Itemoids

America

Pete Hegseth Might Be Trump’s Most Dangerous Cabinet Pick

The Atlantic

www.theatlantic.com › politics › archive › 2024 › 11 › pete-hegseth-books-trump › 680744

For a few hours, Pete Hegseth’s nomination as secretary of defense was the most disturbing act of Donald Trump’s presidential transition. Surely the Senate wouldn’t confirm an angry Fox News talking head with no serious managerial experience, best known for publicly defending war criminals, to run the largest department in the federal government. Then, in rapid succession, Trump announced appointments for Matt Gaetz, Tulsi Gabbard, and Robert F. Kennedy Jr. The appearance of these newer and even more aberrant characters, like a television show introducing a more villainous heel in its second season, muted the indignation over Hegseth.

Obscured in this flurry of shocking appointments is the fact that Hegseth’s drawbacks are not limited to his light résumé or to the sexual-assault allegation made against him. Inexperienced though he may be at managing bureaucracies, Hegseth has devoted a great deal of time to documenting his worldview, including three books published in the past four years. I spent the previous week reading them: The man who emerges from the page appears to have sunk deeply into conspiracy theories that are bizarre even by contemporary Republican standards but that have attracted strangely little attention. He considers himself to be at war with basically everybody to Trump’s left, and it is by no means clear that he means war metaphorically. He may be no less nutty than any of Trump’s more controversial nominees. And given the power he is likely to hold—command over 2 million American military personnel—he is almost certainly far more dangerous than any of them.

Hegseth began his involvement in conservative-movement politics as a Princeton undergraduate. He then joined the Army and quickly developed a profile, when not on active duty, as a budding Republican spokesperson. He testified against Elena Kagan’s appointment to the Supreme Court (on the grounds that, while dean of Harvard Law School, she had blocked military recruiters from campus in protest of Don’t Ask, Don’t Tell) and lobbied in favor of the Bush administration’s Iraq policy. As the Republican Party’s foreign-policy orientation changed radically under Donald Trump, Hegseth’s positions changed with it. But his devotion to the party remained constant. After stints running the advocacy groups Vets for Freedom and Concerned Veterans for America, and a failed Senate campaign, he finally settled at Fox News, where he joined a chorus in support of Trump.

Along the way, Hegseth has written five books. The first, extolling Teddy Roosevelt’s legacy, revolves around ideas that Hegseth has since renounced after converting to Trumpism. Another is simply a collection of war stories. The other three, all published in the past four years—American Crusade (2020), Battle for the American Mind (2022), and The War on Warriors (2024)—lay out his worldview in florid, explicit, and often terrifying detail.

A foundational tenet of Hegseth’s philosophy, apparently carrying over from his Roosevelt-worshipping era, is a belief in the traditional masculine virtues and the potential for war to inculcate them. Hegseth maintains that boys require discipline and must aspire to strength, resilience, and bravery. His preferred archetype for these virtues appears to be Pete Hegseth, whose manful exploits either on the basketball court (he played for Princeton) or the battlefield are featured in all three books.

[David A. Graham: The perverse logic of Trump’s nomination circus]

Hegseth complains that society no longer gives veterans like him their proper measure of deference. “Being a veteran no longer demands respect of the coastal elites or reverence from large swaths of the public,” he writes—an observation that will sound strange to anybody who has ever attended a football game or listened to a speech by a politician from either party. “In previous generations, men had to find ways to salvage their honor if they didn’t get to fight in a war.” (The single strongest piece of evidence for Hegseth’s thesis—the popularity of lifelong coastal elitist, proud war-avoider, and POW-mocker Donald Trump—goes unmentioned).

Hegseth’s demand for greater respect grows out of his belief that he personally succeeded in the face of forbidding odds. “I had been an underdog my whole life,” he writes. “I persisted. I worked my ass off.” But the woke military, he complains, doesn’t reward that kind of individual merit and grit. Instead, it has grown so obsessed with diversity that it promotes unqualified minorities and allows women in combat, reducing its effectiveness and alienating hard-working, meritorious soldiers such as, well, him. He also frets that the inclusion of women in combat erodes traditional gender norms. “How do you treat women in a combat situation,” he asks, “without eroding the basic instinct of civilization and the treatment of women in the society at large?”

(The treatment of women by Hegseth specifically happens to be the subject of a recently disclosed police report detailing an alleged sexual assault of a woman at a 2017 political conference. Hegseth denies the allegation and says that the encounter, which took place while he was transitioning between his second and third wives, was consensual. He paid the alleged victim an undisclosed sum in return for her signing a nondisclosure agreement.)

One episode looms especially large in Hegseth’s mind as the embodiment of the wokification of the military and its abandonment of traditional merit. In 2021, Hegseth, an active National Guard member, wished to join the Washington, D.C., unit protecting incoming President Joe Biden’s inauguration. The National Guard, however, excluded him from the detail because he was deemed a security risk on account of a bicep tattoo of the “Deus Vult” symbol—a reference to the Crusades that is popular with some far-right activists.

The logic of the snub was straightforward. Biden’s inauguration took place in the immediate aftermath of an insurrection attempt that had included many members of the armed forces, some operating within far-right networks. But to Hegseth—who protests that the Deus Vult tattoo is simply an expression of his Christian faith, not a white-nationalist symbol—the decision was an unforgivable personal affront.

He expresses indignation at the notion that he could even be suspected of harboring radical ideas. “I fought religious extremists for over twenty years in uniform,” he writes. “Then I was accused of being one.” This is not as paradoxical as Hegseth makes it sound. Many of the people most eager to fight against extremists of one religion are extremist adherents of another religion. An example of this would be the Crusades, an episode that Hegseth highlights in American Crusade as a model to emulate.

In any case, evidence of Hegseth’s extremism does not need to be deduced by interpreting his tattoos. The proof is lying in plain sight. In his three most recent books, Hegseth puts forward a wide range of familiarly misguided ideas: vaccines are “poisonous”; climate change is a hoax (they used to warn about global cooling, you know); George Floyd died of a drug overdose and was not murdered; the Holocaust was perpetrated by “German socialists.”

Where Hegseth’s thinking begins venturing into truly odd territory is his argument, developed in Battle for the American Mind, that the entire basic design of the public education system is the product of a century-long, totally successful communist plot. Hegseth is not just hyperventilating about the 1619 Project, Howard Zinn, or other left-wing fads, as conservatives often do. Instead he argues that the entire design of the U.S. education system is a Marxist scheme with roots going back to the founding of the republic. The deist heresies of Ben Franklin and Thomas Jefferson, he writes, laid the groundwork to implant communist thought into the school system. Then, “American Progressives in the late 1800s blended the idea of Marxist government with aspects from the Social Gospel and the belief in an American national destiny in order to make Marxism more palatable to Americans.”

The nefarious plan to turn America communist involves steps that appear anodyne to the untrained eye. “Yes, our modern social sciences—like ‘political science,’ previously known as ‘politics,’ and ‘social studies,’ previously known as individual disciplines like ‘history, economics, geography and philosophy’—are byproducts of Marxist philosophy,” he writes. “Let that sink in: the manner in which we study politics, history, and economics in American schools—public and private—today is the product of Marxists. That was always the plan, and it worked.” Hegseth will no longer sit back and allow communist indoctrination to sap and impurify our precious bodily fluids.

The Marxist conspiracy has also, according to Hegseth, begun creeping into the U.S. military, the institution he is now poised to run. His most recent book calls for a straightforward political purge of military brass who had the gall to obey Democratic administrations: “Fire any general who has carried water for Obama and Biden’s extraconstitutional and agenda-driven transformation of our military.” Trump appears to be thinking along similar lines. He is reportedly working on an executive order that will fast-track the removal of officers “lacking in requisite leadership qualities” and compiling a list of officers involved in the Afghanistan retreat, who will likewise be shoved out.

To what end? Trump has already signaled his interest in two revolutionary changes to the Defense Department’s orientation. One is to legalize war crimes, or at least cease enforcement of the rules of war. The president-elect has enthusiastically endorsed the use of illegal military methods and has pardoned American soldiers who committed atrocities against detainees and unarmed civilians, following a loud campaign by Hegseth on Fox News.

[Graeme Wood: War crimes are not difficult to discern]

In The War on Warriors, Hegseth makes plain that he considers the very idea of “rules of war” just more woke nonsense. “Modern war-fighters fight lawyers as much as we fight bad guys,” he writes. “Our enemies should get bullets, not attorneys.” He repeatedly disparages Army lawyers (“jagoffs”), even claiming that their pointless rules are “why America hasn’t won a war since World War II.” (Ideally, the secretary of defense would be familiar with historical episodes such as the Gulf War.)

Writing about his time guarding prisoners at Guantánamo Bay—where, as even the Bush administration eventually admitted, most detainees were innocent men swept up by American forces—Hegseth describes calls for due process as a stab-in-the-back against brave soldiers like himself. “The nation was dealing with legal issues (mostly led by weak-kneed, America-hating ACLU types) concerning enemy combatants, ‘international rights’ of illegal combatants, and the beginnings of extrajudicial drone attacks,” he writes. “Not to mention the debate about the ‘rights’ of assholes (I mean, ‘detainees’) at Gitmo.”

Trump’s second and even more disturbing interest in having a loyalist run the department is his enthusiasm for deploying troops to curtail and if necessary shoot domestic protesters. His first-term defense secretaries blanched at these demands. Hegseth displays every sign of sharing Trump’s impulses, but in a more theorized form.

The clearest throughline of all three books is the cross-application of Hegseth’s wartime mentality to his struggle against domestic opponents. American Crusade calls for the “categorical defeat of the Left,” with the goal of “utter annihilation,” without which “America cannot, and will not, survive.” Are the Crusades just a metaphor? Sort of, but not really: “Our American Crusade is not about literal swords, and our fight is not with guns. Yet.” (Emphasis—gulp—his).

Battle for the American Mind likewise imagines the struggle against the communist educational plot as a military problem: “We are pinned down, caught in an enemy near ambush. The enemy has the high ground, and is shooting from concealed and fortified positions.”

And The War on Warriors repeatedly urges Hegseth’s readers to treat the American left exactly like foreign combatants. Describing the military’s responsibility to the nation, he writes, “The expectation is that we will defend it against all enemies—both foreign and domestic. Not political opponents, but real enemies. (Yes, Marxists are our enemies.)” The Marxist exception swallows the “not political opponents” rule, because pretty much all of his political opponents turn out to be Marxists. These include, but are not limited to, diversity advocates (“They are Marxists … You know what they are? They’re traitors”), newspapers (“the communist Star Tribune”), and, as noted, almost anybody involved in public education.

Lest there be any ambiguity, Hegseth incessantly equates the left to wartime enemies. “They do not respect cease-fires, do not abide by the rules of warfare, and do not respect anything except total defeat of their enemy—and then total control,” he writes at one point. At another, he argues, “We should be in panic mode. Almost desperate. Willing to do anything to defeat the ‘fundamental transformation’ of the American military and end the war on our warriors.”

Hegseth’s idea of illegitimate behavior by the domestic enemy is quite expansive. Consider this passage, recalling his time advocating for the Iraq War: “While I debated these things in good faith, the Left mobilized. Electing Obama, railroading the military, pushing women in combat—readiness be damned. The left has never fought fair.” The most remarkable phrase there is “electing Obama.” Hegseth’s notion of unfair tactics used by the left includes not only enacting administrative policies that he disagrees with, but the basic act of voting for Democrats. The inability or unwillingness to distinguish between legitimate and illegitimate political opposition likely endeared Hegseth to Trump, who shares the trait.

A Defense Secretary with a tenuous grip on reality, who can’t differentiate foreign enemies from domestic political opponents, and who seems to exist in a state of permanent hysteria is a problem that the United States has never had to survive. The main question I was looking to answer when I started reading Hegseth’s collected works was whether he would follow a Trump command to shoot peaceful protesters. After having read them, I don’t think he would even wait for the order.

The Celebrity Look-Alike Contest Boom

The Atlantic

www.theatlantic.com › technology › archive › 2024 › 11 › celebrity-look-alike-contest-boom › 680742

The fad began with a Timothée Chalamet look-alike contest in New York City on a beautiful day last month. Thousands of people came and caused a ruckus. At least one of the Timothées was among the four people arrested by New York City police. Eventually, the real Timothée Chalamet showed up to take pictures with fans. The event, which was organized by a popular YouTuber who had recently received some attention for eating a tub of cheeseballs in a public park, captured lightning in a bottle. It didn’t even matter that the winner didn’t look much like the actor, or that the prize was only $50.

In the weeks since, similar look-alike contests have sprung up all over the country, organized by different people for their own strange reasons. There was a Zayn Malik look-alike contest in Brooklyn, a Dev Patel look-alike contest in San Francisco, and a particularly rowdy Jeremy Allen White look-alike contest in Chicago. Harry Styles look-alikes gathered in London, Paul Mescal look-alikes in Dublin. Zendaya look-alikes competed in Oakland, and a “Zendaya’s two co-stars from Challengers” lookalike contest will be held in Los Angeles on Sunday. As I write this, I have been alerted to plans for a Jack Schlossberg look-alike contest to be held in Washington, D.C., the same day. (Schlossberg is John F. Kennedy’s only grandson; he both works at Vogue and was also profiled by Vogue this year.)

These contests evidently provide some thrill that people are finding irresistible at this specific moment in time. What is it? The chance to win some viral fame or even just positive online attention is surely part of it, but those returns are diminishing. The more contests there are, the less novel each one is, and the less likely it is to be worth the hassle. That Chalamet showed up to his look-alike contest was magic—he’s also the only celebrity to attend one of these contests so far. Yet the contests continue.

Celebrities have a mystical quality that’s undeniable, and it is okay to want to be in touch with the sublime. Still, some observers sense something a bit sinister behind the playfulness of contest after contest, advertised with poster after poster on telephone pole after telephone pole. The playwright Jeremy O. Harris wrote on X that the contests are “Great Depression era coded,”  seeming to note desperation and a certain manic optimism in these events. The comparison is not quite right—although the people at these contests may not all have jobs, they don’t seem to be starving (one of the contests promised only two packs of cigarettes and a MetroCard as a prize)—but I understand what he’s getting at. Clearly, the look-alike competitions do not exist in a vacuum.

The startling multiplication of the contests reminds me of the summer of 2020, when otherwise rational-seeming people suggested that the FBI was planting caches of fireworks in various American cities as part of a convoluted psyop. There were just too many fireworks going off for anything else to make sense! So people said. With hindsight, it’s easy to recognize that theory as an expression of extreme anxiety brought on by the early months of the coronavirus pandemic. At the time, some were also feeling heightened distrust of law enforcement, which had in some places reacted to Black Lives Matter protests with violence.

Today’s internet-y stunts are just silly events, but people are looking for greater meaning in them. Over the past few weeks, although some have grown a bit weary of the contests, a consensus has also formed that they are net good because they are bringing people out of their house and into “third spaces” (public parks) and fraternity (“THE PEOPLE LONG FOR COMMUNITY”). This too carries a whiff of desperation, as though people are intentionally putting on a brave face and shoving forward symbols of our collective creativity and togetherness.

I think the reason is obvious. The look-alike contests, notably, started at the end of October. The first one took place on the same day as a Donald Trump campaign event at Madison Square Garden, which featured many gleefully racist speeches and was reasonably compared by many to a Nazi rally. The photos from the contests maybe serve as small reassurance that cities, many of which shifted dramatically rightward in the recent presidential election, are still the places that we want to believe they are—the closest approximation of America’s utopian experiment, where people of all different origins and experiences live together in relative peace and harmony and, importantly, good fun. At least most of the time.

Trump Is Building the Most Anti-Semitic Cabinet in Decades

The Atlantic

www.theatlantic.com › politics › archive › 2024 › 11 › anti-semitism-donald-trumps-cabinet-picks › 680741

Of all the promises, from quixotic to horrifying, that Donald Trump has made about the next four years, the one that seems least likely to be fulfilled is his vow to “defeat anti-Semitism.” He has nominated a slew of cranks who have dabbled in the oldest conspiracy theory of them all, a belief that Jews control the world.

Over the past decade or so, pernicious lies about Jewish villainy have drifted into the mainstream of American life. That’s a fact Trump acknowledges when he talks about his plans to “defend Jewish citizens in America.” But he tends to focus on the problem at college campuses, which constitutes an incomplete diagnosis. It allows Trump to ignore his own complicity in unleashing the worst wave of anti-Jewish sentiment in generations.

In his first administration, Trump provided rhetorical cover for supporters who blared hateful sentiments—those “very fine people,Kanye West, and others. This time, he’s placing them in the line of presidential succession. If confirmed, this crew would comprise the highest-ranking collection of White House anti-Semites in generations.

Take Matt Gaetz, Trump’s nominee for attorney general. He is a fierce opponent of the Antisemitism Awareness Act, which would curtail federal funding for institutions of higher education that fail to address the hatred of Jews when it flourishes on their campuses. There are principled reasons for rejecting the bill. But in the course of arguing against it, Gaetz revealed himself. He asserted that the legislation’s definition of anti-Semitism would penalize the belief that the Jews killed Jesus. This wasn’t a point Gaetz made in the spirit of protecting free speech. He fervently believes it himself. “The Bible is clear. There is no myth or controversy on this,” he posted on X. This is the canard from which the whole Western tradition of anti-Semitism flows, a belief officially repudiated by the Catholic Church at the Second Vatican Council nearly 60 years ago.

And it wasn’t a stray expression. In 2018, Gaetz invited Charles Johnson, a notorious figure on the alt-right, to attend the State of the Union address as his guest. Johnson is a textbook example of a Holocaust denier. He insists that only 250,000 Jews died—and only of typhus—during World War II. In a Reddit “Ask Me Anything” session, he wrote that he agreed with a commenter “about Auschwitz and the gas chambers not being real.” When confronted with Johnson’s record, Gaetz admitted that he hadn’t properly vetted Johnson before extending him an invitation. Even so, he told Fox Business that Johnson is “not a holocaust denier.” That defense, given all the evidence about Johnson presented to him, is tantamount to an endorsement.

The essence of conspiracism is the description of the hidden hand, the ubiquity of all-powerful evildoers. That is Robert F. Kennedy Jr.’s overriding intellectual habit. He believes that the CIA killed his uncle, and he attributes autism to vaccines. In 2023, he was caught on video suggesting that COVID-19 might be a bioweapon. Espousing such a theory should be disqualifying for the job of running America’s public-health system. But he went further. He said that the disease was designed to attack Caucasians and Black people. “The people who are most immune are Ashkenazi Jews and Chinese.” (In case it needs saying, this is false.) As a well-practiced conspiracist, he knew to append his theory with a disclaimer, adding, “We don’t know whether it was deliberately targeted or not,” as if he were merely asking an innocent question. And when confronted with his own words, he denied any ill intent: “I haven’t said an anti-Semitic word in my life.”

[Read: The sanewashing of RFK Jr.]

But his insinuation echoed the medieval Christian libel that Jews had poisoned the wells of Europe, unleashing the Black Death. Kennedy’s winking accusation also mimics a strain of white-supremacist pseudoscience, which asserts that Ashkenazi Jews are a distinct race from Caucasians. According to this bizarre, and bizarrely prevalent, theory, that’s what makes Jews so pernicious: They can pass for white people while conspiring to undermine them.

Not so long ago, these sorts of comments would have rendered a nominee unconfirmable—or at least would have necessitated an excruciating apology tour. But anti-Semitism is no longer taboo. And it’s telling that Trump has adopted Elon Musk as a primary adviser, because Musk is a chief culprit in the lifting of that taboo.

When Musk bought Twitter in 2022, he reversed a ban imposed by the company’s previous regime that kept anti-Semites and Holocaust deniers off the platform. Under his ownership, anti-Jewish voices became unavoidable fixtures on the site, broadcasting their bigoted theories without any fear of consequences.

One reason they have little to fear is that Musk has displayed sympathy for their worldview. Like them, he harps on the wickedness of George Soros, whom he once likened to the comic supervillain Magneto, a mutant who plots to wipe out humanity. (Like Soros, Magneto is a Holocaust survivor.) This comparison almost explicitly admits its exaggeration of Jewish nefariousness. And if the thrust of his sentiments wasn’t clear enough, he emphatically endorsed a tweet claiming that “Jewish communities have been pushing … dialectal hatred against whites.”

For a time, Musk refuted his critics by smearing them. He accused the Anti-Defamation League, the nation’s leading Jewish civil-rights group, of orchestrating a campaign to destroy him. Eventually, to fend off an advertiser boycott, he apologized, visited Auschwitz, and called himself “aspirationally Jewish.”

The presence of these conspiracists doesn’t suggest that Trump will pursue policies that provoke Jewish suffering. His support for Israel might even win him the approval of a growing segment of organized Jewry. Instead, the danger posed by his appointees is that their mere presence in high office will make American anti-Semitism even more permissible; they will make conspiracies about Jews socially acceptable. Indeed, that might already have happened. Trump just proposed the most anti-Semitic Cabinet in recent history, and that fact has barely elicited a peep.

In Search of a Faith Beyond Religion

The Atlantic

www.theatlantic.com › books › archive › 2024 › 11 › sister-deborah-scholastique-mukasonga-novel-review › 680718

My immigrant parents—my father especially—are ardent Christians. As such, my childhood seemed to differ dramatically from the glimpses of American life I witnessed at school or on television. My parents often spoke of their regimented, cloistered upbringings in Nigeria, and their belief that Americans are too lax. They devised a series of schemes to keep us on the straight and narrow: At home, we listened to an unending stream of gospel music and watched Christian programming on the Trinity Broadcasting Network. The centerpiece of their strategy, however, was daily visits to our small Nigerian church, in North Texas.

I quickly discerned a gap between the fist-pumping, patriotic Christianity that I saw on TV and the earnest, yearning faith that I experienced in church. On TV, it seemed that Christianity was not only a means of achieving spiritual salvation but also a tool for convincing the world of America’s preeminence. Africa was mentioned frequently on TBN, but almost exclusively as a destination for white American missionaries. On-screen, they would appear dour and sweaty as they distributed food, clothes, and Bibles to hordes of seemingly bewildered yet appreciative Black people. The ministers spoke of how God’s love—and, of course, the support of the audience—made such donations possible, but the subtext was much louder: God had blessed America, and now America was blessing everyone else.

In church, however, I encountered an entirely different type of Christianity. The biblical characters were the same, yet they were evoked for different purposes. God was on our side because we, as immigrants and their children, were the underdogs; our ancestors had suffered a series of losses at the hands of Americans and Europeans, just as the Israelites in the Bible had suffered in their own time. And like those chosen people, we would emerge victorious.

Over time, I learned that Christianity is a malleable faith; both the powerful and the powerless can use it to justify their beliefs and actions. This is, in part, the message of Scholastique Mukasonga’s Sister Deborah, which was published in France in 2022 and was recently released in the United States, in a translation by Mark Polizzotti. Set in Rwanda in the 1930s, the novel spotlights a group of recently arrived African American missionaries who preach a traditional Christian message about a forthcoming apocalypse, but with a twist: They prophesize that “when everything was again nice and dry, Jesus would appear on his cloud in the sky and everyone would discover that Jesus is black.” These missionaries are a destabilizing influence in a territory dominated by another version of Christianity, established and spread by the colonizing Belgians, that emphasizes the supremacy of a white Jesus.

[Read: A family story about colonialism and its aftereffects]

The most vital force in the novel is Sister Deborah herself. She is the prophetic, ungovernable luminary of the African American contingent, and possesses healing powers. Over the course of her time in Rwanda, she develops a theology that centers Black women; as a result, she is eventually castigated by her former mentor, Reverend Marcus, a gifted itinerant preacher who serves as the leader of the missionaries. Sister Deborah is a novel about the capaciousness of Christianity but also the limits of its inclusivity—particularly for the women in its ranks.

Those limits are evident throughout the novel. The first section is narrated by a woman, Ikirezi, who recalls her childhood in Rwanda. She’d been a “sickly girl” who required constant attention, yet her mother had avoided the local clinic: She had “no confidence in the pills that the orderlies dispensed, seemingly at whim.” Ikirezi’s mother eventually determines that her child’s chronic illness comes “from either people or spirits.” So, in a fit of desperation, she decides to take her to Sister Deborah. She doesn’t know much about this American missionary except that she is a “prophetess” who possesses the gift of “healing by laying on hands.” Upon learning of his wife’s plans, Ikirezi’s father explodes:

You are not going to that devil’s mission. I forbid it! Didn’t you hear what our real padri said about it? They’re sorcerers from a country called America, a country that might not even exist because it’s the land of the dead, the land of the damned. They have not been baptized with good holy water. And they are black—all the real padri are white. I forbid you to drag my daughter there and offer her to the demon hiding in the head and belly of that witch you call Deborah. You can go to the devil if you like, but spare my daughter!

Through Ikirezi’s father’s outburst, Mukasonga deftly sketches the two opposing Christian camps in the novel—one that depends on the Bible to protect its status, and the other that uses the Bible to attain status. The white padri (priests) seek to maintain their spiritual control of the local population by labeling the African American missionaries as evil interlopers. The missionaries, for their part, have positioned themselves as an alternative religious authority, and they begin to attract many followers, especially women, who are drawn to their energetic services and Sister Deborah’s supernatural abilities.

Ikirezi’s mother defies her husband and takes Ikirezi to see Sister Deborah. They arrive at the American dispensary, where Sister Deborah holds court “under the large tree with its dazzling red flowers, sitting atop the high termite mound that had been covered by a rug decorated with stars and red stripes.” She asks the children who are gathered before her, Ikirezi among them, “to touch her cane while she lay her hands on their heads.” Afterward, Ikirezi recalls “that under the palms of her hands, a great sense of ease and well-being spread through me.” Ikirezi’s depiction of Sister Deborah remains more or less at this pitch through the rest of this section: deferential and mystified, studied but also somewhat distant. As time passes, Ikirezi’s reverence for Sister Deborah only grows, forming a scrim that obscures the healer in a hazy glow.

The novel then pivots to Sister Deborah’s point of view; she expands on and revises Ikirezi’s portrait of her life. As a child in Mississippi, Sister Deborah discovered that she had healing powers. Her mother pulled her out of school, dreading “people’s vindictiveness as much as their gratitude” for her daughter’s gift. Shortly afterward, Sister Deborah is raped by a truck driver, which shifts the trajectory of her life dramatically. She has a profound religious experience when she visits a local church, and soon after falls in with Reverend Marcus.

Reverend Marcus initially sees Sister Deborah as a tool to advance his own ambitions. He is concerned about the suffering of Black people around the world: “the contempt, insults, and lynchings they endured in America; the enslavement, massacres, and colonial tyranny forced upon them in Africa.” His theology is focused not only on their salvation but on their ascendancy as well.

Sister Deborah begins to perform healings during Reverend Marcus’s revival services, and eventually, he brings her along on a missionary trip to Rwanda. There, the reverend and Sister Deborah initially work in harmony, attracting devoted new converts. But their partnership begins to fray when a divine spirit informs Sister Deborah that a Black woman, not a Black Jesus, will save them. Reverend Marcus’s response is both a warning and a prophecy: “If we follow you in your visions and dreams, we step outside of Christianity and venture into the unknown.”

Although the reverend initially accepts Sister Deborah’s “vision” of female power, he eventually uses it to undermine her, condemning her as a witch. Even within his progressive and radical theology, Reverend Marcus believes that women must serve men; in Mukasonga’s telling, he is a man whose shortsightedness and thirst for power eventually overwhelm his generally good intentions. His behavior reflects a reality that many Christian women have experienced, Black women in particular. In Rwanda, Sister Deborah is contending with a caste system that installed white men at the top and placed Black women at the bottom. Sister Deborah’s claim that the savior is a Black woman undermines that status quo. And the reverend’s response reveals a contradiction that many Black Christian women have faced: They are encouraged to seek spiritual freedom but are still expected to remain subservient.

[Read: Why did this progressive evangelical church fall apart?]

What Reverend Marcus doesn’t realize, however, is that his warning about “ventur[ing] into the unknown” has also given Sister Deborah a route for her own liberation. Like the women in Mukasonga’s prior work—a collection of accomplished memoirs, novels, and short fiction—Sister Deborah explores and then occupies unfamiliar realms. Unfamiliar, that is, to men, who create hierarchies in which they can flourish and then mark any territory beyond their reach as benighted. Yet it is in those benighted spaces, Sister Deborah comes to believe, that Black women can thrive. A group of women begins to follow her, and she changes her name to Mama Nganga. Little girls collect “healing plants” for her. She treats local sex workers, and invites homeless women to stay with her. She constructs an ecosystem of care and protection for women and proudly claims the label that Ikirezi’s father placed on her at the beginning of the novel: “I’m what they call a witch doctor, a healer, though some might say a sorceress,” she declares. “I treat women and children.” For Sister Deborah, Reverend Marcus’s Christianity is inadequate because it prioritizes dominance over service. She abandons that approach in favor of pursuing the true mission of Jesus: to uplift and care for the most vulnerable.

Mukasonga’s slim novel is laden with ideas, but perhaps the most potent and urgent is her assertion that sometimes, Black women cannot achieve true freedom within the confines of Christianity. By exposing how even progressive interpretations of the faith can uphold patriarchal norms, Mukasonga invites her reader to question the limitations imposed on marginalized believers. In Sister Deborah, real liberation lies in eschewing conformity to any dogma, even the Bible. But the novel is more than a critique of religious institutions: It is a call to redefine faith, perhaps even radically, on one’s own terms.

Washington Is Shocked

The Atlantic

www.theatlantic.com › politics › archive › 2024 › 11 › washington-shocked-trump-nominations › 680703

At a rally in Las Vegas in September, the reggaeton star Nicky Jam came onstage in a Make America Great Again hat and endorsed Donald Trump. “We need you. We need you back, right? We need you to be the president,” he said. But after a comedian at Trump’s rally at Madison Square Garden last month called Puerto Rico “a floating island of garbage,” the singer—whose father is Puerto Rican and who was raised partly on the island—had second thoughts.

“Never in my life did I think that a month later, a comedian was going to come to criticize my country and speak badly of my country, and therefore, I renounce any support for Donald Trump,” Nicky Jam said.

He had no right to be surprised. Trump himself had previously gone after Puerto Rico—he punished its leaders for criticizing him after Hurricane Maria, and sought to swap it for Greenland—but even if Nicky Jam had missed or forgotten that, he had to know who Trump was.

Nicky Jam was ahead of the curve. Since the election, Trump has moved swiftly to do things he’d said he’d do, and yet many people—especially his own supporters—seem stunned and dismayed. This is absurd. Surprise was perhaps merited in late 2016 and early 2017, when Trump was still an unknown quantity. But after four years as president, culminating in an attempt to erase an election he lost, Trump has demonstrated who he is. Somehow, the delusion of Trump à la carte—take the lib-owning, take the electoral wins, but pass on all of the unsavory stuff—persists.

In an article about how Trump’s transition is “shocking the Washington establishment,” Peter Baker of The New York Times writes: “Nine years after Mr. Trump began upsetting political norms, it may be easy to underestimate just how extraordinary all of this is.” He’s right that the aberrant nature of the picks may be overlooked, as I have warned, yet it is also true that the actual unpredictability of them is overestimated.

[From the January/February 2024 issue: Trump isn’t bluffing]

On K Street, Politico reports, health-care-industry lobbyists can’t believe that Trump has nominated Robert F. Kennedy Jr. to lead the Department of Health and Human Services. They were “expecting a more conventional pick,” even though Trump emphasized Kennedy’s “Make America Healthy Again” agenda late in the campaign, and even though Kennedy said that Trump had promised him control of HHS. To be sure, Kennedy is a shocking and disturbing pick, as Benjamin Mazer and my colleague Yasmin Tayag have recently written for The Atlantic, but his nomination should not come as a surprise—especially for people whose entire business proposition is being highly paid to advise clients on how Washington actually works. (The influence peddlers reportedly hope that senators will block Kennedy. The fact that they’re still waiting for someone else to solve their problems is further evidence of how little they’ve learned, years into the Trump era.)

Meanwhile, the New York Post, a key pillar of Rupert Murdoch’s right-wing media juggernaut, is similarly jittery about the Kennedy choice. Back when Kennedy was a thorn in President Joe Biden’s side, threatening to run against him in the Democratic primary, the Post’s editorial board was all too happy to elevate him. Now the board condemns his nomination and tells us that it came out of a meeting with him last year “thinking he’s nuts on a lot of fronts.” The columnist Michael Godwin, who beamed on November 9 that Trump’s victory “offers the promise of progress on so many fronts that it already feels like Morning in America again,” was back a week later to complain that “it’s not a close call to say” that Kennedy and Matt Gaetz, Trump’s pick for attorney general, are “unfit” for the roles.

The lobbyists and editorialists are in good company, or at least in some sort of company. On Capitol Hill, Republican senators say they are shocked by many of Trump’s Cabinet picks. Senator Susan Collins of Maine, who notoriously professed surprise when Justices Neil Gorsuch and Brett Kavanaugh voted to overturn Roe v. Wade, is “shocked” at the Gaetz nomination. Gaetz’s House Republican colleagues are “stunned and disgusted.”

Reactions to Pete Hegseth’s nomination as secretary of defense are less vitriolic, if no less baffled. “Wow,” Senator Lisa Murkowski of Alaska told NBC. “I’m just surprised, because the names that I’ve heard for secretary of defense have not included him.” Senator Bill Cassidy of Louisiana was even blunter. “Who?” he said. “I just don’t know anything about him.”

[David A. Graham: The Trump believability gap]

If this is true, the senators could perhaps do with some better staff work. Hegseth was a real possibility to lead the Department of Veterans Affairs in the first Trump administration; more to the point, he was a prominent figure on Fox News, which is a dominant force in the Republican Party, from whose ranks Trump has repeatedly drawn appointees.

Staffers at the affected agencies have also expressed shock and horror at the prospect of an Attorney General Gaetz, a Defense Secretary Hegseth, or a Director of National Intelligence Tulsi Gabbard.

Ordinary Americans may also be taken aback. As I reported last month, Trump critics were concerned about a “believability gap,” in which voters opposed some of Trump’s big policy ideas, sometimes quite strongly, but just didn’t trust that he would really do those things. Although they perhaps deserve more grace than the Republican officials and power brokers who are astonished, they also had ample warning about who Trump is and how he’d govern.

Throughout his presidential campaign, Trump vowed to deport undocumented immigrants en masse. He’s appointing officials such as Stephen Miller and Tom Homan who are committed to that, and yesterday morning, Trump confirmed on Truth Social a report that he would declare a national emergency and use the military to conduct mass deportations. And yet, when the roundups start in January, many people are somehow going to be taken by surprise.

Falling in Love With Reading Will Change Your Life

The Atlantic

www.theatlantic.com › magazine › archive › 2024 › 12 › the-commons › 680388

The Elite College Students Who Can’t Read Books

To read a book in college, it helps to have read a book in high school, Rose Horowitch wrote in the November 2024 issue.

I’m an English teacher at a private college-preparatory school, and much of “The Elite College Students Who Can’t Read Books” sounded familiar. My students, too, now struggle to read long texts. Unaddressed in this apt article, though, are changes to the broader high-school context in which reading for homework now occurs. Today, students with elite college aspirations have extracurricular schedules that demand as much—if not more—time than school itself. These commitments are necessary, in their eyes, to gain admission to selective institutions. As a result, teachers face considerable pressure from not only students but also parents and school administrators to limit homework time—no matter if the assignment is a calculus problem set or Pride and Prejudice. In combination with considerably slower rates of reading and diminished reading comprehension, curtailed homework time means that an English teacher might not be able to assign more than 10 to 15 pages of relatively easy prose per class meeting, a rate so excruciatingly slow, it diminishes one’s ability to actually grasp a novel’s meaning and structure. I see how anxious and drained my students are, but I think it’s important for them to experience what can grow from immersive reading and sustained written thought. If we want students to read books, we have to be willing to prioritize the time for them to do so.

Anna Clark
San Diego, Calif.

As a professor, I agree with my colleagues who have noticed the declining literacy of American students at elite universities.

However, I am not sure if the schools are entirely to blame. In American universities, selection is carried out by admissions offices with little interest in the qualities that faculty might consider desirable in a college student. If faculty members were polled—something that has never happened to me in my 20-year career—I’m sure we would rank interest and experience in reading books quite highly.

Admissions decisions in the United States are based on some qualities that, however admirable, have little or nothing to do with academic aptitude. In contrast, at Oxford and Cambridge, in the United Kingdom, undergraduate admissions are typically conducted by the same academics who will teach those students. Most personal statements primarily consist of a discussion of which books the student has read and what they learned from them. Students are then expected to discuss these books in more detail in an interview. When considered alongside the undergraduate selection process, the decline in literacy among American undergraduates is totally understandable.

Ione Fine
Psychology Professor, University of Washington
Seattle, Wash.

Having taught English in a public school for 32 years, I am not surprised that colleges and universities are discovering that incoming students lack the skill, focus, and endurance to read novels. Throughout my career, primarily teaching ninth graders, I fostered student readership not by assigning novels for the whole class to read, but rather by allowing students to select young-adult books that they would read independently in class. Thousands of lifelong readers were created as a result.

Ten years ago, however, my district administration told me that I could no longer use class time for independent student reading. Instead, I was to focus on teaching skills and content that the district believed would improve standardized-test scores. Ironically, research showed that the students who read more books scored significantly better than their classmates on standardized reading tests.

I knew that many students were unlikely to read at home. So I doubled down: I found time for students to read during the school day and repurposed class time to allow my students to share their ideas; to question, respond, and react along with their peers. The method was so successful that the district adopted my approach for seventh through ninth grade, and I published a university-level textbook preparing teachers to create similar communities of readers in their own classrooms.

Whole-class novels just aren’t working: Some students will always be uninterested in a teacher’s choice, and perceive the classics as irrelevant and difficult to comprehend. But allowing students to select their books can help them fall in love with reading.

Michael Anthony
Reading, Pa.

I am an educator of 16 years living in New Hampshire. “The Elite College Students Who Can’t Read Books” reflects a lot of what I’ve seen recently. But a large piece of the puzzle is public-school budgets. A major reason novels have been removed from curricula is money: Many districts cannot afford to purchase a book for every student, especially in the upper grades. Typically, districts will buy a “class set” of novels, about 20 to 30 books—that’s it. The books must be used during the English blocks for instruction and reading time. There are not enough books for students to take home and read; if they are reading them only in their class block, a novel will take months and months to finish. I knew of one district that would have teachers make copies of entire novels to share with their students; they’d take turns on copy duty to pull it off. I wish I could teach more complete novels, because students love it. But districts need budgets large enough to buy books for everyone.

Meaghan Kelly
Rumney, N.H.

When teaching my college history courses, I have polled my students to see how many have ever read a book cover to cover. Sometimes, only a few students would raise their hand.

I inquired because I always gave them the option to read a book instead of writing a 10-page research paper. They then would have a one-on-one, hour-long discussion with me about the book they’d selected. Students who chose that option generally had a good experience. But one student shines bright in my mind. In truth, I didn’t remember him well—but he stopped me at an alumni function to say thank you. He had taken my class the second semester of his senior year to fill an elective, and he had chosen to read David McCullough’s 1776. He’d devoured the book—and he’d loved our discussion. He told me that the assignment had changed his life: Up to that point, he had never read a whole book. Since that class, he has read two or three books a month, and now has hundreds of books in his own library. He assured me that he would be a reader for the rest of his life.

It was one of the most gratifying moments of my career. I hope more teachers, professors, and parents give their students a chance to learn what this student did—that books are one of the great joys in life.

Scott Salvato
Mooresville, N.C.

Rose Horowitch replies:

Anna Clark’s letter builds on an idea that I hoped to convey in the article: that the shift away from reading full books is about more than individual students, teachers, or schools. Much of the change can be understood as the consequence of a change in values. The professors I spoke with didn’t think their students were lazy; if anything, they said they were overscheduled and frazzled like never before, facing immense pressure to devote their time to activities that will further their career. Under these circumstances, it can be difficult to see how reading The Iliad in its entirety is a good use of time. Acknowledging this reality can be disheartening, because the solution will not be as simple as changing curricula at the college, high-school, or middle-school level. (And as several of these letters note, changing curricula isn’t all that straightforward.) But letters like Scott Salvato’s are a hopeful reminder of the power of a good—full—book to inspire a student to become a lifelong reader.

The Atlantic Behind the Cover

In this month’s cover story, “How the Ivy League Broke America,” David Brooks describes the failure of the United States’ meritocracy, created in part by James Conant, the influential president of Harvard from 1933 to 1953. Conant and like-minded reformers had hoped to overturn America’s “hereditary aristocracy of wealth”; instead, they helped create a new ruling class—the so-called cognitive elite, selected and credentialed by the nation’s top universities. For our cover image, the artist Danielle Del Plato placed the story’s headline on pennants she created for each of the eight Ivy League schools, which have been instrumental in shaping and perpetuating America’s meritocracy.

Paul Spella, Senior Art Director

Corrections

Due to an editing error, “The Elite College Students Who Can’t Read Books” (November) misstated the year Nicholas Dames started teaching Literature Humanities. He began teaching the course in 1998, not 1988. “What Zoya Sees” (November) misstated where in Nigeria Zoya Cherkassky-Nnadi and her husband, Sunny, have a home. Their home is in Ngwo, not Igwo.

This article appears in the December 2024 print edition with the headline “The Commons.”

The ‘Democracy’ Gap

The Atlantic

www.theatlantic.com › politics › archive › 2024 › 11 › democracy-meaning-democrats-republicans › 680704

When I lived in China, a decade ago, I often saw propaganda billboards covered in words that supposedly expressed the country’s values: Patriotism. Harmony. Equality. And … Democracy. Indeed, China claims to consider itself a democratic country. So do Russia, Cuba, Iran, and so on down the list of nations ranked by their level of commitment to rights and liberties. Even North Korea fancies itself part of the club. It’s right there in the official name: the Democratic People’s Republic of Korea.

I thought of those Chinese billboards recently, when a postelection poll showed that many American voters touted the importance of democracy while supporting a candidate who had tried to overturn the results of the previous presidential election. According to a survey by the Associated Press, a full one-third of Trump voters said that democracy was their top issue. (Two-thirds of Harris voters said the same thing.) In a poll conducted before Joe Biden dropped out of the race, seven out of 10 uncommitted swing-state voters said they doubted that Donald Trump would accept the election results if he lost—but more people said they’d trust Trump to handle threats to democracy than said they’d trust Biden.

Almost all Americans say they support democracy. They even agree that it’s in trouble. But when researchers drill down, they find that different people have very different ideas about what democracy means and what threatens its survival, and that democracy is just one competing value among many. In the collective mind of U.S. voters, the concept of democracy appears to be so muddled, and their commitment to it so conditional, that it makes you wonder what, if anything, they’d do anything to stop its erosion—or whether they’d even notice that happening.

[Yoni Appelbaum: Americans aren’t practicing democracy anymore]

Americans perceive democracy through an almost completely partisan lens. In recent polls, Democrats tend to cite Trump—in particular, the likelihood of him seeking to subvert elections—as the biggest threat to democracy. They also point to gerrymandering, voter suppression, and Trump’s rhetoric about using the government to exact retribution as causes for concern. For Republicans, by contrast, threats to democracy take the form of mainstream media, voting by mail, immigration, and what they see as politically motivated prosecutions of Trump. Perhaps the best Rorschach test is voter-ID laws, which get characterized as “election integrity” or “voter suppression” depending on the perspective: Republicans see them as a commonsense way to make elections more accurate and accountable, while Democrats see them as a ploy to disenfranchise voters who don’t have state-issued identification. No surprise, then, that campaigning on a platform of preserving democracy didn’t work for Kamala Harris. Invoking the term to rally support assumes a shared understanding of what it means.

Even more troubling, American voters rarely prioritize democracy over other considerations. For the most part, we’re willing to overlook mischief that undermines democracy as long as our own team is the one doing it. A 2020 study in the American Political Science Review by Matthew H. Graham and Milan W. Svolik of Yale University found that only 3.5 percent of Americans would vote against a candidate whose policies they otherwise support if that candidate took antidemocratic actions, like gerrymandering or reducing the number of polling stations in an unfriendly district. Another survey found that when left-wing voters were presented with hypothetical undemocratic behavior by right-wing politicians—prohibiting protests, say, or giving private groups the ability to veto legislation—62 percent of them considered it undemocratic. But when the same behavior was attributed to left-wing politicians, only 36 percent saw it as undemocratic.

[Graeme Wood: Only about 3.5 percent of Americans care about democracy]

Some scholars have dubbed the phenomenon “democratic hypocrisy.” Others, however, argue that voters aren’t pretending that the antidemocratic behavior they’re supporting is democratic; they really feel that way. “People are pretty good at reasoning their way to believing that whatever they want to happen is the democratic outcome,” Brendan Nyhan, a political-science professor at Dartmouth, told me. That’s especially true if you can tell yourself that this could be your last chance before the other guy abolishes elections altogether. We just have to sacrifice a little democracy for the sake of democracy, the thinking goes. Graham, who is now an assistant professor of political science at Temple University, has studied the reaction to the 2020 presidential election and the “Stop the Steal” movement. “Our conclusion was that pretty much everyone who says in polls that the election was stolen actually believes it,” he told me.

The disturbing implication of the political-science research is that if the typical forms of incipient democratic backsliding did occur, at least half the country likely wouldn’t notice or care. Stacking the bureaucracy with loyalists, wielding law enforcement against political enemies, bullying critics into silence—these measures, all credibly threatened by President-Elect Trump, might not cut through the fog of partisan polarization. Short of tanks in the streets, most people might not perceive the destruction of democratic norms in their day-to-day life. And if Trump and his allies lose elections or fail to enact the most extreme pieces of their agenda, those data points will be held up as proof that anyone crying democratic erosion is a Chicken Little. “This is a debate that’s going to be very dumb,” Nyhan said.

You might think that, in a democracy, support for democracy itself would be nonnegotiable—that voters would reject any candidate or leader who didn’t clear that bar, because they would recognize that weakening democracy threatens their way of life. But that simple story isn’t always true. The job of genuinely pro-democracy politicians is to convince voters that democratic norms and institutions really are connected to more tangible issues that they care about—that an America with less democracy would most likely also be one with more economic inequality, for example, and fewer individual liberties.

The alternative to making and remaking the case for democracy is a descent into apathetic nihilism. Just look at the Chinese media’s coverage of the U.S. election. A video shared by China News Service said that whoever won would merely be “the face of the ruling elite, leaving ordinary people as mere spectators.” The state broadcaster China Central Television claimed that the election was plagued by “unprecedented chaos.” That kind of talk makes sense coming from democracy’s enemies. The danger is when democracies themselves start to believe it.

What Going ‘Wild on Health’ Looks Like

The Atlantic

www.theatlantic.com › politics › archive › 2024 › 11 › health-department-nomination-trump › 680711

Robert F. Kennedy Jr., the bear-fondling, gravel-voiced Camelot scion, is President-Elect Donald Trump’s pick to lead the Department of Health and Human Services, where presumably he will “go wild on health,” to quote Trump. His nomination has raised concerns among public-health experts because many of Kennedy’s views on health are, well, wild.

To be sure, among Kennedy’s battier ideas are a few reasonable ones, such as reducing obesity and cracking down on direct-to-consumer drug commercials and conflicts of interest among researchers. But these are eclipsed by some troubling ones, such as the ideas that common cooking oils are poisonous, that fluoride doesn’t belong in tap water, and that childhood vaccines are questionable.

What if Kennedy did, in fact, go wild on health, get his way, and remake America in his own image? If his worst ideas come to pass, experts tell me, heart attacks might increase, dental infections might spike, and children might needlessly die of completely preventable diseases.

[Read: RFK Jr. collects his reward]

Even if he is confirmed as health secretary, Kennedy’s influence on some of these domains might be limited. Most public-health measures—including water fluoridation and vaccines—are a matter for states and localities, not the federal government. (This is why different states had such different COVID-19 responses.) But even so, a Secretary Kennedy would have a prominent perch from which to espouse his ideas, and his position would give him a veneer of credibility that he has not earned. Right-leaning states and judges might listen, and adapt local policies to suit his worldview. At the very least, parents who support Trump and Kennedy might take the administration’s views into account when making decisions for their families.

Let’s begin with seed oils, which keep popping up in Kennedy’s speeches and media clips. (He even mentioned them while suspending his presidential bid.) Kennedy has called seed oils, which include common cooking oils such as canola oil and sunflower oil, “one of the most unhealthy ingredients that we have in foods,” and says Americans are being “unknowingly poisoned” by them.

Kennedy believes that seed oils cause “body-wide inflammation” and disease. But this isn’t true, Christopher Gardner, a nutrition scientist at Stanford, told me. In fact, replacing foods high in saturated fat, such as butter, with those high in unsaturated fat, such as canola oil, has been proven again and again to lower cholesterol levels and reduce the risk of heart disease. To the extent that seed oils are bad, Gardner said, it’s because they often show up in highly processed junk and fast food.

And Kennedy’s solution to this supposed health crisis—to replace seed oils with beef tallow—is troubling. (Several of his seed-oil clips end with a promo of red Kennedy swag that reads MAKE FRYING OIL TALLOW AGAIN.) Whatever you do with seed oil, “don’t replace it with beef tallow,” Gardner said. “That’s friggin’ nuts.” Replacing all the oil you eat with beef fat can cause cholesterol to pile into plaques in your arteries, impeding the flow of blood. “That’s how you get a heart attack,” Gardner said.

Kennedy has also said he wants to remove fluoride from tap water, claiming that the compound is an “industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders, and thyroid disease.”

There is some risk associated with excessive fluoride intake: Consuming fluoride above a level of 1.5 milligrams a liter—about twice the level that’s in most fluoridated tap water—has been linked to lowered IQ in children. Fluoridated water can also cause light stains on teeth, which affect about 12 percent of people in the United States.

But researchers say these risks are generally worth it because the consequences of removing fluoride from the water are much worse. Fluoride helps strengthen tooth enamel, and it also fights off the acid that attacks our teeth any time we eat carbohydrates. If the teeth lose this battle, decay can set in—and if the decay goes untreated, it can cause excruciating pain and, in extreme cases, pus-filled abscesses. “There will certainly be an increase in dental decay if fluoride is removed from the drinking water,” Gary Slade, a dentistry professor at the University of North Carolina at Chapel Hill, told me. Slade found in a study that fluoride in drinking water reduces decay by 30 percent in baby teeth and 12 percent in permanent teeth.

Some cities and countries have removed fluoride from the water, and kids’ dental health suffered as a result. After Israel ceased water fluoridation in 2014, dental treatments in a clinic in Tel Aviv increased twofold across all ages. In Canada, after Calgary ceased water fluoridation in 2011, second graders there experienced more cavities than those in Edmonton, where water was still fluoridated. After Juneau, Alaska, ceased water fluoridation in 2007, children younger than 6 underwent more cavity-related dental procedures—at a cost of about $300 more a year per child. Some cities have even reintroduced fluoride into the water supply after noticing an uptick in tooth decay among children.

Kennedy is perhaps most infamous for his skepticism of vaccines, and this is also likely the issue where his views are most consequential and worrisome. Although Kennedy sometimes shies away from calling himself anti-vaccine, he is the founder of the anti-vaccine group Children’s Health Defense and once wrote a (now-retracted) magazine story on the (false) link between vaccines and autism. He’s called vaccines “a holocaust” and has claimed that “there’s no vaccine that is safe and effective.” A co-chair of the Trump-Vance transition team has said that Kennedy would be given access to federal health data in order to assess the safety of vaccines.

Though school vaccine requirements are determined by states, a prominent national-health figure casting doubt on vaccines’ safety can influence both state policy and individual parents’ decisions to vaccinate. If vaccination rates do drop, among the diseases that health experts worry will return is measles, the most contagious of the vaccine-preventable diseases.

A person infected with measles is most contagious right before they develop symptoms. They can infect others simply by sharing their air space; tiny droplets infected with measles can hang in the air for two hours “like a ghost,” Paul Offit, the director of the Vaccine Education Center at the Children’s Hospital of Philadelphia, told me.

Kids with measles are sick and miserable. They’re photophobic—afraid of the light—and may struggle to breathe. Before the measles vaccine came along in 1963, 48,000 people were hospitalized with measles each year in America, many with pneumonia or inflammation of the brain. Five hundred of them died each year. When Samoa suffered a measles outbreak in 2019, 83 people died, out of a population of just 200,000.

Measles can also weaken the immune system, Matthew Ferrari, a biology professor at Penn State, told me. For two to three years after contracting measles, you’re likely to be hit harder by flu and other viruses. In rare cases, measles can cause a chronic form of brain inflammation that leads to a gradual loss of mental faculties and motor skills, and eventually, death.

[John Hendrickson: The first MAGA Democrat]

Measles is such a menace, in fact, that giving people “a choice” about whether to vaccinate their kids, as Kennedy often suggests, is not sufficient. People who have received two doses of the MMR vaccine are 97 percent protected against measles. But about 9 million people, including kids who are undergoing chemotherapy or who are on some kinds of immunosuppressants, can’t get vaccinated. These individuals rely on herd immunity from other vaccinated people, and when more than 5 percent of people choose not to be vaccinated, herd immunity suffers.

“Is it your right to catch and transmit a potentially fatal infection? No, it’s not,” Offit said. “You are part of this society, and you have to recognize that what you do affects other people.” Offit told me he’s already talked with pediatricians who say parents are hesitant to get their children vaccinated because of what they’ve heard Kennedy say.

Of course, there is a way to prevent Kennedy from having this much influence over public health: The Senate could reject his nomination. But that would require Republicans to stand up to Trump, which is a wild idea in itself.

Your Armpits Are Trying to Tell You Something

The Atlantic

www.theatlantic.com › health › archive › 2024 › 11 › antiperspirant-deodorant-night › 680710

Sign up for Being Human, a newsletter that explores wellness culture, mortality and disease, and other mysteries of the body and the mind.

The last time I sweated through my shirt, I vowed that it would never happen again. Sweat shame had dogged me for too many years. No longer would armpit puddles dictate the color of my blouse. Never again would I twist underneath a hand dryer to dry my damp underarms. It was time to try clinical-strength antiperspirant.

The one I bought looked like any old antiperspirant, a solid white cream encased in a plastic applicator. But its instructions seemed unusual: “For best results, apply every night before bed and again in the morning.”

Every night?

I swiped it across my armpits before bed, and to my surprise, they were dry all the next day. I kept poking them in disbelief—deserts. But I would later discover that there isn’t anything particularly special about this product. Nighttime application improves the effects of any traditional antiperspirant, including those combined with deodorant (the former blocks sweat while the latter masks smell). Research has shown this for at least 20 years; none of the experts I spoke with disagreed. Yet many of us swipe our armpits in the morning before we head out for the day. Somehow, Americans are trapped in a perspiration delusion.

Putting on antiperspirant in the evening feels roughly akin to styling your hair right before bed. Both are acts of personal maintenance that people take not only for their own well-being but also in anticipation of interactions with others. This idea is reinforced by ads for antiperspirants, which tend to feature half-dressed actors getting ready in bathrooms or changing rooms; see, for example, the Old Spice guy. These ads also tend to mention how long their products work—24 hours, 36 hours—implying that their effectiveness starts to fade once they are applied. In a recent Secret commercial, a woman rolls on antiperspirant in a daylit bathroom, then scrambles to make her bus, relieved that she is prepared for such sweaty moments for the next 72 hours.

What these ads don’t say is that these products need the right conditions to work effectively. Antiperspirant isn’t a film on the surface of the armpit that stops moisture from leaking through, like a tarp over wet grass. Instead, it functions like a bunch of microscopic champagne corks, temporarily sealing sweat glands from spraying their contents. The active ingredient in most antiperspirants is some form of aluminum salt, compounds that combine with moisture on the skin to form “gel plugs” that dam up the sweat glands. These gel plugs prevent not only wetness but also odors, because bacteria responsible for foul smells thrive best in moist (and hairy) conditions, according to Dee Anna Glaser, a dermatologist and board member of the International Hyperhidrosis Society, a group that advocates for patients with excessive sweatiness.

Gel plugs are finicky. They need a little bit of sweat in order to form—but not too much. Antiperspirant applied in the morning isn’t ideal, because people sweat more during waking hours, when they’re active. If the armpits are too sweaty in the hours after application, the product gets washed away before it can form the plugs. The body is cooler and calmer during sleep. For gel plugs to form, “baseline sweating is optimal at nighttime before bed,” Glaser told me. Nighttime application has been shown to increase the sweat-reduction ability of normal antiperspirant from 56 percent to 73 percent.

But wait, I can already hear you thinking, what happens if I shower in the morning? Here’s the thing: Antiperspirant lasts through a shower. “The plugs won’t wash away much,” even though the residue and scent probably will, Mike Thomas, a former scientist with Procter & Gamble and an advocate for the International Hyperhidrosis Society, told me. After 24 hours or more, the plug naturally dissolves. Reapplying antiperspirant during the day can be beneficial, Shoshana Marmon, a dermatology professor at New York Medical College, told me. Still, it works best if applied to dry armpits that, ideally, stay dry enough for the plugs to form. For most people, Marmon added, putting it on “clean, dry skin at night” provides enough protection to last through the next day.

Again, none of this information is new or hard to find. One of the earliest studies demonstrating the value of nighttime application was published in 2004; it showed that applying antiperspirant in the evening, or twice daily, was significantly more effective than morning-only use. Indeed, the stance of the American Academy of Dermatology is that it’s best to put antiperspirant on at night. Media outlets have covered this guidance since at least 2009.

For the perpetually sweaty, discovering this guidance only now, after decades of embarrassing photos and ruined shirts, might spark belief in a grand conspiracy: They don’t want you to know the truth about armpit sweat. Indeed, it isn’t mentioned on the labels of most regular-strength antiperspirants. The reasons for this are more banal than nefarious. Most people don’t sweat excessively, so applying antiperspirant the usual way is sufficient. “Manufacturers may keep instructions simple to fit general habits, so the idea of using antiperspirant at night doesn’t always make it into mainstream awareness,” Danilo C. Del Campo, a dermatologist at Chicago Skin Clinic, told me. The difference between antiperspirant and deodorant still eludes many people and, in fact, may bolster the insistence on morning application. Deodorant is essentially perfume and has no impact on sweat production. It’s “best applied when odor control is most needed, typically in the mornings,” Marmon said.

When I asked brand representatives why so many antiperspirants don’t mention nighttime use in the directions, they pointed to the potential for confusion. “It’s a bit counterintuitive for people to use antiperspirant at night, because most people think of applying it as part of their morning routine,” Maiysha Jones, a principal scientist at P&G North America Personal Care, which owns brands such as Secret and Old Spice, told me. But, she added, it is indeed best to use it at night. “Antiperspirants are commonly assumed to be a morning-only product and applied during the morning routine,” Megan Smith, a principal scientist at Degree Deodorant, told me.

In other words, people are used to applying antiperspirant in the morning because companies don’t tell them about the nighttime hack … but companies don’t tell them because people are used to putting it on in the morning. Omitting helpful instructions just because they might be confusing isn’t doing America’s perspirers any favors. Anyone who’s ever experienced an overly moist underarm can surely be coaxed into shifting armpit maintenance back a measly eight hours. People go to far greater lengths to self-optimize, whether it’s teens adopting multistep skin-care routines, or wellness bros taking dozens of supplements.

The science is well established, and the guidance is clear. But the ranks of nighttime swipers may not increase immediately. Routines have to be reset, assumptions picked apart. Some evenings, I find it exhilarating to buck the orthodoxy of personal hygiene. Other nights, it gives me pause. Applicator hovers over armpit, brain stumbles on belief. Will this really last past the sunrise, through a shower, beyond the hustle of the day? Even after learning about the science, “some people just don’t believe,” Thomas said. All there is to do is try. In go the corks, out go the lights.

We’re About to Find Out How Much Americans Like Vaccines

The Atlantic

www.theatlantic.com › health › archive › 2024 › 11 › rfk-vaccination-rates › 680715

Sign up for Being Human, a newsletter that explores wellness culture, mortality and disease, and other mysteries of the body and the mind.

Robert F. Kennedy Jr., the nominee to be the next secretary of Health and Human Services, is America’s most prominent vaccine skeptic. An advocacy organization that he founded and chaired has called the nation’s declining child-immunization rates “good news,” and referred to parents’ lingering doubts about routine shots as COVID-19’s “silver lining.” Now Kennedy may soon be overseeing the cluster of federal agencies that license and recommend vaccines, as well as the multibillion-dollar program that covers the immunization of almost half the nation’s children.

Which is to say that America’s most prominent vaccine skeptic could have the power to upend, derail, or otherwise louse up a cornerstone of public health. Raising U.S. vaccination rates to where they are today took decades of investment: In 1991, for example, just 82 percent of toddlers were getting measles shots; by 2019, that number had increased to 92 percent. The first Trump administration actually presided over the historic high point for the nation’s immunization services; now the second may be focused on promoting vaccines’ alleged hidden harms. Kennedy has said that he doesn’t want to take any shots away, but even if he were to emphasize “choice,” his leadership would be a daunting test of Americans’ commitment to vaccines.

In many ways, the situation is unprecedented: No one with Kennedy’s mix of inexperience and paranoid distrust has ever held the reins at HHS. He was trained as a lawyer and has no training in biostatistics or any other research bona fides—the sorts of qualifications you’d expect from someone credibly evaluating vaccine efficacy. But the post-pandemic era has already given rise to at least one smaller-scale experiment along these lines. In Florida, vaccine policies have been overseen since 2021 by another noted skeptic of the pharmaceutical industry, State Surgeon General Joseph Ladapo. (Kennedy has likened Ladapo to Galileo—yes, the astronomer who faced down the Roman Inquisition.) Under Ladapo’s direction, the state has aggressively resisted federal guidance on COVID-19 vaccination, and its department of health has twice advised Floridians not to get mRNA-based booster shots. “These vaccines are not appropriate for use in human beings,” Ladapo declared in January. His public-health contrarianism has also started spilling over into more routine immunization practices. Last winter, during an active measles outbreak at a Florida school, Ladapo abandoned standard practice and allowed unvaccinated children to attend class. He also seemed to make a point of not recommending measles shots for any kids who might have needed them.

Jeffrey Goldhagen, a pediatrics professor at the University of Florida and the former head of the Duval County health department, believes that this vaccine skepticism has had immense costs. “The deaths and suffering of thousands and thousands of Floridians” can be linked to Ladapo’s policies, he said, particularly regarding COVID shots. But in the years since Ladapo took office, Florida did not become an instant outlier in terms of COVID vaccination numbers, nor in terms of age-adjusted rates of death from COVID. And so far at least, the state’s performance on other immunization metrics is not far off from the rest of America’s. That doesn’t mean Florida’s numbers are good: Among the state’s kindergarteners, routine-vaccination rates have dropped from 93.3 percent for the kids who entered school in the fall of 2020 to 88.1 percent in 2023, and the rate at which kids are getting nonmedical exemptions from vaccine requirements went up from 2.7 to 4.5 percent over the same period. These changes elevate the risk of further outbreaks of measles, or of other infectious diseases that could end up killing children—but they’re not unique to Ladapo’s constituents. National statistics have been moving in the same direction. (To wit: The rate of nonmedical exemptions across the U.S. has gone up by about the same proportion as Florida’s.)

All of these disturbing trends may be tied to a growing suspicion of vaccines that was brought on during COVID and fanned by right-wing influencers. Or they could be a lingering effect of the widespread lapse in health care in 2020, during which time many young children were missing doses of vaccines. (Kids who entered public school in 2023 might still be catching up.)

In any case, other vaccination rates in Florida look pretty good. Under Ladapo, the state has actually been gaining on the nation as a whole in terms of flu shots for adults and holding its own on immunization for diphtheria, tetanus, and pertussis in toddlers. Even Ladapo’s outlandish choice last winter to allow unvaccinated kids back into a school with an active measles outbreak did not lead to any further cases of disease. In short, as I noted back in February, Ladapo’s anti-vaccine activism has had few, if any, clear effects. (Ladapo did not respond when I reached out to ask why his policies might have failed to sabotage the state’s vaccination rates.)

  

If Florida’s immunization rates have been resilient, then America’s may hold up even better in the years to come. That’s because the most important vaccine policies are made at the state and local levels, Rupali Limaye, a professor and scholar of health behavior at Johns Hopkins University, told me. Each state decides whether and how to mandate vaccines to school-age children, or during a pandemic. The states and localities are then responsible for giving out (or choosing not to give out) whichever vaccines are recommended, and sometimes paid for, by the federal government.  

But the existence of vaccine-skeptical leadership in Washington, and throughout the Republican Party, could still end up putting pressure on local decision makers, she continued, and could encourage policies that support parental choice at the expense of maximizing immunization rates. As a member of the Cabinet, Kennedy would also have a platform that he’s never had before, from which he can continue to spread untruths about vaccines. “If you start to give people more of a choice, and they are exposed to disinformation and misinformation, then there is that propensity of people to make decisions that are not based on evidence,” Limaye said. (According to The New York Times, many experts say they “worry most” about this aspect of Kennedy’s leadership.)

How much will this really matter, though? The mere prominence of Kennedy’s ideas may not do much to drive down vaccination rates on its own. Noel Brewer, a behavioral scientist and public-health professor at the UNC Gillings School of Global Public Health, told me that attempts to change people’s thoughts and feelings about vaccines are often futile; research shows that talking up the value of getting shots has little impact on behavior. By the same token, one might reasonably expect that talking down the value of vaccines (as Kennedy and Ladapo are wont to do) would be wasted effort too. “It may be that having a public figure talking about this has little effect,” Brewer said.

Indeed, much has been made of Kennedy’s apparent intervention during the 2019 measles crisis in Samoa. He arrived there for a visit in the middle of that year, not long after measles immunizations had been suspended, and children’s immunization rates had plummeted. (The crisis began when two babies died from a vaccine-related medical error in 2018.) Kennedy has been linked to the deadly measles outbreak in the months that followed, but if his presence really did give succor to the local anti-vaccine movement, that movement’s broader aims were frustrated: The government declared a state of emergency that fall, and soon the measles-vaccination rate had more than doubled.

As head of HHS, though, Kennedy would have direct control over the federal programs that do the sort of work that has been necessary in Samoa, and provide access to vaccines to those who need them most. For example, he’d oversee the agencies that pay for and administer Vaccines for Children, which distributes shots to children in every state. All the experts I spoke with warned that interference with this program could have serious consequences. Other potential actions, such as demanding further safety studies of vaccines and evidence reviews, could slow down decision making and delay the introduction of new vaccines.

Kennedy would also have a chance to influence the nation’s vaccine requirements for children, as well as its safety-and-monitoring system, at the highest levels. He’d be in charge of selecting members for the Advisory Committee on Immunization Practices, which makes recommendations on vaccines that are usually adopted by the states and result in standardized insurance coverage. He’d also oversee the head of the CDC, who in turn has the authority to overrule or amend individual ACIP recommendations.

Even if he’s not inclined to squelch any determinations outright, Kennedy’s goal of giving parents latitude might play out in other ways. Brewer, who is currently a voting member of ACIP (but emphasized that he was not speaking in that capacity), said that the committee can issue several different types of rulings, some of which roughly correspond to ACIP saying that Americans should rather than may get a certain vaccine. That distinction can be very consequential, Brewer said: Shots that are made “routine” by ACIP get prioritized in doctor’s offices, for instance, while those that are subject to “shared clinical decision-making” may be held for patients who ask for them specifically. Shifting the country’s vaccination program from a should to a may regime “would destroy uptake,” Brewer told me.

Those would seem to be the stakes. The case study of vaccine-skeptical governance that we have in Florida may not look so dire—at least in the specifics. But Kennedy’s ascendancy could be something more than that: He could steer the public-health establishment off the course that it’s been on for many years, and getting back to where we are today could take more years still.