Health

A toast to my good health

From our UK edition

Rachel Johnson’s raillery is reminiscent of Beatrice and Benedick, in the early phase, but with no danger of a predestinate scratched face. The Johnson family are not egalitarians. When it comes to morals, there is no equal distribution. But to be fair to Rachel, she has never tried to become prime minister. That charming fellow William Sitwell would be a good Benedick. He is always worth reading, but it appears he has recently been unlucky with some customers in his restaurant. They insisted on sauvignon blanc to the exclusion of all other grapes. Yet, and especially in this weather, there’s plenty of good sauvignon blanc, from the Loire, New Zealand – though one can have too much Cloudy Bay – and Bordeaux, where, alas, the best growers charge accordingly.

Britain’s National Health Service believes in fairness – they treat everyone with equal contempt

Edward Gibbon was troubled by a swelling in his lower abdomen. I have the same condition. “Wow. That’s huge,” said my GP as he gazed at the affected area. “Huge?” I said, trying to sound nonchalant. “I wouldn’t know. It’s the only one I’ve ever seen.” My cyst has been expanding steadily for decades and I was told a few years ago that its intentions were peaceful. My new GP was trying to scare me, obviously. I don’t blame him. It’s dull work staring at sick bodies all day and he was trying to amuse himself with a spot of scaremongering. “You’ll need a scan within two weeks,” he added. “Cancerous perhaps?” I asked. He nodded with a sly grin.

national health service

Is your wellness smoothie giving you cancer?

There’s a question I’ve started being asked at work. Given I’m a psychiatrist, it isn’t one I’d ever expected to hear: “Do I have cancer?” A young woman with anxiety wants to know whether the lump on her neck is sinister; she has been watching a great deal of TikTok. A man in his late thirties, in for a routine review, mentions in passing that his sister has been referred for a colonoscopy and wonders whether he should be too. At a dinner party a few weeks ago, a friend leant across halfway through her low-alcohol natural wine and asked me, in a small voice, whether it was true her generation was getting cancer in their thirties. Yes, I said, perhaps a little too bluntly. She looked rather panicked for the rest of her evening.

Which countries see more UFOs?

From our UK edition

Red Wales Labour lost power in the Welsh Assembly for the first time since it was set up in 1999. Labour’s domination in Wales began early. The party’s founder, Keir Hardie, was born in Lanarkshire and made his name as a trade union activist in the Scottish coalfields. He first won election for the constituency of West Ham South. Yet it was during his second Commons stint, as MP for Merthyr Tydfil, that he established the Labour party in 1900. In the 1922 general election Labour won a majority of seats in Wales, a feat it has repeated in every one of the 27 general elections since – a run unparalleled among political parties in the world’s genuine democracies, but which is unlikely to be extended. Space oddity Donald Trump declassified many files relating to UFOs.

Is your wellness smoothie giving you cancer?

There’s a question I’ve started being asked at work. Given I’m a psychiatrist, it isn’t one I’d ever expected to hear: ‘Do I have cancer?’ A young woman with anxiety wants to know whether the lump on her neck is sinister; she has been watching a great deal of TikTok. A man in his late thirties, in for a routine review, mentions in passing that his sister has been referred for a colonoscopy and wonders whether he should be too. At a dinner party a few weeks ago, a friend leant across halfway through her low-alcohol natural wine and asked me, in a small voice, whether it was true her generation was getting cancer in their thirties. Yes, I said, perhaps a little too bluntly. She looked rather panicked for the rest of her evening.

A cigar is never just a cigar

From our UK edition

‘Oi mister! Will you buy us summit in the shop? I got the money.’ ‘Here we go,’ I think, ‘another grotty 15-year-old making the usual request for a bottle of Dmitri Vodka or 20 Benson & Hedges. Reluctantly, remembering my rebellious teens, I agree. Surprisingly, he hands over £80. ‘Can you get me a Montecristo Linea 1935 Leyenda cigar?’ he asks. ‘Or, if they ain’t got that, a Davidoff Escurio Gran Toro. You can keep the change, mister.’ This event, of course, has never actually happened. But it seems to be within the government’s fervid imagination that it has. The Tobacco and Vapes Bill, which cleared the House of Commons last year and passed in the House of Lords this month, will make it illegal for anyone born after 1 January 2009 to buy tobacco products.

Yes, women still want to have children

From our UK edition

Nearly one in three British women are now predicted to have no children, compared to around one in 20 in 1970. The assumption is that this is because young women have simply lost interest in becoming parents. But on the contrary, nine out of ten say they hope to become mothers one day, and the desire for a home and a family to call their own remains stubbornly persistent.  Striking new analysis by the Centre for Social Justice published this month found that more than three million women aged 16 to 45 may miss out on having the family they hoped for – 600,000 more than if fertility patterns matched their grandparents’ generation.  Make no mistake, this is one of the forgotten tragedies of our time.

Jeffrey Epstein’s testosterone problem

Jeffrey Epstein was a sick man. That’s hardly news. But a new dimension has been added to our understanding of him by the latest batch of files released by the Department of Justice. Physically, not just mentally and morally, Jeffrey Epstein was very, very unwell. For the better part of a decade, despite having billions of dollars and access to some of the world’s greatest practitioners of medicine, Epstein’s health only got worse. We can now follow his physical decline in depth – via emails and text messages, magazine clippings, scientific reports and website articles he saved – which is exactly what a number of internet sleuths have been doing.

When did gyms become so unfriendly?

From our UK edition

One of the drawbacks of being on the jabs is that you can lose muscle mass as well as body fat. I’ve been taking Mounjaro for about six months and, apart from the expense, I have few complaints. I’ve lost about 20lb and generally feel healthier. But Caroline insists I combine the weight loss with lifting weights, so I’ve been making regular visits to a gym in White City. I hear horror stories from gym users about people treating the space as if it’s their personal film set I used to be a bit of a gym rat in my twenties and thirties, but marriage and children, not to mention a full workload, put paid to that. Not much has changed in the last quarter century, save for one glaring difference: everyone is constantly on their phones.

The doctor will patronise you now

How a profession speaks to its subjects is always of interest to a writer, sometimes perversely so. Over the past few weeks a persistent problem with my foot worsened and appeared to take charge of things. (This isn’t going to be a piece moaning about ill health, I should reassure you.) The hospital took soundings of the ulcer, now turned into infection: first with a probe, then an X-ray, then an MRI scan, and finally the consultant manifested himself. The infection was in the bone and showed no sign of retreating under the antibiotics. It looked as if an operation was unavoidable, to remove – the consultant paused in his explanation – ‘We’re just going to take a kind of little nibble at the toe,’ he said. I regarded him levelly.

The US has left the World Health Organization. What next?

At this year’s World Economic Forum America’s friends and enemies heard about what some are calling a new world order. In Davos, President Trump advanced his own version of Realpolitik. America has its particular interests and he doesn’t mind being fully transparent about them and the actions they portend.   He plainly said that NATO is not forever. His Board of Peace is described as a possible prototype that will displace the UN. Trump has no regard for Biden’s devotion to the “rules based world order” when it really means the US has to pay for everyone else to honor the rules.   This is the reason that while the good and great were chatting it up in Davos the US finalized its withdrawal from the World Health Organization.

world health organization

How ticks became bioweapons

On December 18 last year, Donald Trump signed into law an order to “review and report on biological weapons experiments on and in relation to ticks [and] tick-borne diseases.” The investigation is long overdue but even so, the facts it uncovers will come as a shock to many. A growing body of evidence shows that during the Cold War ticks were tinkered with and used as delivery mechanisms for biological warfare agents. And these weaponized ticks may have been released both intentionally and unintentionally on an unsuspecting public by the US military. Ticks and the diseases they transmit (such as Lyme) pose a growing threat to Americans, the military and to agriculture. Record numbers of tick bites have been reported in New York (in 2024), Maine (in 2024), and Wisconsin (in 2023).

All hail the chickenpox vaccine!

From our UK edition

On 1 January, the NHS announced it would be including a chickenpox vaccine in the bundle of inoculations given to one-year-olds, henceforth known as the MMRV, where V stands for varicella. Most people in my circle reacted badly to this news, having become vaccine sceptics after the overselling of the Covid jabs, but not me. Twenty years ago I lobbied the government to do just this. I don’t think people realise how dangerous chicken-pox can be – and not just for adults. Two days after my son Ludo was born, Caroline discovered a spot on her chest that her mum quickly diagnosed as chickenpox.

Health report reveals Trump’s thin skin

For years, Joe Biden’s handlers did their best to hide the fact from us that their boss was a senile, cancer-ridden mummy. This isn’t the case with Donald Trump, an equally aged President. We know everything, within reason, about Trump’s every bodily function. As a New Year’s gift to us, the Wall Street Journal called Trump to ask him about his health. Somewhat to the surprise of the reporters, Trump picked up the phone and gave them a full report. The President doesn’t sleep. He often bothers aides with calls at 2 a.m. According to the Journal, “aside from golf, Trump doesn’t get regular exercise, and he is known to consume a diet heavy on salty and fatty foods, such as hamburgers and french fries.

Trump

The peril of playing with viruses

If a military team made a mistake during a nuclear war preparedness exercise and accidentally obliterated millions of people, you would not expect to find some of the very same people merrily admitting a couple of years later that they have carried out the very same kind of exercise with different live nukes and slightly fewer safeguards. Would you? That is roughly what I recently found out has apparently been going on in China. The Wuhan laboratory that conducted risky experiments on bat viruses at inadequate biosafety levels and almost certainly caused the pandemic has now revealed that it has done the same kind of risky experiments on another lot of horseshoe-bat viruses at low biosafety levels. Is accidentally killing millions not enough to give them pause?

The mind-body conundrum

From our UK edition

I’m committed this winter to too many expensive building projects at once. As the balloon of my bank balance drifts ever lower towards the waves, and the crests of red ink lick the wicker of my basket, I’ve realised something has to be thrown out. Thus it was that last week I found myself in London’s Hatton Garden. Tucked into my little knapsack was my passport and a couple of one-ounce mini bars of gold I had bought after the last banking crisis, and stored in an old kettle. It was late afternoon, and dark.

Hands off my prostate

From our UK edition

Too much information. That’s what you’re about to get. I wouldn’t read another line if I were you. I will be talking, at length, about my prostate and, by extension, my old fella and why I will not let the medical clergy anywhere near either of them, not the private medics or the chaotic maniacs who work for the NHS. I don’t mind whipping it out for you, though – and so this is an article which is both repulsive in its personal revelatory details and will also, if anyone takes it seriously, result in 230 premature deaths over the next decade or something. I don’t think it’s going to get me on the shortlist for the Orwell prize, then. But telling unpopular truths hasn’t worked very well either, so never mind.

Would you pay £65 for toothpaste?

From our UK edition

Time was, you didn’t look forward to going to the dentist. Even for routine stuff, your highest aspiration would be to get it over as quickly as possible with as little unpleasantness as possible. Most of the procedures seem pretty mechanical, including having the most sensitive bits of your teeth scraped with a metal thing. That was what I thought before I encountered Anti-Ageing Dentistry at the Nejati clinic in Belgravia, where the founder – it seems wrong to call Brandon Nejati a mere dentist – talks about ‘pampering’. This is where a really expensive luxury spa meets dentistry and it’s the most obvious example of how oral care is changing.

Can you be ‘more MAGA’ than Trump?

The MAGA crack-up has been the talk of the town this week – thanks to a squishy answer from President Trump on H-1B visas in a Fox News interview, the looming release of all the Epstein documents the House has access to, disagreements over what America’s relationship with Israel should be… and the lingering hangover of the Heritage Foundation’s Tucker Carlson quarrel. (Conveniently, the forthcoming US issue of The Spectator tackles this topic – you can read two pieces from the cover package, by Freddy Gray and Ben Domenech, now.) These disputes – about whether there’s such a thing as being “more MAGA than Trump” – are trickling out beyond Washington and into the 2026 primary races.

more maga trump

How to get Britain eating healthily again

From our UK edition

Another week, another government offensive against childhood obesity. This time it’s a fresh round of pleas for new levies on junk food. And right on cue, out come the sympathetic pundits with a familiar lament: the poor simply can’t afford to eat well. Carrots are unaffordable and broccoli is a luxury that only the middle class can stretch to. It’s a predictable narrative. It’s also wrong, or at least, far from the whole truth. I say this having lived the messy reality of fostering, where I’ve had the privilege, and sometimes pain, of stepping into lives different from my own. For more than 20 years, I’ve cared for children pulled from homes where parenting skills are scarce and where ‘dinner’ might consist of a handful of sweets and a packet of crisps.