Page 3 of 33

Posted on

The Vacuum Where the Evidence Should Be

Zach Bush, a physician in good standing, sits across from an interviewer and describes the soul, calm and fluent, generous with wonder. He says that every millionth of a second the atoms of your body dissolve and return, that a single fertilized cell organizes itself into a child by reading a map no biologist can locate, and that the map lives in the vacuum, in the electromagnetic field that fills the empty space inside every atom. He calls this the anatomy of the soul. In a 2021 essay on his own website he writes that the body projects itself as a hologram, and that its apparent solidity is an impression made by light. The performance is seductive because the vocabulary is real. Differentiation, migration, electromagnetic field, vacuum: each of those words has a home in a textbook. The trouble begins the moment you check whether they are being used the way the textbooks use them, or whether they have been borrowed to dress an idea that biology and physics both reject.

Continue reading → The Vacuum Where the Evidence Should Be

Posted on

Still Eating Your Patients

Seventeen years ago I asked whether every veterinarian should be required to be a vegetarian. The question has sharpened since then. The right word now is vegan, because the line between dairy cow and veal calf is no longer plausibly deniable, and because the climate science on animal agriculture has overrun the old fence between eggs and the slaughterhouse. The provocation in 2009 was short, almost a snapshot of a paradox. A profession that swears to relieve animal suffering, going home from the clinic and ordering bacon. The post received twelve comments, a few sympathetic, a few cautious, and then it slept on the page while the world kept slaughtering animals at industrial scale. The question never left me.

Continue reading → Still Eating Your Patients

Posted on

The Cognitive Bargain Has Ended: A Generation Born Without Comparative Advantage

The claim circulating in policy papers, venture capital essays, and parental anxiety threads runs like this: no child born this year will grow up to be smarter than artificial intelligence. The line gets used as a slogan, which is the first sign it deserves examination. Slogans that move easily through dinner parties usually carry hidden machinery. The machinery here is a definition of intelligence narrow enough to fit on a benchmark and broad enough to terrify a parent. Both functions are intentional, and both deserve to be unbundled before the consequences can be argued honestly.

Continue reading → The Cognitive Bargain Has Ended: A Generation Born Without Comparative Advantage

Posted on

When the Radiologist Becomes the Expense

On March 25, 2026, at a Crain’s New York Business panel discussion of the city’s hospital sector, Mitchell H. Katz, MD, president and CEO of NYC Health + Hospitals, told the assembled executives what cost-cutting now sounds like in the largest public hospital system in the United States. “We could replace a great deal of radiologists with AI at this moment, if we are ready to do the regulatory challenge.” Sandra Scott, MD, who runs One Brooklyn Health, one of the city’s safety-net institutions operating on tight margins, replied that the move would be “a game-changer.” The exchange appeared in Crain’s coverage of the panel and was picked up by the radiology trade press within forty-eight hours.

Continue reading → When the Radiologist Becomes the Expense

Posted on

Preventative Medicine, or the Manufacture of Patients?

There is a sentence every American patient has heard at the dentist’s chair, the cardiologist’s office, the primary-care visit, and the pharmacy counter. It arrives in a tone of grave responsibility: We caught this early. What follows is a crown, an echocardiogram, a statin, a stress test, a referral, a follow-up appointment, and a copay. The word “preventative” has come to function as a moral shield around a billing code. To question whether the recommended intervention is necessary is treated as ingratitude toward a profession that, the implication goes, only wants to keep you alive.

Continue reading → Preventative Medicine, or the Manufacture of Patients?

Posted on

The People We Cannot See: What Dark Matter Galaxies Tell Us About Invisible Life

In February 2026, astronomers confirmed the existence of a galaxy called CDG-2 that is, for all practical purposes, invisible. Sitting in the Perseus galaxy cluster some 300 million light-years from where you are reading this sentence, CDG-2 is 99% dark matter. It was not found by its starlight, because it has almost none. It was found by four globular clusters huddled together in the dark, gravitational orphans clinging to the skeleton of a galaxy that had its visible substance stripped away by the gravitational violence of its neighbors. A month earlier, researchers announced Cloud-9, a spherical gas cloud near the spiral galaxy Messier 94, only 2,000 light-years away, that contains no stars at all. Not a single one. Scientists called it a “failed galaxy,” a primordial dark matter structure that never accumulated enough material to ignite. Two discoveries, two different failure modes, and the same unsettling implication: the visible universe, the one we photograph and celebrate and write poetry about, is a thin bright residue stretched across an architecture we cannot see and have only begun to understand.

Continue reading → The People We Cannot See: What Dark Matter Galaxies Tell Us About Invisible Life

Posted on

Psychology of Delusions: Why We Cling to False Beliefs

Delusions aren’t just quirky thoughts; they’re deeply held beliefs that defy logic and evidence. They’re like stubborn weeds in the garden of the mind, refusing to budge even when confronted with the most compelling counterarguments. But why do they take root in the first place? Often, it’s because they serve a purpose, acting as a psychological shield against the harsh realities of life. Think of them as a mental coping mechanism, a way to cushion the blow of painful truths or overwhelming anxieties. The DSM-5, the psychiatrist’s bible, defines them as fixed beliefs resistant to change, often arising from complex emotional and cognitive landscapes. They’re not mere whims, but rather a reflection of a deep-seated psychological need.

Continue reading → Psychology of Delusions: Why We Cling to False Beliefs