The Attention Economy

There is a very common complaint–usually voiced by an older person with “know-it-all” pretensions–about “kids these days.” Although that complaint has echoed through history (ever since Socrates, actually), today it tends to focus on the ubiquity of screens…the inescapable elements of our digital world.

It is certainly true that we now occupy an unprecedented environment, and there’s really no telling how or whether it is warping the young of the species. (If I had to guess, young people were different post-Gutenberg than they’d been pre-Gutenberg–and I would wager that some folks weren’t all that happy with that change, either.) The way we socialize the young into constantly changing cultures is inevitably evolving, and determining whether the changes are healthy or damaging is pretty speculative.

We just don’t know.

That said, a recent essay in the most recent Hedgehog Review, addressing that issue, was alternately annoying and thought-provoking. It was titled “The Great Malformation: A personal skirmish in the battle for attention.” After reminding readers of the often-quoted African proverb that “it takes a village to raise a child,” the author indulged in the all-to-common verbal handwringing:

The villagers are too often found behind closed doors, watching television or surfing the Internet. When they do appear in public, they are increasingly prone to do so with portable electronic devices in hand, phoning or surfing or tweeting their way through virtual realms, leaving the village streets full of moving bodies but emptied of human presence. This same retreat from shared physical spaces is observable even—or, rather, especially—in the inner sanctum of the home, where brothers and sisters, husbands and wives, parents and children, are increasingly found alongside each other yet absent to each other, cocooned in mesmerizing solipsism, ghosting even themselves and their own lives. The human race is on its way to becoming seven or eight billion perfect societies of one, each bound in what Stephen Colbert once called “solitarity” with other human beings, somewhere or another—who knows where—who themselves are busy absenting themselves from their families and homes. Where are the children being raised in such a world heading? What are they being urged to care about, cultivated to do and to be? What conception of the human good, if any, is implicit in, supported by, or coincident with this sort of upbringing?

I nearly stopped reading. Agitation about something we all know, without reference to data that illuminates what’s occurring, is just another version of “get off my lawn.” But the essay then took a different direction, arguing that today’s screen fixations come from an intertwining of culture and economics. The article is lengthy, and much less superficial than the cited paragraph suggests.

A few observations that struck me:

The market economy torn free from the rest of cultural life some half-dozen generations ago has now turned upon its parent and consumed her. The work of the polity that Aristotle regarded as most crucial—the acculturation of successive generations—increasingly occurs as the unplanned aggregate effect of corporate profit-seeking, in a direction that few regard as genuinely good for the next generation. This novel experiment in socialization raises anew the concern that we might prove unable to keep our republic (as Benjamin Franklin put it), or even our humanity….

As industrial capitalism matures, it gradually colonizes large swaths of the culture, whose evolution is then subject to being steered by the same decentralized and unplanned processes that serve up the other benefits and burdens of capitalism…We are accustomed to this arrangement and not generally awake to its perversity. When we enter the sphere of getting and spending, our activity is shaped by the pursuit of profits, and unlikely to cleave to any compelling conception of the human good. Presumably we do this in order to gain the resources we need to pursue genuine goods in the remainder of our lives. When the market swallows this remainder and seeks to reshape it to maximize profits, it becomes an impediment, not a contribution, to human flourishing.

This cultural revolution could not have come so far so fast without tapping into a very personal resource, located in the inner realm of conscious experience: human attention. There is growing recognition that attention has become an exceedingly valuable and hotly contested commodity.

From radio and television, to advertising, to video games…it’s hard to argue that today’s culture hasn’t devolved into a competition for eyeballs and clicks. And it is worth asking ourselves what the long-term consequences of that devolution portend.

A brief blog post cannot do justice to the essay’s lengthy analysis. It’s well worth reading the entire article.

I don’t agree with everything in it, but it’s a provocative read.

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About Those Aliens In Roswell

Yes, Virginia, the problem is the media–but not in the way most Americans assume.

Yes, the outlets we call “mainstream” could be doing a better job. The New York Times, especially, seems to have it in for Joe Biden. (My nephew’s husband recently wrote them to complain about their “horse-race” coverage and constant normalizing of Trump, and in response got a letter so smarmy he cancelled his subscription.) But the real problem isn’t the failure of actual news organizations to abandon an unfortunate “click-bait” approach–annoying as that is. The real problem is the widespread availability of faux “news”/propaganda sources that exist to facilitate the confirmation biases of voters.

I have previously shared a statement I routinely made to students in my Media and Public Policy classes: If you really want to believe that aliens landed in Roswell, New Mexico, I can find you five Internet sites with pictures of the aliens.

People living in our Internet Age inhabit an informational wild west, in which anyone with a computer and an Internet connection can claim to be a news site. People who desperately want to believe X need only do a brief google search to locate “reporters” who will assure them that X is, indeed, factual. Want to believe that the Covid vaccine causes Parkinson’s Disease? Think those “elitist” scientists are wrong about climate change? That Trump’s 92 indictments are fabricated elements of a witch hunt? Despite the great weight of evidence to the contrary, google will help you find “experts” who will confirm those counterfactual beliefs.

Most of us are aware of the prevalence of online propaganda, and a recent NBC report illuminated its effects on political preferences. It turns out–surprise!–people who follow very different news sources have very different political loyalties. (It also turns out that Trump voters are disproportionately people who know nothing about politics at all.)

Supporters of President Joe Biden and former President Donald Trump are sharply divided across all sorts of lines, including the sources they rely on to get their news, new data from the NBC News poll shows.

Biden is the clear choice of voters who consume newspapers and national network news, while Trump does best among voters who don’t follow political news at all….

The poll looked at various forms of traditional media (newspapers, national network news and cable news), as well as digital media (social media, digital websites and YouTube/Google). Among registered voters, 54% described themselves as primarily traditional news consumers, while 40% described themselves as primarily digital media consumers.

Biden holds an 11-point lead among traditional news consumers in a head-to-head presidential ballot test, with 52% support among that group to Trump’s 41%. But it’s basically a jump ball among digital media consumers, with Trump at 47% and Biden at 44%.

And Trump has a major lead among those who don’t follow political news — 53% back him, and 27% back Biden.

Researchers say that last category is comprised of voters who have decided who they are supporting and have simply “tuned out” information that might reflect poorly on their preferred candidate. If they encounter it at all, they dismiss it as “fake news.” As one scholar put it, “That’s why it’s hard to move this race based on actual news. They aren’t seeing it, and they don’t care.”

Third-party candidates also do well with this chunk of the electorate — a quarter of the 15% who say they don’t follow political news choose one of the other candidates in a five-way ballot test that includes Kennedy, Jill Stein and Cornel West. Third-party supporters also make up similar shares of those who say they get their news primarily from social media and from websites.

There is one bit of positive news in the NBC report: those of us who rely on traditional news sites–sites that follow professional journalism ethics and guidelines–are more likely to vote. According to the report, 19% of those who voted in the last presidential election but not in 2022 and 27% who voted in neither of the last two elections say they don’t follow political news.

The NBC report helps answer a persistent question: how can people support a man who [insert latest outrage here]. The answer is: they either don’t believe the outrage, because they rely on sources providing disinformation and propaganda–or they haven’t heard about them, because they ignore all political reporting.

Ben Franklin is said to have responded to a question about what sort of government the Founders had created by saying “A republic, if you can keep it.”

The question for our times is whether a country in which millions of voters know nothing about their government or politics will even vote, and if they do, whether they’ll vote to keep it.

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Florida Man And Other Strange Political Cases

The question for our age may just be: What is WRONG with these people? What is it about science, tolerance, and ordinary common sense that sets them off?

What has set me off today is a Paul Krugman column about “Florida man” Ron DeSantis’ most recent departure from rationality. As Krugman explains:

It’s possible to grow meat in a lab — to cultivate animal cells without an animal and turn them into something people can eat. However, that process is difficult and expensive. And at the moment, lab-grown meat isn’t commercially available and probably won’t be for a long time, if ever.

Still, if and when lab-grown meat, also sometimes referred to as cultured meat, makes it onto the market at less than outrageous prices, a significant number of people will probably buy it. Some will do so on ethical grounds, preferring not to have animals killed to grace their dinner plates. Others will do so in the belief that growing meat in labs does less damage to the environment than devoting acres and acres to animal grazing. And it’s at least possible that lab-grown meat will eventually be cheaper than meat from animals.

And if some people choose to consume lab-grown meat, why not? It’s a free country, right?

Evidently Florida isn’t part of that free country.

DeSantis has now signed a bill that bans the production or sale of lab-grown meat in Florida. Evidently, other Red states are considering similar legislation. Evidently also, the fact that a a lab-grown meat industry doesn’t yet exist is irrelevant. As Krugman notes, Florida’s law is a “perfect illustration of how crony capitalism, culture war, conspiracy theorizing and rejection of science have been merged — ground together, you might say — in a way that largely defines American conservatism today.”

I am so old I remember when Republicans and conservatives championed limited government. A government that can tell you what you can and cannot eat–that can tell private enterprises what they can and cannot produce or sell– is pretty much the antithesis of limited. Today, when Republican candidates talk about “freedom,” they rather clearly mean “freedom to live a life in accordance with what we decree is proper.” Today’s GOP wants to define and constrain your life choices from reproduction to food consumption.

Krugman tells us that, ridiculous as it sounds, meat consumption has been caught up in the culture wars.

You saw this coming years ago if you were following the most trenchant source of social observation in our times: episodes of “The Simpsons.” Way back in 1995, Lisa Simpson, having decided to become a vegetarian, was forced to sit through a classroom video titled “Meat and You: Partners in Freedom.”

It seems that eating– or claiming to eat– lots of meat “has become a badge of allegiance on the right, especially among the MAGA crowd. Donald Trump Jr. once tweeted, “I’m pretty sure I ate 4 pounds of red meat yesterday,” improbable for someone who isn’t a sumo wrestler.”

Krugman attributes MAGA’s meat obsession to acceptance of various conspiracy theories, climate denialism, and the growing belief of GOP hardliners that “politics is a form of live-action role play.” We the People aren’t a polity; we’re an audience.

I have another theory. We live in the age of insanity. And it isn’t only MAGA, although that movement is surely the poster child for lunacy. Here’s a recent story from The Independent. The headline says it all: “RFK Jr says a worm ate part of his brain and then died inside his head.”

Anti-vaccine activist turned independent presidential candidate Robert F Kennedy Jr has revealed that a worm ate part of his brain and then died inside his head.

According to The New York Times, Mr Kennedy made the bizarre admission during a deposition held as part of his 2012 divorce proceeding.

That worm explains a lot. At a minimum, this admission sheds some additional light on the recent endorsement of President Biden by the remainder of the Kennedy family.

Americans today are being subjected to performative politics in which a cast of wacko characters whose antics–however entertaining–are utterly divorced from the actual work of governing. Florida Man DeSantis pontificates about the dangers of “wokism” (which he evidently defines as anything that offends him); RFK spouts anti-science, anti-vaccine lunacies; Trump claims victimhood/persecution whenever things don’t go his way; Marjorie Taylor Green sees Jewish Space Lasers.

If this was a sit-com, it would be way too over-the-top.

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The Election And Sally Bowles

Last weekend, my husband and I joined a group of supporters and staff of Indianapolis’ Cabaret Theater on a weekend trip to New York. It was the first time we’d participated in these annual outings to Broadway to enjoy musical theater. This year, the entire group had tickets to the revival of “Cabaret at the Kit Kat Club.” Participants could choose from a wide variety of other shows as well, but the Cabaret revival was the common denominator.

Most Americans are familiar with previous iterations of Cabaret, but I will readily admit that this particular production had a new and concerning resonance for me.

It had been at least eight years since my husband and I had been in Manhattan, and several things seemed different on this particular trip. On a personal note, I was struck–and impressed–by how much cleaner Midtown was, and how kind and helpful people were. My husband has mobility issues that require the use of a mobility scooter, and doormen, restaurant personnel, theater ushers–even people on the streets– were unfailingly solicitous and helpful. These are not, I will note, adjectives I might have used to describe such folks on past visits.

As we braved the crowds on the streets in the theater district, it also occurred to me that the faces I encountered were the faces that upset and enrage the predominantly rural folks who make up the bulk of the MAGA movement. Native or tourist, the people we passed reflected a cosmopolitan universe: young people with purple hair on bikes or scooters, Black, brown and White men and women talking on their phones, women with hijabs, Hasidic men with fur hats… the wildly diverse America that MAGA does not want to recognize.

What really made an impression on me, however, was the performance of Cabaret. The music and staging of this particular revival were exceptional, but what really gave me chills were the similarities between Germany just before the Nazis assumed power and the United States poised on the brink of November’s election.

Let me be clear: I’m not referring to the cruelty of the Nazi assault on Jewish Germans, although it was heartbreaking to see the naiveté of the Jewish character, Herr Schultz, who insisted that “this will all blow over. After all, I am as German as they are.” Those of us who know what came later are aware of the prevalence of the sad belief of so many German Jews that it “couldn’t happen” in such a civilized, culturally-advanced country.

No, the character who summed up the nature of the real threat–then and now–was Sally Bowles, who insisted to her lover Cliff that “politics has nothing to do with us.”

Sally wasn’t the only character to dismiss so-called “political differences” as irrelevant to the lives people live. The young operative who had befriended Sally’s lover was astonished when the swastika on his armband made Cliff recoil (after all, that’s just politics, and we’re friends). But it was Sally’s utter incomprehension about why national politics should matter to her at all–why the events consuming Berlin should cause her to rethink a return to performing at the Kit Kat Club–that forced me to consider the millions of Americans who simply go about their daily lives without paying any attention to the national news or the daily revelations about the plans being made for a second Trump term.

It’s a political truth that most Americans pay little or no attention to national political campaigns until after Labor Day. (Until the expenditure of truly obscene amounts of money on electronic ads in the primaries, primary elections were low-key events interesting mostly to party insiders.)

That disengagement from politics may have been harmless when America’s two major political parties shared a basic understanding of their responsibilities–when their disputes were primarily about how to go about achieving broadly agreed-upon goals. But–just as in the Germany of Cabaret’s time–that is no longer the case. MAGA Republicans, aka Christian Nationalists, want to utterly transform what it means to be an American, just as Hitler’s Nazis wanted to redefine what it meant to be a German.

We’ve seen this play before. We know how it comes out–and how many innocent people were sacrificed to its madness.

I have repeatedly posted about the importance of turnout in the upcoming election. Unless the millions of Americans who are America’s version of Sally Bowles wake up to the fact that their lives and the lives of their children will be irreparably altered if Trump and his ilk win, America in 2024 will repeat the tragedy of 1929-30 Germany.

It could happen here.

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Drug Affordability

Most older Americans–make that “most Americans who are paying attention”–know that this country doesn’t have a healthcare system. As a former student put it, we have a healthcare industry. And we pay through the nose for it. A superficial google search will turn up mountains of data confirming the fact that healthcare costs in the United States vastly exceed those of other advanced countries, while giving us a “system” that ranks somewhere between 35th and 37th in the world.

I encountered the data that really made me aware of the insanity of market-driven healtcare several years ago, when I served on a committee organized by a medical-school friend. At the time, seventy percent of all healthcare costs were paid by governments at the local, state and federal levels. Not just Medicare and Medicaid, but through various other programs, and especially through the obligations of government-as-employer of teachers, police and fire personnel, etc. etc.

What really made an impression on me was data showing that those payments by government would be sufficient to pay for all medical care in a national system that eliminated health insurers’ marketing costs, claims processing, overhead and profit. 

I’m a big fan of markets in areas where they work. Healthcare isn’t one of those areas. You don’t go “shopping” or comparing prices when you’re having a heart attack.

The Affordable Care Act was a good first step in delivering healthcare to Americans who’d been priced out of the market. It also gave added freedom to those whose medical issues had locked them into their jobs, thanks our insistence on tying coverage to employment. Drug costs, however, remained far higher than in other countries, thanks to the lobbying clout of “big Pharma,” despite the fact that the federal government is the major funder of research and development.

Reducing those costs is among the many under-appreciated accomplishments of the  Biden Administration. As the Washington Post reported, “Monumental changes to prescription drug prices for seniors are coming.”

Thanks to the Inflation Reduction Act, one of President Biden’s signature achievements, prescription drugs are set to become substantially more affordable for seniors. Yet many Americans seem unaware of just how monumental these changes will be.

The article listed “six things to look for.” The first of those included eye-popping savings for both individual Americans and the government.

For the first time in history, Medicare can now negotiate directly with manufacturers. For the initial round of negotiations, the Centers for Medicare and Medicaid Services chose 10 drugs that treat common health conditions, including cardiovascular disease, cancer and rheumatoid arthritis.
 
Each of these medications costs consumers in the United States three to eight times what people pay in other countries. In 2022, Medicare paid an eye-popping $46.4 billion for them. The impact to consumers is equally staggering. As CMS Administrator Chiquita Brooks-LaSure told me, “Some of these drugs are thousands of dollars per year for people who depend on them to live.”

It will take some time for negotiated prices to take effect. Assuming the federal government prevails in the lawsuits filed by pharmaceutical companies, CMS expects lower prices to be in place in 2026.
But that’s only the beginning. Fifteen more drugs will be selected for 2027 and then 20 per year from 2029 and thereafter. The lower prices are projected to save the federal government $100 billion over the next several years. Crucially, this means that the negotiations won’t just benefit people who are on these specific medications; the savings are passed along, indirectly, to everyone on Medicare.

Other changes, thanks to the Biden Administration, will include a cap of $2000 per year on out-of-pocket Medicare spending, and significantly lower costs for insulin. Other changes include an income-based subsidy for the most vulnerable Medicare enrollees, making all adult vaccines recommended by the Centers for Disease Control and Prevention free for everyone with Medicare Part D, and requiring drug companies to pay a rebate to Medicare if they increase prices faster than inflation. 

There has been very little media attention to these hard-won changes, presumably because skill at the actual business of governing is less sexy than wall-to-wall coverage of threats to desperate immigrants and hush-money payments to porn stars. 

In her “Letters from an American,” Heather Cox Richardson often compares the autocratic and corrupt self-interest of Trump and the MAGA movement to the Biden Administration’s focus on making life better for average Americans.

Reducing the cost of lifesaving prescription drugs– rather than limiting women’s reproductive liberties and forbidding medical providers to assist trans children– is a perfect example of the wildly different priorities of today’s Democratic Party and the Republican MAGA cult.

In November, vote accordingly.

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