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Americans

A Good Country’s Bad Choice

The Atlantic

www.theatlantic.com › politics › archive › 2024 › 11 › good-country-bad-choice › 680743

Once she became the nominee, I expected Vice President Kamala Harris to win the 2024 presidential election.

More exactly, I expected ex-President Donald Trump to lose.

What did I get wrong?

My expectation was based on three observations and one belief.

Observation one: Inflation was coming under control in 2024. Personal incomes rose faster than prices over the year. As interest rates peaked and began to subside, consumer confidence climbed. When asked about their personal finances, Americans expressed qualms, yes, but the number who rated their personal finances as excellent or good was a solid 46 percent, higher than in the year President Barack Obama won reelection. The same voters who complained about the national economy rated their local economy much more favorably.

None of this was great news for the incumbent party, and yet …

Observation two: All through the 2024 cycle, a majority of Americans expressed an unfavorable opinion of Trump. Almost one-third of Republicans were either unenthusiastic about his candidacy or outright hostile. Harris was not hugely popular, either. But if the polls were correct, she was just sufficiently less unpopular than Trump.

Arguably undergirding Harris’s popularity advantage was …  

Observation three: In the 2022 midterm elections, abortion proved a powerful anti-Republican voting issue. That year in Michigan, a campaign based on abortion rights helped reelect Governor Gretchen Whitmer and flipped both chambers of the state legislature to the Democrats. That same year, almost a million Kansans voted 59 percent to 41 percent to reaffirm state-constitutional protections for abortion. Democrats posted strong results in many other states as well. They recovered a majority in the U.S. Senate, while Republicans won only the narrowest majority in the House of Representatives. In 2024, abortion-rights measures appeared on the ballot in 10 states, including must-win Arizona and Nevada. These initiatives seemed likely to energize many Americans who would likely also cast an anti-Trump vote for president.

If that was not enough—and maybe it was not—I held onto this belief:

Human beings are good at seeing through frauds. Not perfectly good at it. Not always as fast as might be. And not everybody. But a just-sufficient number of us, sooner or later, spot the con.

The Trump campaign was trafficking in frauds. Haitians are eating cats and dogs. Foreigners will pay for the tariffs. The Trump years were the good old days if you just forget about the coronavirus pandemic and the crime wave that happened on his watch. The lying might work up to a point. I believed that the point would be found just on the right side of the line between election and defeat—and not, as happened instead, on the other side.

My mistake.

[Read: Donald Trump’s most dangerous cabinet pick]

In one of the closest elections in modern American history, Trump eked out the first Republican popular-vote victory in 20 years. His margin was about a third the size of President Joe Biden’s margin over him in 2020. For that matter, on the votes counted, Trump’s popular-vote margin over Harris was smaller than Hillary Clinton’s over him in 2016.

Yet narrow as it is, a win it is—and a much different win from 2016. That time, Trump won by the rules, but against the expressed preference of the American people. This time, he won both by the rules and with a plurality of the votes. Trump’s popular win challenges many beliefs and preconceptions, starting with my own.

Through the first Trump administration, critics like me could reassure ourselves that his presidency was some kind of aberration. The repudiation of Trump’s party in the elections of 2018, 2020, 2021, and 2022 appeared to confirm this comforting assessment. The 2024 outcome upends it. Trump is no detour or deviation, no glitch or goof.

When future generations of Americans tell the story of the nation, they will have to fit Trump into the main line of the story. And that means the story itself must be rethought.

Trump diverted millions of public dollars to his own businesses, and was returned to office anyway.

He was proved in court to have committed sexual assault, and was returned to office anyway.

He was twice impeached, and was returned to office anyway.

He was convicted of felonies, and was returned to office anyway.

He tried to overthrow an election, and was returned to office anyway.

For millions of Americans, this record was disqualifying. For slightly more Americans, however, it was not. The latter group prevailed, and the United States will be a different country because of them.

American politics has never lacked for scoundrels, cheats, and outright criminals. But their numbers have been thinned, and their misdeeds policed, by strong public institutions. Trump waged a relentless campaign against any and all rules that restrained him. He did not always prevail, but he did score three all-important successes. First, he frightened the Biden administration’s Justice Department away from holding him to account in courts of law in any timely way. Second, he persuaded the courts themselves—including, ultimately, the Supreme Court—to invent new doctrines of presidential immunity to shield him. Third, he broke all internal resistance within the Republican Party to his lawless actions. Republican officeholders, donors, and influencers who had once decried the January 6 attempted coup as utterly and permanently debarring—one by one, Trump brought them to heel.

Americans who cherished constitutional democracy were left to rely on the outcome of the 2024 election to protect their institutions against Trump. It was not enough. Elections are always about many different issues—first and foremost usually, economic well-being. In comparison, the health of U.S. democracy will always seem remote and abstract to most voters.

[Read: Trump’s first defeat]

Early in the American Revolution, a young Alexander Hamilton wrote to his friend John Jay to condemn an act of vigilante violence against the publisher of a pro-British newspaper. Hamilton sympathized with the feelings of the vigilantes, but even in revolutionary times, he insisted, feelings must be guided by rules. Otherwise, people are left to their own impulses, a formula for trouble. “It is not safe,” Hamilton warned, “to trust to the virtue of any people.”

The outcome of an election must be respected, but its wisdom can be questioned. If any divine entity orders human affairs, it may be that providence sent Trump to the United States to teach Americans humility. It Can’t Happen Here is the title of a famous 1930s novel about an imagined future in which the United States follows the path to authoritarianism. Because it didn’t happen then, many Americans have taken for granted that it could not happen now.

Perhaps Americans require, every once in a while, to be jolted out of the complacency learned from their mostly fortunate history. The nation that ratified the Thirteenth Amendment in 1865 was, in important ways, the same one that enacted the Fugitive Slave Act in 1850; the nation that generously sent Marshall Plan aid after the Second World War was compensating for the myopic selfishness of the Neutrality Acts before the war. Americans can take pride in their national story because they have chosen rightly more often than they have chosen wrongly—but the wrong choices are part of the story too, and the wrong choice has been made again now.

“There is no such thing as a Lost Cause because there is no such thing as a Gained Cause,” T. S. Eliot observed in a 1927 essay (here he was writing about the arguments between philosophical Utilitarians and their critics, but his words apply so much more generally). “We fight for lost causes because we know that our defeat and dismay may be the preface to our successors’ victory, though that victory itself will be temporary; we fight rather to keep something alive than in the expectation that anything will triumph.”

So the ancient struggle resumes again: progress against reaction, dignity against domination, commerce against predation, stewardship against spoliation, global responsibility against national chauvinism. No quitting.

Give Beans a Chance

The Atlantic

www.theatlantic.com › newsletters › archive › 2024 › 11 › give-beans-a-chance › 680749

This is an edition of Time-Travel Thursdays, a journey through The Atlantic’s archives to contextualize the present, surface delightful treasures, and examine the American idea.

I love a good bean: tossed with vinaigrette in a salad, spooned over pasta, served on a plate with rice and corn. The bean is a powerful little food, all the more for its shapeshifting capacities. Many people can appreciate that these legumes are cheap and healthy, but they still fall short of widespread adoration or even respect.

Yet, over the decades, Atlantic writers have turned to the bean’s revolutionary potential again and again. The humble bean, small, unglamorous, packed with protein, has been a source of inspiration for those seeking to remake the food system, fight climate change, and add some better flavors into American homes. In a 1975 article loftily titled “A Bean to Feed the World?” the historian Richard Rhodes made the case for centering the soybean in the American diet. “We continue to sing of amber waves of grain, not dusty pods of beans,” he bemoans in the opening line.

Noting that the soybean was, at the time, the No. 1 cash crop in the country, Rhodes argues that Americans should be eating it as a source of protein on its own, rather than feeding it to the farm animals that then became dinner. “Conversion of soybeans to food for humans is worth looking at,” he writes. (The soybean, a cousin of the lentil and black bean, has about 30 grams of protein per cup.) Alas, soybeans remain primarily the provenance of livestock today, with the exception of the small percentage used to make popular foods such as tofu.

In 2017, James Hamblin made the urgent climate case for replacing beef with legumes in Americans’ diets, given that cows are among the top agricultural sources of greenhouse gasses worldwide and take up great swaths of arable land. Hamblin explained that by swapping beans for beef, the U.S. could “achieve somewhere between 46 and 74 percent of the reductions needed” to meet the 2020 greenhouse-gas-emission goals set out by President Barack Obama in 2009. (Americans have not wholesale rejected beef in favor of beans, but, in large part because the pandemic slowed travel and economic activity, we did end up meeting those climate goals.)

Part of the problem with beans is that they are not that attractive a food. In a 1992 article, the food writer Corby Kummer acknowledges the “insipid” nature of beans before walking readers through some ways to prepare tasty—and easily digestible—bean-based dishes. But for the horticultural writer Richardson Wright, the bean’s humility is what makes it heroic. During World War II, he wrote that “the coincidence of Saturday night and baked beans was of divine provenance, and with the ardor of the freshly converted, I insisted that we practice.” In a time of loss, a pot of beans—which he calls “farinaceous catechumens,” likening them to starchy bodies readied for baptism—can mean everything. The quasi-religious tone of his Proustian meditation on beans is moving; still, his dietary choice was borne out of desperation and limited rations.

The image of beans as a backup when you don’t have, or can’t afford, anything better has proven hard to shake. Even as vegetarian diets are on the rise and Americans recognize the environmental impact of beef, eating meat remains an intractable part of American life. For all the trendiness of brothy beans and Rancho Gordo subscriptions in recent years, many Americans still haven’t made legumes central to their diets. One estimate found that, as of 2019, the average American ate approximately 55 pounds of chicken a year compared with roughly 2.5 pounds of cooked black beans (American bean consumption is low compared to many other countries). Still, there are reasons to hope: Americans have embraced hummus, which is made of chickpeas. Chic New York restaurants are serving bean-based dishes. And a climate campaign with ties to the United Nations is pushing to double global bean consumption by 2028. Though the bean may not be the flashiest ingredient, it is persistent—and it may even shape a better world in its image.

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.

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.

Your Armpits Are Trying to Tell You Something

The Atlantic

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

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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.

The Cancer Gene More Men Should Test For

The Atlantic

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When Mary-Claire King discovered the first gene linked to hereditary breast cancer in 1990, she also got to decide its name. She settled on the four letters BRCA, which had three distinct meanings. The name paid homage to UC Berkeley, where King worked at the time; more to the point, it was a nod to Paul Broca, the 19th-century French physician whose work established a link between family history and breast cancer. It was also an abbreviation for breast cancer.

A few years after King discovered BRCA1, a second BRCA gene, BRCA2, was identified. Together, they now have more name recognition than probably any other gene, their profile boosted by research that has shown staggering effects on cancer risk. Awareness campaigns followed. A 2013 New York Times op-ed in which Angelina Jolie revealed she’d had a preventive double mastectomy because of her own BRCA mutation drove many women to seek DNA tests themselves. The BRCA genes became inextricably linked with breasts, as much as the pink ribbons that have become an international symbol of breast cancer. And in driving more women to find out if they have BRCA mutations, it’s helped to greatly reduce the risk of hereditary breast cancer.

But in the three decades since the genes were discovered, scientists have learned that BRCA mutations can also lead to cancer in the ovaries, the pancreas, and the prostate. More recently, they have been linked with cancers in other parts of the body, such as the esophagus, stomach, and skin. As many as 60 percent of men with changes in BRCA2 develop prostate cancer, yet men are generally far less aware than women that BRCA mutations can affect them at all.

“It’s a branding problem,” Colin Pritchard, a professor of laboratory medicine and pathology at the University of Washington, told me. Men with family histories of breast cancer may not realize that they should get screened. Physicians, too, lack awareness of which men should get tested, and what steps to take when a mutation is found. Now Pritchard and other researchers are working to rebrand BRCA and the syndrome associated with it so that more men and their doctors consider testing.

Normally, the BRCA genes produce proteins that help repair damaged DNA throughout the body. Most people who carry mutations that impair the gene’s function are diagnosed with hereditary breast and ovarian cancer syndrome. (Having HBOC means a person is at increased risk for cancer, not that they already have an illness.) Most breast-cancer cases have no known hereditary link, but more than 60 percent of women with a harmful BRCA1 or BRCA2 mutation will develop breast cancer, compared with about 13 percent of the wider female population. Men, of course, can get breast cancer too, but it's rare, even among BRCA-mutation carriers.

[Read: Cancer supertests are here]

The full significance of the link between BRCA mutations and pancreatic and prostate cancer has become clear only recently—perhaps in the past decade, said Pritchard. The exact risk these mutations impart to men varies widely in studies. But it’s clearly significant: Not only are men with BRCA mutations more likely to develop prostate cancer, they are also more likely to develop the more aggressive forms of the disease.

Roughly one in 400 people carry a harmful mutation in BRCA1 or BRCA2, and half of them are men. But women are far more likely to have been tested for the mutations—up to 10 times as likely, according to one study. “Beyoncé’s dad was the only man that I had ever heard of who had it,” Christian Anderson, a 46-year-old social-sciences professor in Washington State who carries a BRCA2 mutation, told me. Anderson got tested after his sister was diagnosed with breast cancer, but countless men like him go undetected. Only about half of Americans get an annual physical, and doctors aren’t always aware of BRCA-screening recommendations for men. Many men who do test for a BRCA mutation report doing it for their daughters, and studies have shown that they tend to be confused about their risks of developing cancer themselves.

BRCA-awareness campaigns have led many women to get tested; in the two weeks after Angelina Jolie’s viral op-ed, researchers found that BRCA-testing rates went up by 65 percent. In that case, more people may gotten tested than needed to, but in general, the rise in cancer screenings and elective surgical interventions have helped reduce the rates of deaths from breast and ovarian cancers. Education about the genes’ links to other cancers could do the same for men. To that end, Pritchard argued in a 2019 Nature commentary that Hereditary Breast and Ovarian Cancer syndrome should be renamed King Syndrome after Mary-Claire King. “We need to really rethink this if we're going to educate the public about the importance of these genes for cancer risk for everyone, not just women,” he told me.

[Read: I’ll tell you the secret of cancer]

As understanding of BRCA’s risks for men has grown, Pritchard’s idea has started to catch on. King, who is now a professor of genome sciences and medicine at the University of Washington, demurred when I asked her whether the syndrome associated with the BRCA genes should be renamed after her, but agreed that awareness campaigns have focused too narrowly on breasts and ovaries. “We need to bring this awareness to men in the same way that we have for 30 years now to women,” she told me.

How exactly Pritchard’s plan might be put into action is unclear. Gene names are overseen by an international committee and rarely changed. That’s part of why Pritchard is suggesting that the name of the syndrome associated with BRCA mutations become King Syndrome—no single governing body oversees that. Recently, ClinGen, an international group of researchers that works to parse the medical significance of genes, recommended that HBOC be rechristened BRCA-related cancer predisposition. (Pritchard told me he thinks that name isn’t quite as “catchy” as King Syndrome.)

Uncoupling the syndrome associated with BRCA mutations from breasts would likely be only the first step in getting more at-risk men screened for cancer. It would also be an important step in understanding the full impact of BRCA mutations on men. Because fewer men than women have been tested for BRCA mutations, scientists still don’t have a complete picture of their risk. For example, Pritchard told me, it’s only as more attention has been drawn to male BRCA risk that researchers have discovered mutations are linked to especially aggressive forms of prostate cancer. Penn Medicine recently launched a program dedicated to men and BRCA in part to continue this sort of research.

[Read: Scientists have been studying cancers in a very strange way for decades]

BRCA’s name is a legacy of a time when scientists thought genetics would offer a simple way to diagnose and treat disease—that one specific mutation would point definitively to one specific cancer. But today, “the idea that a gene would only affect one type of cancer risk is probably outmoded,” Pritchard said. The more scientists explore the human genome, the more complex its connections to health appear. It turns out that when genes don’t work like they should, the possible consequences may very well be infinite.

A Ridiculous, Perfect Way to Make Friends

The Atlantic

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When I was teaching indoor cycling every week, an unexpected benefit of the gig was free ice cream. One of the class regulars had an ice-cream machine at home and sometimes brought samples for me to try, in flavors such as pumpkin and pistachio. I think he did this not only because he was a nice person but also because in class, I was the nicest version of myself: warm, welcoming, and encouraging to the point of profound corniness, despite my usual caustic tendencies.

I noticed this friendliness in others too. Two people who met in my class started dating. Strangers who became friends there went out for post-workout coffees. Two of the other class regulars invited me to go skiing with them. Many of the good friends I have at age 35 are people I met in exercise classes I attended regularly. These experiences have convinced me that group fitness classes are the best place to make friends as an adult—an idea supported by research that suggests that the glow of exercise’s feel-good chemicals has interpersonal benefits.

Once, countless friendships were born in what the sociologist Ray Oldenburg called “third places”: physical spaces that aren’t a home or a workplace, don’t charge (much) for entry, and exist in large part to foster conversation. Over the past several decades, though—and especially as a result of the pandemic—third places such as bars and cafés have begun playing a much smaller role in social life, depriving American adults of opportunities for chance encounters that can lead to friendships. Perhaps that’s partly why Americans rank improving their relationships among their top New Year’s resolutions.

Group fitness classes don’t exactly fit the definition of a third place: They cost money, and the primary activities within them are sweating, grunting, and skipping a few reps when the instructor isn’t looking. But they fulfill many conditions that social-psychology research has repeatedly shown to help forge meaningful connections between strangers: proximity (being in the same place), ritual (at the same time, over and over), accumulation (for many hours), and shared experiences or interests (because you do and like the same things).

[From the December 2019 issue: I joined a stationary-biker gang]

Sussing out shared interests can be horribly awkward when you meet someone new at work or even at a party. Group fitness classes make it a little easier, Stephanie Roth Goldberg, an athlete psychotherapist in New York, told me. “Automatically, when you walk into a fitness class, you likely are sharing the idea that ‘We like to exercise,’ or ‘We like to do this particular kind of exercise,’” she said. “It breaks the ice differently than standing in a bar or at someone’s house.” Of course, breaking the ice still requires someone to say something, which, if you’re sweaty and huffing, is frankly terrifying. Whether I’m an instructor or a classmate, one simple tactic has never failed me: I simply walk up to someone after class and say, “Hey, good job!”

Proximity, ritual, and accumulation all require a certain amount of time, which can be hard to come by in a country that requires and rewards long hours at work. But you’re already making time for exercise class, and it provides those conditions; benefitting from them mostly requires acknowledging that you’ve already set yourself up for friendship. Danielle Friedman, a journalist and the author of Let’s Get Physical, told me that breaking through what she calls the “social code of anonymity” is key to making friends. “If you’ve been going to the same class for a while and start seeing the same people, don’t pretend like you’ve never interacted before,” she said.

That kind of friendliness requires adopting the clichéd feel-goodery inherent in many group fitness classes. In my spin classes, I’d cringe whenever I caught myself doling out motivational platitudes—mostly “We’re all in this together!” because I needed the reminder too, as I tried to talk and spin at the same time. Inevitably, though, someone would “Woo!” in response and reenergize the whole room. I’d load up my playlists with high-tempo remixes of early-aughts Top 40 hits and catch people singing along. One of my favorite instructors in a class I attended regularly instituted “Fun Friday,” when we’d warm up by doing silly little relay races or grade-school-style games; my blood ran cold the first time she told us to partner up for this cheesefest, but I had a blast. Everyone did.

In a world that prizes ironic detachment, embracing such earnest silliness can feel deeply uncomfortable. But—and you might as well get used to hearing this kind of phrase now, if you’re going to start attending classes—you just have to push through. “When you’re sweating, feeling a little out of control of your physical self, whooping and yelling, there’s a vulnerability,” Friedman said. “If you buy in, then you’ve shared something. There aren’t that many contexts as adults where you have that opportunity to be vulnerable together.”

[Read: Why making friends in midlife is so hard]

A room full of grown adults flailing, shouting, and running miles without ever going anywhere is a fundamentally ridiculous prospect. Ridiculous things, however, play a crucial role in connecting with others: They make us laugh. Studies show that laughing with others facilitates social connection by helping us feel that we have more in common. The “happy hormones” released during exercise—endorphins, dopamine, and serotonin—are also associated with bonding. In particular, exercising in sync with others promotes close relationships.

Even if you don’t find your next best friend at Zumba, getting into a fitness habit of some kind might help you meet people and make friends in other spaces. “The more that people can step out of their comfort zone in one setting, the less intimidating it is to do in other settings,” Goldberg said. Perhaps you’ll even become the version of yourself who inspires people to bring you homemade ice cream. Win-win.

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

The Atlantic

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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.

What to Read If You’re Angry About the Election

The Atlantic

www.theatlantic.com › books › archive › 2024 › 11 › election-anger-rage-despair-book-recommendations › 680709

A close friend—someone whom I’ve always thought of as an optimist—recently shared his theory that, no matter what time you’re living in, it’s generally a bad one. In each era, he posited, quality of life improves in some ways and depreciates in others; the overall quotient of suffering in the world stays the same.

Whether this is nihilistic or comforting depends on your worldview. For instance, plenty of Americans are currently celebrating the outcome of the recent presidential election; many are indifferent to national politics; many others are overwhelmed with anger and despair over it. Looking at the bigger picture, I think the upsides of contemporary life—antibiotics, LGBTQ acceptance, transcontinental FaceTime—outweigh the horrors more often than not. I’ll also concede that this decade comes with a continuous drip of bad news about ghastly acts of violence, erosion of human rights, and climate disaster. Perhaps unsurprisingly, a 2023 Gallup poll found that rates of depression in the United States have hit a record high.

What can people turn to when the itch to burn everything down, or to surrender to hopelessness, feels barely suppressible? I agree with the novelist Kaitlyn Greenidge that there is power in “naming reality”in telling, and writing, the truth about what’s happening around us. For those who are despondent about Donald Trump’s victory and feel unable to make a difference, reading might be a place to start. This doesn’t necessitate cracking open textbooks or dense political tracts: All kinds of books can provide solace, and the past few decades have given us no shortage of clear-eyed works of fiction, memoir, history, and poetry about how to survive and organize in—and ultimately improve—a broken world.

Reading isn’t a panacea. It’s a place to begin and return to: a road map for where to go from here, regardless of where “here” is. Granted, I am perhaps more comfortable than the average person with imperfect solutions. As a clinical pharmacist, I can’t cure diabetes, for example, but I can help control it, make the medications more affordable sometimes, and agitate for a better health-care system. Similarly, these seven books aren’t a cure for rage and despair. Think of them instead as a prescription.

Which Side Are You On, by Ryan Lee Wong

Wong’s novel opens with a mother picking up her son from the airport in a Toyota Prius, her hands clutching the wheel in a death grip. Wry, funny moments like this one animate Wong’s book about the dilemma of trying to correct systemic problems with individual solutions. It’s 2016, and spurred by the real-life police shooting of Akai Gurley, 21-year-old Reed is considering dropping out of Columbia University to dedicate himself to the Black Lives Matter movement. Reed wants nothing more than to usher in a revolution, but unfortunately, he’s a lot better at spouting leftist talking points than at connecting with other people. Like many children, Reed believes that his family is problematic and out of touch. His parents, one a co-leader in the 1980s of South Central’s Black-Korean Coalition, the other a union organizer, push back on his self-righteous idealism. During a brief trip home to see his dying grandmother, Reed wrestles with thorny questions about what makes a good activist and person. Later, in the Prius, Reed’s mother teaches him about the Korean concept of hwabyung, or “burning sickness”—an intense, suppressed rage that will destroy him if he’s not careful—and Reed learns what he really needs: not sound bites but true connection. Wong’s enthralling novel is a reminder that every fight for justice is, at heart, a fight for one another.

Hope in the Dark: Untold Histories, Wild Possibilities, by Rebecca Solnit

Solnit’s short manifesto about the revolutionary power of hope is a rallying cry against defeatism. She begins by critiquing the progressive tendency to harp on the bleakness of societal conditions, insisting that despair keeps oppressive systems afloat. Hope and joy, by contrast, are essential elements of political change, and celebrating wins is a worthy act of defiance against those who would prefer that the average person feel powerless. Originally published in 2004 after the U.S. invasion of Iraq, and updated in 2005 and 2016, Hope in the Dark provides modern examples of gains on race, class, environment, and queer rights. That said, this is not a feel-good book. It does not sugarcoat, for instance, the fact that we are headed toward ecological disaster. And if you look up the latest figures on the gender wage gap, you’ll find that they’ve hardly budged from those cited by Solnit years ago. Still, her deft logic and kooky aphorisms (“Don’t mistake a lightbulb for the moon, and don’t believe that the moon is useless unless we land on it”) have convinced me that to give up hope is to surrender the future. Fighting for progress can be exhausting and revelatory, full of both pain and pleasure. Solnit insists that doing so is never a waste.

[Read: Trump won. Now what?]

Women Talking, by Miriam Toews

The inspired-by-true-events premise of Toews’s seventh novel is literally the stuff of nightmares. In a remote Mennonite colony, women who have suffered mysterious attacks in the night learn that they’ve been drugged and raped by several men from their community. One woman is pregnant with her rapist’s child; another’s 3-year-old has a sexually transmitted infection. The novel takes place in the aftermath of the discovery, just after the men have been temporarily jailed. They are set to be bailed out in two days, and the colony’s bishop demands that the victims forgive them—or else face excommunication and be denied a spot in heaven. The women meet in secret to decide what to do: Comply? Fight back? Leave for an outside world they’ve never experienced? Even against this harrowing backdrop, Toews’s signature humor and eye for small moments of grace make Women Talking an enjoyable and healing read. The women’s discussions are both philosophical (they cannot read, so how can they trust that the Bible requires them to forgive the men?) and practical (if they leave, do they bring their male children?). Any direction they choose will lead to a kind of wilderness: “When we have liberated ourselves,” one woman says in a particularly stirring moment, “we will have to ask ourselves who we are.”

Good Talk, by Mira Jacob

Jacob’s graphic-memoir-in-conversations took major guts to write. It begins like this: The author’s white in-laws throw their support behind Trump’s 2016 presidential campaign, and her otherwise loving family toes the edge of collapse. Good Talk is a funny and painful book-length answer to questions from Jacob’s 6-year-old son, who is half Jewish and half Indian, about race, family, and identity. Jacob, who was raised in the United States by parents who emigrated from India, gorgeously illustrates her formative experiences, touching on respectability politics, colorism within the Indian community, her bisexuality, and her place in America. She refuses to caricaturize the book’s less savory characters—for example, a rich white woman who hires Jacob to ghostwrite her family’s biography and ends up questioning her integrity and oversharing the grisly details of her 2-year-old’s death from cancer. Jacob’s ability to so humanely render the people who cause her grief is powerful. My daughter is too young to ask questions, but one day, when she begins inquiring about the world she’s inheriting, I can tell her, as Jacob told her son, “If you still have hope, my love, then so do I.”

[Read: Hope and the historian]

The Twenty-Ninth Year, by Hala Alyan

Startling, sexy, and chaotic, The Twenty-Ninth Year is a collection of poems narrated by a woman on the verge—of a lot of things. She’s standing at the edge of maturity, of belonging as a Palestinian American, of recovery from anorexia and alcoholism. It’s a tender and violent place, evoked with images that catch in the throat. The first poem, “Truth,” takes the form of a litany of confessions: “I broke / into the bodies of men like a cartoon burglar”; “I’ve seen women eat cotton balls so they wouldn’t eat bread.” That Alyan is a clinical psychologist makes sense—her poems have a clarity that can’t be faked. Dark humor softens the blow of lines such as “I starved myself to starve my mother” and “Define in, I say when anyone asks if I’ve ever been in a war.” She reckons with the loneliness of living in exile and the danger of romanticizing the youthful conviction that there is something incurably wrong with you. A shallow read of the collection might be: I burned my life down so you don’t have to. But I return to the last line of the book: “Marry or burn; either way, you’re transfiguring.” There is always something to set aflame; more optimistically, there is always something left to salvage. The Twenty-Ninth Year is, in the end, a monument to endurance.

Riot Baby, by Tochi Onyebuchi

If you’re sick of books described as “healing” or “hopeful,” look no further than Riot Baby. Onyebuchi’s thrilling 2020 novella asks just how far sci-fi dystopias are from real life. Kev, a Black man born during the Rodney King riots in Los Angeles, California, spends much of his 20s in prison after a botched armed robbery. His sister, Ella, has more supernatural problems: She sees the past and the future and, when fury takes over, can raze cities to the ground—yet she could not protect her brother from the violence of incarceration. When Kev is paroled and a new form of policing via implantable chips and pharmaceutical infusions brings “safety” to the streets of Watts, Ella understands that the subjugation of her community is not a symptom of a broken system; rather, it is evidence of one “working just as designed,” as Onyebuchi put it in an interview. Ella must make a wrenching choice: fight for a defanged kind of freedom within such a system or usher in a new world order no matter the cost. In real life, too often, you cannot control your circumstances, only your actions. But you may find relief in reading a book that reaches a different conclusion.

[Read: When national turmoil becomes personal anxiety]

Let the Record Show: A Political History of ACT UP New York, 1987–1993, by Sarah Schulman

This 700-plus-page history of the AIDS Coalition to Unleash Power’s New York chapter is, I promise you, a page-turner. Schulman and the filmmaker Jim Hubbard, who were both in ACT UP New York, interviewed 188 members over the course of 17 years about the organization’s work on behalf of those living with HIV/AIDS—“a despised group of people, with no rights, facing a terminal disease for which there were no treatments,” Schulman writes. Part memoir and part oral history, Let the Record Show is a master class on the utility of anger and a historical corrective to chronicles that depict straight white men as the main heroes of the AIDS crisis. In reality, a diverse coalition of activists helped transform HIV into a highly manageable condition. “People who are desperate are much more effective than people who have time to waste,” Schulman argues. ACT UP was known for its brash public actions, and Schulman covers not just what the group accomplished but also how it did it, with electrifying detail. There can be no balm for the fact that many ACT UP members did not survive long enough to be interviewed. There is only awe at the way a group of people “unable to sit out a historic cataclysm” were determined to “force our country to change against its will,” and did.

Why Oz Is the Doctor Trump Ordered

The Atlantic

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Donald Trump appears to experience the world through the glow of a television screen. He has long placed a premium on those who look the part in front of the camera. Paging Dr. Mehmet Oz.

Trump has picked Oz to lead the Centers for Medicare and Medicaid Services. CMS, as the agency is known, falls under the Department of Health and Human Services (HHS). Last week, Trump nominated Robert F. Kennedy Jr. to serve as HHS secretary. As you may have guessed, Kennedy and Oz are not only friends but kindred spirits. Oz is a global adviser at iHerb, a for-profit company that offers “Earth’s best-curated selection of health and wellness products at the best possible value.” He and Kennedy, two relative outsiders, are now positioned to enjoy a symbiotic relationship within Trump’s chaotic ecosystem.

Oz was last seen running for a Pennsylvania Senate seat in 2022. He lost to John Fetterman, who, despite dealing with the aftereffects of a stroke, carried the state by five points. Throughout that race, Oz struggled to combat the perception that he was a charlatan and carpetbagger who primarily lived in New Jersey. (Fetterman’s team repeatedly tagged Oz as an out-of-touch elitist, trolling him, for example, when he went grocery shopping for crudités and lamented high prices.) After that electoral defeat, Oz’s political dreams seemed all but dashed. But he wisely remained loyal to Trump—a person who has the ability to change trajectories on a whim.

In the pre-Trump era, it might have been a stretch to describe CMS administrator as an overtly political position. But Oz’s objective under Trump couldn’t be clearer. In a statement, Trump, using his reliably perplexing capitalization, telegraphed that Oz will bring a certain ethos to the job—a little MAGA, a little MAHA. Oz, Trump promised, will “cut waste and fraud within our Country’s most expensive Government Agency, which is a third of our Nation’s Healthcare spend, and a quarter of our entire National Budget.” And, because he’s Trump, he mentioned Oz’s nine daytime Emmy Awards.

Some 150 million Americans currently rely on the agency’s insurance programs, including Medicaid, Medicare, and Obamacare. Oz has been a proponent of Medicare Advantage for All. Though that sounds like the Medicare for All initiative championed by progressives such as Senator Bernie Sanders, the two programs are quite different. At its core, Medicare for All would set the U.S. on a path toward nationalizing health care. Trump would never go for that. But Medicare Advantage already exists within America’s patchwork private/public system, and Oz might push to strengthen it. He could also face budgetary pressure to weaken it. Oz’s own health-care views haven’t remained consistent. Though he once praised the mandatory universal models of Germany and Switzerland, as a Republican politician he threw his support behind privatized Medicare.

When asked about Oz’s nomination, Fetterman, his former opponent, told CNN: “As long as he’s willing to protect and preserve Medicaid and Medicare, I’m voting for the dude.” Some people were pissed. Victoria Perrone, who served as the director of operations on Fetterman’s Senate campaign, called out her old boss on social media: “Dr. Oz broke his pledge to ‘do no harm’ when he said red onions prevent ovarian cancer. My sis died of OC in 6/2022. This is a huge personal betrayal to me. We know he won’t protect the Medicaid that paid for her treatments,” Perrone posted on X. “I feel like I’ve been duped and 2 years of working on your campaign was a waste,” she added.

The above argument is illustrative of another reality Trump acknowledged in announcing his pick: “Make America Healthy Again” keeps growing. Oz, Trump declared, “will work closely with Robert F. Kennedy Jr. to take on the illness industrial complex, and all the horrible chronic diseases left in its wake.” He went a step further, promising that Oz will bring “a strong voice to the key pillars of the MAHA Movement.” Oz holds degrees from Harvard and Penn, and he worked as a professor of surgery at Columbia. In spite of that pedigree, Oz has spent years facing credible accusations of medical quackery for his endorsement of dietary supplements. In 2014, he received a dramatic dressing-down on Capitol Hill. Senator Claire McCaskill read three statements that Oz had made on his eponymous show:

“You may think magic is make-believe, but this little bean has scientists saying they’ve found the magic weight-loss cure for every body type: It’s green coffee extract.”

“I’ve got the No. 1 miracle in a bottle to burn your fat: It’s raspberry ketone.”

“Garcinia cambogia: It may be the simple solution you’ve been looking for to bust your body fat for good.”

Oz’s defense that day was that his job was to be a “cheerleader” for the Dr. Oz audience. “I actually do personally believe in the items I talk about in the show. I passionately study them. I recognize oftentimes they don’t have the scientific muster to present as fact, but nevertheless, I would give my audience the advice I give my family,” he testified.

He emerged from that hearing largely unscathed. Two years later, Oz would go on to read what he claimed were Trump’s medical records on that same show. He famously praised Trump’s testosterone levels and supposed all-around health. Four years after that, once Trump was president, Oz sent emails to White House officials, including Trump’s son-in-law Jared Kushner, pushing them to rush patient trials for hydroxychloroquine, an unproven treatment for COVID.

In the next Trump administration, those are the sorts of exchanges Oz could be having with Kennedy—or with Trump himself. How did we get here? Oz landed this gig because he’s good on TV, yes, but also because, when he entered the political arena, he fully aligned himself with Trump. The 47th president rewards loyalty. If there’s one thing that’s become clear from his administration nominations so far, it’s that.

Some of Trump’s appointments will be less consequential than others. Anything involving the health and well-being of tens of millions of Americans is inarguably serious. Oz’s confirmation is not guaranteed, but his selection has already confirmed that nothing about Trump 2.0 is mere bluster.

Related:

Trump is coming for Obamacare again. (From January) Why is Dr. Oz so bad at Twitter? (From 2022)

Here are three new stories from The Atlantic:

Another theory of the Trump movement What the men of the internet are trying to prove Arash Azizi: The problem with boycotting Israel

Today’s News

Republican members of the House Ethics Committee blocked the release of the investigation into the sexual-misconduct and drug-use allegations against former Representative Matt Gaetz. Jose Ibarra, who was found guilty of killing Laken Riley on the University of Georgia campus, was sentenced to life in prison without possibility of parole. Trump tapped former WWE CEO Linda McMahon, who previously led the U.S. Small Business Administration during Trump’s first term, to be the secretary of education.

Dispatches

The Weekly Planet: Drought is an immigration issue, and Trump’s climate policies are designed to ignore that, Zoë Schlanger writes.

Explore all of our newsletters here.

Evening Read

Video by Joanne Imperio / The Atlantic. Sources: Archive Films / Getty; Internet Archive; Prelinger Associates / Getty.

Put Down the Vacuum

By Annie Lowrey

The other night, a friend came over. A dear friend. A friend who has helped me out when I’ve been sick, and who brought over takeout when I had just given birth. Still, before he arrived, I vacuumed.

I thought about this while reading the Gender Equity Policy Institute’s recent report on gender and domestic labor. The study finds that mothers spend twice as much time as fathers “on the essential and unpaid work” of taking care of kids and the home, and that women spend more time on this than men, regardless of parental and relationship status. “Simply being a woman” is the instrumental variable, the study concludes.

Read the full article.

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Stephanie Bai contributed to this newsletter.

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