It’s All Mom’s Fault

At RealClearScience physiologist Edward Archer argues that the upswing in obesity is not caused by what we’re eating but by changes in how our bodies react to what we’re eating:

Foods and beverages are a sine qua non for life — everyone must eat and drink. Yet just as water does not cause drowning because not everyone who drinks, bathes, or swims, drowns — diet does not cause poor metabolic health because not everyone who eats and drinks becomes obese or diabetic. Yet in contrast to the perfect correlation between water and drowning, there is no clear correlation between diet and obesity.

For example, muscular, male athletes consume more calories, ‘carbs’, sugars, salt, fat, cholesterol, and ‘ultra-processed’ foods than obese, sedentary women, yet have lower levels of adiposity and T2DM. Thus, more foods, beverages, and physical activity are linked with better health and less disease. Clearly, athletes’ bodies ‘handle’ their diets differently than those of sedentary people. Therefore, metabolism — not diet — is the ‘difference that makes a difference’ in health.

and

Stated simply, consuming dietary sugar increases everyone’s blood sugar — but not everyone’s blood sugar returns to ‘normal’ after a meal (e.g., diabetics). Thus, the diet-induced increase in blood sugar is irrelevant to cardiometabolic health because it is not the ‘difference that makes a difference’. What matters are the metabolic differences that cause blood sugar to decrease — or not — after a meal.

Yet most importantly, as a recent “intensive food-as-medicine program” showed, altering your diet has little effect on cardiometabolic health over time, whereas adequate physical activity “obliterates the deleterious effects of a high-caloric intake”. This explains why muscular athletes can consume massive amounts of calories, ‘carbs’, and ‘ultra-processed’ foods yet remain lean and healthy.

In sum, differences in metabolism — not diet — cause differences in cardiometabolic health.

and points the finger directly at mothers:

Importantly, if a woman’s physical activity is too low, her metabolism will be too weak to ‘handle’ pregnancy and she will consume too many calories. As a result, her children will be born fatter and with weaker metabolisms. In other words, they ‘inherit’ a life-long predisposition to obesity and cardiometabolic diseases. [Note: the non-genetic process of inheritance by which a mother’s prenatal metabolism irreversibly alters her descendants’ metabolism is known as a ‘maternal-effect’].

Consequently, the fact that women ’move less’ than they did five decades ago explains the recent rise in ‘inherited’ (childhood) obesity and adolescent T2DM. For example, from 1965 to 2010, the time women spent doing housework decreased by ~2 hours per day while sedentary time increased by 1 hour/day. This reduced the number of calories burned by ~250/day and doubled the amount of time spent sitting. By 2020, women spent more time sitting in front of the TV and using social media than cooking, cleaning, childcare, exercise, and laundry combined. As a result, their metabolisms became weaker — and because metabolic strength is essential for a healthy pregnancy, the decline produced successive generations of obese children with weak metabolisms.

I haven’t bothered to read Dr. Archer’s research. Consequently, I can’t judge whether what he’s saying is right, wrong, or something in between. I suspect it’s something in between.

For one thing I have a problem with some of his comparisons:

Importantly, all humans start life consuming ~40% of their daily calories as dietary sugars and 25% as saturated fat — either in breast milk or infant formula (an ‘ultra-processed’, sugar-sweetened beverage with ‘added’ sugars, salts, and fats). Thus, recommendations to restrict ‘added’ sugars and ‘processed’ foods would prevent the feeding of most infants in industrialized nations. And contrary to current rhetoric, nations with the highest rates of sugar-sweetened beverage (formula) consumption by infants have the lowest rates of obesity and cardiometabolic diseases (Japan and Norway). Moreover, sugars added to foods and beverages enter the same metabolic pathways as intrinsic sugars. Thus, the glucose molecules in breast milk and the fructose molecules in fruit are exactly the same glucose and fructose molecules as in soda, sports drinks, and your favorite candy. This basic fact of biochemistry shows that the term ‘added sugar’ has no place in scientific discourse.

He also compares the Amish in the United States with other Americans. Now, I haven’t checked and things may be much different in Amish country than they used to be but if I recall correctly no Amish people are either black or Hispanic. According to the National Institutes of Health:

  • More than 2 in 5 non-Hispanic white adults (42.2%) have obesity.
  • Nearly 1 in 2 non-Hispanic Black adults (49.6%) have obesity.
  • More than 1 in 6 non-Hispanic Asian adults (17.4%) have obesity.
  • Nearly 1 in 2 Hispanic adults (44.8%) have obesity.

I’m not pointing fingers or fat-shaming anyone, just pointing out what should be obvious: it is quite likely there is a genetic component to obesity. Consequently, let’s take a look at China:

Rather clearly something has happened. What? As it turns out there is no single good answer but rather lots of answers: what they’re eating, how much they’re eating, their grandparents are feeding them too much.

I would speculate that obesity is multi-factorial including but not limited to

  • Eating out (restaurant portions are frequently too large)
  • How much we’re eating
  • What we’re eating
  • Heredity
  • Maternal behavior and agew
  • Sedentary habit
  • Intestinal flora (maybe too many antibiotics?)
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What If They’re All Dead?

I’ve wanted to raise this question for some time. What if the hundred some-odd hostages captured by Hamas in their October 7th attack on Israel are all dead? Will that make a difference to the Israelis? Should it? Will it make a difference to the United States?

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The Cost of Corruption

I found this report by Isabel Coles in the Wall Street Journal on the activity in Ukraine to root out corruption in military procurement very encouraging. The short version is that the Ukrainian government has realized that the country cannot endure with the level of graft that has afflicted its military procurement.

KYIV, Ukraine—Masked Ukrainian security officers have raided properties, seized wads of cash and detained suspects in a recent crackdown on graft in the purchase of goods for the military ranging from eggs to artillery shells.

At the same time, a quieter operation is being waged by a new team of professionals including a former energy executive called Maryna Bezrukova. From her office in a gleaming business center in Kyiv, she is on a quest to save money and ensure new arms contracts are untainted.

“We need to change the system,” said Bezrukova, who became head of Ukraine’s Defense Procurement Agency earlier this year. “Unless we change the system, nothing will happen.”

As Ukraine faces setbacks on the battlefield in the third year of Russia’s invasion, attention has turned to corruption that is corroding support for the war effort at home and abroad.

Allegations of graft have helped galvanize Republican opponents of military aid to Kyiv, who are holding a $60 billion package hostage to their demands for tighter border control. Short of munitions and men, Ukrainian forces are struggling to hold the line against a much larger enemy. Corruption is also denting morale and making it harder to persuade more Ukrainians to risk their lives.

Ukrainian anticorruption activists say the steely-eyed Bezrukova has what it takes to challenge entrenched interests and shady middlemen while negotiating arms deals worth billions of dollars. Her efforts to clean up arms procurement could prove more meaningful than the recent spate of arrests, they say. But the scale of the challenge is huge. “Of course, it’s not easy,” said Bezrukova, likening her mission to sewing a parachute while in freefall.

Don’t underestimate how difficult a task this will be. Ukraine is generally considered the second most corrupt country in Europe, right after Russia, and some of those who profit from all of the corruption are very powerful.

The position that has been articulated by U. S. officials, that they are confident that non of the $113 billion that Ukraine has received from the U. S. has gone into anybody’s pockets, is facetious. For one thing money is fungible.

But it’s definitely a step in the right direction.

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Eclipse of 2024

My wife and I just finished watching the solar eclipse. Here in Chicago they’re saying we had 94% totality. The weather is perfect for it—hardly a cloud in the sky. We carefully looked up with our solar glasses.

Quite an experience.

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Six Questions

I recommend John Zavales’s post at Responsible Statecraft on questions the Biden Administration should answer for Congress:

The first should be: Can you define what constitutes victory in this war? Does it require Ukraine recapturing all its internationally recognized territory, as President Zelensky and others maintain? Or can victory be defined more simply as preventing the collapse of the current government? What do we mean by providing Ukraine aid “as long as it takes”? The Biden administration should provide actual analysis, based on U.S. national interests, and not simply Ukrainian government talking points.

Second, if our definition of victory is the expulsion of all Russian forces from Ukrainian territory, how plausible is that from a military perspective? Can the Biden administration provide a historical example in which a numerically smaller force, without air superiority, successfully attacked a larger force entrenched in strong defensive positions hundreds of miles long, dislodged that force, and inflicted more casualties on the defender than it suffered itself while on the offensive?

Next, there has been much speculation about the risks of nuclear escalation, and whether Russian statements are merely aggressive bluffing, with no likelihood such weapons would be used. During the Cold War, wasn’t it U.S. doctrine to implicitly threaten to use tactical nuclear weapons, not just to deter the Soviet Union from attacking the US homeland or using nuclear weapons in Europe, but to deter a conventional attack by the Warsaw Pact? If those threats were credible, why would Putin not consider using tactical nuclear weapons if he were facing a conventional defeat in which Ukraine threatened to retake Crimea and the Donbas, areas Russia now considers part of its territory?

Fourth, a major talking point has been that a Russian defeat would deter China from attacking Taiwan, and represent a victory for the democratic world over an authoritarian axis. If this is a rationale to keep the war going, wouldn’t China take us at our word, and decide that a Russian defeat is an unacceptable red line? Why wouldn’t China begin providing munitions, artillery, tanks, and aircraft to Russia to prevent such an outcome?

Fifth, in addition to Ukraine’s shortage of ammunition and weapons, we increasingly hear about a manpower shortage, and an inability to replace casualties. Despite the battlefield situation, hundreds of thousands of Ukrainian men remain outside the country or are in Ukraine but making extraordinary efforts to avoid being drafted. Is this due to dissatisfaction with the current government, or a sense that while it was important to save the country in 2022, it’s not worth continued fighting to retake Crimea and Donbas, or something else? Regardless of its cause, why should the American taxpayer be more committed to a Ukrainian victory than hundreds of thousands of Ukrainian citizens themselves are?

And finally, following Ukraine’s unsuccessful counteroffensive last year, Russia is now undertaking limited attacks in several areas, using its superiority in artillery and airpower to wear down Ukrainian defenses. The Biden administration often states that its objective is to give Ukraine as strong a position on the battlefield as possible going into any negotiations. Is it possible that Ukraine is now in the best position militarily that it can reasonably hope for? Is it time for us to urge Ukraine to begin negotiations now, based on realities on the ground, rather than strive for maximum objectives, before it loses any more territory, and its bargaining position is further weakened?

I presume that one’s view on how worthwhile answering such questions depends on your view of Congress and the majority. If you think that the Republican majority doesn’t want to give the Biden Administration a “win”, you may think that answering such questions is a waste of breath. It doesn’t matter. It’s the White House’s responsibility to convince Congress.

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Is It the West Whose Values Are Diverging?

I received a notification by email of an article in The Economist that I wish I could read but, alas, it’s inaccessible behind a paywall. The title of the article is “Western values are steadily diverging from the rest of the world’s”.

I have a two-part question about that statement. The first part is to wonder if that’s true? The second part is to wonder if the truer statement would be that “Western elites’ values are diverging from those of the entire world”? I.e. including many in the West.

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Today’s Talking Heads Programs

The talking heads programs (Face the Nation, Meet the Press, This Week, etc.) were pretty tightly focused on the war in Gaza, especially because of the IDF attack on World Center Kitchen vehicles in Gaza that took the lives of seven aid workers.

IMO the attack put the Biden Administration on the horns of a real dilemma. On the one hand the president has been full-throated in his support for Israel for over a generation including a statement of support following Hamas’s attack on Israel six months ago. That makes it difficult for the president to “walk back” his support regardless of the domestic political consequences. On the other the attack raised the question of what Israel’s actual objectives in the war are.

One of the things I noticed is no one on any program that I heard made the critical point that Hamas could end the war tomorrow. All they need to do is surrender. The inescapable conclusion from that is that Hamas values its own members and their continued genocidal war against Israel more than they do the civilian population of Gaza.

My opinion as I have tried to make clear is that the Israelis are not our friends and Israel is not the 51st state. However, I also think that the members of Hamas are hostis humani generis—enemies of humankind. Their views are incompatible with ordinary decency let alone with liberal democracy. Talk of a “two-state solution” in the context of the continued existence of Hamas is a cruel fantasy. By its own admission Hamas doesn’t believe that any state is legitimate other than the Dal al-Islam (the abode of Islam).

Given a choice between Israel continuing to survive and Hamas continuing to survive, the preferred alternative is clear. Israel should continue and Hamas must be destroyed. That’s a step short of the full-throated support of Israel the Biden Administration appears to be trying to walk back.

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Who You Gonna Believe?


I’m seeing quite a few editorials, articles, and posts claiming that Americans are misinformed about the economy. I don’t believe that Americans are misinformed. I believe that economists are. Ordinary people being nervous about the economy is rooted in their day-to-day experiences.

The graphic at the top of the page (sampled from the WSJ) illustrates the change in grocery prices since 2019. In preemptive response to charges that the WSJ is a right-wing rag, today economist Greg Ip has an op-ed in the Wall Street Journal arguing exactly what I said above: Americans are misinformed about the economy. He dismisses new homebuyers faced with much higher mortgage payments as being a very small segment of the population.

He neglects to consider those with adjustable rate mortgages (ARMs), between 10% and 20%.

People with credit card debt aren’t a small percentage of the population. 82% of Americans have credit cards and of those almost half carry balances month-to-month. The interest rate you pay on your credit card debt is usually prime rate plus. Consider the change in the prime rate over the last few years:

Furthermore, 20% of Americans have home equity lines of credit (HELOC). The rate you pay on your HELOC is also usually prime rate plus.

If you make the reasonable assumption that there is not a perfect overlap between people carrying credit card balances and people with HELOC balances, that’s nearly 50% of the population who are paying considerably more for their credit (in one form or another) based lifestyle.

When you combine new homebuyers, people with ARMs, credit card debt, and HELOCs with the increased price of groceries, and rents, being nervous about the economy sounds pretty reasonable to me. Even more so the younger you are since younger people tend to run credit card balances and have HELOC debt.

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What Does NATO Want?

I want to call your attention to this piece by former NATO Ambassador Robert E. Hunter at Responsible Statecraft on the occasion of the 75th anniversary of the founding of NATO:

Seventy five years ago today – April 4, 1949 — foreign ministers of the United States, Canada, and 10 West European countries concluded the Treaty of Washington, creating what became the North Atlantic Treaty Organization.

The treaty committed U.S. (and Canadian) power and purpose to Western Europe to contain the Soviet Union. In the subsequent four decades, NATO was critical in ending the Cold War and Soviet suzerainty over Central and European Europe, and playing a role in the collapse of the Soviet Union.

I materially agree with his assessments. Consider:

Historians will contend it is useless to revisit events and pretend that what happened in 2014 and 2022 could have been deterred. But in this case, there were leaders just after the Cold War who did try to shape European security in a way that might have avoided the current confrontation with Russia. Perhaps Putin always had ambitions to swallow Ukraine and advance Russian influence farther West. But an equally plausible (I would argue more compelling) argument can be made that the West — and later Russia — ultimately forfeited the chance to develop “history” differently.

This passage is crucial:

Even before the fall of the Iron Curtain in 1989, the H. W. Bush and later the Clinton administrations had a critical insight: A defeated Russia should not be treated with the harshness meted out to Germany in 1919, with the Versailles Treaty’s so-called War Guilt Clause that required Germany to accept total responsibility for causing the First World War. In Hitler’s rise to power, the treaty proved to be highly useful propaganda for targeting the demoralized and resentful German people.

Bush thus proclaimed the ambition of a “Europe whole and free” and at peace. As much as anything, that meant not stigmatizing Russia and, to the extent possible, enabling it to play a serious role in the new security architecture the West was putting into place instead of simply disbanding NATO and tempting fate.

NATO thus gained Russia’s membership in its flagship Partnership for Peace and Euro-Atlantic Partnership Council. It also welcomed Russian troops in the post-Bosnia War Implementation Force (IFOR) – the first such military cooperation since U.S. and Soviet forces met on the Elbe River in 1945.

Why, then, did the Clinton Administration proceed to treat Russia as disdainfully as it did? I completely agree with this:

Most damaging to the chances for building shared security and avoiding a new confrontation, in 2008 President George W. Bush pressured NATO to declare that Ukraine and Georgia “will become members of NATO.” This was clearly beyond what any major country could accept (for the U.S.: think Cuba) and violated the 1997 tacit understandings on Ukraine’s position between East and West.

Both NATO and the United States have repeated that pledge regularly ever since — ironically so, since it is virtually inconceivable that the alliance could get the required consensus of its 33 members in order for Ukraine to join.

This geopolitical folly does not justify any of Putin’s actions. But, along with further NATO enlargements and a 2014 U.S.-led government coup in Kyiv, it has helped Putin make the case at home that NATO is seeking to surround Russia.

It does raise a central question: what does NATO want? Its intention is clearly not to incorporate Russia into Europe. That would have been a “Europe whole and free”. Had that been the case when Putin floated the idea of Russia’s joining NATO 25 years ago it would have been taken more seriously. Is it to reject George H. W. Bush’s vision in favor of a new Cold War? How do we benefit from that? Is it to separate Russia from its allies and isolate it? Is it to fragment Russia?

What does NATO want?

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Respect for Institutions Is Declining and For the Same Reason

In his Wall Street Journal column William A. Galston declaims:

Between 1973 and 2005, according to the German think tank Bertelsmann Stiftung, the number of governments rated as liberal democracies more than doubled. Since then, the number of liberal democracies has fallen, while attacks on this form of government have intensified. Some attacks are external, from autocratic governments such as Russia and China, whose leaders view liberal democracy as a threat to their power. Other attacks are internal, led by those who see liberalism as a source of political and moral decline.

The effort to explain rising internal opposition to liberal democracy has become a cottage industry in the past decade. In an op-ed for the Washington Post last month, journalist Fareed Zakaria argued that since the fall of the Berlin Wall and collapse of the Soviet Union, rapid economic and social changes have corroded communal life and empowered minority groups in ways that have “unnerved” longstanding majorities. “Freedom and autonomy often come at the expense of authority and tradition,” Mr. Zakaria wrote. “As the binding forces of religion and custom fade, the individual gains, but communities often lose.” The result, he said: We are freer but lonelier, and we struggle to fill our sense of emptiness.

New York Times columnist David Brooks agreed, contending last month that dissatisfied Americans are feeling an absence of “meaning, belonging, and recognition.” Like Mr. Zakaria, he suggests that infusing liberal politics with moral meaning is the remedy for the declining power of religion.

I have two qualms with this argument. First, it minimizes simpler explanations for the declining confidence in liberal democracy. One is that the U.S. has been ill-governed for the past two decades. Consider the record: two costly, mostly failed wars; a financial crisis from which it took years to recover; a pandemic during which Americans experienced more restrictions and more deaths per capita than many other advanced societies; a postpandemic inflationary surge; cultural conflict that has polarized politics. Against this backdrop, we need not invoke religion to explain declining confidence in liberal institutions, which are, like all forms of government, judged mostly by their fruits.

Second, if the decline of religion is contributing to the weakening of liberalism, it is dangerous to look to politics as the solution. Yes, politics can be an arena of common purpose during wartime, economic calamity or natural catastrophe. For those seeking social change, political movements offer the satisfaction of collective action guided by shared moral commitments.

As Gallup has documented confidence in practically all institutions has declined over the last 50 years. That includes government, big corporations, banks, religion, science, the medical profession, the media, labor, and practically every institution except for small companies. Faith in Congress is nearly zero. I believe that loss of trust is for a single reason: information. Mme. de Cornuel quipped more than 200 years ago: no man is a hero to his valet. The reason for that is that in the intimate relationship between the valet and the master, the valet knows too much.

We’re all in that position now. Things that would have been kept comfortably secret 80 years ago are now broadcast all over the world in moments.

BTW I think that reports of the decline of religion in the United States are greatly exaggerated. Americans are increasingly tending to call themselves “spiritual” rather than “religious”. I suspect that’s because being spiritual doesn’t limit your conduct the way being religious does. But that’s a subject for another day.

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