Monday, May 20, 2024

Einstein, Relativity and Relative Ethics. What does it all mean? My take

Einstein, Relativity and Relative Ethics 

Does God play dice with the universe?

by Donald Harvey Marks, physician scientist




personal blog https://bit.ly/3PyR6aP

as a podcast; https://bit.ly/3fQDsNE

With all the uncertainty and turmoil in our lives, many have wondered whether there is meaning to the world, and whether God Truly Does Play Dice With The Universe. In many ways, Einstein and his findings of Relativity can help us answer these questions. This presentation on   Einstein, Relativity and Relative Ethics presents my thoughts on the early history of Einstein’s life and his key concepts, where they fit into history, and then addresses whether some or all ethical decisions have moral absolutes or are simply relative to their context. Emphasis is given to decisions made in medicine and public health, and the consequences of relative ethics are explored.

This full article is also available on my podcast The Existentialisthttps://bit.ly/3fQDsNE


And now  the presentation.



Let's first talk about Einstein – The Person

Albert Einstein was born on March 14, 1879 in Ulm, Germany and he died 1955. He was a brilliant Scientist, who thought outside the box. The phrase “All things are relative” is often attributed to him, but Einstein never said that, nor meant that. Einstein originated the concepts which led to the Atomic bomb. He was a German, a Jew and an atheist. He was a man uncertain with his scientific findings, and self-aware of his fallibility. Einstein was a mere mortal, a husband, a divorcee, a father and grandfather (Thomas). He was a funny looking guy with messy hair, who almost never wore socks.


When Einstein quit school at the age of 15, his teacher claimed there was nothing left to teach him. At 17, he applied for early admission for the Swiss Federal Institute of Technology. He passed the math and science sections of the entrance exam, but failed the rest (history, languages, geography, etc.) His scope of knowledge was relatively intense in math and physics, but very restricted otherwise. As Einstein said, Knowledge is limited, but imagination circles the world.

Einstein had to go to a trade school in 1896 before he retook the exam and was finally admitted to ETH a year later. During that time, he often missed classes and preferred reading about physics and playing his violin. 

To the public, Einstein presented himself as being a humble man, and said of himself, “I have no special gift - I am only passionately curious.” Although he may have been sincere when he said this, Einstein was not known for his humility or his understanding of his fellow humans.

At the turn of the 19th century, the world was changing rapidly, with many scientific achievements.

In 1901 Guglielmo Marconi developed a radio system and could transmit Morse code over the Atlantic ocean.

In 1903 Henry Ford produced the model A car, and the Wright Brothers make their first flight.

Around this time, Einstein took a job as an examiner at the patent office in Bern, which provided him with financial security while in grad school, and an opportunity to hone his analytic skills

Some three centuries earlier (1564 – 1642), Galileo's principle of relativity had stated that all uniform motion was relative, and that there was no absolute and well-defined state of rest. We are all familiar watching a person on the deck of a ship which is passing us by. To the person on the deck, he may be at rest, but from the view of someone observing him from the shore, he appears to be moving. His movement is relative to the observer.

In his Special Theory of Relativity STR, Einstein in 1905 expanded the understanding of relative motion of Galileo into a more general principle of relativity which includes many laws of nature. Einstein called his theory “Special” because it did not discuss Gravity, which he addressed later in the General Theory of Relativity. As Einstein said, “Everything should be made as simple as possible, but not simpler.” 

Special relativity makes some quantities relative, such as time, that we would have imagined to be absolute based on our everyday experience. It also makes absolute some others, like the speed of light, that we would have thought were relative. Is this true for ethics too?


The speed of light, 186,000 miles per second, is a universal constant, a property of the physical universe, absolute, immutable, but whose very property is counter-intuitive. The STR does not prohibit faster than light motion, and just within the last few years we have detected evidence of particles that travel faster than light. As it is, light traveling 2.5 years could reach the nearest star, and 179 thousand years to the nearest galaxy. Of course, at the time of the STR, scientists knew of only one galaxy in the universe - our Milky Way.

Einstein joked, “Put your hand on a hot stove for a minute, and it seems like an hour. Sit with a pretty girl for an hour, and it seems like a minute. THAT'S relativity.” 


 Einstein reasoned that small amounts of mass may be converted into a very large amount of energy and visa versa. This is because Einstein saw Mass and Energy as different manifestations of the same thing, as pointed out in his famous equation E=MC2. Commenting on the pairing of mass and energy, Einstein said, “This thought is amusing and infectious, but I cannot possibly know whether the good Lord does not laugh at it and has led me up the garden path."

 In 1915, Einstein revealed his Theory of General Relativity GTR, which predicted that: Gravity is a property of curved space and time, and this curvature of space-time is produced by the mass itself.  Raising further questions, I am postulated that irregularities in space time may favor collection of matter


Until recently, Einstein’s theories had not been proven or validated in the scientific sense. And so, in an address to the French Philosophical Society at the Sorbonne (6 April 1922), Einstein quipped, “If my theory of relativity is proven successful, Germany will claim me as a German and France will declare that I am a citizen of the world. Should my theory prove untrue, France will say that I am a German and Germany will declare that I am a Jew.”


1919-22 the German, Russian and Turk Ottoman empires collapsed. That year, Einstein’s Mother died, he divorced his wife Mileva Maric Einstein, and remarried five months later to the widow Elsa Einstein (a relative). 

In 1921 Einstein was awarded Nobel Prize in Physics, for his work on the photoelectric effect, not for relativity. Although Jews represent only 0.1% of the world’s people, they have earned 22-36% of Nobel Laureates

1925, Edwin Hubbel discovered that galaxies other than our Milky Way galaxy exist within our universe. We now think that there are 250+ billion galaxies. Out own galaxy is thought to contain 100 billion stars. Seven years later, in 1932, Cockcroft and Walton demonstrated experimentally that mass and energy are equivalent, the first experimental validation of Einstein’s theories.


Einstein felt that he had made a number of Great Mistakes in his life. He disliked uncertainty, but was plagued by it his entire professional life. Much in science is unknowable, and his most important equations did not work unless he added fudge factors called constants to “fix” things. Einstein developed the idea of a cosmological constant, which he thought shortly thereafter to have been a terrible mistake but which turns out may not have been a mistake at all. How many times have we made what we think is a wrong decision, but which turns out to be the right one? How many times have we tried to fix things by adding something to the mix? Candy for a tearful child, the keys to the car to a pestering adolescent, ignoring signs of dependency in a loved one? The right way may not be absolutely knowable, but I often think we can sense it.


During the dark days of the second world War,  Einstein signed a letter to President Roosevelt recommending that atom bombs should be made. Years later, he lamented this move, but at the time, it was certainly the best decision possible, relative to the evil that would have persisted otherwise. To agonize over past decisions and their consequences is a common malady. Einstein said, "The release of atom power has changed everything except our way of thinking...the solution to this problem lies in the heart of mankind. If only I had known, I should have become a watchmaker."


Einstein didn't fully develop his interpersonal side. In fact, Einstein said, “My passionate sense of social justice and social responsibility has always contrasted oddly with my pronounced lack of need for direct contact with other human beings and human communities. I am truly a 'lone traveler' and have never belonged to my country, my home, my friends, or even my immediate family, with my whole heart; in the face of all these ties, I have never lost a sense of distance and a need for solitude.” Although I never met Einstein, who died while I was a child, I did go to medical school with his grandson Thomas, who confirmed to me that, as a person, his grandfather Albert was difficult to get close to or relate to.


I find it so hard to understand how one could be passionate for social justice and still remain a lone traveler. I don’t think that Einstein even knew himself. Certainly, his ethical lamentations smack of both insincerity and regret. People used Einstein for his capabilities as a theoretical physicist, not because of his ability to transform his ideas into practice. He was valued as a spokesperson for causes, and often quoted, but his influence outside of physics was probably relatively small. People like Einstein with remarkable talents are often boxed into their specific areas by society and by themselves.


As a philosophical point, Einstein did not think that all things were relative. Einstein did believe that all things are knowable, not mysterious or left to chance like the roll of the dice. I for one am not at all convinced that all things that really count can be counted, and not everything that can be counted counts. Heisenberg, another great physicist and a contemporary of Einstein, developed what is commonly referred to as the Uncertainty Principle. Heisenberg proposed that one cannot simultaneously know the mass and the position of a particle. I think that this is more a technical issue than a basic law of nature. But as a concept, that degree of uncertainty was absolutely unacceptable to Einstein. 


Einstein was an absolutist in many things. He said, “It is hard to sneak a look at God's cards. But that there should be statistical laws with indefinite solutions, laws that compel God to throw dice in each individual case, I find highly disagreeable.” I too strongly disagree with the uncertainty principle, but for different reasons, both in physics and as applied to interpersonal relations.


How does all this relate to us as individuals and to our own interpersonal affairs? Perhaps the Uncertainty Principle means that sometimes the correct Moral and Ethical choices really are relative and uncertain. Uncertainty in ethical decisions can lead directly to Situational Ethics, commonly known as, “whatever.”


Does God Play Dice With The Universe?

I think not. Not all can be known, but important things can be known.


Einstein accepted a teaching position at Princeton in the 1930s. Carved into the mantelpiece in the old Fine Hall is the German saying -

"Raffiniert ist der Herr Gott, aber boshaft ist er nicht." Translated, this reads: “Shrewd is the Lord, but malicious he is not.” Perhaps it is true that very little said has not been said before, for Psalm 18 reads: 

    “To the faithful you show yourself faithful,

    to the blameless you show yourself blameless,

    to the pure you show yourself pure,

    but to the crooked you show yourself shrewd.”


There is little doubt that Einstein had seen this German phrase, and that he had read Psalm 18. What does this Psalm mean?

First, that we were made in God’s image, however we see God. As a creator, as a universal force of love, or in a more classic sense. To me, Psalm 18 means that we should see ourselves as part of nature in God, and God in ourselves. When viewed in the sense of universality of life, and of God as a life force, this is entirely consistent with modern ethical principles.

 Second, God reflects ourselves, and we can see our reflection in God.

 Third, no one can fool God. But we can certainly fool ourselves and those we care about most, at least for some relative amount of time. God, our universal spirit, knows our hearts, and is revealed to us as required. As Gandhi noted, to the hungry, God will appear as a loaf of bread. Great peace can come from harmonizing our lives and our ethics with the rhythm and flow of the universal spirit.


There are many things which Einstein was not aware of. Although he told us that his knowledge was limited, his hubris seems insincere and for public consumption. I don’t think that he seriously considered how reliance on scientific principles truly limited his knowledge of the universe.

Einstein did not know of the existence of many things which he could not see, touch or measure and yet which exerted huge powers in his life. 

    dark matter and dark energy which may constitute 90% of the universe and hold it together,

    galaxies in addition to our Milky Way,

    String theory, cell phones, computers, transistors, transplantation, DNA, the internet and social networking media.


Physics defines four forces in nature: strong, weak, electromagnetic and gravitational. Einstein never knew that Love, forgiveness, pride and the spirit of life are also very strong and very important forces


But what does all this have to do with us as individuals?

Moral Relativism holds that moral decisions are relative to the social, cultural, historical or personal circumstances surrounding each situation, and don’t represent universal truths. Moral Relativism claims that no universal standard exists by which to assess an ethical proposition's truth. Moral values are applicable only within certain cultural boundaries or in the context of individual preferences. An extreme relativist position might even suggest that judging the moral or ethical decisions or acts of another person or group has no absolute meaning at all. But as I will show, there are absolute moral rights and wrongs, without which society will simply collapse, as did France during the revolution, Soviet Russia, China during the cultural revolution, and Cambodia during Pol Pot.


Some moral relativists hold that a personal and subjective moral core lies at the foundation of an individuals' moral acts. In this view, public morality reflects social convention. In this mindset, whatever everyone thinks is right must be.

Moral relativism differs from moral pluralism, a more contemporary and universal version of relativism. Moral pluralism acknowledges the co-existence of opposing ideas and practices, but accepts limits to differences, such as when vital human needs get violated. It is very progressive to acknowledge the co-existence of opposing ideas and practices, and very progressive to accept limits to differences. Compromise is a form of relativism, as opposed to an absolute approach to life. In fact, acceptance of other people's values and agreeing that there is no one "right" way of doing some things really has little to do with the philosophical idea of relativism. It’s more to do with survival in a society, making a family work as a unit, thriving inside a relationship. Further, relativism does not necessarily imply tolerance, just as moral objectivism does not imply intolerance. We need to reject these simplistic labels, with their implied pre-fab meanings. Remember, if everybody’s right, than no one is wrong. Otherwise. we could say that all beliefs (ideas, truths) are equally valid, or just as well say all beliefs are equally worthless. Whatever !!!

For me, Moral Relativism and its consequence Uncertainty can undermine our confidence in how we see morality, resulting in a breakdown of norms and values. Complete Social Darwinism follows – the survival of the fittest. You can see this within a society, but also within a family, a marriage, a friendship, a job. The principles of social justice are ignored, violating some of the basic concepts of pluralism and social justice. We have seen for the last 50 years the call to Social Darwinism in American politics, ironically supported by the very poor, the less educated, the disenfranchised, the religious fundamentalists, those most likely to be harmed by those very precepts of Social Darwinism.


In the extreme, relativism denies that harming others is wrong in any absolute sense. In general, progressives consider it immoral to harm others, but relativist theory allows for the opposite belief. If I can believe it wrong for me to harm others, I can also believe it to be relatively right – no matter what the circumstances. Very few of us are willing to turn the other cheek when we or our most loved ones are being physically attacked, and neither should we. More than simple survival instincts, all life forms will react to protect themselves. Einstein witnessed the logical consequences of moral relativism in the form of the widespread popular support by German citizens for the Nazi movement and of communism under Stalin and Mao.

Theoretical arguments on moral relativism ignore or overlook Reality. As Einstein said, “Reality is merely an illusion, albeit a very persistent one.” He also said, “We should take care not to make the intellect our God; it has, of course, powerful muscles, but no personality.” In this way, Einstein was cautioning us against following dispassionate logic and adopting absolutist principles in our own lives. Yet, Einstein adopted his intellect as his personal God.


But What if God did play dice with the Universe? There are several predictable results.

    Of course, not everything would be knowable.

    Mystery could be acceptable, as it should be.

    Unfortunately, situational ethics could be acceptable

 

 How does all this relate to us?

As moral citizens, we see in general that truth (ethical, moral, theological) are relative and situational, not absolute. Truth, as distinguished from scientific facts, is found in all religions, not just Bible-based Christianity. And truth, not being fact, by its very subjective nature is quite relative. We can therefore embrace a range of truths and an open set of beliefs. True, we can hold a few absolute principles and ideals that guide us, as a movement and as a tradition. We have overwhelmingly tended to see life, morality and truth as finely nuanced, complex and relative things that generally do not respond well to absolute laws, rules that don’t change or inflexible statements. Who is least able to function in society, in the workplace, in a relationship, than the absolutist?

My own worldview is that our creations (and everything both natural and human within it) are very complex matters. They are marked not so much by simplicity and clarity, but by complexity and subtlety. It would be nice and reassuring if life and truth and morality came to us in straightforward and absolute clarity. It usually does not, because of the incredible intricacy, complexity, and changeability of life and of being a thinking caring person and member of society.


Centuries ago Sir Isaac Newton and other early scientists first postulated the basic laws of physics and the other natural sciences. Then, the scientific community thought it had identified forces and mechanisms (like gravity, and the velocity of things like light and sound) that were absolutes. Science became for some the new religion. In the following centuries, science has evolved and matured, with the findings of Darwin, Einstein, Heisenberg, Hubble, Watson and Crick. Scientists have realized that the once apparently clear and immutable truths and laws that had been identified are, in fact, often imprecise and mysterious, not fully understood, subject to change, vulnerable to cultural bias, and dependent upon each context in which they operate. Most scientists today hesitate to make absolutist statements about the laws of the natural world. Scientists see the world in increasingly relativistic terms, depending on their context. And so should we.


How then is the dice analogy important?

 If we now understand a great deal of scientific truth to be relative and contextual, then how much easier it is to see how truth is also relative in the human and moral realms we live in! In my professional world of HEALTH CARE, simple answers often don’t exist, absolute statements don’t always work, and eternal truths are hard to come by. Life itself often seems to be a collection of factors which change based upon floating circumstances. We can not know and control everything, and perhaps we should accept that and just be at peace. What is the best way to live ethically and morally with one another? I know many people try to. Some manage to persuade themselves and others that they alone have all the answers. I have found in my own life that most moral and human issues defy absolute answers.

What makes something just?...how will it work? who will decide?...and how will we know when we truly, once-and-for-all achieve real or pure or absolute justice? Only an absolutist can answer these questions.


Let’s look at another human characteristic everybody believes in and wants to understand... love. Everybody says love is good...but does anyone know precisely -- in all human contexts, situations and relationships -- what absolute love looks like? We may think we know something about what love often feels like or looks like in our lives, and there is lots of poetry that attempts to describe it. Take for example, “Love Is Not All”, by Edna St. Vincent Milay. But do we really know with absolute certainty what love is? Sometimes love needs to wear a face that is almost totally counter-intuitive. Many parents have had to love their out-of-control children by sending them off to "tough-love" boot camps or even not interfering with their going to prison as a way of loving and protecting and best serving all parties. Sometimes, also, love means withholding gentleness and affirmation, or fiercely restraining individuals from doing what they want, so that they don’t hurt themselves or others. What is real and pure love? Who amongst us can be sure we are in any given complex human situation or relationship expressing love? Many of us have the gift to feel love. I pity to those who can not.


There are many moral absolutists in this country who declare themselves to be pro-life, which to them means that they by their actions are staunch and righteous defenders of human life. Pro life with respect to abortion, and pro death as it applies to the death penalty. Their opposites are labeled pro-choice, in effect the pro-choice have been unwillingly transformed to being anti-life. But I think that those who are pro-life have done so out of their own choice, and therefore they are pro-choice, not anti-life. The pro life are therefore pro choice. Similarly, those who are pro-choice do so because they feel deeply that this is how they can most honor their inner most beliefs to save and protect life, so are not the pro-choice simultaneously pro-life? I detest the terms Pro-Life and Pro-choice, which misrepresent their opponents positions. Space and time become space-time. Matter changes into energy, becomes anti matter, and then back again. We love, become indifferent, are consumed by hate, turn cold, and then die. We can see how Pro-Life and Pro-Choice are relative labels, but their consequences absolutely do matter.

Most morally absolutist positions are not reasonable. This is because the reality of life and existence comes to us in a context that is mostly relative, with lots of uncertainty. The relativity in most human relationships is something that the absolutist's truth cannot handle! We must struggle in our lives and in this complex world of ours to seek truth and goodness and moral responsibility. In our lives, we must almost always recognize the situational and not absolute. We cannot know simultaneously the position of our heart and the energy of our beliefs, but we can live with the uncertainty because we must.


Yet, I think that we can all agree on moral ethical situations for which an absolute yes or no can arise. Let us consider the biblical story of Sodom and Gomorrah. Forced sexual assault by a mob of men on two visiting men, or a father offering his daughters to that very mob of men as an appeasement to their bizarre violent sexual lust, and the complete destruction of a city because of the moral failure of some of its citizens are all examples where one can easily say No, I do not agree, none of this is acceptable. Neither are honor killing, spousal abuse, and thousands of other examples. We do have moral absolutes.


And so I arrive at the core of my arguments. If we are to be fully human and humane, we must regularly use our reason and our conscience and our freedom in every unique situation we face. Conservative, legalistic and absolutist thinkers suggest that to take a relative approach to truth in each situation is somehow equated with having no moral standards or principles at all. Nothing could be further from the truth! BOTH a relativist and an absolutist finally can arrive at a firm moral decision making point...and both act on principle and with purpose ...the difference is simply how they get there: what moral methods they use to get to what is right, how many aspects of each problem they are willing to consider, and whether they are afraid of human freedom and reason or embrace them.


Absolutist thinking only requires that you: 1) know what the law is, and then 2) precisely follow its dictates. Situational or relative thinking (on the other hand) requires that you: 1) articulate first principles for your living, and then 2) struggle to serve those first principles as best you can in the messy mix of real, situational life.


If I am right that truth in this complex world of ours is almost always relative and subject to the situation then you and I as responsible citizens have a lot of work to do as we strive in our daily lives to live the path of love and right. The fact that truth and morality are relative means that we are obliged in our ethical and interactive lives to:

    struggle with life's shifting complexities, contradictions and uncertainties,

    do the hard work of trying to discern what is right and good in each particular life situation,

    weigh in our hearts and minds the values and principles which demand our allegiance yet often come into conflict with one another. 


 We must then act almost always without complete certainty, if we are honest with ourselves, but yet with clarity of purpose and principle as we are given to see them.

Is doing the hard work of considering life's relativities scary? Absolutely! Is there room for error? Yes! Everyday and all the time. But in a world like ours, in the end, we have no other choice. Legalistic absolutes almost never work in the real world. Principled relativism and moral pleuralism alone can best serve us as we stumble toward that which is good and loving and right. We are human beings, obliged by a messy and uncertain world to use our freedom, our reason and our first principles situationally, relativistically every day. I do not believe this world gives us any other choice. We simply must use reason and freedom, and be as fully and bravely human as we can.


So, the answer is that God, however we know God to be, does not play dice with the universe. All this is not a game. We are not pawns on some meaningless chess board. God is not indifferent to our lives and our choices. What we do and how we relate are relatively important to ourselves, to our loved ones, and to our community. Of this there is no uncertainty.


With love 

Donald Harvey Marks 



Related Articles by DH Marks 

Salk, Polio Vaccine and Vaccinating Against Hate.  http://dhmarks.blogspot.com/2019/02/jonas-salk-polio-vaccine-and.html

Gravity and space-time irregularity.  http://dhmarks.blogspot.com/2019/04/gravity-and-spacetime-irregularity.html

Saturday, May 18, 2024

Favorite books of DH Marks

Favorite Books and Recent Reads of
Donald H. Marks, physician and scientist


Reason, ethics, healthcare access, 3rd generation veteran




You can follow my personal readings of books📚 on Goodreads @DHMarks

Physics, Science

A Brief History of Time, and Brief Answers to the Big Questions, both by the brilliant Steven Hawkins. A little on the obtuse side, definitely not brief, but certainly thought-provoking

Biochemistry, by Lehninger. 

Cosmos, by Carl Sagan

Gödel, Escher, Bach, by Hofstadter. A unified theory of math, art and music. Interesting, and sort of makes sense to me. https://youtu.be/R6e08RnJyxo?si=Q36qlkr16EXDd57J

The ABC of Relativity, By Bertrand Russell. An older book which explains the basic concepts of relativity without requiring an understanding of calculus. 

Principles of Internal Medicine, Harrison.

The Innovators: how a group of inventors hackers geniuses and geeks created the digital revolution, by the great historical biographer Walter Isaacson. Enjoyed his biography of Einstein


The Truth, Fake News, Manipulation

The End of Reality. How 4 billionaires are selling a fantasy future of the metaverse, mars, and crypto, by Jonathan Taplin. My review and summary of this interesting and informative book can be found at http://dhmarks.blogspot.com/2024/02/r-eview-of-end-of-reality-by-johathan.html

An Ugly Truth: Inside Facebook’s Battle for Domination. Sheera Frenkel.

How Fascism Works, the ultimate road map for us to avoid, by Jason Stanley. This is a great contemporary read for 2024 as we approach the election

How Life Imitates Chess, making the Right moves from the board to the boardroom, by the brilliant and insightful Gary Kasparov, who IMO understands the context of everything. 

The Battle for your Brain: Defending the right to think freely in the age of neurotechnology." @NitaFarahany

The Cruelty is the Point: the past present and future of Trump's America, by Adam Serwer

Twilight of Democracy: the Seductive Lure of Authoritarianism, by Anne Applebaum. She lived with the subject and knows what she's talking about

The Mind Illuminated, by Culadasa. John Yates.

The Origin of Consciousness in the Breakdown of the Bicameral Mind, by Julian Jaynes

The Age of the Spiritual Machine, and The Age of the Thinking Machine, both by Kurzweil

Fiction
  • Charm School, and The General’s Daughter, well-written fiction by Nelson deMille
  • Crime and Punishment, and The Brothers Karamazov, classic fiction by Dostoyevsky
  • The Client, by Grisham. I love his use of colloquial language
  • Undermoney, international political and financial fiction by Jay Newman. Link to my book review https://dhmarks.blogspot.com/2023/02/review-of-undermoney-by-jay-newman.html
  • Doctor Zhivago, by Boris Pasternak 
  • Atlas Shrugged, and Fountainhead, both by Ayn Rand. When I was younger, and a follower of Ronald Reagan, these simplistic concepts appealed to me. Older and wiser, I understand that they don't work and why they don't work
  • All works by Shakespeare. 
  • The First Circle, by Alexander Solzhenitsyn
  • Presumed Innocent, fiction by Scott Turow. Easy fun reading with spicy use of colloquial
  • War and Peace, and Anna Karenina, greatest fiction by Tolstoy.
  • 2034, a novel of the next world war. Elliott Ackerman.
  • Crosshairs, James Patterson. Interesting police procedural with a very surprise ending

Economics, International Relations

Danger Zone, The coming conflict with China, by Brands and Beckley. 2022. Review at https://noahpinion.substack.com/p/book-review-danger-zone?utm_source=pocket_mylist

Losing the Long Game: the false promise of regime change, Philip Gordon. America has BTDT.

On China, Does America Need a Foreign Policy?, World Order, and Kissinger on Kissinger, all by Henry Kissinger. Perhaps the greatest National Security advisor and Secretary of State America has ever had. You may be interested in my podcasts on Henry Kissinger, conflicted Jew. 
Henry Kissinger at 100. Former–The Easy Existentialist - Enduring ideas💡 that matter ☕to you – Apple Podcasts

Principles for Dealing with the Changing World Order: Why Nations Succeed and Fail, Ray Dalio, 2021. Impressive, detailed, predictive, must have been written with an army of helpers, like recent books of Fareed Zakaria

Shadow State: murder mayhem and Russia's attack on the west, by Luke Harding

Three Dangerous Men: Russia China Iran and the rise of irregular warfare, by Seth Jones

Capital in the 21st Century, by Thomas Piketty. 

Sold Out: How Broken Supply Chains, Surging Inflation and Political Instability Will Sink the Global Economy. Review at https://www.kirkusreviews.com/book-reviews/james-rickards/sold-out-supply-chain/

Henry Kissinger and American Power: a political biography, by Thomas Alan Schwartz

10 lessons for a Post-Pandemic World, by Fareed Zakaria

Kissinger on Kissinger, and Reflections on Diplomacy. Lord and Kissinger. BTW, if you think I am obsessed with Kissinger, which I am not, then in all fairness listen to my podcast on the subject http://bit.ly/3jlf76x

The End of the World Is Just the Beginning: Mapping the Collapse of Globalization, by Peter Zeihan, 2022.

Accidental Superpower, 10 years on. Peter Zeihan 


History

  • The Ascent of Man, Bronowski
  • The Fourth Turning is here, Howe
  • Imperial Hubris: why the West is losing the war on terror, Michael Scheuer
  • Dossier : The Secret History of Armand Hammer, by Edward Epstein 
  • Rich Man's War: Class, Caste, and Confederate Defeat in the Lower Chattahoochee Valley, by Williams
  • The New Jim Crow: mass incarceration in the Age of color blindness, by Michelle Alexander
  • The Age of Revolution.  Fareed Zakaria. Good review 


Religion, Philosophy
  • No Other Gods, by Ana Lyons-Levy. A modern reinterpretation of the 10  commandments, putting them into more appropriate context
  • Jews don't Count, by David Baddiel



Artificial Intelligence
  • The age of AI and our human future. Kissinger, Schmidt, Huttenlocher
  • The Coming Wave. AI, synthetic biology and a new dawn for humanity, by Mustafa Suleyman.

Politics
  • The End of Reality, by Jonathan Tapin. my review and summary https://docs.google.com/document/d/1yNM0aRr21piS3umlGvMlYuAn2w86ODrPPsZhsZOW3KI/edit?usp=drivesdk
  • The Wires of War: technology and the global struggle for power. By Jacob Helberg
  • Our Time is Now: power purpose and the fight for a fair America, by Stacey Abrams. By today's standards and examples, she and Al Gore never should have conceded.
  • Twilight of Democracy: the seductive lure of authoritarianism, by Anne Applebaum 
  • After the Apocalypse: America's role in a world transformed, by Andrew Bacevich
  • Al Franken, Giant of the Senate, by Al Franken. IMO, he gave up too easily
  • The Inevitability of Tragedy: Henry Kissinger and his world, by Barry Green
  • Losing Military Supremacy: myopia of American strategic planning, by Andrei Martyanov
  • Making sense of loss
No death, no fear.

The beauty of what remains. How our greatest fear becomes our greatest gift.  Stephen Leder.



Medical Fiction Books I have written, under the nom de plume of Dimitri Markov

BloodBird: When the organ isn’t the only thing transplanted. https://amzn.to/35MAhlN

Vera Mortina:  When the patient is not the sick one! https://amzn.to/2P0Qv4T

Her Charm Was Contagious: A dangerous doctor and a patient who just loved everyone to death! https://amzn.to/2MVC7Iw

The Surrogate: The Surrogate: A young woman trapped in the greed and power of the IVF industry  amzn.to/2FSzyDv

Transit States, collected poetry of DH Marks  https://amzn.to/2MuJN5j  


List of my (Donald H. Marks) favorite movies: 


Additional writings of Donald H. Marks, physician-scientist

Reliable news sources I personally use http://bit.ly/3kECPvr   

Fake News: Everything You Need to Know http://bit.ly/345cj95 

Best Online Free Fact-Checking Tools http://bit.ly/3H97I44

Fact-Checking: The Ways We Can Fight Fake News  http://bit.ly/3qudEyX

Infodemic: the epidemic of information http://bit.ly/3fV7BgN 

The Curious Case of Deepfakes http://bit.ly/3GZJdXhn 

My personal list of Red Flags, Dog Whistles, Buzzwords, Hot Button words and meaningless caricatures that will drive toxic algorithms to heat and twist elections and trigger hatred on social media. http://bit.ly/3TcuT4I

Einstein, Relativity and Relative Ethics https://bit.ly/3gWWH9t  

What I Haven’t Told My Family on the Meaning of Time. https://bit.ly/374cpzJ

Jonas Salk, Polio Vaccine and Vaccinating Against Hate, https://bit.ly/3xjtosh 

My ever-updating fav list of coffee shops and espresso blends and locations https://bit.ly/3IkqOHE

Elitists Neocons Neolibs, oh my. What are they, who are they, and why should I care? http://bit.ly/3LMrs0e 

Undermoney. Techno economic political thriller by Jay Newman. Reviewed by Donald Harvey Marks https://bit.ly/3Fa4wqb 

How Woke can we be? The meaning of Woke https://bit.ly/3Fd7fPy


 

Saturday, May 11, 2024

Jonas Salk, Polio Vaccine and Vaccinating Against Hate. The healthcare discovery that saved the lives of millions of children. Remembrance of my afternoon in Paris with vaccine titan Jonas Salk



Jonas Salk, Polio Vaccine and 

Vaccinating Against Hate. Remembrance of my afternoon in Paris with vaccine titan Jonas Salk 


Donald Harvey Marks, physician scientist

Reason, ethics, health justice, 3rd generation Veteran





Can hate be successfully treated as infectious disease? In the setting of currently accepted children's public health measures, can non-traditional prevention of potentially fatal childhood illnesses yield benefits to society? 
personal blog https://bit.ly/2zbAX8N
Podcast https://bit.ly/3fKZh2l

Jonas Salk was a revered physician researcher whose team discovered a vaccine to prevent the terrible disease of paralytic polio. To many at the time, he was almost a God, a savior from the horror of polio. There is much to be learned from Dr. Salk’s life, his lasting effect on the terrible disease of polio, on bioethics, and on the impact of preventable childhood diseases in society. I will also address whether hate is a bigger killer of children than has been appreciated, and whether we should approach hate as if it is an infectious disease.

Polio is a disease of the nervous system caused by a virus, a non-living but very complex biochemical. Polio is often experienced as a flu-like intestinal illness. Symptoms can range from nausea, fever, diarrhea, and can progress to damage the nerves which cause muscles to contract, leading to its most feared component – paralysis. First recorded in 1835, polio outbreaks grew steadily more prevalent. Public health a century ago was in its infancy, and it took a long time to realize that the virus was transmitted by fecal matter and secretions of the nose and throat. Polio virus enters the victim orally, establishes itself in the intestines, and then travels to the brain or spinal cord. I suspect that many of you have never seen a case of polio and for those physicians in the group you may expect to go your whole career without ever treated one case. Every year in the United States there are a handful of breakthrough polio cases from vaccine failure always from the live vaccine. Polio is successfully eradicated from most countries in the world and only is left in a few such as Pakistan where vaccination efforts have been hindered.

During the 1914 and 1919 polio epidemics in the U.S., large numbers of individuals came down with the disease, and thousands died. The public, parents, teachers and health care workers panicked. Physicians and nurses made house-to-house searches to identify all infected persons. Children suspected of being infected were taken to hospitals and the child's family was quarantined until they were no longer potentially infectious. Sometimes parents under home quarantine could not go to their child's funeral if the child died in the hospital.

Jonas Salk was born into a time of polio plague, in New York City on October 28, 1914. His parents Daniel and Dora Salk were Ashkenazi Jews, from Russian-Jewish immigrant families, and had not received extensive formal education. Salk grew up in the Jewish immigrant culture of New York. He had two younger brothers, Herman and Lee, who became a child psychologist.

When he was 13, Jonas Salk entered Townsend Harris High School, a public school for intellectually gifted students. During that time, Ivy League schools restricted enrollment of Jews and blacks, which he did not consider at the time, and as an adult seemed to have little influence on his success. Jonas was known as a perfectionist who read everything he could lay his hands on. Students at Townsend had to cram a four-year curriculum into just three years. As a result, most dropped out or flunked out. Of the students who graduated, however, most would have the grades to enroll in City College of New York, noted for being a highly competitive college.
 “As a child,” Salk later said, “I was not interested in science. “I was merely interested in things human, the human side of nature, if you like, and I continue to be interested in that."

Salk enrolled in City College at the age of 15, from which he earned a Bachelor of Science degree in 1934. For working-class immigrant families, City College represented the apex of public higher education. Getting in was tough but tuition was free. Competition was intense, but the rules were fairly applied. No one got an advantage based on an accident of birth.

At his mother's urging, Jonas put aside aspirations of becoming a lawyer, and instead concentrated on those classes necessary for admission to medical school. However, the facilities at City College at that time were barely second rate, there were no research laboratories, and the library was inadequate. The faculty contained few noted scholars. What made the place special was the diverse student body that had fought so hard to get there, driven by their parents. From these ranks, of the 1930s and 1940s, emerged a wealth of intellectual talent, including more Nobel Prizewinners—eight—and PhD recipients than any other public college except the University of California at Berkeley.

After college, Jonas applied to and was accepted at NYU School of Medicine. NYU based its at-that-time modest reputation on famous alumni, such as Walter Reed, who helped conquer yellow fever, another devastating disease cause by a virus. Tuition was comparatively low. Better still, NYU did not discriminate against Jews and blacks, while most of the surrounding medical schools — Cornell, Columbia, University of Pennsylvania, and Yale — had rigid quotas in place against Jews and blacks. It’s hard for us today to grasp what inhibiting psychological effect quotas had on young Jews and blacks who considered applying to college and professional schools. Yale Medical School, for example, accepted 76 applicants in 1935, out of a pool of 501. Although 200 of the applicants were Jewish, only five got in. The overall odds of admission have only gotten worse, I can assure you.

During his years at NYU, Salk stood out from his peers, not just because of his continued academic prowess—he was in the Alpha Omega Alpha medical honor society. Salk also was different because he had decided he did not want to practice medicine, instead becoming absorbed in research.
"My intention was to go to medical school, and then, become a medical scientist,” Salk later reflected. “I did not intend to practice medicine, although in medical school, and in my internship, I did all the things that were necessary to qualify me in that regard. I had opportunities along the way to drop the idea of medicine and go into science,” Salk said.  “At one point at the end of my first year of medical school,” Salk continued, “I received an opportunity to spend a year in research and teaching in biochemistry, which I did. And at the end of that year, I was told that I could, if I wished, switch and get a Ph.D. in biochemistry but my preference was to stay with medicine. And, I believe that this is all linked to my original ambition, or desire, which was to be of some help to humankind, so to speak, in a larger sense than just on a one-to-one basis.” I think many of us have faced the decision of helping on a one-on-one basis, or to a larger cause in general. Helping someone we know make a car payment or giving to United Way. Helping a neighbor out of work to buy food for their children or set up an auto deduction for “Feed The Children”. Pay for a strangers dental bills or send a check to a political campaign. Direct and personal or indirect and to benefit a group or cause, difficult decisions.

Salk later focused more of his studies on bacteriology which had replaced medicine as his primary interest. The day after his graduation from medical school, Salk married Donna Lindsay, a master's candidate at the New York College of Social Work. Donna’s father, Elmer Lindsay, a wealthy Manhattan dentist, viewed Salk as a social inferior, several cuts below Donna's former suitors. Eventually, her father agreed to the marriage on two conditions: first, Salk must wait until he could be listed as an official M.D. on the wedding invitations, and second, he must improve his "rather pedestrian status" by giving himself a middle name. I think that the attitude of all of the Lindsay family cursed the Salk marriage from the start, although the decay took years to become lethal. How many of our own relationships are tainted in a subtle but insidious manner, the stain only expressing itself years later. We act surprised, but if we look deeper, we can see the causality to the final outcome. Salk's marriage produced three sons: Peter, Darrell, and Jonathan Salk, but ended years later in divorce.

After graduating from medical school, Salk began his residency at New York's Mount Sinai Hospital, where he worked in the laboratory of Dr. Francis. Few hospitals in Manhattan had the status of Mount Sinai, particularly among the city's Jews. A friend of Salk's commented, "to intern at Mr. Sinai was like playing ball for the New York Yankees ... only the top men from the nation's medical schools dared apply. Out of 250 who sought the opportunity, only a dozen were chosen," he said.

Salk quickly made his mark. Although focused mainly on research, he showed tremendous skills as a clinician and a surgeon. But it was his leadership as president of the house staff of interns and residents at Mount Sinai that best defined him to his peers. The key issue for many of them in 1939, for example, was not the fate of the hospital, but rather the future of Europe after Nazi Germany's invasion of Poland. In one instance, several interns responded by wearing badges to signify support for the Allies, but the hospital's director told them to remove them lest they upset some of the patients. The interns then took the matter to Salk, where he said that "everyone should wear the badge as an act of solidarity." One intern recalled, "Jonas was a very staunch guy. He never took a backward step on that issue or any other issue of principle between us and the hospital." The hospital administrators backed off and there was no further interference from the director.

The fight against polio really began in 1938 when the National Foundation for Infantile Paralysis, a more formal name for polio, was born. Basil O'Connor, the former law partner of President Franklin D. Roosevelt, the US's most famous polio victim, headed that foundation. That same year, the first March of Dimes fundraising program was set up, with radio networks offering free 30-second slots for promotion. Listeners were asked to send in a dime and the White House received 2,680,000 letters within days.

At the end of his medical residency, Salk began applying for permanent research positions, but he discovered that many of the jobs he desired were closed to him due to quotas on Jews, which prevailed at that time in so much of the medical research establishment. Nor could he apply at Mount Sinai as their policy prevented hiring their own interns. As a last resort, he contacted Dr. Francis for help. Salk and Francis eventually perfected a flu vaccine that was soon widely used at army bases. Salk had been responsible for discovering and isolating one of the flu strains that was included in the final vaccine.

“I have had dreams and I have had nightmares,” Salk said, “but I have conquered my nightmares because of my dreams.”

The two month stint in Dr. Francis's lab was Salk's first introduction to the world of the study of virus, and he was hooked. This was also the origin of Salk’s first controversy. Beginning around 1942, Dr. Francis and other researchers, one of whom was Salk, injected patients in an insane asylum with an experimental influenza vaccine. The group then sprayed influenza virus into the nasal cavities of these mental patients months later to check the vaccine's efficacy. It is questionable at best whether any of these patients could have adequately consented to what was being done to them, or understood why. I can assure you that this would be nearly impossible to do today in the western world, but if we judge from the context of 1942, it may seem less controversial. The 1918 flu pandemic 24 years previous was unusually deadly. 500 million people across the world were infected, and flu killed 50 to 100 million of them—three to five percent of the world's population—making it one of the deadliest natural disasters in human history

“Intuition will tell the thinking mind where to look next,” Salk said. “It is always with excitement that I wake up in the morning wondering what my intuition will toss up to me, like gifts from the sea. I work with it and rely on it. It's my partner.”

In 1947, Salk received an offer from the dean of the University of Pittsburgh School of Medicine where he could run his own lab. Salk secured grants from the Mellon family and was able to build a working virology laboratory, where he continued his research on flu vaccines.
“Nothing happens quite by chance,” Salk said. “It's a question of accretion of information and experience.” 

Paralytic poliomyelitis was, if not the most serious, easily the most frightening public health problem of the post WW2 era. The epidemics kept getting worse and its victims were usually children. In the twenty states that reported the disease back in 1916, there were 27,363 cases. New York alone had 9,023 cases of which 2,448 (28%) resulted in death, and a larger number in paralysis. However, polio did not gain national attention until 1921, when Franklin D. Roosevelt, former vice presidential candidate and soon to be governor of New York, came down with paralytic polio. At the age of 39, Roosevelt was left with severe paralysis and spent most of his presidency in a wheelchair.

As more states began recording instances of polio, the numbers of victims grew larger. Nearly 58,000 cases of polio were reported in 1952, with 3,145 people dying and 21,269 left with mild to disabling paralysis. In some parts of the country, concern assumed almost the dimensions of panic. Parents kept children home from school, avoided parks and swimming pools, and played only in small groups with the closest of friends. Cases usually increased during the summer when children were home from school. The public reaction was as to a plague, and scientists were in a frantic race to find a cure.

As the fear of polio increased each year, funds to combat it increased from $1.8 million to $67 million by 1955. Research continued during those years, but it turns out that everything scientists believed about polio at first was wrong, leading them down many blind alleys. Furthermore, most researchers were experimenting with highly dangerous live vaccines. In one test six children were killed and three left crippled.

“I pictured myself as a virus or a cancer cell,” Salk said, “and sense what it would be like.” After successful tests on laboratory animals, an experimental vaccine had to be tested on human beings. In November, 1953, at a conference in New York's Waldorf-Astoria Hotel, Salk said, "I will be personally responsible for the vaccine." He announced that his wife and three sons had been among the first volunteers to be inoculated with his vaccine. As a result of his preliminary results in 1954, when polio was destroying more American children than any other communicable disease, Salk's vaccine was ready for field testing. “There is hope in dreams, imagination, and in the courage of those who wish to make those dreams a reality,” Salk said.

With the hopes of the world upon him, Salk worked sixteen hours a day, seven days a week, for years. It had been, Salk later described, "two and a half years of drudgery and hard work." Salk said, “The reward for work well done is the opportunity to do more.” I am sure he believed that but one can only speculate on what effect this level of work had on his personal life. His first marriage ended in divorce in 1968.

The field trial set up to test the Salk vaccine was the most elaborate program of its kind in history, involving 20,000 physicians and public health officers, 64,000 school personnel, and 220,000 volunteers. Over 1,800,000 school children took part in the trial. 

“When you inoculate children with a polio vaccine, you don't sleep well for two or three months,” Salk said.

On April 12, 1955, Dr. Francis declared the vaccine to be safe and effective. The announcement was made exactly 10 years to the day after the death of President Roosevelt. Church bells rang across the country, factories observed moments of silence, synagogues and churches held prayer meetings, and parents and teachers wept. 

Salk was hailed as a miracle worker, and the day almost became a national holiday. His sole focus had been to develop a safe and effective vaccine as rapidly as possible, with no interest in personal profit. When questioned on the safety of the polio vaccine he developed, Salk said:” It is safe, and you can't get safer than safe. Still,” he also commented in reflection, “it is said, to await certainty is to await eternity.” As you may know, there are two basic types of polio vaccine. There is a live attenuated vaccine taken orally, the OPV Salk vaccine. The inactivated Sabin vaccine, which is given by injection IPV, is also available. Every year there are a handful of polio cases from live attenuated polio vaccine. There is still some discussion in the vaccine community about whether it is safer and more effective to give three OPV, three IPV or alternating IPV OPV IPV doses. And which will result in the most efficacy with the least side effects

Salk preferred not to have his career as a scientist affected by too much personal attention, as he had always tried to remain independent and private in his research and in his life. But this proved to be impossible.

Jonas Salk made scientists and journalists alike “go goofy.” As one of the only living scientists whose face was known the world over, Salk, in the public's eye, had a superstar aura. Airplane pilots would announce that he was on board, and passengers would burst into applause. Hotels routinely would upgrade him into their penthouse suites. A meal at a restaurant inevitably meant an interruption from an admirer, and scientists approached him with drop-jawed wonder, as though some of the stardust might rub off. This was not my experience when meeting a more gentle, relaxed and personable Salk, as I shall describe shortly.

For the most part, Salk was appalled at the demands as the public figure he had become and resentful of what he considered to be the invasion of his privacy. The New York Times, a few months after his vaccine announcement, wrote that "at 40, the once obscure scientist ... was lifted from his laboratory almost to the level of a folk hero." He received a Presidential citation, a score of awards, four honorary degrees, half a dozen foreign decorations, and letters from thousands of fellow citizens. His alma mater, City College of New York, gave him an honorary degree as Doctor of Laws. But "despite such very nice tributes", The New York Times wrote, "Salk is profoundly disturbed by the torrent of fame that has descended upon him.... He talks continually about getting out of the limelight and back to his laboratory... because of his genuine distaste for publicity, which he believes is inappropriate for a scientist."

Salk himself said, “The worst tragedy that could have befallen me was my success. I knew right away that I was through - cast out.”

In 1969, a year following his divorce, Salk was introduced to Francoise Gilot, a French author, artist, and former lover to Pablo Picasso. The meeting was at the home of mutual friends in La Jolla, California. Their shared appreciation of architecture, among other things, led to a brief courtship and they were married in 1970 in Paris. They remained married until Salk's death on June 23, 1995. 

During a 1980 interview Salk said, "It's as if I've been a public property ever since, having to respond to external as well as internal impulses.... It's brought me enormous gratification, opened many opportunities, but at the same time placed many burdens on me. It altered my career, my relationships with colleagues; I am a public figure, no longer one of them," he said. We can only imagine what the full extent of personal toll on him was. Yet that is the way of many who are successful, academically, in business, the arts, or otherwise. For academic wisdom is powerful, but limited and limiting. Placing all of your hopes and dreams and efforts in only one area of one’s life leaves no cushion for life’s inevitable failures.

For it is said in the Book of Ecclesiastes 9:11 "I have seen something else under the sun: The race is not to the swift or the battle to the strong, nor does food come to the wise or wealth to the brilliant or favor to the learned; but time and chance happen to them all."

"If Salk the scientist sounds austere", wrote The New York Times, "Salk the man is a person of great warmth and tremendous enthusiasm. People who meet him generally like him." This is how I personally knew Jonas Salk. Award-winning geneticist Walter Nelson-Rees called him "a renaissance scientist: brilliant, sophisticated, driven... a fantastic creature." I completely agree.

Salk had very little perceptible interest in the things that interest most people—such as making money. That is how I found Dr Salk in 1992. I spent three wonderful hours one-on-one with Dr Salk at a vaccine conference in Paris. As we talked, he was relaxed, responsive, pleasant and not at all put off. I remember that only part of our discussion related to vaccines. I asked him about the practice of medicine, research as a medical career, and how he viewed the future of vaccines. I too had taken a mostly research path in medicine, and enjoyed vaccine research. We talked about his experiences as a Jew, as a Jewish doctor, and the public perception and expectations of Jewish doctors. Growing up Jewish today is a lot different from growing up Jewish in the 50s and 60s, with their restricted country clubs, colleges and bathrooms and all the subtle discrimination, but can be just as dangerous an existence. My fondest memory is when Dr. Salk referred to me as a fellow vaccinologist.

In 1966, Salk described his "ambitious plan for the creation of a kind of Socratic academy where the supposedly alienated two cultures of science and humanism will have a favorable atmosphere for cross-fertilization." The peaceful coexistence of science and religion is very much in the spirit of modern philosophers such as Bishop John Spong. In the years after his discovery of the polio vaccine, many supporters, in particular the National Foundation, helped Salk build his dream of a research complex for the investigation of biological phenomena from cell to society. The Salk Institute for Biological Studies opened in 1963 in the San Diego neighborhood of La Jolla. Salk believed that the institution would help new and upcoming scientists along their careers as he said himself, "I thought how nice it would be if a place like this existed and I was invited to work there." This was something that Salk was deprived of early in his life, but due to his achievements, was able to provide for future scientists. “I couldn't possibly have become a member of this Salk Institute, you know, if I hadn't organized it myself,” he quipped. 

In an interview about his future hopes at the institute, Salk said, "In the end, what may have more significance is my creation of the institute and what will come out of it, because of its example as a place for excellence, a creative environment for creative minds."
Many famous researchers were associated with the Salk Institute, including Francis Crick, co-discoverer of the DNA molecule, who was a leading professor at the institute until his death in 2004.

There are many people you may have heard of who had polio, lived, but continued to suffer from polio:
President Franklin D. Roosevelt
Itzhak Perlman, one of the world's finest violinists, was permanently disabled at age four, and still plays sitting down;
Actors Donald Sutherland , Alan Alda and Lionel Barrymore
Writers Arthur C. Clarke and Robert Anton Wilson;
Actress Mia Farrow;
Singer-musicians Neil Young, David Sanborn; Dinah Shore; and Joni Mitchell;
Supreme Court Justice William O. Douglas;
Director Francis Ford Coppola;
Nuclear physicist J. Robert Oppenheimer;
Congressman James H. Scheuer.

How then are we doing almost 60 years into the availability of polio vaccine?

In 2011, there were only 650 Wild Poliovirus (WPV) cases. Most were in endemic countries such as Pakistan, Afghanistan, Chad. The polio eradication through vaccination has in general worked, as has similar approach for other lethal viruses like smallpox

“There are two types of medical specialists,” Salk said.” There are those who fight disease day and night, who assist mankind in times of despair and agony and who preside over the awesome events of life and death. Others work in the quiet detachment of the laboratory; their names are often unknown to the general public, but their research may have momentous consequences.”

Salk was considered to be the “Father of Biophilosophy,” the application of a "biological, evolutionary point of view to philosophical, cultural, social and psychological problems." As a biologist, Salk believed that science was on the frontier of tremendous new discoveries. As a philosopher, Salk thought that humanists and artists have joined the scientists to achieve an understanding of man in all his physical, mental and spiritual complexity. Such interchanges might lead, Salk hoped, to a new and important school of thinkers he designated as the bio-philosopher. 

"I think of biological knowledge as providing useful analogies for understanding human nature.... People think of biology in terms of such practical matters as drugs, but its contribution to knowledge about living systems and ourselves will in the future be equally important.... In the past epoch, man was concerned with death, high mortality; his attitudes were anti-death, anti-disease", Salk said. "In the future, his attitudes will be expressed in terms of pro-life and pro-health. The past was dominated by death control; in the future, birth control will be more important. These changes we're observing are part of a natural order and to be expected from our capacity to adapt. It's much more important to cooperate and collaborate. We are the co-authors with nature of our destiny." As you can observe, many of these issues are points of major contention today. We see parallels in the areas of population control, access to health care, voting rights, clean water, food, tolerance, violence, bigotry, war and social justice.

Jonas Salk continued to conduct research and publish books most of his life. His last years were spent searching for a vaccine against HIV, an area so far which is unsuccessful. Yet, like many of the diseases afflicting mankind, HIV is shrouded in ignorance, hatred, suspicion, and fear. Like Polio, HIV is also preventable and treatable.

At dinner one evening, a friend once mentioned to Salk that he had been reading some books and articles about Intelligent Design, and asked if he’d been following the debate. Salk started to shake his head from side to side, slammed his knife and fork onto the table, and asked, “Why do I have to choose? Why must it be one or the other? Of course evolution is real. DNA mutates, and that makes evolution one of the most powerful forces in nature. But who set evolution into motion? Can’t God have done that? I can’t stand it when the ideologues take over on something like this. Don’t ever let yourself be caught in one of these “either/or” debates, because when you finally figure it out – it’s usually a bit of both.” I think that all too often, we get caught up in the all or nothing argument, God vs a soul-less universe devoid of intrinsic meaning and value, Pro life vs Pro Choice, as if they are mutually exclusionary. Salk in my view had a clearer perspective on the compatibility of scientific reasoning and religion than either Spong or Einstein. Certainly Salk had a clearer comprehension of the relative truth of scientific facts than leading ethicists of his day.

Salk’s concept of God was internally consistent with his bio-philosophy. He thought of a bio-philosopher as "Someone who draws upon the scriptures of nature, recognizing that we are the product of the process of evolution, and understands that we have become the process itself, through the emergence and evolution of our consciousness, our awareness, our capacity to imagine and anticipate the future, and to choose from among alternatives."
Salk’s concepts are even more relevant today with our advances in the understanding of the brain and consciousness, the use of imaging to read thoughts, and the growth of the internet as a repository of human knowledge and social awareness.

Switching now to the core thesis of this article, and from Salk the bio-philosopher to public health,  what are the Major Causes of Death in the USA, how amendable are they to vaccination, and what meanings can we learn?

 Other than CV and cancer, the remainder of the top causes of death certainly are preventable. With respect to suicide, sadly, there is one suicide per day in our military.

More than three women and one man are murdered by their intimate partners in this country every day. One-third of women murdered each year are killed by intimate partners. The health-related costs of intimate partner violence exceed $5.8 billion each year. Of that amount, nearly $4.1 billion are for direct medical and mental health care services, and nearly $1.8 billion are for the indirect costs of lost productivity or wages.

Infectious Diseases – illnesses which are communicable, can be passed from person to person, and for the most part are preventable. Major infectious diseases that plague American include hepatitis, HIV, pneumonia, meningitis, DPT, pneumonia, urinary and staph infections.

Major infectious diseases afflicting children include Chickenpox & Shingles, Cold Sores (Herpes simplex), Impetigo , Measles, Rubella (German Measles), Scabies, meningitis, DPT, diarrhea. These are for the most part preventable through hygiene, medication and vaccines.
Today, what are the major causes of death in children? Not surprisingly, these depend on age group.

THE TOP THREE CAUSES OF DEATH BY AGE GROUP
0-1 years:
Developmental and genetic conditions that were present at birth
Sudden infant death syndrome (SIDS)
All conditions associated with prematurity and low birth weight
1-4 years:
Accidents
Developmental and genetic conditions that were present at birth
Cancer
5-14 years:
Accidents
Cancer
Homicide
15-24 years:
Accidents
Homicide
Suicide

Worldwide in 2010  7.6 million children died <5 year old. About half of child deaths occur in Africa. Approximately 60 countries make up 94% of under-five child deaths.

Reduction of child mortality is the fourth of the United Nations’ Millennium Development Goals.

According to UNICEF, most child deaths result from one the following five causes or a combination thereof:
acute respiratory infections
diarrhea
measles
malaria
War
malnutrition
For the state of Alabama, in 2007, there were 943 deaths in children < 18 years old
There were 84 deaths per 100,000 children. The death rate was higher in non-white than in the white population.

We can therefore see that Infectious Diseases are not among the leading causes of death for children in Alabama or in any state. Most causes of child death in Alabama, in the USA, and in the world are preventable, and we know very well how to prevent them. In fact, no research is needed, we can act now. We have programs to reduce cancer, drowning, MVA motor vehicle accidents. And yet the incidence rate per year is constant for many of these problems – our efforts would seem to not be effective.

Easily two-thirds of childhood deaths worldwide are preventable. Malnutrition and the lack of safe water and sanitation contribute to half of all these children’s deaths. Research and experience show that most of the children who die each year could be saved by low-tech, evidence-based, cost-effective measures such as vaccines, antibiotics, micronutrient supplementation, insecticide-treated bed nets, improved family care and breastfeeding practices, and oral rehydration therapy. In addition to providing vaccines and antibiotics to children, education could also be provided to mothers about how they can make simple changes to living conditions such as improving hygiene in order to increase the health of their children. Mothers who are educated will also have increased confidence in the ability to take care of their children, therefore providing a healthier relationship and environment for them.

Many societal afflictions are certainly transmissible from person to person: hate, violence, bigotry, violence, murder. Once persons are infected, these diseases pass like polio virus to infect the brain. Why not in the tradition of Salk create “vaccines” to immunize people, immunize society, immunize cultures, immunize various ethnic and religious groups against these social diseases. We have known for a long time what components are needed to go into this vaccine: love, tolerance, education, equality, and social justice. The injection will be painless, but the vaccine’s efficacy is dependent on the will of individuals, leaders and society to react.

Each of us can become in our own lives like Dr. Jonas Salk, to dedicate our lives to the prevention of death and suffering, both on an individual level and for the greater humanity, locally, and throughout the world, for our brothers and our sisters everywhere. Let us use the vaccine of peace and love to make us immune to war and hate, needless suffering, poverty and injustice.


References

Courtney Schmidt, Why violence is an infectious disease. http://www.kevinmd.com/blog/2013/04/violence-infectious-disease.html April 24th 2013

Jonas Salk. World Population and Human Values: A New Reality. Harpercollins. 1981. 

Jonas Salk and Ruth Nanda Anshen. Anatomy of Reality: Merging of Intuition and Reason. Columbia Univ Press. 1983



Additional writings by DH Marks

     What I have not told my family about the meaning of time. On this blog site

     Einstein, Relativity and Relative Ethics. On this blog site

     Collected Poetry of DH Marks, on Amazon and Kindle

Thursday, May 9, 2024

Neurological Complications of Vaccination with outer surface protein A (OspA)

Neurological complications of vaccination with outer surface protein A (OspA)
https://content.iospress.com/articles/international-journal-of-risk-and-safety-in-medicine/jrs527



Authors: Marks, Donald H.

Sensay.AI replica of Donald Harvey Marks

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