Spectator Life

Spectator Life

An intelligent mix of culture, style, travel, food and property, as well as where to go and what to see.

The doctor will kill you now

It’s the stuff of nightmares. You wake up on a cold metal table, fully conscious but unable to move or communicate as masked figures prep you for some unknown procedure – it turns out to be your last. This isn’t the plot of a Criminal Minds episode, but quite possibly a far too common reality in an American medical system that seeks to harvest organs from donors who are very much alive. It’s the latest example of modern progressive institutions committing harm in the name of help. A recent New York Times investigation revealed the disturbing lengths procurement agencies go to retrieve organs. Historically, organ donation occurred only from patients declared brain-dead, an “irreversible state.

Organ transplant in Paris (Getty)

America’s top medical schools still hire by race

The institutions just won’t quit. Even after the Supreme Court made it abundantly clear that race-based admissions violate the Constitution, many of America’s top medical schools are digging in their heels – and, apparently, digging graves for meritocracy. A new report by Do No Harm, a group of physicians and health policy experts, reveals that public medical schools continue to admit students with dramatically different qualifications based largely on race. In other words, the diversity-industrial complex is alive and well – just operating in the shadows. The numbers don’t lie. According to the report, black students admitted to these schools had average MCAT scores significantly lower than their white and Asian counterparts.

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Kardashian clones have taken over

Stop the press: the Kardashians have admitted to going under the knife. Replying to speculation about her plastic surgery procedures, reality TV star Khloe Kardashian listed all the work she’s had done from nose jobs to "salmon sperm facials". Bears defecate in the woods, the Pope’s a Catholic and yes, it takes money and scalpels to look airbrushed in real life.Why should you care about Khloe’s collagen microthreads, or her mother’s startling face lift? Because the California alien look has become the beauty standard for many young women. The Marilyn-Monroe-on-steroids look popularized by the Kardashians, with the kind of huge backsides and invisible waists that would make Betty Boop look plain, has caused all kinds of dark and interesting shifts in popular ideas of femininity.

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It’s time to bid adieu to Obamacare

Fifteen years ago, when Congress enacted the Patient Protection and Affordable Care Act (also known as Obamacare), Vice President Biden, at that time a man with full verbal faculties, indecorously stated to President Obama, “this is a big fuckin’ deal.” So it was, or so it seemed. Today however, Obamacare has become yet another reckless source of federal spending, significantly contributing to the inefficiencies and corporatist structure of American healthcare.Obamacare’s reinforcement of the healthcare status quo should lead us to think more deeply about what we want healthcare to be like in America. Should we not strive for the alignment of healthcare with the fundamental principles of democratic capitalism, ensuring that freedom and accountability for patients – i.e.

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Are antidepressants making Americans violent?

On April 20, 1999, Eric Harris and Dylan Klebold entered Columbine High School in Colorado, armed to the teeth, and set about murdering their fellow classmates and teachers. When the shooting was over, 12 children and one teacher lay dead. Harris and Klebold were dead, too, and 20 others were wounded. Within a little over a week of the atrocity, there was already speculation that psychotropic drugs might have been a factor, specifically the powerful and relatively new antidepressant Luvox (fluvoxamine), which Harris was known to have been taking. Fluvoxamine is a selective serotonin reuptake inhibitor (SSRI), a class of antidepressant medication that was first trialed in the 1970s and then brought to market in  the US in the late 1980s.

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DoGE should make ending the opioid crisis its legacy

As President Donald Trump trots the globe shopping for a new Air Force One and takes long-distance phone calls in a quest to end the “bloodbath” in Ukraine, a clear and present – and costly, in more ways than one – danger persists on his own country’s soil. A new, first-of-its-kind study from Avalere Health has found the annual average cost of each opioid use disorder (OUD) case in the US “is approximately $695,000 across all stakeholders analyzed.” Per the report’s executive summary:  The costs to the federal government, state/local government, private businesses, and society are driven by lost productivity for employers ($438 billion), employees ($248 billion), and households ($73 billion).

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Why did Joe Biden stop testing for prostate cancer in 2014?

After speculating that President Biden’s medical team must have been aware of his prostate cancer at the time of his last physical examination in 2024, we are now learning from his spokesperson that he has not had a blood test for the prostate specific antigen or PSA since 2014. Let’s recall that year. It’s the summer of 2014. The West Wing is buzzing. Crises in Eastern Europe, unrest in the Middle East, and deep concern for a resurgent threat overseas. Joe Biden, then Vice President of the United States, is flying between continents, doing shuttle diplomacy, leading panels, briefing NATO.And quietly, behind the scenes, his medical chart records a final PSA test. A routine prostate-specific antigen screening. It would be his last.Why?The question isn’t rhetorical. It’s clinical.

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Democrats should call for more honesty about Joe Biden’s health

The announcement of former president Joe Biden’s diagnosis for advanced prostate cancer is of course a sad event, as it would be with any president’s cancer diagnosis. For the human side, the prayers and sympathies of the nation should be with him and his family. But coming as it does after years of hiding the true nature of Biden’s health – including repeated lies told by his staff, family and those closest to him to the American people – it should lead to even more questions about the truth of his condition, and what we were not told as voters who deserve to trust our top institutions to be honest to us.

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‘Highly likely’ Biden had prostate cancer diagnosis in the White House

How does metastatic prostate cancer “suddenly” appear in someone like Joe Biden? It doesn’t appear overnight, it festers. In rare but dangerous cases, prostate cancer bypasses the usual slow growth and strikes fast, especially in older men. If he wasn’t screened regularly, or had an aggressive subtype that evaded PSA detection, it could have advanced under the radar. But how can we imagine that a President was not screened properly? Prostate cancer is the easiest cancer to diagnose. The PSA blood test shows the rate of cancer cell growth. Even with the most aggressive form, it is a 5-7 year journey without treatment before it becomes metastatic. Meaning, it would be malpractice for this patient to show up and be first diagnosed with metastatic disease in May 2025.

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Joe Biden’s cancer diagnosis is already being exploited

This afternoon Joe Biden’s private office announced that the former president has been diagnosed with prostate cancer. “The cancer appears to be hormone-sensitive which allows for effective management,” according to his team. “The president and his family are reviewing treatment options with his physicians.” The details provided feel important. Most men who are diagnosed with prostate cancer in the United States – roughly one in eight over a lifetime – do not die from it. Yet Biden’s team specified in the release that the cancer has spread to other tissue in the body. This suggests the former president is battling a more aggressive form of cancer. So this release is not simply a health update: it is preparing the public for potentially worse updates in the future.

The Ivanka Harvest

In Bentonville, Arkansas, far from the Beltway bubble, Ivanka Trump is talking about her latest venture. Her topic isn’t politics but produce – specifically, supply chain inefficiencies and supporting American farmers. “We launched Planet Harvest to reimagine how American produce moves,” she says, with her signature polished delivery. Gone are the West Wing offices and policy portfolios. Now it’s all about “reducing food waste, expanding access” and other wholesome buzzwords that perfectly capture the current moment in American food politics. This agricultural pivot isn’t just convenient timing, as Ivanka jumps on the MAHA bandwagon. It’s a masterclass in political repositioning.

The good energy philosophy of Casey Means, Trump’s Surgeon General pick

Casey Means, President Trump’s nominee to become the next Surgeon General of the United States, describes herself on her stylish website as a “medical doctor, writer, tech entrepreneur, and aspiring regenerative gardener who lives in a state of awe for the miracle of existence and consciousness.” Big points to you if you had that on your Second Trump Era Bingo card, but it really shouldn’t be a surprise if you were paying attention during the campaign. Dr. Means is a close friend and ally of Health and Human Services Secretary Robert F. Kennedy, Jr., and gave a series of extraordinary interviews during the campaign, most notably with Joe Rogan and Tucker Carlson, where she talked about the “chronic disease epidemic” in America, particularly among children.

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We shouldn’t downplay the risks of ADHD medication

I was diagnosed with ADHD in my freshman year of college. I’d suspected as much in high school, but I disliked the idea of taking medication. College was different. No matter what I tried, I kept finding gaps in my notes – and therefore gaps in my knowledge on test day. While I was prescribed so-called “smart drugs,” I didn’t delude myself into thinking they would magically make me more intelligent – which is why I laughed when I saw the ADHD research industry perform a volte-face in the pages of the New York Times, in a piece headlined: “Have we been thinking about ADHD all wrong?” The obvious answer is yes.

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Understanding the fluoride wars

Earlier this year, in episode #2273 of the Joe Rogan Experience, the world’s most successful podcaster started sounding off about fluoride, calling it a “neurotoxin” and citing “conclusive studies” linking high levels of fluoride in the water to lower IQs. In a clip that has been viewed more than 1.2 million times, Rogan expressed bafflement to his guest Adam Curry, the entrepreneur and media personality: “We know it’s bad for you in large doses, and yet there are fucking people out there with college degrees who read the New York Times who will get angry if you want to remove this neurotoxin from water because, ‘Look at all the strides its done in preventing tooth decay,’ and you just wanna say hey man fuck you, this is stupid.

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MAHA must harness the power of Gwyneth Paltrow

Gwyneth Paltrow may be set to pass her celebrity-everyone-loves-to-hate crown to another out-of-touch elitist. The Goop founder and queen of outrageous “wellness” hacks has announced – gasp! – that she’s begun eating like the rest of us. Paltrow has followed a Paleo diet for years – meaning she cut out virtually all culinary joy for the sake of eating like a cavewoman, though I assume she did more gathering than hunting. Yet on her Goop podcast last week, Paltrow announced, “I’m a little sick of it if I’m honest. I’m getting back into eating some sourdough bread and some cheese. There, I said it. A little pasta. After being strict with it for so long.” Paltrow’s foray into normal-people food is serendipitous; or perhaps it’s ingenious timing.

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Doctors are embracing identity politics – and harming babies

“Why did I ever order those tests?” This is the question that Dr. Sharon Ostfeld-Johns of Yale Medical School now asks herself of every drug test she ever ordered for newborns with mothers who were heavy users.The pediatrician is one of a growing cadre of doctors who think that at risk babies should not be screened for drug exposure because positive tests lead to interactions with child welfare services and exacerbate what they see as racial bias in the system. Like so many new policies in this field, though, the efforts to reduce racial disparities only end up harming the most vulnerable children.   Dr.

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RFK Jr.’s hill to dye on?

If you’re to believe media accounts of Robert F. Kennedy Jr.’s extraordinary Tuesday press conference, the Health and Human Services Secretary has “banned” eight toxic colored dyes from American food products. Milder accounts say that the agency has ordered Big Food to “phase out” these dyes by the end of 2026. No one legitimate will argue against food-dye restrictions and anyone who does is either reflexively anti-Trump to an absurd degree or is a paid food-industry shill. But the problem is that there were no food-industry shills present at the press conference. RFK Jr. has essentially asked the food companies to do the right thing by American consumers – by self-deporting. “We don’t have an agreement,” RFK Jr. said. “We have an understanding.

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Activist-academics push to Make America Teetotal Again

What constitutes a safe level of drinking? For some activist-academics there is none – and they are loudly lobbying for alcohol to be treated like tobacco in official US health advice. The Dietary Guidelines for Americans are under review and will be updated this year. Currently they recommend moderation: two drinks or less in a day for men and one drink or less in a day for women. Pressure, however, is being applied for a new recommendation: no safe level.But that would fly in the face of decades of evidence that has shown those who drink in moderation live longer than those who do not, mostly because alcohol consumption lowers the risk of heart disease, stroke and diabetes. The current guidance from 2020 is roughly where the sweet spot is from a health perspective.

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President Biden’s latest abortion ad misrepresents Texas law

President Joe Biden’s latest reelection campaign ad, Willow’s Box, highlights the story of Amanda Zurawski, a Texas woman whose traumatic pregnancy loss made national news after her hospital neglected to give her the emergency care she needed, resulting in her needing two stays in the intensive care unit. Certainly, Ms. Zurawski’s ordeal presents a harsh reminder of our healthcare system’s serious faults. However, Biden’s ad twists this story to promote a pro-abortion agenda at the expense of important medical and legal facts. In this ad, written commentary appears between video shots of Ms. Zurawski and her husband tearfully displaying the contents of a box of items they bought for their pre-born daughter, Willow. In 2022, Willow tragically passed away when Ms.

What’s RFK Jr. really up to?

Health Secretary Robert F. Kennedy Jr.’s program to Make America Healthy Again (MAHA) appears to be ahead of schedule. At the start of the month, the burger chain Steak ’n Shake announced that it would be frying its food in beef tallow rather than seed oils — and other major restaurant groups are following suit.This week, Kennedy, who hates seed oils and processed foods, rewarded Steak with an almighty PR stunt. He sat down with Fox News’s Sean Hannity to enjoy a burger (Hannity had two) at a branch in Florida. “People are raving about these French fries,” said JFK’s nephew. “They’re amazing,” Hannity agreed.It remains to be seen if the “RFK-ing” of fast food will achieve substantial results.

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What would it take to make America healthy again?

The Executive Order establishing President Trump’s Make America Healthy Again Commission presented some big, fat, sobering truths. “Six in ten Americans have at least one chronic disease,” the order says, “and four in ten have two or more chronic diseases.” It also notes that our people don’t live, on average, as long as those in other developed nations: 78.8 years in the US compared to 82.6 years in our cousin countries. How did this happen? How did the world’s most powerful nation ever get to the point where 77 percent of its youth can’t qualify for military service and we need a commission to stop us from spiraling faster and faster down the Doritos Loco Tacos-Ozempic highway? Robert F. Kennedy Jr.

The donor center is the last bastion of civility

“Braiding Sweetgrass,” she cawed from the other side of the room. “By someone named Robin something. Robin Kimmerer, I think.” The source of this unsolicited book recommendation was Sandra, an eighty-six-year-old musician and Quaker. Since the 1960s — Sandra later told me — she’d donated “probably about three hundred pints” of blood. She was such a prolific giver, that when President Nixon proclaimed the first National Blood Donor Month in 1970 — which still is January — she was interviewed on TV. I met Sandra in early January. We were half-sitting, half-lying foot-to-foot in a donor center on the Upper East Side of Manhattan.

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RFK Jr. squeaks by to become health and human services secretary

The US Senate narrowly confirmed Robert F. Kennedy Jr. as health and human Services (HHS) secretary in a 52-48 vote. Democrats voted along party lines — against former Democrat RFK — as did Republicans, with the exception of Senator Mitch McConnell. Expressing his view of RFK’s appointment, McConnell said in a statement: I’m a survivor of childhood polio. In my lifetime, I’ve watched vaccines save millions of lives from devastating diseases across America and around the world. I will not condone the re-litigation of proven cures, and neither will millions of Americans who credit their survival and quality of life to scientific miracles... a record of trafficking in dangerous conspiracy theories and eroding trust in public health institutions does not entitle Mr.

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RFK survives assault from Big Pharma-loving Democrats

My friend Dan Foster voiced a theory about Robert F. Kennedy Jr. today that strikes me as particularly accurate. In response to a comment from the New York Times’s Ross Douthat giving credence to RFK’s belief that Lyme disease could be the result of a materially engineered bioweapon, he noted: “The reason I think Kennedy gets confirmed is because every single American agrees with him on one of his fringe things. He’s like the Captain Planet of kook.” This is the ultimate expression of voter antipathy toward traditional politicians, laid atop suspicions that everyone holds about something on the edge of appropriate discussion. It goes like this: “Well, yeah RFK’s probably wrong about X, and definitely about Y, but Z? He’s the only guy who tells the truth about Z!

Bryan Johnson and the meme-ing of life

In fifth grade my class read Tuck Everlasting, by Natalie Babbitt, the story of a ten- year-old girl who stumbles on a family of immortals, the Tucks, who impress upon her that eternal life is unnatural and actually a curse. The novel had a profound effect on me. I became obsessed with the book and with the relationship of life to death. One passage in particular has haunted me for decades. “You can’t have living without dying. So you can’t call it living, what we got,” the patriarch, Angus Tuck, says. “We just are, we just be, like rocks beside the road.” I’ve been thinking about this book a lot since I became aware of the tech entrepreneur Bryan Johnson.

Trump’s historic opportunity to make Americans healthy again

After years of crushing inflation, "woke" priorities and bureaucratic overregulation, Donald Trump and the Republican Party achieved a resounding victory in November. Part of that victory was built upon his promise to challenge the status quo in our healthcare system and to “make America healthy again.” The first step? Ending patient-last policies in Medicare, Medicaid, drug pricing and health insurance that prioritize the health of the healthcare system over the health of patients, driving up the cost of care at the expense of patients and taxpayers.  Healthcare is the only market where customers discover the price after consuming a good or service, and these surprising costs are contributing to crushing medical debt. It doesn’t have to be this way.

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The poor health of America

This week, the nation focused on the deaths of two men in New York City. In one case, a mentally stable man confronted a mentally unstable man on the F train. Out of an intentional drive to protect the lives of those around him, the stable man — a twenty-five-year-old Marine from Long Island — put the unstable man in a chokehold that resulted, directly or indirectly, in his death. In the other case, a mentally unstable man targeted a mentally stable man as a consequence of his job leading one of the largest health insurance companies — shooting him in the back as he walked down the street.

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Exploring the rise of vaping

For those of us with a poor grasp of time, who can still recall when a night at the bar could be sharply revisited by a Proustian wave of stale smoke arising from yesterday’s clothes, it can almost feel as if vaping crept up on us out of nowhere. One moment, it seemed, all the authorities had firmly agreed that pushing for vaping was creepy, and were pledging to legislate and tax cigarettes into oblivion; the next, great hordes of schoolchildren were apparently free to suck constantly on little vials of liquid nicotine with sugar-rush names such as Cherry Fizzle and Blue Razz Lemonade. What happened?

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Reflections on two decades of yoga

Recently it occurred to me that I’ve been doing yoga for twenty years. This happened while I was doing yoga, which makes a lot of sense. My Buddha-worthy insight reminded me of a time when I’d only been doing yoga for three years and still gazed around at my surroundings wonderingly, like a toddler, which, in a yoga sense, I was. I’d traveled to San Francisco for a Yoga Journal conference, the vogue back in the Aughts. All the famous yoga teachers, and their willing dues-paying acolytes, gathered in the Brutalist basement of the downtown Hilton, not a particularly beautiful or Zen location. I took workshops all day, including a lousy, pretentious harmonium-soaked one from an emaciated master who looked like a yoga version of Iggy Pop, but with worse taste in music.

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