony Stark”. Still, Gibson saw past his eccentricities, helped him start his company, and gave him sage advice (he should introduce himself to other investors as “Anthony”). Skip through several more chapters of everyone hating Gibson and telling him he was wrong and refusing to give him money and cheating him out of the money he already had, and the payoff is Luminar. One of the dropouts they cultivated founded a beyond-cutting-edge lasers-for-self-driving-cars company which went public at $3 billion. 1517 made $200 million from the deal - it sounds like they had only ever raised about $25 million, so their investors must have octupled their money on that company alone. Everyone involved is now very rich, and Gibson considers his anti-education thesis on the way to being proven. The book ends with a newly-resourced Gibson continuing his quest to figure out whether and why the CIA killed his father, but it’s slow going. If any of you know a guy named Albert van Dam in Amsterdam, or how to convince Swiss banks to reveal secret account information, get in touch with him. II. A common pattern: I assert something. Everyone yells at me and tells me I’m wrong and stupid, sometimes in very colorful language. I wait, time proves me right, and I write an essay gloating educating people about this. The median comment is “of course this is true, nobody ever denied this was true, why are you wasting our time with something obvious?” I hate this and I try to avoid doing it to other people. This is too bad, because I’m tempted to say: obviously talented dropouts can start good companies. We’ve known this at least since Bill Gates dropped out of Harvard in 1975 to start Microsoft. But also, obviously they can. Brilliant and driven people can succeed whether they get a college education or not. If Bill Gates had stayed an extra two years at Harvard, he probably would have taken a few more advanced math classes not really related to programming software or running a company. So why should we even have as a hypothesis that he couldn’t start Microsoft successfully without doing that? Still, Gibson adequately proves that lots of people hated him and were sure he would fail. Either we should read this backwards - learn that there was once a time when pro-college messages were even stronger than now, so strong that people thought it was literally impossible to succeed without every single day of a four-year college application - or the critics were trying to get at something deeper they were bad at expressing. For example: what, exactly, is Gibson’s alternative to the education system? The back-of-book-blurb says Paper Belt On Fire is about “how higher education and other institutions must evolve to meet the dire challenges of tomorrow” - but evolve how? What exactly has been proven here? A few of the very brightest young people, hand-picked by an expert young-person-picker and given $100K, can become billionaires or make great discoveries without a college degree. What are the implications? Suppose you are an average college student with an average level of talent and motivation. Should you drop out and try to create a company for Peter Thiel? Based on how many average-talent people Thiel rejects, even he doesn’t think you should do that. And if you don’t have a good answer to this question - the one relevant to 99.9% of education system inmates - have you really launched a challenge to the educational system? Gibson doesn’t address this question, but I predict he would admit that, fine, he doesn’t have an alternative to the education system in the sense of “educate people this way rather than that way”. He just wants less formal education, and has proven this will work fine. True, he’s only proven it for a tiny subset of ultra-talented people. But “billionaire tech founder” is a hard job - if it wasn’t, more people would do it and reap the $1 billion reward. Proving that people can become billionaire tech founders without college degrees implicitly suggests they can be successful middle managers or budget analysts without college degrees. So the sort of companies that need middle managers and budget analysts should also consider hiring people without degrees, and the sorts of average-level-of-talent-and-motivation people who want these jobs should consider skipping college. Would this work? Probably. It worked in the early 1900s, when only 5-10% of Americans had college degrees but the country seemed about as dynamic and successful as it does now. It worked for people like George Washington, Abraham Lincoln, and Thomas Edison, none of whom went to college. It works in other countries - for example in the UK where young doctors skip undergrad and go straight to medical school, and whose patients get about the same outcomes as in the US. It works for people with impractical degrees like philosophy, who are constantly getting jobs in (and doing well in) fields that don’t require you to compare Locke vs. Leibniz’s perspective on a priori truths. So this would work if everyone agreed to do it at once, which they won’t. The way college gets you is adverse selection. Suppose that tomorrow, you - a smart and hard-working person who could easily get a college degree - decline to do so, because you appreciate Peter Thiel and Michael Gibson’s anti-institutional perspective. The pool of people without college degrees is now, to a first approximation: 200 million people who weren’t smart to get in, rich enough to afford it, or motivated enough to finish.

Inline links: Paper Belt On Fire, John Cowperthwaite, recently abandoned its attempt, reported that, might still get shot down because, https://substackcdn.com/image/fetch/$s_!XcvP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8b369ca-5089-4e18-857d-1f34a9eee200_585x134.png, 2019, journalists, decided, that, Billionaire’s Failed Education Experiment Proves There’s No Shortcut To Success, https://substackcdn.com/image/fetch/$s_!R2y6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F38012394-be90-413c-b9a2-c291f1b3a118_858x392.png, his company, read this backwards

Spring Meetups Everywhere 2023

April 10, 2023 · Original source

BARCELONA, SPAIN Contact: Alfonso Martinez Contact Info: alfonso[dot]martinez[at]upf[dot]edu Time: May 21st, 05:15 PM Location: Parc de la Ciutadella, next to the Lion Catcher/Caçador de Lleons Coordinates: https://plus.codes/8FH495QP+6C

Inline links: https://plus.codes/8FH495QP+6C

MADRID, MADRID, SPAIN Contact: Pablo Contact Info: pvillalobos[at]proton[dot]me Time: Monday, April 17th, 06:00 PM Location: Mercado de San Ildefonso. Calle de Fuencarral, 57, 28004 Madrid. We'll be at the first or second floor, with an ACX sign Coordinates: https://plus.codes/8CGRC7FX+MJ Event Link: https://www.lesswrong.com/events/5xzuWjNo6vDzhDo7K/acx-meetup-1

Inline links: https://plus.codes/8CGRC7FX+MJ, https://www.lesswrong.com/events/5xzuWjNo6vDzhDo7K/acx-meetup-1

SANTIAGO DE COMPOSTELA, GALICIA, SPAIN Contact: Javier Contact Info: javier[dot]prieto[dot]set[at]gmail[dot]com Time: Saturday, April 15th, 05:00 PM Location: caféLaMorena. Rúa de San Clemente, 6, 15705 Santiago de Compostela, A Coruña. https://maps.app.goo.gl/FJ9vPnNTXcsvPx4LA. I'll be wearing an EAGx LatAm hoodie and maybe put up an ACX sign or something. Will sit outside, weather permitting, and inside otherwise. Coordinates: https://plus.codes/8CJHVFH3+M76

Inline links: https://maps.app.goo.gl/FJ9vPnNTXcsvPx4LA, https://plus.codes/8CJHVFH3+M76

The Question Of Separatism

May 19, 2023 · Original source

The Forbidden Solution All empires eventually collapse. This is not what we would expect if empires were a good economic arrangement. If they only ever got wealthier and wealthier, they wouldn’t disintegrate into various separatist factions or end in foreign conquest. The first empire to form would have slowly absorbed everything else, and we would all be living good lives under the enlightened rule of the Sumerians or whatever. But that doesn’t happen, because empires always milk their own cities until they become poor. Modern nation-states do the same. They accumulate stress by trying to hold themselves together, and then, one day, the stress is released all at once. Wars and revolutions galore. Most countries are born that way, like new stars formed in the aftermath of a supernova. Peaceful separatism offers an alternative, Jacobs says — but only a theoretical one. Jacobs shows us a glimpse of a world in which secessions would be “a normal, untraumatic accompaniment of economic development itself.” Regions would separate when they feel the need to, before decline has set in. “In this utopian fantasy,” she writes, “young sovereignties splitting off from the parent nation would be told, in effect, ‘Good luck on your independence! Now do try your very best to generate [or maintain, as the case may be] a creative city and its region and we’ll all be better off.’” Can you imagine Canada saying this to Quebec? Or England to Scotland? Or China to Tibet and Taiwan? Yeah, me neither. That’s why it’s only theoretical and utopian. Jacobs knows very well that nations will never accept separatism as an option. And though the term “nationalist” has fallen out of fashion, almost all of us still think very much in terms of nations. Even when separatism does seem grudgingly acceptable, I’d say that’s usually either because it’s an instance of decolonization (colonial empires are decidedly out of fashion) or for cultural, nationalistic reasons. Quebecois, Scottish, or Catalan separatists say that they belong to nations that are culturally distinct from Canada, the United Kingdom, or Spain. And they love their smaller nation just as much as others love the larger one. If any of these separatists got their way, we can be sure that the new nation of Quebec, Scotland, or Catalonia would then oppose further separatism in the strongest terms. When the American South seceded from the Union in 1861, the reaction wasn’t “good luck!” even though the Union was itself the result of a secession from Great Britain. To separate for economic reasons seems forbidden. Unthinkable. For one thing, it would be selfish. If Catalonia left, the poor regions of Spain, which benefit from welfare financed in part by Barcelona, would suffer, which is obviously unacceptable to Spain. For another, it’s not guaranteed to work. Small countries and city-states can still adopt dumb economic policies. It can seem intolerably risky to go your own way, unless your region is already rich, in which case see the selfishness point above. Widespread separatism also seems worse for solving large-scale coordination problems, like environmental issues, nuclear proliferation (and, perhaps, AI), or war. I suspect that Jacobs would agree with Nassim Taleb’s antifragility framing: it’s better to be in a constant state of mild disorder than to have apparent stability that hides stressors and ends in violent conflict. But that idea is not intuitive. Most of us would pick apparent stability over mild disorder. I also suspect — and this is my personal take — that we dread the additional complexity of having numerous small countries. We look at a map of medieval Germany, like this one… … and we think, thank goodness that Germany is unified now. So much easier to think about! Can you imagine if the Our World in Data charts had to show separate lines for the Electorate of Saxony, the Prince-Bishopric of Augsburg, the Duchy of Brunswick-Lüneburg, and about 1,800 other semi-sovereign states? Can you imagine traveling around if each of them had its own currency? (Fun fact: the List of states in the Holy Roman Empire Wikipedia page doesn’t contain such a list. Instead it points to no less than 28 sub-lists.) Jacobs stops shy of asking, in either book, the question that seems to be the logical continuation of her reasoning: should everything be a city-state? Should we encourage separatism until each inhabited place in the world is either a city or a city region with its own currency? We can hazard a guess as to what her answer would be. She would probably say that there’s no need to upend everything right this moment. Just adopt an attitude of political openness and experimentation. Don’t try to hold together entities that don’t work that well. When separatist sentiment arises somewhere, you can argue it’s a bad idea, but don’t fight it out of emotion such as fear for your nation’s integrity. Eventually, things will settle — the regions that want to be city-states will be, and those that prefer to be united with others, for cultural or economic reasons, will stay that way. Unity has good PR and some genuine advantages, so there will still be plenty of it. But maybe Jane Jacobs never asks this question because she knows it’s irrelevant. We just can’t help fighting for our big countries and supranational unions (like the EU), and too bad if they enter long periods of stagflation until they violently collapse. This might be the right time to mention that her last book, published in 2004, is called Dark Age Ahead. IV. Something to Dislike For Everyone Jane Jacobs’s most famous book is The Death and Life of Great American Cities. She is recognized as perhaps the most influential thinker in urbanism. She is credited with saving Greenwich Village and SoHo in New York City, and helping cancel the Spadina Expressway in Toronto. To this day people organize “Jane’s Walks” as a living memorial to her impact on cities. But Jane Jacobs herself thought that her greatest intellectual contribution was not in city planning, but in economics. She thought that import replacement was her most important discovery, since it explained how wealth expands better than existing macroeconomic theories. She wrote multiple books that were explicitly about economics and was about to write another when she died, Uncovering the Economy. I am not an economist, so I might not be qualified to make a judgment on this matter, but: it seems to me that there’s a discrepancy here. Jacobs is widely seen as a great intellectual, but her economic ideas don’t quite seem mainstream. I’d never heard of import replacement before reading her book. Why not? The null hypothesis is that economists have examined her ideas and simply rejected them. There were some critical academic reviews of Cities and the Wealth of Nations when it came out, and more recently Tyler Cowen expressed his own mild skepticism. Some of the criticism involves the lack of quantitative data in her work, and her failure to think about issues of scale. The most obvious target, of course, is her city obsession: yes, cities are important, but they’re not the only economic phenomenon that matters, some would say. Perhaps Jacobs has overplayed her hand. But there are other possible explanations for the discrepancy. One is that she was a woman and had no credentials, which made it difficult for (mostly male) professionals to take her seriously. We know this was true at the beginning of her career at least. It seems possible that even after she managed to establish herself as an original urban thinker, economists had trouble accepting that she could, with her lack of any college degree, come up with new insights in their field. I doubt that’s really true today, though. We do take Jacobs seriously, and still read all of her books, which is more than we could say about most economists. Instead, I propose that the discrepancy comes from a darker place: in laboring to be comprehensive about cities and economics, she reached conclusions that most people don’t want to be true. No matter your politics, there’ll be something for you to dislike in Jacobs’s work. For example, it’s pretty clear that she didn’t think the European Union was a good idea, so she probably would have supported Brexit. Brexiters might rejoice, except that a lot of them are British nationalists who certainly don’t want Scotland to leave the UK, whereas Jacobs would agree with that. Which would be great news to Scottish independentists — except that if a new separatist movement arose within Scotland, she’d also support that. Jacobs’s ideas and grassroots activism in favor of small-scale, organic urban planning have come to be seen as left-wing — yet her criticism of national welfare programs wouldn’t make her out of place among hardcore right-wingers. Unless those right-wingers were military hawks, in which case they’d find no solace in reading Jacobs on military transactions of decline. Writing during the Cold War, Jacobs criticized the Soviet Union for its incredible centralization of decision-making in Moscow. She rightfully predicted its collapse, making her an ideological ally of the capitalist West, right? Not so, since the United States is also, according to her, too centralized and in the early stages of decay. “Today the Soviet Union and the United States each predicts and anticipates the economic decline of the other,” she writes. “Neither will be disappointed.” Whether she was correct about the US is left as an exercise to the reader. In any case, she did foresee, using her theory on cities, the decline of Japan. This must have been bold in the 1980s at the peak of the Japanese economic miracle, when there was a widespread trope that Japan would soon take over the world. Yet she was right: in 1991, Japan entered its “lost decade,” which soon became two lost decades, and then three. To be fair, she predicted the decline of all large-ish countries, so I wouldn’t mark her as a superforecaster or anything. Still, this puts in perspective the more recent trope that China is going to take over the world. No country, no ideology is safe from Jacobs’s prophecies. Smaller ideologies aren’t spared, either. Effective altruism would probably seem totally mistaken to her, since at its core it promotes an inorganic, top-down transfer of wealth from prosperous cities to poor areas. Progress studies people think that technological innovation will solve economic stagnation, but she would point out how labor-saving equipment so often causes damage when it is introduced to regions that don’t benefit from the other city forces, like the Scottish Highlands or many of her other examples in Colombia, India, or the American South. (This point would deserve an essay of its own, but reading Jacobs has made me a bit more worried about the “AI will take our jobs” thing. It’s clear that new jobs will appear, but when the technology city force from the San Francisco Bay Area reaches distant places with poor economies, which it will very soon thanks to the internet, the effects might not be very pleasant to see.) Overall, the political ideology that might fit Jacobs the best might be… libertarianism? She’s not a big fan of large governments who make big top-down decisions, clearly. Yet I don’t get the feeling that this association fits all that well either. Jacobs doesn’t seem to be anti-government if the government is at the city level. I doubt she would have liked the kind of hyperfragmented world depicted in Snow Crash by Neal Stephenson. I also doubt she’d be impressed by cryptocurrency-backed “cloud cities” or fantasies of charter cities, none of which she would see as real cities in the sense of concentrated pockets of people who start replacing what they import with local production. Jane Jacobs, in sum, was an archetypal accidental moderate. She took one idea very seriously — the idea that cities are fundamental — and explored its ramifications without caring in the slightest if it led to the “wrong” opinions, as her friends in 1980 Toronto must have thought when she wrote about Quebec. I don’t know if she went too far; I’m sure someone more qualified than I am can find flaws in that core idea or any of her other observations. But to me she sounds convincing, and her consistency is frankly admirable. So, to end this review on a more review-y note, go read Jane Jacobs. Her books are a delight, with their elegant arguments and masterfully told anecdotes. Her predictions often take an air of doom, but she is also an optimist who offers constructive ways forward. She sets an example for all of us who care about getting the details right, no matter the credentialed experts, the current political climate, or the great theories of the past. Image credits Cities and the Wealth of Nations book cover: from Amazon.

Inline links: https://substackcdn.com/image/fetch/$s_!sPn6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd25ceff6-f68e-4163-becf-613204a9be35_1600x1297.png, List of states in the Holy Roman Empire, https://substackcdn.com/image/fetch/$s_!gyMq!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdc388f24-009c-42ee-adca-9d5c50faaa66_932x190.png, academic, reviews, expressed, Japan would soon take over the world, fantasies, of, charter, cities, accidental moderate, https://substackcdn.com/image/fetch/$s_!r8Rb!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60621c76-b34b-4e10-b272-394480443e1b_1600x1066.png, Amazon

Critical Periods For Language: Much More Than You Wanted To Know

August 23, 2023 · Original source

Some people imagine babies have some magic language ability that lets them pick up their first language easily, even as we adults struggle through verb conjugations to pick up our second. But babies are embedded in a family of first-language speakers with no other options for communication. If an English-speaking adult was placed in a monolingual Spanish family, in a part of Spain with no English speakers, then after a few years they might find they’d learned Spanish “easily” too. So Scott says:

Meetups Everywhere 2023: Times & Places

August 25, 2023 · Original source

LJUBLJANA, SLOVENIA Contact: Demjan (Demian) Contact Info: demjan[dot]vester[at]gmail[dot]com Time: Wednesday, September 13th, 7:00 PM Location: Vrt Lili Novi Coordinates: https://plus.codes/8FRP3F3X+6V Group Link: https://www.lesswrong.com/groups/bedNTWaYbHgK7PreQ Notes: Please RSVP on LessWrong Spain BARCELONA, SPAIN Contact: Alfonso Contact Info: alfonso[dot]martinez[at]upf[dot]edu Time: Sunday, October 01st, 5:00 PM Location: Parc de la Ciutadella, by the Lion's Catcher statue Coordinates: https://plus.codes/8FH495QP+85

Inline links: https://plus.codes/8FRP3F3X+6V, https://www.lesswrong.com/groups/bedNTWaYbHgK7PreQ, https://plus.codes/8FH495QP+85

BARCELONA, SPAIN Contact: Alfonso Contact Info: alfonso[dot]martinez[at]upf[dot]edu Time: Sunday, October 01st, 5:00 PM Location: Parc de la Ciutadella, by the Lion's Catcher statue Coordinates: https://plus.codes/8FH495QP+85

Inline links: https://plus.codes/8FH495QP+85

MADRID, SPAIN Contact: Antonio Contact Info: a[at]olmo-titos[dot]info Time: Saturday, September 23rd, 11:00 AM Location: "El Retiro" Park, puppet theatre ( https://www.esmadrid.com/en/tourist-information/teatro-de-titeres-de-el-retiro ) Coordinates: https://plus.codes/8CGRC897+F8M Group Link: https://www.lesswrong.com/groups/NyFGBvrXj6i7NQzjv

Inline links: https://plus.codes/8CGRC897+F8M, https://www.lesswrong.com/groups/NyFGBvrXj6i7NQzjv

Spring Meetups Everywhere 2024

March 30, 2024 · Original source

LJUBLJANA Contact: Demjan Contact Info: demjan[dot]vester[at]gmail[dot]com Time: Wednesday, May 15th, 7:00 PM Location: Vrt Lili Novy, at a table with some sort of sign that says ACX. Coordinates: https://plus.codes/8FRP3F3X+6V Event Link: https://www.lesswrong.com/events/Xo7QE9pjGDvqLd5Ao/ljubljana-acx-meetups-everywhere-spring-2024 Group Link: https://www.lesswrong.com/groups/bedNTWaYbHgK7PreQ Notes: Please RSVP on LessWrong if possible, it helps with logistics to estimate the number. Spain ALICANTE, SPAIN Contact: Will Contact Info: will[dot]worth[at]gmail[dot]com Time: Saturday, April 20th, 1:00 PM Location: Parque Canalejas(park next to the esplanada and port, central Alicante) Coordinates: https://plus.codes/8CCX8GR7+C6 Notes: Hispanohablantes, sois bienvenidos/English speakers welcome EDIT: The organizer needed to cancel. If anyone else wants to pick this up, let Skyler know, but no organizer is there.

Inline links: https://plus.codes/8FRP3F3X+6V, https://www.lesswrong.com/events/Xo7QE9pjGDvqLd5Ao/ljubljana-acx-meetups-everywhere-spring-2024, https://www.lesswrong.com/groups/bedNTWaYbHgK7PreQ, https://plus.codes/8CCX8GR7+C6

ALICANTE, SPAIN Contact: Will Contact Info: will[dot]worth[at]gmail[dot]com Time: Saturday, April 20th, 1:00 PM Location: Parque Canalejas(park next to the esplanada and port, central Alicante) Coordinates: https://plus.codes/8CCX8GR7+C6 Notes: Hispanohablantes, sois bienvenidos/English speakers welcome EDIT: The organizer needed to cancel. If anyone else wants to pick this up, let Skyler know, but no organizer is there.

Inline links: https://plus.codes/8CCX8GR7+C6

BARCELONA, SPAIN Contact: Melanie Brennan Contact Info: melanie[dot]anne[dot]brennan[at]gmail[dot]com Time: Saturday, May 11th, 4:00 PM Location: Parc de la Ciutadella Coordinates: https://plus.codes/8FH495QP+6C Group Link: https://www.meetup.com/effective-altruism-barcelona/

Inline links: https://plus.codes/8FH495QP+6C, https://www.meetup.com/effective-altruism-barcelona/

Meetups Everywhere 2024: Times & Places

August 29, 2024 · Original source

Contact: Tanya Trninic Contact Info: tanja[dot]trninic[at]efektivnialtruizam[ dot]c om Time: Sunday, September 15th, 02:00 PM Location: Restaurant Rai Urban Vege; Address: Visokog Stevana 5, Belgrade, Serbia Coordinates: https://plus.codes/8GP2RFG4+JQ| Group Link: EA Serbia Telegram group invite: https://t.me/+wu3itsO2ZjoxNmY0 Notes: Please RSVP to tanja.trninic@efektivnialtruizam.com so I can reserve a suitable table. Spain BARCELONA, SPAIN Contact: Tobi Contact Info: tb[dot]acx[ at]proton[d ot]me Time: Sunday, September 25th, 06:00 PM Location: Parc de la Ciutadella Coordinates: https://plus.codes/8FH495QM+JQ Group Link: https://www.lesswrong.com/groups/a8JdcnpTRYirgncZT Notes: Please RSVP so we know how many people to plan for

Inline links: https://plus.codes/8GP2RFG4+JQ|, https://t.me/+wu3itsO2ZjoxNmY0, https://plus.codes/8FH495QM+JQ, https://www.lesswrong.com/groups/a8JdcnpTRYirgncZT

Contact: Tobi Contact Info: tb[dot]acx[ at]proton[d ot]me Time: Sunday, September 25th, 06:00 PM Location: Parc de la Ciutadella Coordinates: https://plus.codes/8FH495QM+JQ Group Link: https://www.lesswrong.com/groups/a8JdcnpTRYirgncZT Notes: Please RSVP so we know how many people to plan for CAMBRILS, SPAIN Contact: Alexander Contact Info: alexander[dot]oleshko[a t]gmail[d ot]com Time: Friday, September 13th, 07:00 PM Location: North entrance to Park del Pescador, I'll hold an "ACX meetup" poster. Coordinates: https://plus.codes/8FH33384+PH4 Notes: Please RSVP if you're planning to come. If I get no replies, I'll still show up there and stand with the poster for 20 minutes. I expect that we will communicate in English, however, if Spanish is a more preferable choice for you, you'll find conversation partners.

Inline links: https://plus.codes/8FH495QM+JQ, https://www.lesswrong.com/groups/a8JdcnpTRYirgncZT, https://plus.codes/8FH33384+PH4

Contact: Alexander Contact Info: alexander[dot]oleshko[a t]gmail[d ot]com Time: Friday, September 13th, 07:00 PM Location: North entrance to Park del Pescador, I'll hold an "ACX meetup" poster. Coordinates: https://plus.codes/8FH33384+PH4 Notes: Please RSVP if you're planning to come. If I get no replies, I'll still show up there and stand with the poster for 20 minutes. I expect that we will communicate in English, however, if Spanish is a more preferable choice for you, you'll find conversation partners. MADRID, SPAIN Contact: Pablo Contact Info: pvillalobos[at]proton[d ot]me Time: Saturday, September 21st, 11:00 AM Location: El Retiro Park, puppet theatre. I will be carrying an ACX sign Coordinates: https://plus.codes/8CGRC897+F8M Group Link: https://www.meetup.com/Effective-Altruism-Madrid/ Notes: RSVPs appreciated but not required

Inline links: https://plus.codes/8FH33384+PH4, https://plus.codes/8CGRC897+F8M, https://www.meetup.com/Effective-Altruism-Madrid/

Against The Cultural Christianity Argument

October 04, 2024 · Original source

But the Christian cultural package also fell apart and became the current post-Christian world. This wasn't just a one-time coincidence either. Protestantism gave way to modernism in Scandinavia, Germany, and the US. Catholicism gave way to modernism in Spain, Italy, and Latin America. Orthodoxy gave way to modernism in Greece, Eastern Europe, and Russia (with a slight Putinist resurrection-in-name-only which hardly seems to have produced a flourishing liberal society). Meanwhile in China, the local mix of Buddhism/Confucianism/Taoism gave way to modernism. In South East Asia, Buddhism gave way to modernism. Only 10% of Israeli Jews are ultra-Orthodox, and it would be lower if they didn't breed so fast. India is moderately Hindu but still noticeably modern. Even the Middle East is gradually becoming less Muslim.

Highlights From The Comments On Prison

December 10, 2024 · Original source

Just picking a few examples, Belgium has 334, Germany 349, Hungary 367, France 422, Italy 456, Spain 534

ACX Grants 1-3 Year Updates

June 18, 2025 · Original source

Since 2022, Alice has undertaken qualitative research in nine world regions: Mexico, Costa Rica, Brazil, Morocco, Italy, Spain, Britain, US, Poland, Turkey, India, Uzbekistan, South Korea and Hong Kong. Through this globally comparative analysis, she analyses the drivers and obstacles to gender equality. Gender interventions will be more impactful if they target locally binding constraints - in the Middle East, North Africa and South Asia, this is "the honour-income trade-off" (whereby male honour depends on female seclusion, and women tend to remain at home. Meanwhile, Latin America and the Caribbean face a different obstacle: pervasive violence elevates femicides. Over the past few years, she's held visiting appointments at Stanford, Chicago, and Yale, while providing policy advice to the World Bank, and sharing insights with a public audience via Substack (www.ggd.world). In April 2025, she gave a TedTalk on romantic love as an under-rated driver of gender equality.

Your Review: Joan of Arc

August 01, 2025 · Original source

"In the time of the great adversity of this King Charles VII, he found himself (brought) so low that he no longer knew what to do. . . . The King, being in this extremity, entered one morning alone into his oratory and there he made a humble petition and prayer to Our Lord in his heart, without utterance of words, in which he petitioned devoutly that if so it was that he was true heir descended from the noble House of France and that the kingdom should rightly belong to him, that it please Him to keep and defend him, or, at worst, to grant him the mercy of escaping death or prison, and that he might fly to Spain or to Scotland which were from time immemorial brothers in arms and allies of the Kings of France, wherefore had he there chosen his last refuge. A little time afterwards, it came about that the Maid was brought to him, who, while watching her ewes in the fields, had received divine inspiration to go and comfort the good King. She did not fail, for she had herself taken and conducted by her own parents even before the King and there she gave her message at the sign aforesaid (dessusdit) which the King knew to be true. And thenceforth he took counsel of her and great good it did him.”

Your Review: Ollantay

August 22, 2025 · Original source

When Ollantay was first performed, Peru was around two hundred years removed from Pizarro’s apocalyptic conquest. The population was finally starting to recover, so that in 1770 it sat at around 1.2 million people. The vast majority of those 1.2 million people were indigenous,3 and the vast majority of those 1.2 million people did not have great lives. Peru was oriented almost exclusively towards extracting mineral wealth from the mountains and moving it to Spain.

Inline links: 3

Antonio Valdez lived for another thirty-five years after the brutal suppression of the rebellion and the public execution of his friend. In all the chaos that would subsume Peru as South America broke away from Spain and fell into near-constant civil war, Valdez never made another public appearance. He advised neither San Martín nor Bolívar.

Meetups Everywhere 2025: Times and Places

August 29, 2025 · Original source

Contact: Tanja Contact Info: tanja[dot]trninic[at]efektivnialtruizam[dot]com Time: Sunday, September 28, 6:00 PM Location: vegANGELov vegan restaurant Coordinates: https://plus.codes/8GP2RFC6+2V Group Link: https://t.me/+wu3itsO2ZjoxNmY0 Additional Notes: Please RSVP by sending an email so I know how many tables to book. Spain BARCELONA Contact: Adriana Contact Info: adriana[period]lica[a t]gmail[period]com Time: Thursday, September 4th, 7:00 PM Location: Rooftop terrace of Archie Living building. Coordinates: https://plus.codes/8FH495RJ+R9 Group Link: https://www.lesswrong.com/groups/a8JdcnpTRYirgncZT Notes: RSVP required at https://www.eventbrite.co.uk/e/acx-fall-meetup-tickets-1630472118999 We'll have snacks and refreshments. Dogs & kids are welcome. Bring swimwear, if you'd like a pool dip.

Inline links: https://plus.codes/8GP2RFC6+2V, https://t.me/+wu3itsO2ZjoxNmY0, https://plus.codes/8FH495RJ+R9, https://www.lesswrong.com/groups/a8JdcnpTRYirgncZT

Meetups Everywhere Spring 2026: Times & Places

April 01, 2026 · Original source

Contact: Tanja is organizing the Belgrade meetup. Contact Info: tanja[.]trninic[@]efektivnialtruizam[.]com Time: Sunday, April 19th, 2:00 PM Location: Bar Green House, Doktora Dragoslava Popovića 24, Belgrade Coordinates: https://plus.codes/8GP2RF7G+36 Group Link: https://t.me/+wu3itsO2ZjoxNmY0 Notes: Please RSVP by sending an email to my email, so we know how many people to expect. Spain BILBAO Contact: Jose Contact Info: jsillerosalado[@]gmail[.]com Time: Saturday, April 18th, 5:00 PM Location: Parque el Arenal Coordinates: https://plus.codes/8CMV736G+6H4 Notes: Let me know via comment or email if theres a chance youll be coming!

Inline links: https://plus.codes/8GP2RF7G+36, https://t.me/+wu3itsO2ZjoxNmY0, https://plus.codes/8CMV736G+6H4

Astral Codex Ten

Table of Contents

Atlas

Spain

Spain

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Astral Codex Ten

Table of Contents

Atlas

Spain

Spain

Article

Metadata

Appears In

Related Pages

External Links

Source Context

Backlinks