HPPD And The Specter Of Permanent Side Effects

I recently worked with a man who took LSD once in college and never stopped hallucinating. It’s been ten years now and it’s still going. We can control it with medication, but take the meds away and it starts right back up again.

This is a real disease – hallucinogen persisting perception disorder. Most descriptions of the condition emphasize that it’s just some of the visual effects and doesn’t involve distorted reality perception. I’m not sure I believe this – my patient has some weird thoughts sometimes, and 65% of HPPD patient have panic attacks related to their symptoms. Maybe if you can see the walls bubbling, you’re going to be having a bad time whether you believe it’s “really true” or not.

Estimates of prevalence vary. It seems more common on LSD and synthetic cannabinoids, less common (maybe entirely absent) on psilocybin and peyote. Some people say about 1-4% of LSD users will get some form of this, which seems shockingly high to me – why don’t we hear about this more often? If I were a drug warrior or DARE instructor, I would never shut up about this. But if most people just get some mild visual issues – by all accounts the most common form of the condition – maybe they never tell anybody. Maybe 1-4% of people who have tried LSD are walking around with slightly distorted perception all the time.

There’s a lot to say about this from an epidemiological or cultural perspective. But I want to talk about the pharmacology. How can this happen? Why should a drug with a half-life of a few hours have permanent effects on your psyche?

It can’t be that the LSD sticks around. That doesn’t make metabolic sense. And a study discussed here using radio-labeled LSD definitively finds that although a few molecules might stay in the body up to a week or so, there’s no reason to think the drug can last longer than this. I like this study, both for its elegant design and because it implies that somewhere someone got a consent form saying “we’re going to give you radioactive LSD” and thought “sure, why not?”

But then why does it have permanent effects? I know very few other situations where this happens, aside from obvious stuff like “it gives you a stroke and then you’re permanently minus one lobe of your brain”. The only other open-and-shut case 100% accepted by every textbook is a movement disorder called tardive dyskinesia. If you take too many antipsychotics for too long, you can get involuntary tremors and gyrations that never go away, even off the antipsychotic. Although traditionally associated with very-long-term antipsychotic use, in a few very rare cases you can get it from a single dose. On the other hand, most people can take antipsychotics for decades without developing any problems.

Some other possibilities are controversial but plausible. The sexual side effects of SSRIs almost always stop within a few months of stopping the medication, but a few people have reported cases where they can last years or decades. Psychedelics may permanently increase openness and hypnotizability, though it’s unclear if this is biochemical or just that drug trips are a life-changing experience – see my discussion here for more. Also, for every drug that has a mild week-long withdrawal syndrome in the average population, you can find a handful of people who claim to have had a five-year protracted nightmare of withdrawal symptoms that never go away.

So, again, how does this happen?

Every discussion of HPPD etiology I’ve seen is speculative and admits it doesn’t know what it’s talking about. Also, most of them are in gated papers I can’t access. But a few papers seem to gesture at a theory where LSD kills an undetectably small number of very important neurons. Hermle et al talk about “the excitotoxic destruction of inhibitory interneurons that carry serotonergic and GABAergic receptors on their cell bodies and terminals, respectively”. Martinotti seems to be drawing from the same inaccessible source in mentioning “an LSD-generated intense current that may determine the destruction or dysfunction of cortical serotonergic inhibitory interneurons with gamma-Aminobutyric acid (GABAergic) outputs, implicated in sensory filtering mechanisms of unnecessary stimuli”.

This would require some extra work to explain the coincidence of why the effects of HPPD are so similar to the effects of an LSD trip itself. In particular, if we’re talking excitotoxicity, shouldn’t the neurons be stimulated (ie more active) in the tripper, but dead (ie less active) in the HPPD patient? Maybe the tripper’s neurons are just so overwhelmed that they temporarily stop working? Or maybe you could interpret the comments above to be about LSD exciting some base population of neurons, the relevant inhibitory neurons having to work impossibly hard to inhibit them, and then the inhibitory neurons die of exhaustion/excitotoxicity.

Against cell death based explanations, some people seem to recover from HPPD after a while. But this could just be the same kind of brain plasticity that eventually lets people recover from strokes that kill off whole brain regions. The body is usually pretty good at routing around damage if you give it long enough.

What about tardive dyskinesia? When I was in medical school, I was told that the drugs “permanently hypersensitized dopamine receptors”, which is kind of a cop-out – why do they permanently hypersensitize receptors? How come all the other drugs don’t permanently hypersensitize the receptors they antagonize? Apparently now the story is more nuanced. From here:

The pathophysiology of TD is complex and remains unclear. Multiple models have been proposed to explain this unpleasant and sometimes disabling side-effect. One of the first widespread and popular explanations was the theory of dopamine-receptor hypersensitivity. It was suggested in 1970; however, it cannot completely explain the clinical findings, because TS does not generally appear among all dopamine receptor-blocking drugs users.

To date, several neurochemical hypotheses have been proposed for the explanation of TD development. These theories include: (i) a disturbed balance between dopamine and cholinergic systems; (ii) noradrenergic dysfunction; (iii) dysfunctions of striatonigral, γ-aminobutyric acid (GABA)ergic neurons; and (iv) excitotoxicity. Recently, the role of oxidative stress and structural abnormality in the pathophysiology of TD has gained impetus. Induction of free radicals by neuroleptic drugs leading to oxidative stress and resultant structural abnormality could be the key factor in the pathogenesis of TD. The studies by Lerner et al. and Libov et al. support the neurotoxicity hypothesis. This hypothesis has also been supported by reports that chronic neuroleptic treatment increases free radical production and causes structural damage. In 2005, Tan et al. reported that a brain-derived neurotrophic factor appears to exert a protective effect in the nervous system against TD in patients with schizophrenia. There is solid evidence of a genetic predisposition to TD. A study performed by Souza et al. suggests that GSK-3B polymorphism may play a role in the genetic vulnerability to TD manifestation in individuals with schizophrenia.

There also seems to be some sort of role of acetylcholine:

Several studies in animals have reported that cholinergic cells (or the marker enzyme choline acetyl transferase) in the striatum are lost or reduced in amount after prolonged regimes of haloperidol and fluphenazine (49,50). Recently, Grimm and others showed that prolonged haloperidol treatment in rats led to cholinergic cell loss in the specific areas of the striatum related to oral movements (51). This result may provide an animal model to explain why TD in humans is most commonly a motor disorder of orofacial musculature. Proton magnetic resonance spectroscopy provides supporting evidence for the cholinergic hypothesis. This method allows quantification of choline, the precursor of acetylcholine, in specific brain structures. Choline reuptake leads to the accumulation of choline in cholinergic neurons before its conversion to the transmitter; an excess of choline in brain tissue will signify a loss of cholinergic neurons. Using this method, investigators have shown that, in schizophrenia, choline levels in the basal ganglia are greater than normal (52). Ando and others produced further results with this method (53), implying that choline levels in the lenticular nucleus are higher in schizophrenia patients with TD than in those without the syndrome.

Apart from such methods for assessing cholinergic processes in the striatum, clinical trials with cholinergic agents in patients with TD could provide indirect evidence related to the cholinergic hypothesis (44). Caroff and colleagues showed that the anticholinesterase donepezil was effective against the symptoms of TD (54,55). Since choline, the precursor of acetylcholine, was not effective, Caroff and others regarded their evidence as support for the hypothesis of Miller and Chouinard. However, a recent metaanalysis concluded that trials of cholinergic agents in the treatment of TD conducted to date have insufficient statistical power to reach a firm conclusion about the drugs’ effectiveness (56). This area of research may be clarified when cholinergic agents effective against specific muscarinic receptors are tested in patients with TD.

So apparently it’s a conflict between a receptor hypersensitivity hypothesis and a killing-off-interneurons hypothesis that resembles some of the work around HPPD?

I’m biased in favor of killing-off-neurons hypotheses because they’re comfortable and they make sense. Of course if a drug kills something, it’s going to permanently impair function. This makes the idea of “drugs with permanent side effects” a little bit less scary, restores us to the “some medications cause strokes and then you’re screwed” realm of everyday life.

The alternative is thinking of the body as a chaotic system which settles into various attractors. Take the wrong drug and you can push yourself into a different attractor state, which will persist until something shifts it. This definitely seems true of some things, and is one of the ways I think about depressive episodes – which can last months or years, and which can be precipitated by some sort of obvious stressor (getting fired, breaking up, being bullied) but last long after the stressor is gone. If this explains permanent drug side effects, it seems somehow scarier to me than the other option. It’s not just that you have to make sure not to accidentally kill any cells. It’s more that nobody has any idea what the underlying mechanisms look like, anything can happen, and you just have to hope you don’t screw up.

OT103: The Curse Of Tutancomment

This is the bi-weekly visible open thread (there are also hidden open threads twice a week you can reach through the Open Thread tab on the top of the page). Post about anything you want, ask random questions, whatever. You can also talk at the SSC subreddit or the SSC Discord server. Also:

1. I’m on vacation for the next few weeks. I might schedule a few drafts to auto-post just so things won’t be totally quiet, but don’t expect to hear much from me until late June.

2. I’ve gotten a few comments and emails from people who are visiting the Bay Area and want to know how to meet the rationalist community there. Your best bet is to check the schedule for the community center and show up there when something interesting is happening (or just drop by whenever and hope for the best). If you’re really interested, you can stay in their guest rooms for a few days. You can also see bayrationality.com for (slightly) more information and event dates, or check the LW meetups page for more on meetups in San Francisco, San Jose, etc. I would like for there to eventually be a better and longer-term solution to this problem, but this’ll have to do for now.

3. Some people have complained that they like an SSC post and want to send it to their friends, but some of the comments are so bad that they’d be embarrassed for their friend to see them. Evan recently reminded me that there’s a Link Without Comments button at the bottom of every post.

4. Comment of the week is Aurel presenting some evidence against the lead-crime connection. Any thoughts?

Posted in Uncategorized | Tagged | 1,041 Comments

In Search Of Missing US Suicides

[Content warning: suicide. Thanks to someone on Twitter I forget for alerting me to this question]

Among US states, there’s a clear relationship between gun ownership rates and suicide rates, but not between gun ownership rates and homicide rates:

You might conclude guns increase suicides but not homicides. Then you might predict that the gun-loving US would be an international outlier in suicides but not homicides. In fact, it’s the opposite:

Why should this be?

We’ve already discussed why US homicide rates are so high. But why isn’t the suicide rate elevated?

One possibility: suicide methods are fungible. If guns are easily available, you might use a gun; if not, you might overdose, hang yourself, or jump off a bridge. So getting rid of one suicide method or another doesn’t do much.

This sounds plausible, but it’s the opposite of scientific consensus on the subject. See for example Controlling Access To Suicide Means, which says that “restrictions of access to common means of suicide has lead to lower overall suicide rates, particularly regarding suicide by firearms in USA, detoxification of domestic and motor vehicle gas in England and other countries, toxic pesticides in rural areas, barriers at jumping sites and hanging…” This is particularly brought up in the context of US gun control – see eg Suicide, Guns, and Public Policy, which describes “strong empirical evidence that restriction of access to firearms reduces suicides”.

The state-level data from above support this view – taking guns away from a state does decrease its suicide rate. And then there’s this graph, from Armed With Reason:

…which shows that adding more guns to a state does not decrease its nonfirearm suicide rate.

But if suicide methods aren’t fungible, then why doesn’t the US have higher suicide rates? Here’s another way of asking this question:

The US has fewer nongun suicides than anywhere else. The seemingly obvious explanation is that guns are so common that everyone who wants to commit suicide is using guns, decreasing the non-gun rate. But that contradicts all the nonfungibility evidence above. So the other possibility is that the US ought to have an very low suicide rate, and it’s just all our guns that are bringing us back up to average.

Of all US states, Massachusetts, New Jersey, and Hawaii have the fewest guns. Unsurprisingly, suicides in these states are less likely than average to be committed with firearms. In MA, the rate is 22%; in NJ 24%; in HI, 20%. Their suicide rates are 8.8, 7.2, and 12.1, respectively. Hawaii has an unusual ethnic composition – 40% Asian and 20% Native Hawaiian, both groups with high suicide rates (see eg the suicide rate for Japan above). So it might be worth taking Massachusetts and New Jersey as examples to look at in more detail.

Either state, if it were independent, would be among the lowest-suicide-rate developed nations. And both still have more guns than our comparison countries. If we did a really simple linear extrapolation from New Jersey-level gun control to imagine a state where firearms were as restricted as in Britain, we would expect it to have a suicide rate of around 5 or 6 – which is around the current level of non-gun US suicides. This is much lower than any of the large comparison countries in the graph above, but there are two developed countries currently around this level – Italy and Israel. I think it makes sense to suppose that the US might have a low Italy/Israel-style base rate of suicides.

For one thing, it’s unusually religious for a developed country. Religion is one of the strongest protective factors against suicide. This also seems like a good explanation for Italy and Israel.

For another, it’s culturally similar to Britain, which also has a low suicide rate somewhere in the 7s. Other British colonies don’t seem to have kept this effect – Australia and Canada are both higher – but maybe the US did.

And for another, it’s unusually ethnically diverse. Blacks and Hispanics have only about half the suicide rate of whites; which means you would expect the US to be less suicidal than Europe. I previously believed this was because whites had more guns, but this doesn’t seem to be true: Riddell et al find that whites have higher non-firearm suicide rates too. So this could be an additional factor driving US rates down.

(another conclusion from the graphs above: US whites – who have most of the guns – do have an anomalously high suicide rate compared to other countries)

A confounding factor – the US has lots of different cultures, and Massachusetts and New Jersey represent only one of them. But if anything I would expect Southern and Midwestern culture, which are more religious, to have a lower base suicide rate; the South also has a lower percent white, another reason to expect their rate to be lower. And there is no evidence of these states having a higher non-firearm suicide rate, which we might expect if they were unusually suicidal.

So I think the simplest explanation is true. A gun-free US would have one of the lowest suicide rates in the developed world, maybe 5 or 6 people per hundred thousand. The US’ average-seeming suicide rate is an artifact caused by combining the low base with the distorting effects of high gun availability. The lack of a relative suicide crisis in the US doesn’t indicate that easy firearm access isn’t causing thousands of preventable suicides per year.

This is maybe not the most pressing question we’re facing right now, but I take it as a warning against gotcha-style debating. A simple bar graph comparing national suicide and homicide rates would be a compelling, elegant, and easily-digested argument that guns increased homicides but not suicides. It would also be totally wrong.

[EDIT: Commenters point out this paper by Alex Tabarrok on how there is some, but less-than-perfect, substitutability of suicide methods.]

Highlights From The Comments On Basic Jobs

These are some of the best comments from Basic Income, Not Basic Jobs: Against Hijacking Utopia. I’m sorry I still haven’t gotten a chance to read everything that people have written about it (in particular I need to look more into Scott Sumner’s take). Sorry to anyone with good comments I left out.

Aevylmar corrects my claim that Milton Friedman supported a basic income:

Technically speaking, what Milton Friedman advocated was a negative income tax, which (he thought, and I think) would be much more efficient than basic income – I don’t remember if these are his arguments, but the arguments I know for it are that the IRS can administer it with the resources it has without you needing a new bureaucracy, it doesn’t have the same distortionary effects that lump sum payment + percentage tax does, and it’s probably easier to pass through congress, since it looks as though it costs less and doesn’t have the words ‘increasing taxes’ in it.

And Virbie further explains the differences between UBI and negative income tax:

The main difference is that discussing it in terms of NIT neatly skips over a lot of the objections that people raise to flat UBIs that are abstractly and mathematically (but not logistically or politically) trivial. Many of these focus on how to get to the new policy position from where we are now. For example, people ask both about how a flat UBI would be funded and why rich people should receive a UBI. Given that the tax load to fund a basic income plan would likely fall on the upper percentiles or deciles, a flat UBI + an increase in marginal tax rates works out to a lump sum tax cut for high-earners and a marginal tax increase. Adding negative tax brackets at the bottom of the existing system and modifying top marginal rates is a simpler way to handle this and extends gracefully from the current system instead of having to work awkwardly alongside it.

In the example above, the NIT approach has the logistical advantage of the bureaucracy and systems we already have handling it more easily. And the political advantage of the net cost of the basic income guarantee looking far smaller than for flat UBI, since we’re not including the lump sum payments to upper-income people (that are more than offset by their marginal tax increases).

There’s some further debate on the (mostly trivial) advantages of NIT or UBI over the other in the rest of the thread.


Tentor describes Germany’s experience with a basic-jobs-like program:

We had/have a similar thing to basic jobs in Germany and it worked about as well as you would expect. Companies could hire workers for 1€/hour and the state would pay social security on top of that. The idea was that long-term unemployed people would find their way back to employment this way, but companies just replaced them with new 1€-workers when their contract was over and reduced fully-paid employment because duh!

Plus people on social security can be forced to take jobs or education. As a result a lot of our homeless are depressed people who stopped responding to social security demands because that’s what caused their depression.

(Links are to German Wikipedia, maybe Google translate helps)

Another German reader adds:

I agree that it doesn’t work as expected in Germany, but I think it it important to point out that not everyone is allowed is to hire workers for 1€. The work has to be neutral to the competition and in the public interest. So people are hired at a lot of public institutions (e.g. schools, universities, cleaning up the city).

Additionally these jobs improved the unemployment statistics at a low cost for the government, as people who are working in these jobs count as employed although most of these jobs are only part time jobs.


Murphy describes the UK experience:

One likely model for “guaranteed jobs” is the disaster that they tried in the UK for a while.

Basically the government partners with crappy low-skill employers who’s owners are buddy buddy with the right ministers and the state provides them with a steady supply of slaves jobseekers.

They then declare it all “Education”, in fact pay a premium to the corporate partners for “providing education” in the form of 5 minutes showing someone who’s already worked shelf stacking jobs how to stack shelves.

The people who love the scheme tend to genuinely believe the fiction about “education” because they tend to be the kind of people who believe that all poor people are thick and can’t learn and really do need 6 weeks to learn how to put a tin of beans on a shelf.

Your manager is abusive? tough luck. You have no rights. if you quit or the supervisor just declare you not to be working hard enough you lose your dole money. Hope you like starvation and death.
So if your manager demands you suck his dick then make sure to bring kneepads to work.

Remarkably employers who suddenly had the option of free labor along with free money from the government leapt at the option so people found themselves fired from positions only to find themselves required to do the same job a few weeks later only this time without pay.

The government was taken to court over it, the court rules it unlawful.

“I don’t think I am above working in shops like Poundland. I now work part-time in a supermarket. It is just that I expect to get paid for working.”

So the UK Parliament passed retrospective legislation to overrule the courts.

Anyone and I mean anyone with a libertarian bone in their body and an ounce of principles should be disgusted by “guaranteed jobs” because it’s thinly disguised slavery and a drive to replace paid work with forced labor.


Herbert Herbertson on the Native American experience:

I’ve said it before, but beyond the Alaska permanent fund, there’s an area where we could see a TON of extremely varied UBI case studies that I’ve never really seen anyone talking about UBI mention, one where we could see the limits, the pitfalls, and the benefits of a UBI as applied to a population with extremely deep historical poverty, intergenerational trauma, and serious substance abuse issues: Native American tribes with (more or less) successful gaming operations who distribute a portion of profits to their members in the form of a “per capita” payment.

My anecdotal experience is that it’s no panacea, but that it sure as fuck helps–but there’s a lot of potential data out there to move beyond anecdote.


Unirt describes the Finnish experience:

There has been a universal employment trial in a Finnish town Paltamo, which lasted 3 or 4 years. Apparently it costed the government more than just paying unemployment subsidies, and they found that undesirable.


richarddormersvoice describes the Chinese experience:

the closest thing to a guaranteed work program today is the iron rice bowl in china, which is a clusterfuck.

https://en.wikipedia.org/wiki/Iron_rice_bowl

from what I know/heard:

a) 50% of state-owned enterprises are operating at a loss, meaning they are inefficient, corrupt, unproductive, and generally terrible places to work. it is stable though because it’s guaranteed by the ccp.

b) areas where irb has been liberalized do much better economically, shenzhen, guangdong, chongqing, while much of the northeast has barely developed.

c) even so, getting rid of the irb is difficult because, well, people, firms, politicians are dependent on it. chinese politics is heavy on corruption, soes are especially heavy on corruption.


Doktor Relling describes the Scandinavian experience:

Scandinavian countries have for some years had something functionally similar to a Universal Basic Job guarantee. We label it “activation policies”.

Since we have been doing this for some years (and increasingly the rest of Europe likewise), we have some empirical knowledge of the pros and cons. For those interested, here is a simplified walkthrough of the system (full disclosure: I spend my working life as a health & social policy researcher – and I believe that, on balance, this policy is better than the alternatives.) 1) You start out by introducing a means-tested social assistance scheme that covers everybody – including single males at subway stations shouting GRAAAGH to passers by. 2) You require that those who apply for social assistance, work for the benefit if they are able to work. 3) To find out if they are able to work, the social assistance administration does a work test.

Effects of the system: When the social assistance administration does the work test, it discovers that many long-term social assistance claimants are actually disabled (which was never found out before we introduced the activation requirement plus work test). Hence they qualify for a disability pension instead (somewhat similar to US Special Supplementary Income). In short: This version of a UBJ channels the unemployable GRAAGHs among us to a (more generous and not-means-tested) disability benefit. This takes care of Scott’s objection concerning what to do with those whose net “worth” to an employer is negative.

As an aside: organisations for people with disabilities, in particular the youth organisations, like the activation requirement. Their complaint is that the government does not always follow up its job guarantee in practice.

Why not a Universal Basic Income instead? Most of the weaknesses of a UBI have already been pointed out in the discussion (by rahien.din and David Friedman among others). Let me just re-state that many disabilities are really expensive. A UBI will not be sufficient to grant people with severe disabilities a good life. If voters want to provide them with above-minimum tax-financed income, the state simply cannot avoid to burden medical personnell and administrative staff with the difficult and contradictory helper/gatekeeper roles they perform in our present social security systems. It is messy, difficult, and yes there are Type I and II errors, but these problems are unavoidable if voters want to provide people with disabilities with more than what everyone else gets. (And hey this role conflict is difficult but it is not THAT difficult; after all we have been able to live with this role conflict for more than a hundred years.)


Yakimi describes the Nauru experience:

There are societies where entire populations have been unconditionally emancipated from the necessity of labor. I have seldom heard basic income advocates talk about these precedents, probably because these experiments do nothing to justify their optimism.

The Republic of Nauru has an unemployment rate of 90%. Its people do not work because their incomes are publicly subsidized, mostly by the exploitation of their island’s phosphate deposits, an industry which once provided them with the highest incomes per capita in the world. These people who once lived on a diet of coconut and fish used their sudden influx of wealth to import all the worst excesses of civilization, leaving them with the highest obesity and diabetes rates in the world and a life expectancy of 59.7 years. They’ve nearly exhausted their sources of phosphate, completely destroying the natural beauty of their island in the process, and the people are now physiologically incapable of any existence other than idleness.

We might also look to the banlieues of France, where the youth unemployment rate is over forty percent and the underclass survives, illicit economic activities aside, at the expense of the generous French welfare state. Is there any evidence at all these beneficiaries are grateful to have been freed from drudgery? If anything, their lack of economic stake only seems to aggravate their resentment against a society that is keeping them humiliatingly idle. As recent events remind us, men hate being made to feel superfluous. Nor does there any appear to be evidence that their idleness has enabled the Byrons, Churchills, Von Brauns, et al. among them to improve the world with their genius. They are quite capable of setting cars on fire, though.

There are no doubt people, like yourself, who are natural aristocrats, who are very good at finding discipline, purpose, etc. even when freed from the pressures of necessity and would benefit from a stipend. But it is solipsistic to assume that most, or even many, humans can operate functionally when made entirely independent of the disciplinary pressure of having to earn your fill. Posthuman biotrash is a big enough problem already, and basic income can only make it worse.

I certainly don’t deny that a lot of ghettos and banlieues contain some very unhappy people. But does work help?

Suppose Alex lives in a ghetto and spends 12 hours a day watching TV and eating Cheetos. Bob lives in the same ghetto, works at a gas station 8 hours a day selling people lotto tickets, then comes home and watches TV and eats Cheetos for 4 hours. Aside from economic arguments about producing value for other people, is Bob’s life more meaningful than Alex’s? Is it happier? Would you rather be Alex or Bob? Would you rather Alex exist, or Bob exist?

If you want to make the argument for work, you have to argue that it does something other than turning Alex into Bob. That it has some other effect, where Bob gets home from work and says “You know, all that lotto-ticket selling has awoken a spark of something higher in me. Instead of watching TV, I think I’m going to read Anna Karenina.” Or something. If I’m strawmanning this argument, it’s because I don’t really know how people expect it to work.

I don’t want to disagree with Yakimi. I don’t want to come out and predict “If we institute UBI, we won’t have ghettos full of Alexes”, and have you point and laugh when I’m proven wrong. I think ghettos full of Alexes is a very likely outcome. But I don’t think that’s worse than ghettos full of Bobs. I think it’s just more surprising, more unfamiliar, more of a man-bites-dog style interesting news story that will provoke concern.


Wrong Species writes:

I only have one small quibble. Amazon is relentless with their employees because they’re so competitive. Jobs guarantee programs would be anticompetitive so we probabaly wouldn’t see anything like that. In fact it would probably be the opposite where there is too little to do and a lot of it is pointless busy work, like in high school.

Yes, this is a good point. Most surveys seem to find job satisfaction is higher in the private sector than the public sector, but I could imagine the opposite being true for the most-exploited kinds of unskilled labor.

And for what it’s worth, here’s a reader who works in an Amazon warehouse commenting to say it’s really not that bad.


Naj on another way things can go wrong:

It seems to me that many people whose lives suffer due to lack of money are in significant debt and that debt payments are a large fraction of their income. If a UBI is given to everyone, how are people prevented from borrowing $100,000 against it, blowing it quickly, and then having $0 income because their UBI is all spent on interest? Solving this problem also seems full of opaque bureaucracies and Kafkaesque rituals. Unless we just ban loaning money with interest for consumptive goods at the same time(a policy I might just favor).

po8crg suggests:

Bankrupts will still be entitled to UBI. Assuming (not unreasonably) that bankruptcy laws won’t allow garnishment of UBI to pay debts, anyone with only UBI as income and more debts than assets could declare bankruptcy, surrender their assets to their creditors, and walk free from their debt.

The risk of loaning to someone with nothing but UBI would be huge, so no lender would lend.

(incidentally, the problem with this may be in the housing market, landlords will be demanding rent up-front rather than in arrears and being very aggressive about evicting people who fall behind)


Simon Sarris (author of the piece I was criticizing) writes:

The point of something like Basic Jobs is that giving people the option, but not the obligation, may result in better outcomes for some people at the margins. It’s not a panacea, it is definitely not a Utopian alternative to the largely Utopian plans of UBI because I do not think any Utopian plan as described is wise. It’s a suggestion of mere incrementalism, something to try on top of the hodge-podge of welfare that currently exists. A splint is safer than a spleen removal, as they say.

In other words, I think you are committing a mistake by comparing your Utopian vision to another Utopian vision (which I do not advocate). I do not think any Utopian vision is good or possible. You can make UBI look better by comparing it to other Utopian ideas, but this is in effect masking the deficiencies of UBI by comparing it to something else unrealistic.

I do not want to give the impression that Basic Jobs would ever accommodate everyone as UBI may intend to do. In the best case I 100% agree its positive effects would be smaller, but its implementation would also be safer. If you have a hard time imagining that, simply imagine “Maybe we should have farm subsidies, but they work more like Japan’s or Austria’s than what the US does right now.”


10240 writes:

The huge difference between UBI and public works/job guarantee (even if it’s busywork) is that you only take a public works job if you can’t get a job on the market, and don’t have any better option. With UBI, everyone would take it, and many people who can work would quit. This may make a job guarantee at least remotely feasible.

This is the same as the difference between a homeless shelter and a rent subsidy: a homeless shelter keeps one from freezing on the street, but it’s pretty shitty, so the only people who choose it are those who really don’t have any other option. It’s a built-in means test that’s much more effective than a conventional means test that can be attached to a rent subsidy.

As such, a job guarantee may even save money if it replaces unemployment benefits. Of course, implemented this way it’s a right-wing policy (aimed to minimize welfare usage and incentivize work), rather than a left-wing one. (Hungary’s right-wing government has replaced unemployment benefits with public works like this.) It works if the goal is to keep the poor from starving, rather than to give them a decent standard of living.

This is a good and important point.

I was tempted to respond to Sarris that UBI isn’t that much more utopian than BJG. After all, it can be funded by a tax such that rich people overall pay more in extra taxes than they get in UBI, middle-class people pay the same, and poor people get more in UBI than they pay in taxes. Depending on where you set the definition of “poor”, you can ensure that only the very poor/unemployed people who would go for a basic job are really getting any money from UBI. So there’s no reason to think UBI is necessarily broader-scale than BJG.

10240’s point proves me wrong. Because basic jobs are potentially unpleasant, they act as a screening mechanism so that only people who really need them will take them. That means even targeted at the same income level, they would be less universal than UBI (another commenter points out that we could produce the same effect by making people wait in line for eight hours a day to receive their daily UBI check).

I was hoping to be able to wave away the cost issue with “this is equally bad for UBI and BJG”, but I guess I can’t anymore. I am not an expert in this so I don’t have strong opinions, but I would be pretty okay with a Piketty-esque wealth tax, a Georgist land tax, or whatever experts declare to be the least stupid and distortionary tax that mostly falls on the rich. This article (possibly wrong, possibly biased) suggests that some proposals for raising taxes on the rich could produce about $250 billion/year. That’s enough to pay the poorest 10% of Americans a $10K/year basic income (ie have a basic income plus tax increases such that they break even around the 10th percentile) even before cutting any welfare programs.

In my ideal system, we would propose some sort of inherently progressive tax at some fixed percent, and say that the basic income was “however much that produces, divided by everybody”. That means that as the economy grows, the basic income increases. At the beginning, the basic income might not really be enough to live off of (especially if I got my calculations wrong). As we get more things like robot labor and productivity increases, so does the income. By the time robots are good enough to put lots of people out of work, they’re also good enough that X% of what the rich robot-owning capitalists make is quite a lot, and everybody can be comfortable.

Then various Congresspeople can debate at what point the UBI is large enough that we can eliminate various welfare programs. On the one hand, welfare programs can be sticky, so we might worry they would be overly cautious. On the other hand, many Congresspeople are Republicans, so they probably wouldn’t be.


Yaleocon on winding down UBI:

Saying “winding down basic income is easy” assumes we have an Income Czar who can just say “all right, let’s wind it down.” We wouldn’t have that. We have a democracy, and do you really want to be the guy running on “everybody gets less money each year”? It’d be like opposing social security, except even more politically impossible. Candidates—at least, the winning ones—will only ever pledge to defend or expand it. (This also probably makes UBI a fiscally unsustainable policy in the long term.)

Once those political incentives are taken into account, I think we should view UBI as an irreversible, and probably unsustainable, change to our economic system. Scott (or any other knowledgeable UBI advocate), do you stand by the assertion that UBI would be easy to end, and if so, why? (I probably prefer the status quo to UBI, for what it’s worth.)


Thegnskald on long-term effects:

The economic right likes to pretend the distribution problem is solved. The economic left likes to pretend the production problem is solved. A UBI helps alleviate the distribution issue at minimum penalty to production; relative well-being so important, the incentive to work will be as strong as ever.

A major part of the problem with modern society is that there isn’t an economic incentive to cater to the cashless, the perpetually broke, the homeless; this is a service we want performed, but the system cannot enable it, and the system limps on.

A UBI creates such an incentive. In the short-term, we will have some shortages and price increases; in the long term, we will have a new consumer base, and new industry will arrise to support it.

Inflation is one possible result, and likely unless we make it economic to build such industry. A UBI needs a corresponding decrease in regulation, in order to make it possible to produce low-cost goods for that new money to chase.

And responding to completely different comments: if a state or city wants a higher UBI, so be it. But a major advantage that the UBI offers is to incitivize people to spread out more evenly across the US, reducing population density. Likewise, a major problem with current welfare is that it disincentivizes work, by punishing those who get it (as working costs benefits, resulting in less overall available funds). I don’t think we will have a rising class of jobless vagabonds; I think instead we will have a rising class of gig-economy people, who take short-term work to get money to buy luxuries, while they mostly skate by on the UBI. This is where we are heading anyways, so this is a net improvement, by making such gig work more secure.

I see little harm and much good in a UBI, and expect it to accelerate employment relative to the current system of “You only get your benefits if you don’t work and avoid making yourself too employable”.


Gimmickless is still worried about the rent issue:

I came of age in a military town. Part of the military benefit package is a stipend, should you qualify to live off-base. I could never find a apartment or single-wide that ever cost less than that stipend. That information gets out, and gets spread. Do people with McJobs cram themselves 3-4 to a trailer to make ends meet? Yes they do.

I fail to see how landlords will not take UBI into account on what rent they charge. Will there be a price gradient that actually settles out? Possibly. Probably. But it’s almost certainly going to end up higher than what rent is now.

This definitely sounds like what would happen in the case of a captive audience in a world with no ability to increase housing stock. If you relax some of those assumptions, I fail to see why rent shouldn’t reach a balance between supply and demand the same way other necessities like food, clothing, and gas do.


Dnkndnts doubts the “universal” part of UBI:

My problem with UBI is that it’s virtually guaranteed not to actually be universal. It’s going to be “universal” for Good Citizens. We’re going to probe and test you for any sort of substance abuse and if we find anything, you’re off the program; if you have a criminal record of any sort, you’re off the program. The government is not going to sponsor your alcoholism and crack addiction!

First, I think this immediately falls into the kafkaesque nightmare disability currently has: you have to prove to the Bureaucracy that you are, in fact, a Good Citizen in the same way that you currently have to prove to the Bureaucracy that you are, in fact, Actually Disabled.

Second, the people who need UBI the most are precisely those least likely to be labeled Good Citizens. Poverty massively correlates with substance abuse and criminal behavior.

I get that I’m attacking a strawman here in some sense, but I think there’s a snowball’s chance in hell that UBI would actually be universal.

Counterexample: Social Security. As far as I know, every elderly person gets it, whether they’re a good law-abiding citizen or not.


RC Cola writes:

I’m no economist but it seems to me that this essay under-plays what I thought would have been one of the main features of a job requirement over a free-floating income. For the moment put aside complications like disability and third-party effects and just imagine the core case of a person with no job. Jobs suck, as Scott notes toward the end. But it is in everyone’s interest if everyone who is able to support themselves with jobs do so rather than resorting to compulsory confiscation of others’ money to do so. So we want obtaining such government money to be unpleasant. This isn’t to say that most people on government programs are just lazy. But people do respond to incentives, and there are probably lots of marginal cases where it would be extra hard to support oneself with a job, and an easy, frictionless transition to government support would be an easy call whereas a costly and painful one would end up causing this marginal person to choose to remain in private employment.

so what is the main obvious attractor of a government-granted income without a work obligation? I think it’s not having to have a job. So to a first order of approximation, adding a job requirement does exactly what you would want it to do. It removes the largest incentive to avail oneself of the government program, namely the removal of work obligations during work hours. We want to do this not out of a punitive motivation, or even out of a “help the recipient” motivation. We want it out of a deterrent motivation, precisely to deter availing oneself of redistributive programs that by their nature cannot work if too many people opt in. Is that not an important part of the argument here?


Thegnskald writes:

My objection [to a previous comment] comes down to this: the assumption that UBI is a solution to poverty, rather than a solution to the systemic issues inherent in a bureaucracy-administrated welfare.

This puts me at odds with Scott, who seems to favor a high UBI intended to make work obsolete for most people. I favor a low UBI which makes the bureaucracy obsolete, but isn’t intended to pull people out of poverty. My preferred solution is a debit card (or maybe just a fingerprint-enabled system to disable theft) linked to an account with daily accrual of small amounts of money; 10-18 dollars per day per adult, some possibly smaller amount for children. Do away with disability and food stamps and housing assistance and social security, keep Medicaid/Medicare. Pair this with a new classification of minimal legal rental housing that amounts to an updated-fire-code-compliant barracks (a bunk, a locker or chest, and access to a bathroom and washing facilities, probably gender-segregated; family-style housing might amount to a lockable room). Toss in density maximums on the barracks, and proximity limitations, to avoid concentrating poverty. Maybe – maybe – add in a requirement for security guards.

The goal shouldn’t be to enable a luxurious life – it should be to enable a very basic one. With daily accrual of funds, huxters and con artist won’t find viable targets, and anything more expensive than a daily meal will encourage short-term thrift and the accrual of some very basic financial knowledge.

This is a more basic lifestyle than is afforded by the current system, but removes the barriers to entry and waiting lists that plague us now. I think the “lower middle class” version of UBI is a terrible idea; it should be treated as a safety net, not a replacement for productive enterprise.

This is the incrementalist version of a UBI. Trial it, adjust as necessary.


baconbits brings up other concerns:

What does it mean to have a “basic” income? Surely housing is included, and housing prices vary wildly over different regions. Are residents of Detroit getting enough money to pay for housing in NYC or are residents of NYC getting enough money to pay for housing in Detroit, or do we have a “cost of living adjusted UBI” where some people get enough for a low end car payment and others enough for a monthly subway pass and every other conceivable difference or are we just accepting that a few (tens of) millions of people are going to not be getting a basic level of income at all while a few (tens of) millions of people are getting well over their basic level?

While we are on the subject of the disabled, well the disabled have extra health costs… are getting more in terms of UBI? Long story short as soon as UBI is introduced it will be noticed that a great many people cannot afford their health insurance payments on their UBI and there will be cries for a nationalized health insurance on top of the UBI.

What about children and married couples? How are we balancing UBI payments to families without seriously screwing up incentives there? And immigrants? And families of immigrants?

The short answer is that right after you cut the Gordian you are going to pick up the slashed pieces of rope and attempt to retie them together to hold the system in place.

The optimism that there is a simple solution to an enormous issue is overwhelming.


Ninety-Three discusses risk to private industry:

You’re being unfairly rosy towards basic income by not mentioning that it too could destroy private industry. Imagine you institute basic income and most of the McDonalds workers quit. McDonalds tries to invent robots, but can’t because robots are hard. So they raise wages in order to attract more workers. In order to pay for their increased wages, they raise prices. The market informs McDonalds that people don’t want to pay more for their fast food, and McDonalds goes bankrupt because their business model was only profitable with $8/hour wages. Higher-end restaraunts will still exist, but your basic income scheme just destroyed the entire “cheap fast food” industry.”

This seems little different from minimum wage laws. Some studies suggest that $15/hour minimum wage laws don’t seem to hurt restaurants. Others do find some negative effect, but the effect is far from catastrophic and restaurants continue to exist.

If basic income is so high that nobody will work at $15/hour ($30/hour? $45/hour?) and private industries collapse, then we must have set the basic income too high. This would be a disaster, but no more than setting the minimum wage too high would be.

David Friedman adds: “From a little googling, labor is about 20% of the cost of McDonalds franchisees. Double wages and, if they pay those wages instead of substituting more skilled labor or machinery, and prices go up by about 20%.”


From Nicholas Weininger:

Scott, you mention aristocrats as a group who seem to flourish without needing to work for a living, and cherrypick a lot of great examples, but surely you’re aware of the phenomenon of corrupt wastrel layabout aristocrats too. It’s at least perceived as common enough that today, parents who have enough money that their kids don’t ever have to work typically spend a good deal of time and effort devising constraints on the kids’ ability to access their inheritances so that they don’t become corrupt wastrel layabouts. Do you think the perception of commonness is incorrect? Are the parents worried for no reason? Note too, as other commenters have, that these parents are much more capable of instilling responsibility and work ethic in their kids than the typical parents of those who might depend on a large UBI.

This is one of many reasons why I think we should start with a very small, Alaska-fund sort of level of UBI, plus a child allowance for primary caregivers of young kids, and see how that goes for awhile before taking up the question of an increased UBI level.


Martin Freedman refers us to previous work on the subject which I should get around to reading:

Hello, long time lurker first time poster here.

This is an interesting post but it seems to miss the boat on the whole Jobs Guarantee debate and analysis that has been going on for many years. This is partly due to your post being a response to another interesting article by Simon Saris, which also, but less so, misses the boat on this debate. Still he does raise points that you sort respond to as if they were never raised e.g over disability and he emphasized no removal of those benefits.

I also read as much as I could of the 100+ comment stream and only two commentators correctly identified the real issues : ShamblerBishop and userfriendlyy.

Anyway a more substantive issue is the body of work and analysis done on the JG done by many economists over the years. You mentioned economists who had argued for a CBI or UBI where you included Milton Friedman who really argued for a Negative Income Tax which is not the same BTW (as others have noted).

However why did you not mention those economists who have argued for a JG? Where were Keynes’ On-the-spot employment, Minsky’s Employer of Last Resort, Mitchell’s Buffer Stock Employment, Mosler’s Transition Jobs and, in general, collectively named by the Modern Monetary Theory economists called the Job Guarantee?

Simon’s post using the non-standard term “Basic Jobs” – which he is entitled to do – is somewhat indicative that this is an unorthodox presentation of these ideas. He (and, for that matter, I) are unknown bloggers on this topic and, regardless, stand or fall on the quality of arguments and analysis. Whilst writing for a particular audience might have been a motivation for him, for whatever reason he omitted the critical, IMV, macroeconomic basis which is particularly important both for the JG and for a more complete evaluative comparison of the JG to BI.

If you really want to do this topic justice I humbly suggest you look to the main economist out of the MMT group who has specifically focused on this topic. (Of course, the others – mentioned above or not – have researched this aspect too, this is only my recommendation). This is Pavlina Tcherneva who has written for a range of audiences from the interested lay person to the mainstream economist academics. You could start with her Job Guarantee Faq or her team at Bard

Suffice to say all your objections have long been answered. That does not mean you agree with the arguments in those answers, of course, but a clearer discussion should start with those answers not write as if these have never been considered.


Michael Handy says:

Umm, correct me if I am wrong, but didn’t we try a Basic Jobs program back in the 19th century in England? Namely, the Workhouses, carefully calibrated to make any private sphere job heaven by comparison.

I feel that a program that literally uses the first chapters of Oliver Twist as a technical manual might not need such a comprehensive debunking, but I’m glad one exists.

On the one hand, this is unfair. The workhouse was nothing like existing basic jobs guarantees – it was a combination housing program / food program / jobs program that poor people were in many cases forbidden by law to leave. This is totally unlike proposals for a $15/hour voluntary job not linked to housing or food.

On the other, what I find most interesting about workhouses is that most sources suggest they weren’t profitable. Even offering workers the most miserable conditions and paying them no wages, they still failed to produce anything that sold well and had to be subsidized by taxpayers. This reinforces my concern that basic jobs are not going to be able to produce as much as people think.


Watchman writes:

My issue here, and this comes from someone convinced of the futility of the Keynsian approach embodied by basic jobs (the left wing are clearly bored of re-hashing the bad ideas of the 1970s and are going back to the 30s for their inspiration now…), is that basic jobs appear to be much safer for a functioning democracy than basic income. Democracy is ill served if leaders are able to use their power to effectively bribe voters: any study of the working of machine politics in US cities, or of the small electorates of English rotten boroughs, will reveal this. Basic income is a tool that in the right hands could be used to bribe voters by promising an increase in the income; in the US at least I find it easy to imagine populist figures on both sides of the political divide promising voters higher basic income. Democracy requires a certain restraint from voters and basic income would be a potential danger to this by creating a clear incentive for voters to focus on self-interest in their decision making, to a degree not currently seen (mind you, it is possible I’m just repeating arguments made when income tax was introduced…).

I agree that income tax is worth considering. The “politicians will bribe voters with their own money” thing is plausible, but how come there are still taxes? It would be pretty easy to run the federal government without making the bottom 50% of the wage distribution pay taxes at all; why don’t we? I think the answer is something like “to maintain some fiction that everyone must contribute equally”, but that makes the bribe-voters-with-their-own money strategy look pretty powerless, doesn’t it?

For that matter, free universal health care is an example of bribing voters with their own money – how come it keeps failing? So is universal college – how come no one except Bernie Sanders even pushes it? For all their flaws – and they have many – the average American voter seems remarkably bribery-resistant.


Liz writes:

Extreme example to make the point: Take a person with Down’s syndrome and give them a job (like washing dishes) which they can perform, and see how they respond to it. They’re far happier doing that as opposed to sitting at home being fed and “entertained”. However unmeaningful you might believe that work to be, it might be very meaningful to them. I’m sure there are a lot of people in the service industry (“would you like fries with that?” et al) who DO INDEED make a positive difference in people’s lives. Even a smile can do that for a frustrated, stressed out person….a smile that makes one feel they aren’t alone. A kind gesture, some simple random act of kindness of any sort can actually restore ones’ faith in humanity. So I happen to think the “fries with that?” work is meaningful. It might (depending on circumstances and how it is done, of course) be even more meaningful than far higher paid and higher skilled (on paper) labor.


Many people say they feel that they wouldn’t personally be able to handle not working very well. For example, Joyously:

The reason I have always been basic-income-skeptical is because of myself. If I had a basic income the same as my grad stipend, I could *definitely very-much* see myself mostly just playing a lot of video games. There’s a *possibility* I’d finally finish my novel. But it would be mostly video games.

And I’d be happy–but the thing is I *can* do other things that fill a slot society needs. (And I am a privileged educated person from a privileged educated background who doesn’t really *need* this assistance.) So shouldn’t I?

Yes. I think you would do great as one of the vast majority of people who would continue to work even after society had a basic income. I’m not in favor of preventing people from working. I myself would probably work even if offered a basic income. I think it’s great if people don’t have to work but want to anyway. I’m not sure how to get this point across more strongly than I already have.


Other people say that obviously everybody would quit if a Basic Income were available. Aphyer writes:

I am a programmer. I have a really good job. I quite enjoy it, I get paid well, I like my coworkers. I can listen to my favorite music over headphones while working. When someone does something stupid my coworkers and I enjoy ourselves laughing about it. I am probably somewhere north of 95th percentile job satisfaction in the country.

If you offered me enough money to support myself indefinitely while staying at home playing and designing increasingly complicated computer games and board games…well…I don’t think I would take it. Probably. But I would be very tempted.

This seems to suggest that somewhere around 90 percent of people would quit their jobs. And maybe in the Glorious Robot Future that would not be a problem. However, one thing that several of Scott’s articles on this topic seem to have missed is that we are not actually in the Glorious Robot Future yet. Yes, once you get to a position where our robot armies can do everything we want, a basic income guarantee is probably the best way to convert this into a high standard of living for many people. But we are not in that position. We are not close to that position. Right now people’s jobs are actually adding value that will be lost if they quit. And implementing a basic income guarantee now feels like it would just obviously be a disaster.

(None of this should be taken as support of a basic jobs program, which sounds even more obviously disastrous and makes me want to exhume Joseph McCarthy and turn him loose on everyone suggesting it.)

Ozy brings up that there are various ways that skilled workers can work part-time to make $10K per year (the easiest is to work a $100K job one year in ten). Since almost nobody does that, it seems unlikely that these people would really quit their job in exchange for basic income.

I’m glad Ozy showed up, because I used to think the same thing as Aphyer, and Ozy reminded me that I wasn’t taking any of the opportunities to work much less in exchange for much less money either. I wonder if this is just a universal bias, where people feel like they would definitely prefer more free time to working more, but then work more anyway.


ec429 defends the much-maligned but ever-popular position of “being angry that other people might get by without having to work”:

A lot of people have commented above on the incentive problems etc. with both UBI and UBJ, so I’ll not go into that. But I’ve noticed a bit of a thread of “why are opponents of UBI so determined that no-one ever gets a free ride?” Since this generalises to other welfare/disability/secondary distribution programs, I think my viewpoint here may be relevant. Warning: raw and emotional, rather than cool and rational. But maybe it’ll help people understand why I, at least, am so implacably opposed to redistribution. (Also it drifts a bit off-topic by the end.)

Stipulated: I’m a nerd, bookish, aspergiac. (Also, technically not fully-abled: I have a sleep disorder that prevents me working full-time.)

Between the ages of (let’s say) 8 and 18, I was bullied a lot; this was made bearable by the knowledge that in adulthood, I’d be an affluent knowledge-worker and the people bullying me were idiots who would be stuck in retail or manual labour, and that it would utterly serve the b—ers right.

And now you expect me to give up some large slice of the product of my work (when you add up income tax, national insurance*, VAT** on the goods I buy, push effects from taxes supposedly levied upon ‘business’, etc., the total tax bite is probably over 50%) to give those same b—ers welfare cheques, and then to give them more when it turns out they spent the first lot on pot and xboxes, because somehow it’s not acceptable for people who make stupid decisions to starve.

So no. If you want _my_ money to fund _your_ life, you had d-mn well better prove that you’re trying to better yourself and not just suffering the consequences of your own stupidity. Ideally, let me make that decision myself through private charity, rather than forcibly taking the decision away from me and giving it to some unaccountable bureaucrat. (If nothing else, I could hardly be _more_ Kafkaesque than the disability-scheme bureaucrats.

Good news! I hear that basic income will sap meaning and community from people’s lives. So all those bullies will be living unhappy lives without any purpose, and you’ll still have the last laugh!

Should Psychiatry Test For Lead More?

Dr. Matthew Dumont treated a 44 year old woman with depression, body dysmorphia, and psychosis. She failed to respond to most of the ordinary treatments, failed to respond to electroconvulsive therapy, and seemed generally untreatable until she mentioned offhandedly that she spent evenings cleaning up after her husband’s half-baked attempts to scrape lead paint off the walls. Blood tests revealed elevated lead levels, the doctor convinced her to be more careful about lead exposure, and even though that didn’t make the depression any better, at least it was a moral victory.

The story continues: Dr. Dumont investigated lead more generally, found that a lot of his most severely affected patients had high lead levels, discovered that his town had a giant, poorly-maintained lead bridge that was making everyone sick, and – well, the rest stops being story about psychiatry and turns into a (barely believable, outrageous) story about politics. Read the whole thing on Siderea’s blog.

Siderea continues by asking: why don’t psychiatrists regularly test for lead?

Now, in my case, I’m a talk therapist, and worrying about patients maybe being poisoned is not even supposed to be on my radar. I’m supposed to trust the MDs to handle it.

Dumont, however, is just such an MD. And that this was a clinical possibility was almost entirely ignored by his training.

Dumont’s point here is that while “medical science” knows about the psychiatric effects of lead poisoning and carbon disulfide poisoning and other poisons that have psychiatric effects – as evidenced by his quoting from the scientific literature – psychiatry as practiced in the hospitals and clinics behaves as if it knows no such thing. Dumont is arguing that, in fact, he knew no such thing, because his professional training as a psychiatrist did not include it as a fact, or even as a possibility of a fact.

Dumont’s point is that psychiatry, as a practical, clinical branch of medicine, has acted, collectively, as if poisoning is just not a medical problem that comes up in psychiatry. Psychiatry generally did not consider poisoning, whether by lead or any other noxious substance, as a clinical explanation for psychiatric conditions. By which I mean, that when a patient presented with the sorts of symptoms he described, the question was simply never asked, is the patient being poisoned?

Dumont wants you to be shocked and horrified by what was done to those people, yes. He also wants you to be shocked and horrified by this: psychiatry as a profession – in the 1970s, when (I believe) the incidents he relates where happening, in the 1990s, when he wrote it in his book, or in 2000 when a journal on public health decided to publish it – psychiatry as a profession did not ask the question is the patient being poisoned?

And it didn’t ask the question, because clinical psychiatry had other explanations it liked better, to which it had a priori philosophical commitments.

And that, when you think through what it means for psychiatry, is absolutely chilling.

And:

I can tell you that, standing here in 2018:

• No mental health clinic I’ve worked at ever had the facilities for even performing blood draws, nor doing urine testing for anything other than commonly abused intoxicants (alcohol, opioids, amphetamines, etc), and then only the clinics that specialized in substance abuse treatment. The clinic I work for now can’t even do urine screens. Psychiatrists’ offices, here abouts at least, are not places blood tests are or can be performed, unless they are attached to a general medical practice. Such tests have to be referred out, usually to the patient’s PCP’s office.

• No psychiatrist has ever asked me to arrange blood draw test from the PCP for anything other than white blood cell count, thyroid panel, or Lithium blood level.

• Though I’ve seen documentation in patient charts of psychiatrists ordering two of those three tests from PCPs themselves, I’ve never seen documentation of ordering any other tests. I have literally never seen a psychiatrist order a test for any sort of poison.

• I have never seen any sort of toxicology report for poisons in any of the blood test results I have found in my patients’ discharge paperwork from psychiatric hospitalization.

• I have never, in all my case discussions with psychiatrists in-patient and out, or with hospital staff at psychiatric hospitals and hospital departments, ever heard anyone suggest anything about poisoning be a possibility in our mutual cases. Nobody has ever said anything like, “We don’t want to prescribe anything until the tox report comes back, in case it’s an environmental toxin” or “R/o env tox” or even “We don’t think there’s much chance of an environmental toxin, so we’re not bothering to test for it. It has literally never been mentioned.

• Not even when, due to the suddenness of the onset of psychotic symptoms, psychiatrists were discussing with me the possibility that a patient was intoxicated on some street drug that somehow just wasn’t showing up in his/her urine screens and blood draws.

Maybe it’s not fair for me to generalize from the psychiatrists I’ve worked with. Maybe it’s just that the psychiatrists I’ve worked with – including at MGH and McLean – aren’t representative, being somehow really bad doctors, or poorly educated, and that, contrariwise, normal psychiatrists, basically adequately well-trained psychiatrists, generally do stop to consider poisoning as a cause for severe presenting symptoms, especially when they’ve proved refractory.

I’m not getting that impression though.

I’m not getting that impression from the many interactions I’ve had with psychiatrists and other psychiatric professionals over the last decade, and neither have I been subject to exhortations of what I, as a clinical mental health counselor, should be alert to as evidence of possible poisoning in my patients.

When I was in grad school, it was briefly mentioned that most disorders in the DSM (this was version IV-tr) had a “caused by a General Medical Condition” variety, and then it was never spoken of again.

So as far as I can tell, nothing has changed.

This is not merely an incidental failure of instruction on the part of Dumont’s med school professors, nor of mine in grad school. This is, at the most charitable, a massive blindspot, of precisely the sort that “scientific” field of endeavor should never have, and it seems to afflict the entire profession.

There’s a lot more, and you should read the whole post. Siderea is a great writer and a careful thinker, so when she criticizes my practice I take note. And since I don’t think I’ve ever tested anyone for lead, this is definitely criticizing my practice. What’s my justification?

Take a look at some papers like The Emerging Role For Zinc In Depression And Psychosis and Effect Of Zinc Supplementation In Patients With Major Depression: A Randomized Controlled Trial. Done? Looks like there’s some pretty good evidence that zinc deficiency is involved in depression somehow, right? Do you think zinc is more or less important than lead? By how much?

Or what about toxoplasma? Seems to be twice as common in depressed people as in controls, and increases suicide risk 50%. Pretty suspicious; should we test all depressed people for toxoplasma? If so, is this more or less important than testing all depressed people for lead? By how much?

And when you’ve answered that, what about copper? Omega-3/omega-6 ratio? Vitamin D levels? Cortisol? Magnesium balance? The methylation cycle? Mitochondrial function? Inflammation? Covert viral infections? Covert autoimmune disorders? Paraneoplastic syndromes? Allergies? Light exposure? Circadian rhythm? Selenium? Lithium levels in your local water supply? Insulin resistance? Gut microbiome? PANDAS? FODMAPs? Structural brain abnormalities? And that’s not even getting into the psychosocial stuff!

Every one of these has some evidence of being involved in depression. Some have excellent evidence of being robustly involved. Imagine how dumb you would feel if it turned out only 0.01% of cases of depression were lead related, and you spent so much time testing your patient for lead that you never got around to asking about color temperature of their home lighting, or whether they clean their cats’ litterbox, or how many dental fillings they have.

(Dental fillings? Really? No, not really.)

Why not test all the things? Number one, cost. Number two, sticking your patient with more needles than a Trump voodoo doll owned by the DNC. But number three, everybody is weird in a bunch of ways. Have you ever gone to your doctor for labwork, and gotten a piece of paper back with a lot of words like BASOPHILS and BUN-CREATININE RATIO, and probably three or four of them were highlighted in red to indicate they were abnormal, and your doctor looked at it and shrugged and said not to worry about it? That’s because everybody is weird in a bunch of ways. Your 30-item depression risk factor panel is going to come back saying you don’t have enough selenium and your gut microbiome is off, and your doctor is going to make you spend a month eating nothing but kefir and brazil nuts, and then a month later you’ll leave your abusive partner and your depression will mysteriously disappear.

Consider prostate cancer screening. This is like the best-case scenario for universal testing. Prostate cancer is pretty common – about 10% of men are diagnosed with it sometime during their lives. We know who’s most at risk – older men. It’s potentially pretty bad – nobody wants cancer. The test is easy – the same simple blood draw that tells you if your cholesterol is too high. And yet governing bodies keep recommending that doctors stop screening for prostate cancer (recent guidelines are nevertheless complicated: ask your doctor if PSA screening is right for you). The bodies cite possibility of “overdiagnosis and overtreatment”, potential false security by missing some cancers, and studies which show no decrease in mortality. Breast cancer screening organizations keep pushing back the age at which they recommend women start getting mammograms, because the costs outweigh the benefits before then.

Doctors never just say “I hear this condition is bad in my field, let’s worry about it with everyone who comes through the door”. They want really good evidence that it’s common enough (and that testing works well enough) that the benefits are worth the risk. Right now for lead, we have no such evidence.

The only study I have ever seen even begin to make the slightest attempt to quantify the role of lead in depression is Bouchard et al. It claims that people in the highest quintile (top 20 percentiles) of lead exposure have twice the depression risk as people in the lowest quintile. Big if true. But I’m skeptical, for several reasons:

1. Lead exposure is heavily linked to poverty – poor people tend to live in the decaying houses and polluted neighborhoods where lead is most common. Poor people are also more likely to get depressed. The study attempted to control for poverty, but this never works. So it’s not clear how much of the lead effect they picked up was really a poverty effect.

2. This is an implausibly large effect size. The amount of environmental lead has plummeted over the past thirty years after the removal of leaded gasoline. Since then, the percent of people with elevated lead levels has decreased by a factor of twenty. Some quick calculations suggest that if this study were right, depression rates should have gone down 66% in the past few years. They haven’t. Compare this to violent crime, which we have better evidence is lead-related and which did decrease by a factor of 2 or 3 over the past few years.

3. I don’t entirely understand what they’re doing with statistics here. In Table 2, every lead quintile has about the same depression rate. It’s only after they apply their model that they find higher-lead people have higher depression. This is sort of a red flag for the kind of thing that might not replicate later on. Nobody else has ever tried to repeat this study and as far as I know it remains the only investigation into the epidemiology of lead and depression.

Aside from this study, we have nothing to guide us. Does lead contribute to 5% of cases of depression? 0.5%? 0.0005%? I’m not sure anyone knows.

If it’s 0.0005%, then we’re talking about people who work in lead mines, or Dumont’s patient who scrapes lead paint off the wall every day. I agree if your patient works in a lead mine and has any problems at all, you should test them for lead poisoning. This is why your doctor asks you what line of work you’re in when you go in for an evaluation. She’s not trying to make small talk – she’s waiting for the one guy who says “I French kiss cockatiels for a living” so she can diagnose him with psittacosis.

I am definitely not going to make every patient take a blood test just so I can catch 0.0005% of people. But should I be more careful in the history here? Specifically ask patients “Do you have any hobbies that put you in contact with lead?”. I’m not sure – right now I have no intuition for whether that’s more or less important than “Do you do anything that might cause zinc deficiency?” or “Do you clean out cat litterboxes?” Usually what I do is I ask broad open-ended questions to start with, and then as the depression proves itself weirder and more treatment-resistant, we gradually go one-by-one down the list of super-rare causes that never happen in real life so I can be sure I’m not missing anything.

What if lead causes more like 5% of depressions? In this case, we’re talking about people with no specific exposure factors. Maybe they just live in an old house, or a bad neighborhood, or got a bad draw in the genetic lottery for whatever systems affect heavy metal removal. So suppose I grudgingly give every patient who comes through the door a blood lead level test. Lots of them come back with lead levels in the top quintile – just like 20% of the general population would. Now what? I say “Your lead level is within the normal range, I have no proof that it’s contributing to your depression at all, but just to be safe you should move to a classier neighborhood”? “Oh, you mean that will cure my depression?” “No, Dr. Dumont didn’t even cure his patient’s depression when he made her stop scraping lead paint off the walls, I’m just saying it probably couldn’t hurt”. I consider it a good day when I can get my patients to take their Lexapro without missing any doses. My ability to get them to move to a nicer neighborhood – most people aren’t living in bad neighborhoods just because they never thought of moving to a better one – is pretty low, especially when I can’t even honestly say I expect it to help that much.

What about chelation therapy, a series of techniques that suck lead out of the body? From Wikipedia: “Chelation therapy must be administered with care as it has a number of possible side effects, including death…various health organizations have confirmed that medical evidence does not support the effectiveness of chelation therapy for any purpose other than the treatment of heavy metal poisoning.” If you chelate everyone who comes through the door with high-average lead levels, there’s no guarantee you will cure any depressions, but you will definitely kill some people.

There’s an old medical maxim: never do any test if you have no plan for acting on the results. What’s my plan for acting on the results of a upper-end-of-normal lead level? I really don’t have one. If it’s an extreme level, the 0.0005% works-in-a-lead-mine type, then I can at least demand the patient find a different line of work. But if I’m just going to be diagnosing 20%+ of the patients who come in the door with upper-end-of-normal lead? Forget it.

I understand Siderea probably isn’t recommending universal blood lead screening. But then I’m having trouble figuring out what she is recommending doctors do differently. Ask everyone some history questions to see if they work in lead mines? We try to do that kind of thing already. Have lead poisoning on the top of our minds and ask a lot of really intense history questions to ferret out any possible exposure? Not clearly privileged above doing that for the thirty other rare causes of depression. Just make sure to talk about lead as a cause of depression in medical school? They already do, it’s right between “Prader-Willi Syndrome as cause of obesity” and “Q fever as cause of pneumonia” in the lecture series entitled Extremely Rare Causes Of Common Symptoms Which Ideally You Can Keep In Mind And Have Dr. House Levels Of Diagnostic Genius, But Let’s Be Honest Here, Realistically Over Half Of You Will Prescribe Antibiotics For Viral Infections.

I’m not saying nobody should worry about lead poisoning and depression. I’m just saying those people shouldn’t be front-line clinicians. Some epidemiologist should absolutely be trying to replicate Bouchard et al’s work on the magnitude of the lead-depression correlation. Some guideline-making body should be coming up with a guideline for when doctors should take lead levels, and what results should prompt what kind of action, even if the guideline is just “never worry about this unless somebody works at a lead mine” (which is plausibly the right answer given the current paucity of data, but I’d feel more comfortable if a guideline-making body said so officially). And public health officials should worry a lot about how to decrease lead on a society-wide level (which they’re already doing, albeit for different reasons), since that’s much higher-yield than some random doctor telling a poor person to move to a different house.

But I am not sure the average clinician needs to think about this too much.

(Maybe Siderea already agrees with me here; I can’t tell.)

There are thirty-plus plausible causes of depression that nobody knows enough about to be sure they’re real, estimate their magnitude, or begin to treat. If you look at any one of them too closely, you will come to the conclusion that every psychiatrist in the country is a quack who’s ignoring the evidence right in front of their eyes and willfully blind to the role of [lead/zinc/toxoplasmosis/inflammation/gut microbiome/etc] in order to keep getting the sweet pharma company cash for prescribing Lexapro. It’s not that we don’t know about these things. It’s that we don’t have an action plan. We don’t have a good feel for when to do the tests, what numbers on the tests mean we should do something, what that thing should be, and whether it should work. So we punt the question to the researchers, who already have a backlog of ten million other things they need to be working on.

This isn’t a great state of affairs. But I only know three ways doctors can deal with it, and none of them are very good.

The first is the one I learned at age 3 from my father teaching me to read out of evidence-based-medicine textbooks. You insist that nothing can be admitted into the medical canon unless it has some guideline-making-body’s stamp of approval, which the guideline-making-body will not give until a bunch of randomized controlled trials have validated every step of the model and shown that the proposed solutions definitely work on a large scale with every demographic of patient. Until then we will keep doing the things that have met that bar – which is basically giving people Lexapro and telling them to diet and exercise. This path assures you a long and prosperous career as a respected member of the medical establishment.

The second is to become Dr. Oz. You fall in love with anything that has an even slightly plausible mechanism and at least one n = 15 study saying it works. I’m not talking about literal homeopathy here. I’m talking about things where if you ask a biologist whether it works, they just sort of shrug and say “well, it should“, and there’s a bunch of respectable research into it. But this is a really low bar, and if it’s the only one you hold yourself to, then you’re going to be the guy telling your patients they need heavy metal tests and vitamin levels and SPECT brain scans and screens for twenty latent infections just because they came in saying they’re tired all the time. This path assures you a lucrative daytime TV show and a side gig selling supplements with your picture on them.

The third is to be a generally respectable doctor with one Big Idea. Like “why aren’t we testing everybody for lead?” or “why don’t we care more about the gut microbiome?”. These people are often really good at what they do, really passionate, and mostly within the mainstream. Sometimes they are impressive researcher-crusader-prophets, they get their Big Idea universally adopted, and then they become the next generation of medical orthodoxy. Other times they’re just annoying clinicians who love saying “I see you aren’t even testing for cortisol levels, clearly you have no interest in going beyond Textbook 101 Level” but can’t really explain why this is better than the twenty-nine other things you might consider doing. This path assures you a long bibliography of successful articles in The Journal Of Medical Hypotheses.

I love everybody in Group 3, they’re all great people. But the thing is, if I were to believe everybody in Group 3, then I would end up as Group 2 – and I don’t have enough time to star on a TV show, so screw that. I think that makes me Group 1 by default, which is good, because otherwise my family would disown me.

“Shouldn’t we be able to use rationality techniques to figure out which of the Group 3 people are right, and move faster than guideline-making bodies“? Well, that’s the dream. But take that route, and you notice you’re wading through ankle-deep skulls. I occasionally flirt with trying this – like every doctor, my practice has a few idiosyncrasies and places where it deviates from the exact textbook solutions. But I would be nervous putting too much trust in my own gut.

This is all context for how to think about questions like “should we test everybody for lead?” or “should we think more about lead?” or “is the psychiatric establishment incompetent for not testing lead more?” The prior on the psychiatric establishment being incompetent is never that low. But the prior on any given alternative being especially fruitful isn’t great either.

[EDIT: The only general medical conditions I consistently find worth worrying about in depression (absent some specific reason to worry about another) are hypothyroidism and sleep apnea. I test a lot of people for anemia and various vitamin deficiencies, because the guidelines say so, but I’ve never found them too helpful. Curious if anyone else in the field has different experiences. I recently had one patient obtain a miraculous and lasting cure of his chronic fatigue using nasal steroids (ie it was apparently caused by nasal inflammation from allergies) but nobody ever talks about that and I’m not sure if it was just a fluke.]

Can Things Be Both Popular And Silenced?

The New York Times recently reported on various anti-PC thinkers as “the intellectual dark web”, sparking various annoying discussion.

The first talking point – that the term is silly – is surely true. So is the second point – that it awkwardly combines careful and important thinkers like Eric Weinstein with awful demagogues like Ben Shapiro. So is the third – that people have been complaining about political correctness for decades, so anything that portrays this as a sudden revolt is ahistorical. There are probably more good points buried within the chaff.

But I want to focus on one of the main arguments that’s been emphasized in pretty much every article: can a movement really claim it’s being silenced if it’s actually pretty popular?

“Silenced” is the term a lot of these articles use, and it’s a good one. “Censored” awkwardly suggests government involvement, which nobody is claiming. “Silenced” just suggests that there’s a lot of social pressure on its members to shut up. But shutting up is of course is the exact opposite of what the people involved are doing – as the Times points out, several IDW members have audiences in the millions, monthly Patreon revenue in the five to six figures, and (with a big enough security detail) regular college speaking engagements.

So, from New Statesman, If The “Intellectual Dark Web” Are Being Silenced, Why Do We Need To Keep Hearing About Them?:

The main problem with the whole profile is that it struggles because of a fundamental inherent contradiction in its premise, which is that this group of renegades has been shunned but are also incredibly popular. Either they are persecuted victims standing outside of society or they are not. Joe Rogan “hosts one of the most popular podcasts in the country”, Ben Shapiro’s podcast “gets 15 million downloads a month”. Sam Harris “estimates that his Waking Up podcast gets one million listeners an episode”. Dave Rubin’s YouTube show has “more than 700,000 subscribers”, Jordan Peterson’s latest book is a bestseller on Amazon […]

On that basis alone, should this piece have been written at all? The marketplace of ideas that these folk are always banging on about is working. They have found their audience, and are not only popular but raking it in via Patreon accounts and book deals and tours to sold-out venues. Why are they not content with that? They are not content with that because they want everybody to listen, and they do not want to be challenged.

In the absence of that, they have made currency of the claim of being silenced, which is why we are in this ludicrous position where several people with columns in mainstream newspapers and publishing deals are going around with a loudhailer, bawling that we are not listening to them.

Reason’s article is better and makes a lot of good points, but it still emphasizes this same question, particularly in their subtitle: “The leading figures of the ‘Intellectual Dark Web’ are incredibly popular. So why do they still feel so aggrieved?”. From the piece:

They can be found gracing high-profile cable-news shows, magazine opinion pages, and college speaking tours. They’ve racked up hundreds of thousands of followers. And yet the ragtag band of academics, journalists, and political pundits that make up the “Intellectual Dark Web” (IDW)—think of it as an Island of Misfit Ideologues—declare themselves, Trump-like, to be underdogs and outsiders. […]

[I’m not convinced] they’re actually so taboo these days. As Weiss points out, this is a crowd that has built followings on new-media platforms like YouTube and Twitter rather than relying solely on legacy media, academic publishing, and other traditional routes to getting opinions heard. (There isn’t much that’s new about this except the media involved. Conservatives have long been building large audiences using outside-the-elite-media platforms such as talk radio, speaking tours, and blogs.) In doing so, they’ve amassed tens and sometimes hundreds of thousands of followers. What they are saying might not be embraced, or even endured, by legacy media institutions or certain social media precincts, but it’s certainly not out of tune with or heretical to many Americans.

The bottom line is there’s no denying most of these people are very popular. Yet one of the few unifying threads among them is a feeling or posture of being marginalized, too taboo for liberal millennial snowflakes and the folks who cater to them.

The basic argument – that you can’t be both silenced and popular at the same time – sounds plausible. But I want to make a couple points that examine it in more detail.

1. There are lots of other cases where we would agree there’s some form of silencing going on, even as a group has many supporters and rich, famous spokespeople

I know a lot of closeted transgender people. They’re afraid to come out as trans, they talk about trans people being stigmatized and silenced, and they clearly have a point. Does anyone disagree that it can be dangerous to be a trans person even in the First World, let alone anywhere else?

On the other hand, Caitlyn Jenner is on the cover of every magazine, won Woman Of The Year, got her own documentary and reality TV show, and earns up to $100,000 per public appearance, with a total net worth rumored to be around $100 million. She is probably one of the most famous and popular people in the world.

Only a moron would make an argument like “Caitlyn Jenner is doing very well, therefore there’s not really a stigma around transgender”. For one thing, your success is a function of how many people like you, not your net (likers – haters) total. For another, Hollywood is its own world and probably doesn’t correlate with any particular person’s social sphere. And for another, Jenner is popular partly because of how surprising and controversial her transition was – her story is at least partly a function of “look how brave this person is to defy social stigma this way”.

Transgender people complain of social shaming, silencing, and stigma. Some transgender people can become very famous celebrities who everyone agrees are rich and popular. And nobody finds this at all surprising or thinks that these two claims contradict each other.

(No, Twitter, I’m not making the claim “Sam Harris is exactly as marginalized as transgender people”. I’m saying that even groups who we all agree are more marginalized than the IDW can have very successful and famous spokespeople.)

Or what about the early US labor movement? They were faced with everything from Pinkerton goon squads, to industry blacklists, to constantly getting arrested on trumped-up charges; nobody seriously denies that government and private industry put a lot of effort into silencing them.

Yet they were very popular with their core demographic, and their most charismatic spokespeople remained famous and widely-liked. Emma Goldman would go around the country lecturing to packed halls, collecting far more energy and interest than Sam Harris gets nowadays when he does the same. If the papers of the time had said “Emma Goldman sure is popular for someone who says her movement is being silenced”, well, screw you and your dumb gotchas, that’s just a 100% accurate description of the state of affairs.

2. In fact, taboo opinions seem to promote a culture of celebrity

From Current Affairs:

There are dozens of well-known critics of social justice activists: Harris, Shapiro, Peterson, Brooks, Stephens, Hoff Sommers, Weinstein, Weinstein, Murray, Murray, Rogan, Chait, Haidt, Pinker, Rubin, Sullivan, Weiss, Williamson, Yiannopoulos, Dreger, Hirsi Ali. Who are their equivalents among the Social Justice Types? Who has their reach or prominence?

A few people have tried to answer the question – and certainly a few names like Ta-Nehisi Coates belong in any such list. But I think the overall point is basically correct. If so, what does that mean?

Consider this: how many neo-Nazi/white supremacist activists are famous enough that the average news junkie would know their names? Maybe two: David Duke and Richard Spencer. Okay. How many low-tax activists are equally famous? I think just one: Grover Norquist. There are some important people who happen to support low taxes among many other causes (eg Paul Ryan) but they don’t count – if they did, our list of famous “social justice types” would have to include Hillary Clinton and a hundred others.

Presumably we shouldn’t conclude that neo-Nazism is twice as common/popular/acceptable as tax cuts. But that means you can’t always measure how popular an ideology is by counting its famous advocates.

I’d go further and say that more taboo ideas are more likely to generate famous spokespeople. If you can’t think of any modern feminists with star power, you can always go back to the 1970s and find people like Gloria Steinem and Andrea Dworkin – who made waves by being at least as outrageous then as the IDW is now. If Ta-Nehisi Coates isn’t famous enough for you, Martin Luther King and Malcolm X certainly will be. Malcolm X didn’t get more famous than Ta-Nehisi Coates by being more well-liked, he got famous by being as controversial and threatening and feared as Coates is accepted. So the implication of the Current Affairs article – we mostly hear about well-liked people, and really controversial people never get famous – seems questionable at best and backwards at worse.

But why would more taboo causes generate more celebrity? Here are some ways I think this could work:

1. Controversy sells in general. Caitlyn Jenner is more famous than Bruce Jenner not because transgender is less stigmatized than running, but because it’s more likely to provoke debate.

2. All else being equal, if an ideology is taboo, it should have fewer loud open activists per covert believer than an orthodox ideology. But that means the field is less crowded. If feminism has 1 loud activist per 10 believers, and the IDW has 1 loud activist per 1000 believers, then the feminist activist will generally be speaking to a college club, and the IDW activist to a crowded lecture hall. This will catapult the IDW activists to greater celebrity.

3. Activists for taboo views need a skill that activists for orthodox views don’t – that of surfing controversy. The insult “edgelord” is basically correct – they thrive by being on the edge of what is acceptable. If you go completely beyond the bounds of what is acceptable, you fall from grace – either into literal ruin, or just having your fan base shift entirely to being weird alt-right people whom you hate and don’t want to be associated with. Only people who can continually surf that boundary – edgy enough to be interesting, restrained enough to get the New York Times to write basically positive editorials about you – are really able to make it. Most people correctly assume they would screw up and end up totally taboo rather than delightfully edgy. Once again, this makes the field less crowded, giving everyone who comes in more star power per person.

4. Orthodox ideologies tend to be well-represented within institutions, meaning that the ideologies’ leaders are more likely to be institutionally prestigious people. Taboo views are unrepresented within institutions, meaning their spokespeople kind of just arise naturally by being really good at getting attention and acclaim. The natural “leaders of feminism” might be Women’s Studies professors, Planned Parenthood directors, and whoever the most feminist person at the New York Times is. These people might be very good at what they do, they might even be very effective at promoting feminism, but they’re probably less good at getting attention than people who have been specifically selected for that trait. And with the institutional leaders sucking up all the status, it might be harder for some woman who’s just a very good writer and really in-touch with the zeitgeist to say “Yes, I am the leader of feminism, everyone please care about me now”.

5. Generic famous people will support orthodox causes, but not taboo causes. The absence of people famous for feminism is counterbalanced by a glut of famous people who happen to be feminists. Here is a list of actors who say they are proud to call themselves feminist, also just known as “a list of actors”. Famous people who are against feminism are more likely to keep quiet about it, creating a void for specific anti-feminist celebrities can fill.

6. Celebrity helps launder taboo ideology. If you believe Muslim immigration is threatening, you might not be willing to say that aloud – especially if you’re an ordinary person who often trips on their tongue, and the precise words you use are the difference between “mainstream conservative belief” and “evil bigot who must be fired immediately”. Saying “I am really into Sam Harris” both leaves a lot of ambiguity, and lets you outsource the not-saying-the-wrong-word-and-getting-fired work to a professional who’s good at it. In contrast, if your belief is orthodox and you expect it to win you social approval, you want to be as direct as possible.

I don’t know if these six points really explain the phenomenon. But I think there’s definitely a phenomenon to be explained, and I think “crowded field” is a big part of it. In my own experience, my blog posts promoting orthodox opinions are generally ignored; my blog posts promoting controversial opinions go viral and win me lots of praise. I assume this is because my orthodox blog posts are trying to outcompete the people at Vox (highly-polished, Ivy-League-educated mutants grown in vats by a DARPA project to engineer the perfect thinkpiece writer), and my controversial blog posts are trying to outcompete three randos with blogs that consistently confuse “there” and “their”. Winning one competition is much easier than winning the other – and the prize for winning either is “the attention of about 50% of the population”.

3. Fame lets people avoid social repercussions, but that doesn’t mean those repercussions don’t exist for ordinary people

Caitlyn Jenner can be as visibly and fabulously transgender as she wants, because being transgender is a big part of her job. She’s organized a lot of her life around being a transgender person. Any friends she was going to lose for being transgender have already been written off as losses. Anybody who wants to harm her for being transgender is going to get stopped by her bodyguards or kept out of her giant gated mansion. When she argues that transgender people face a lot of stigma, fear, and discrimination, she mostly isn’t talking about herself. She’s talking about every transgender person who isn’t Caitlyn Jenner.

Likewise, Sam Harris is pretty invincible. As a professional edgelord, he is not going to lose his job for being edgy. Whatever friends he’s going to lose for being Sam Harris, he’s already written off as losses. I assume he has some kind of security or at least chooses not to live in Berkeley. So when he’s talking about his ideas being taboo, he means taboo for everybody who isn’t Sam Harris.

I worry that this conversation is being conducted mostly by media personalities who write controversial takes for a living. They work for ideologically-aligned publications, and everyone knows that a few crazies hating and harassing you is a common part of the job. If you didn’t propose the death penalty for abortion and then get a job at The Atlantic, you’ll probably be fine.

Out in the rest of the world, if a rando on social media calls your company and tells them you’re a Nazi because [out of context tweet], the complaint is going straight to a humorless 60-year-old HR drone whose job is minimizing the risk of PR blowups, and who has never heard of Twitter except as a vague legend of a place where everything is terrible all the time. So if you write for a webzine, consider that you may have no idea how silenced or living-in-fear anyone else is or isn’t, and that you may be the wrong person to speculate about it.

Out in the rest of the world, if someone sends you a death threat, you might not be such an experienced consumer of Internet vitriol that you know it usually doesn’t pan out. You might not be so thick-skinned that “Go to hell, you fucking Nazi scum” no longer has any effect on you. You might not live in an bubble of intellectualism where people appreciate subtle positions. You might have friends and family who are very nice people but somewhat literal-minded, who have heard that only rapists oppose feminism so many times that they have no ability to create a mental category for someone who opposes feminism but isn’t pro-rape. And you might not really relish the idea of having to have a conversation with your sweet elderly great-aunt about how no, you really don’t think raping people is good. Seriously, imagine having to explain any of what you write on the Internet to your sweet elderly great-aunt, and now imagine it’s something that society has spent years telling her is equivalent to rape apologism.

(my father recently implied I had brought dishonor upon our family by getting quoted approvingly in National Review. I am 90% sure he was joking, but only 90%.)

Or maybe I’m wrong about this. Part of how silencing works is that nobody really knows how strong it is or isn’t. I had a patient who agonized for years over whether to come out to his family, only to have his parents say “Yes, obviously” when he finally got up the nerve. The point, is Sam Harris no longer has to worry about any of these things. So if your line of reasoning is “well, Sam Harris seems to do pretty well for himself, so I guess you can’t get in trouble for being controversial”, I don’t know what to tell you.

4. If you spend decades inventing a powerful decentralized network to allow unpopular voices to be heard, sometimes you end up with unpopular voices being heard

Sam Harris’ business model is a podcast with a Patreon, advertised by Internet word-of-mouth. This is pretty typical for the “intellectual dark web” figures.

The Internet promised to take power away from media gatekeepers and make censorship near-impossible. In discussing the many ways in which this promise has admittedly failed, we tend to overlook the degree to which it’s succeeded. One of the most common historical tropes is “local government and/or lynch mob destroys marginalized group’s printing press to prevent them from spreading their ideas”. The Internet has since made people basically uncensorable, not for lack of trying. More recently, crowdfunding has added the final part to this machine – semi-decentralized cash flow.

So, after hundreds of engineers and activists and entrepreneurs work for decades to create a new near-impossible-to-censor system, and some people who would never have gotten heard on any other channel are able to use it to get heard – well, it’s pretty weird to turn around and say “Aha, you got popular, that proves nobody is trying to silence you!”

I think this also explains why, even though people have been talking about these issues forever, it’s only becoming a “big deal” now. Before, people would either watch their mouths to avoid getting kicked out by major gatekeeper institutions – or they would go to explicitly right-coded spaces like talk radio where the gatekeepers already agreed with them.

What’s new is that there’s a third route in between “tame enough to be on CNN” and “conservative enough to be a guest on Rush Limbaugh”. The new brand of IDW thinkers are interesting precisely because – excluding Ben Shapiro (always a good life choice) – they’re not traditional conservatives. The thing that’s new and exciting enough to get New York Times articles written about it is that the anti-PC movement has spread to friendly coastal liberals. From the Democrats’ perspective, the IDW aren’t infidels, they’re heretics.

5. When the IDW claims they are threatened, harassed, and blacklisted, people should at least consider that they are referring to the actual well-known incidents of threats, harassment, and blacklisting against them rather than imagining this is code for “they demand to be universally liked”

Here are some of the stories in Weiss’ original IDW editorial:

A year ago, Bret Weinstein and Heather Heying were respected tenured professors at Evergreen State College, where their Occupy Wall Street-sympathetic politics were well in tune with the school’s progressive ethos. Today they have left their jobs, lost many of their friends and endangered their reputations. All this because they opposed a “Day of Absence,” in which white students were asked to leave campus for the day. For questioning a day of racial segregation cloaked in progressivism, the pair was smeared as racist. Following threats, they left town for a time with their children and ultimately resigned their jobs.

And:

Mr. Peterson has endured no small amount of online hatred and some real-life physical threats: In March, during a lecture at Queen’s University in Ontario, a woman showed up with a garrote.

And:

Dr. Soh said that she started “waking up” in the last two years of her doctorate program. “It was clear that the environment was inhospitable to conducting research,” she said. “If you produce findings that the public doesn’t like, you can lose your job.”

When she wrote an op-ed in 2015 titled “Why Transgender Kids Should Wait to Transition,” citing research that found that a majority of gender dysphoric children outgrow their dysphoria, she said her colleagues warned her, “Even if you stay in academia and express this view, tenure won’t protect you.”

And:

The University of California, Berkeley, had to spend $600,000 on security for Mr. Shapiro’s speech there.

So. Threats against a professor and his family forcing him to leave town. Another professor told that she would lose her job if she communicated research to the public. A guy needing $600,000 worth of security just to be able to give a speech without getting mobbed. Someone showing up to a lecture with a garrote. And Reason Magazine reads all this and thinks “I know what’s going on! These people’s only possible complaint is that they feel entitled to have everyone agree with them!”

Maybe I’m being mean here? But how else do I interpet paragraphs like this one?

The supposed ostracism they suffer because of their views ultimately comes down to a complaint not about censorship or exclusion but being attacked, challenged, or denied very particular opportunities. They want to say the things they are saying and have the marketplace of ideas and attention not only reward them with followers and freelance writing gigs but universal acceptance from those that matter in the academy and chattering classes.

I am nowhere near these people either in fame or controversialness, but I have gotten enough threats and harassment both to be pretty sure that these people are telling the truth, and to expect that the stuff that fits in one article is probably just the tip of the iceberg.

(Do other groups face similar pressures? Absolutely. Would people who wrote similar articles using those groups’ complaints to make fun of them also be antisocial? Absolutely.)

On a related note, what does the article mean by contrasting “excluded” vs. “denied very particular opportunities”? I understand the meaning of the words, but I am not sure the people writing about them have a principled distinction in mind. When Debra Soh faced pressure to quit academia, was she being “excluded” or “denied a very particular opportunity”? Would the 1950s version of Reason describe communist sympathizers as being “excluded”, or as “denied very particular opportunities” in the film industry? If, as the surveys suggest, 20% of philosophers would refuse to hire transgender professors to their department, are transgender people facing “exclusion”, or just being “denied very particular opportunities”?

[My position – if you decide not to hire someone based on any characteristic not related to job performance (very broadly defined, including things like company fit and fun to work with), you’re trying to exclude people. If you make up a really strained dumb argument for why some characteristic relates to job performance when it obviously doesn’t (“communist actors could try to hold a revolution on the set, thus making our other employees feel unsafe”), then you’re trying to exclude people and lying about it. You can say, as many throughout history have “I’m proud to be part of the effort to fight the Communist menace by denying them positions of influence”, and then you get points for honesty and (if the Communists were really as menacing as you thought) maybe utilitarianism points as well. But don’t say “What? Me exclude Communists? We’re just denying them very particular opportunities! Sure are a whiny bunch, those commies!” See also Is It Possible To Have Coherent Principles Around Free Speech Norms?]

6. The IDW probably still censor themselves

Another common point in this discussion has been that the IDW copies the worst parts of social justice – intense focus on the latest outrage, shoddy science, its own set of insults (“snowflake! triggered millennial!”), us-vs-them dichotomy, et cetera. And Despite Their Supposed Interest In Rational Discussion Actually They Are Very Bad At Supporting Their Points Rationally.

Here’s a site that hasn’t been in any “intellectual dark web” editorials and never will be: Human Varieties. You can Google it if you want, but I won’t direct-link them for the same way I wouldn’t build a giant superhighway to some remote forest village enjoying its peaceful isolation. Here’s an excerpt from a typical Human Varieties article:

I did look through the PING survey (age 3-21, N ~ 1,500) – which might not be very informative owing to the age structure. Going by this, Greg [Cochran] seems to be more or less correct about some of the endo[phenotypic] differences and probably about their origins. As an example, Figure 1 & 2 show the [black/white] diff[erences] for intracranial and total brain volume by age. ([African-Americans] are picked out for illustration since they are the largest non-White ethnic group, showing the biggest deviation from Whites.) And Figure 3 shows the relation between brain volume and ancestry in the self-identified [African-American] group; the results were basically the same for intracranial volume, etc. — and so not shown.

Read Human Varieties for a while, and you notice a few things:

1. They’re much more taboo and openly racist (in the Charles Murray sense) than almost anyone in the “intellectual dark web”
2. They are much less annoying and less likely to shout “TRIGGERED! SNOWFLAKE!” than almost anyone in the “intellectual dark web”
3. Nobody pays any attention to them at all

I think all three of these are correlated.

If you want to be Human Varieties, you can talk about the evidence for and against various taboo subjects. But nobody wants to be them, for two reasons.

First, somebody is going to have to present the evidence for the taboo subject, not just in an edgy “what if…perhaps this should not be suppressed?? or did i blow your mind??” way, but in a “here’s exactly what I believe and why I believe it” way. This isn’t just Sam Harris level edgy, this is way off the edge into the void below.

Second, if you do even a moderately good job, it’s probably going to sound exactly like the quote above, stuff like “this survey of intracranial volume endophenotypes might not be very informative, owing to the age structure” – and everyone will fall asleep by minute two. People will do lots of things to own the libs, but reading an analysis of the age structure of endophenotype data probably isn’t one of them.

“TRIGGERED! SNOWFLAKE!” solves both these problems. You avoid the object-level debate about whether taboo subjects are true, and it’s automatically interesting to a wide range of people. “That other monkey has status that should be my status!” – nobody ever went broke peddling that.

I think this model knocks down a few reasonable-sounding but on-reflection-wrong critiques of the way these issues are discussed:

“The IDW demands rational debate, but they never engage in it”. Somewhat true. If they engaged in it, they would move beyond the bounds of acceptable edginess. “We wish we were allowed to talk about X without massive risk to our reputations and safety” and “We are definitely not going to talk about X right now” are hardly contradictory; they follow naturally from each other. And I think this is more subtle than people expect – somebody may feel they can get away with making some arguments but not others, giving them the appearance of a skeletal but flimsy ideology that falls down on close examination. Or people might be willing to talk about these issues in some low-exposure spaces but not other higher-exposure spaces, giving them the appearance of backing down once challenged.

“The IDW focuses too much on triggered snowflakes.” Somewhat true – even independent of this being popular and lucrative. This is the least taboo thing you can do while still getting a reputation for being edgy. And winning the free speech wars makes it easier to talk about other stuff.

“The IDW says they’re being silenced, but actually they’re popular”. Somewhat true, even independent of all the arguments above. The things they complain about not being able to say, aren’t the things they’re saying.

7. Nobody in this discussion seems to really understand how silencing works.

If you say “We know a movement isn’t being silenced because it’s got lots of supporters, is widely discussed, and has popular leaders” – then you’re mixing up the numerator and the denominator.

Gandhi’s Indian independence movement had lots of supporters, was widely discussed, and had popular leaders. So did a half dozen Irish revolts against British rule. And the early US labor movement. And Eastern Bloc countries’ resistance to Soviet domination. And Aung San Suu Kyi. And every medieval peasants’ revolt ever. And…well, every other movement that’s been suppressed. Really, what sort of moron wastes their time suppressing a leaderless movement that nobody believes in or cares about?

Popular support and frequent discussion go in the numerator when you’re calculating silencing. Silencing is when even though a movement has lots of supporters, none of them will admit to it publicly under their real name. Even though a movement is widely discussed, its ideas never penetrate to anywhere they might actually have power. Even though it has charismatic leaders, they have to resort to low-prestige decentralized people-power to get their message across, while their opponents preach against them from the airwaves and pulpits and universities.

Scott Aaronson writes about the game theoretic idea of “common knowledge” as it applies to society:

If you read accounts of Nazi Germany, or the USSR, or North Korea or other despotic regimes today, you can easily be overwhelmed by this sense of, “so why didn’t all the sane people just rise up and overthrow the totalitarian monsters? Surely there were more sane people than crazy, evil ones. And probably the sane people even knew, from experience, that many of their neighbors were sane—so why this cowardice?” Once again, it could be argued that common knowledge is the key. Even if everyone knows the emperor is naked; indeed, even if everyone knows everyone knows he’s naked, still, if it’s not common knowledge, then anyone who says the emperor’s naked is knowingly assuming a massive personal risk. That’s why, in the story, it took a child to shift the equilibrium. Likewise, even if you know that 90% of the populace will join your democratic revolt provided they themselves know 90% will join it, if you can’t make your revolt’s popularity common knowledge, everyone will be stuck second-guessing each other, worried that if they revolt they’ll be an easily-crushed minority. And because of that very worry, they’ll be correct!

(My favorite Soviet joke involves a man standing in the Moscow train station, handing out leaflets to everyone who passes by. Eventually, of course, the KGB arrests him—but they discover to their surprise that the leaflets are just blank pieces of paper. “What’s the meaning of this?” they demand. “What is there to write?” replies the man. “It’s so obvious!” Note that this is precisely a situation where the man is trying to make common knowledge something he assumes his “readers” already know.)

The kicker is that, to prevent something from becoming common knowledge, all you need to do is censor the common-knowledge-producing mechanisms: the press, the Internet, public meetings. This nicely explains why despots throughout history have been so obsessed with controlling the press, and also explains how it’s possible for 10% of a population to murder and enslave the other 90% (as has happened again and again in our species’ sorry history), even though the 90% could easily overwhelm the 10% by acting in concert. Finally, it explains why believers in the Enlightenment project tend to be such fanatical absolutists about free speech.

One can take this further:

Bostrom makes an offhanded reference of the possibility of a dictatorless dystopia, one that every single citizen including the leadership hates but which nevertheless endures unconquered. It’s easy enough to imagine such a state. Imagine a country with two rules: first, every person must spend eight hours a day giving themselves strong electric shocks. Second, if anyone fails to follow a rule (including this one), or speaks out against it, or fails to enforce it, all citizens must unite to kill that person. Suppose these rules were well-enough established by tradition that everyone expected them to be enforced. So you shock yourself for eight hours a day, because you know if you don’t everyone else will kill you, because if they don’t, everyone else will kill them, and so on.

Suppose in the dictatorless dystopia, one guy becomes immortal for some reason. He goes around saying “Maybe we shouldn’t all shock ourselves all the time.” Everyone tries to kill him and fails. But if anybody else starts agreeing with him – “Yeah, that guy has a point!” – then everybody kills that other guy.

The don’t-shock-ists have 100% popular support. And they have charismatic leaders who get their points out well. But they’re still being silenced, and they’re still the losing side. Social censorship isn’t about your support or your leaders. It’s about creating systems of common knowledge that favor your side and handicap your opponents. Censorship = support / common knowledge of support.

Bret Weinstein said of his conflicts with Evergreen State: “I’ve received…quite a bit of support privately from within the college. Publicly, only one other professor has come forward to say he supports my position.” Freddie deBoer writes about how his own conflicts with callout culture have ended the same way: an outpouring of private emails voicing agreement, plus an outpouring of public comments voicing hostility, sometimes from the same people privately admitting they agree with him

This provides context for interpreting the Reason article’s last paragraph:

They want not so much any particular policy platform, political idea, or candidate to catch on as for more people to acknowledge that they are right. And that will always be a proposition that winds up making one feel aggrieved, because it’s an impossible one. To the extent that they are spouting marginalized or unpopular ideas, the only way to spread these into the mainstream is to put in the hard work of winning people over.

This is the equivalent of going to communist Czechoslovakia and thinking “Look at all those greengrocers with communist slogans in their shop windows! Clearly communists have won the war of ideas, and anti-communists are just too aggrieved to do the hard work of convincing people”. The other interpretation is that lots of people are already convinced and afraid to say so, and that convincing more people is less productive than building common knowledge of everyone’s convictions (maybe you should hand out blank leaflets). I’m not saying convincing people isn’t good and necessary, just that assessing how convinced people are is harder than it looks.

Here is a story I heard from a friend, which I will alter slightly to protect the innocent. A prestigious psychology professor signed an open letter in which psychologists condemned belief in innate sex differences. My friend knew that this professor believed such differences existed, and asked him why he signed the letter. He said that he expected everyone else in his department would sign it, so it would look really bad if he didn’t. My friend asked why he expected everyone else in his department to sign it, and he said “Probably for the same reason I did”.

This is the denominator of silencing in a nutshell. I think it’s a heck of a lot more relevant to this discussion than how many Patreon followers Sam Harris has, and I’m happy there are people speaking out against it and trying to make common knowledge a little bit more common.

OT102: Difference Of Openion

This is the bi-weekly visible open thread (there are also hidden open threads twice a week you can reach through the Open Thread tab on the top of the page). Post about anything you want, ask random questions, whatever. You can also talk at the SSC subreddit or the SSC Discord server. Also:

1. The Future of Humanity Institute is starting a “Research Scholars Program”, offering salaried positions plus training and mentoring to early-career researchers interested in the same big-picture topics FHI is – AI, existential risk, far-future technologies, utilitarianism, and the like. Would probably involve moving to Oxford. See more information here – they seem to want “expressions of interest” by May 25.

2. Comments of the week: a German economist explains ordoliberalism, a lawyer makes a surprising case for why one might not want to ban a revolving door from regulatory agencies to industry, Nabil al Dajjal tries to summarize the latest Hotel Concierge (if only there were something in between Nabil’s length and Concierge’s), and a bunch of people have a very long debate about why the FAA does what it does. If you guys had just written this up as an adversarial collaboration, you could have been well on your way to winning $2000 by now.

3. Congratulations to the subreddit on reaching 10,000 subscribers.

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Basic Income, Not Basic Jobs: Against Hijacking Utopia

Some Democrats angling for the 2020 presidential nomination have a big idea: a basic jobs guarantee, where the government promises a job to anybody who wants one. Cory Booker, Kirsten Gillibrand, Elizabeth Warren, and Bernie Sanders are all said to be considering the plan.

I’ve pushed for a basic income guarantee before, and basic job guarantees sure sound similar. Some thinkers have even compared the two plans, pointing out various advantages of basic jobs: it feels “fairer” to make people work for their money, maybe there’s a psychological boost from being productive, you can use the labor to do useful projects. Simon Sarris has a long and excellent article on “why basic jobs might fare better than UBI [universal basic income]”, saying that:

UBI’s blanket-of-money approach optimizes for a certain kind of poverty, but it may create more in the long run. Basic Jobs introduce work and opportunity for communities, which may be a better welfare optimization strategy, and we could do it while keeping a targeted approach to aiding the poorest.

I am totally against this. Maybe basic jobs are better than nothing, but I have an absolute 100% revulsion at the idea of implementing basic jobs as an alternative to basic income. Before getting into the revulsion itself, I want to bring up some more practical objections:

1. Basic jobs don’t help the disabled

Disability has doubled over the past twenty years and continues to increase.

Experts disagree on how much of the rise in disability reflects deteriorating national health vs. people finding a way to opt out of an increasingly dysfunctional labor market, but everyone expects the the trend to continue. Any program aimed at the non-working poor which focuses on the traditionally unemployed but ignores the disabled is only dealing with the tip of the iceberg.

The current disability system has at least three major problems which I would expect basic income to solve.

First, the disability application process is a mess. Imagine the worst DMV appointment you’ve ever had to obtain the registration to a sketchy old car you got from a friend, then multiply it by a thousand – then imagine you have to do it all while being too disabled to work. Even clear-cut applications can take months to go through, inflicting an immense burden on people who don’t know where their money is coming from during that time. And people with harder-to-prove conditions like mental illness and chronic pain might require multiple appeals – dragging the process out for years – or never get it at all. The disabled people I have talked to generally hate everything about this.

Second, disability is becoming a catch-all for people who can’t find employment. This is a useful function that needs to be served. But right now, it involves unemployed people faking and exaggerating disability. This rewards liars and punishes the honest. If society labels the system “FOR DISABLED PEOPLE ONLY”, basic fairness – to the disabled, to taxpayers, and to honest workers who aren’t gaming the system – require them to gatekeep entry. Right now they spend lots of time and money on gatekeeping and still mostly fail. But any attempt to crack down would exacerbate the first problem, the one where real disabled people have to spend months or years in a Kafka novel before getting recognized.

Third, because of the first and second problems disabled people feel like they constantly have to prove themselves. Sometimes they’ll have good days – lots of conditions are relapsing-remitting – and they’ll want to go play in the park or something. Then they have to worry that some neighbor is going to think “well, that guy looks pretty healthy”, take a photo, and they’ll end up as one of those stories with headlines like SO-CALLED DISABLED PERSON CAUGHT PLAYING SPORTS IN PARK. Other times it’s a bureaucratic issue. I had a patient who, after a few years on disability, recovered enough that he thought he could work about ten hours a week. When he tried to make it happen, he learned he would lose his disability payments – apparently if you can work at all the government doesn’t believe you’re really disabled – and ten hours a week wasn’t enough to support himself. So he cancelled the new job and didn’t work at all.

As long as you have a system whose goal is to separate the “truly” disabled people from the fakers, you’re going to run into problems like these. But refuse to gatekeep, and you have an unjust system where anyone who wants to lie can get out of work while their more honest coworkers are left slaving away all day. Basic income cuts the Gordian knot by proposing that everyone is legally entitled to support, whether they’re disabled or not. Disabled people can get their money without gatekeeping, and there’s no reward for foul play.

Basic jobs abandons this solution and takes us right back to the current system. If you’re abled enough to perform a government job, you’ve got to do it. Who decides if you’re abled enough? The Kafkaesque gatekeepers. And so we get the same bureaucratic despair, the same attempts to cheat the system, and the same perverse incentives.

And the number of disability claims keeps rising. Remember, a lot of economists think that the flight away from work and toward disability comes from people voting with their feet against exactly the kind of low-paying unpleasant jobs that basic jobs advocates want to offer everybody. Expect them to vote against those too, with no clear solutions within the basic jobs paradigm.

2. Basic jobs don’t help caretakers

And another 10% to 15% of the jobless are people caring for their sick family members.

This is unavoidable and currently uncompensated. The AgingCare Caregiver forum says their “number one question” is whether people who need to take time off work to care for a sick or elderly parent can get money. The only answer they can provide is “if the person you’re caring for has money or insurance, maybe they can pay you”. If they don’t, you’re out of luck. [EDIT: apparently some states do offer some money for this].

Right now our society just drops the ball on this problem. I don’t blame it; giving people money to care for family members would be prohibitively expensive. It would also require a gatekeeping bureaucracy that would put the disability gatekeeping bureaucracy to shame. Not only do they have to assess if someone’s really unable to subsist without care, they also have to decide who gets to take the option for which relatives. I have a second cousin some number of times removed who’s very disabled; can I quit my job and get paid a reasonable salary to take care of him? What if I tell you I’ve never met him or even talked to him on the phone, and just have my grandmother’s word for it that he exists and is sick? What exactly counts as caretaking? If I go visit my second cousin once a day for an hour to make sure he hasn’t gotten any sicker than usual, should the government pay me a full salary? What if actually doing that is 100% vital to my second cousin’s continued survival and I wouldn’t be able to do it consistently while holding down a job? You are never going to be able to make a bureaucracy that can address all these issues fairly.

Basic income cuts the knot again, giving everyone enough money that they can take care of sick or aging friends or relatives if they so choose. You don’t have to justify your choice to provide this level of care (but not that level) to the government. You can just do what needs to be done.

Basic jobs once again drops the ball on this problem. If your mother is dying, you can’t be there to help her, because the government is going to make you dig ditches and fill them in again all day to satisfy people’s worry that somebody somewhere might be getting money without doing enough make-work to “deserve” it.

3. Basic jobs don’t help parents

Everything above, except this time you’re a single parent (or a double parent whose spouse also works) and you want to take care of your child. If you could afford daycare, you probably wouldn’t be the sort of person who needs to apply for a guaranteed basic job. What do you do?

I know what the basic jobs people’s solution to this is going to be: free daycare for all! Okay. So in addition to proposing the most expensive government program ever invented, you want to supplement it by passing the second most expensive government program ever invented, at the same time? Good luck.

But even aside from this, I want us to step back and think about what we’re doing. I have met people – mostly mothers, but some fathers too – who are heartbroken at the thought of missing the best years of their children’s lives grinding away at a 9 to 5 job, stuck in traffic commuting to their job, or being too tired to spend time with them after they get home from their job. These people miss their kids’ first steps, outsource watching their first words to underpaid daycare employees, and have to choose between attending their kids’ school plays and putting food on the table.

And if we check the Treasury and decide that we, as a society, don’t have enough money to solve this problem – then whatever, we don’t have enough money to solve this problem.

But I worry we’re going to check and find we have more than enough money. But somebody is going to be so excited about making poor people do busy-work to justify their existence, that we’re going to insist on perpetuating the problem anyway. And if that forces us to pay for universal free daycare, we’re going to be spending extra money just to make sure we can perpetuate the problem as effectively as possible. We’re going to be saying “We could give basic income for $800 billion, or basic jobs plus universal daycare for $900 billion. And that extra $100 billion? That’s the money we spend to make sure you’re digging ditches and filling them in all day, instead of getting to be at home spending time with your kids.”

4. Jobs are actually a big cause of poverty

Poor people’s two largest expenses are housing and transportation.

Guaranteed jobs have to be somewhere. Most of them will be in big cities, because that’s where everybody is. The ones in the country will be few and far between.

That means to get to your government-mandated job, you’ll either need to live in the big city or have a car. Living in the big city means tripling your monthly rent. Having a car means car payments, insurance payments, repair payments, gas payments, and incidentals.

When I first started working with poor patients, I was shocked how many of the problems in their lives were car-related. For well-off people like me, having a car is background noise; you buy or lease it for a reasonable price, then never worry about it again. Poor people can’t afford to buy and don’t always have good enough credit to lease. They tend to get older, sketchier cars that constantly break down. A constant complaint I heard: “My car broke, I can’t afford repairs, and I’m going to get fired if I can’t make it to my job”. Some of them can’t afford insurance and take their chances without it. Others have had various incidents with the police that cost them their license, but they can’t just not show up to work, so they drive anyway and hope they don’t get arrested.

Then there are the little things. Your work doesn’t have a break room, so you’ve got to eat out for lunch, and there goes a big part of your food budget. Your work demands a whole new set of business clothes, so there’s double your clothing budget. You can’t attend things during normal business hours, so you have to pay extra for out-of-hours services.

And then there’s all of the problems above. You can’t take care of your children anymore, so you’ve got to pay for daycare or a nanny or an Uber to take them to their grandparents’ house. You can’t take care of your sick parents anymore, so you’ve got to pay for a home health aide to come in and look after them. You get job-related strain or stress, and there’s the cost of a doctor’s appointment.

And then there are the fuzzier things. If you’ve just spent the entire day at work, and you’re really exhausted, and you never get any time to yourself, maybe you don’t have the energy left to drive to the cheaper supermarket on the other end of town. Maybe you don’t have the time to search for the absolute best deal on the new computer you’re getting. Maybe you don’t have the willpower to resist splurging and giving yourself one nice thing in your life of wage slavery. All of this sounds kind of shameful, but they’re all things that my patients have told me and things that I do myself sometimes despite my perfectly nice well-paying job.

5. Basic jobs may not pay for themselves by doing useful work

I once read an economist discussing why unemployment exists at all. That is, there are always people who would like to have someone clean their house, take care of their children, or come to their house and cook them food. And there are always businesses that would like their floors a little cleaner, or their customers served a little faster, or one more security guard to keep everything safe. Surely they would pay some amount of money to get these jobs done? And surely some homeless person would rather take that small amount than starve on the streets? So why are there still unemployed people?

One answer must be the minimum wage, but how come this happens even in times and places where minimum wages are absent or easy to evade?

The economist suggested that not all employees are net positive. Employees can steal from you, offend your customers, or be generally weird and smelly and ruin the atmosphere. They can be late or not show up at all – and if you made plans depending on their presence, that can be worse than your never hiring them in the first place. A bad nanny can traumatize your kid. A bad maid can break your priceless vase. A litigious employee can take you to court on false charges. Somebody who’s loud and curses at you and constantly smells of marijuana can just make you a little more stressed and unhappy all the time.

So if you have a job that only produces 1 utility, but a bad employee in that job will cost you 10 utility, and there’s a 10% chance any employee you get will be bad – then you’re not going to fill that job no matter how low a salary people are willing to work for.

How bad can employees get? Please read these AskReddit links. They’re slightly off-topic, but they’re going to give you information you can’t get any other way:

AskReddit: Bosses of Reddit, what was your worst employee like?
Managers of Reddit, who was your worst employee?
What is the worst employee you have had to put up with?
Who’s the worst coworker you ever had?

It’s safe to say they can get pretty bad.

I know many unemployed people who are amazing virtuous hard-working folks. But I also know the unemployed guy who lives in a cardboard box by the BART station, is surrounded by a protective shell of discarded beer cans, and shouts “GRAAAAGH” at passers-by for inscrutable reasons. And the amazing virtuous hard-working folks have a decent shot at getting a job in the private sector eventually, but the guy who shouts “GRAAAAGH” never will. Your population of basic-job-needers is going to be disproportionately composed of people who don’t fit into the regular workforce. How do you think that will turn out?

I worry some people think choosing basic jobs over basic income means free labor. Like, if you were going to pay someone a basic income of $10K/year, but the market value of their labor is $8K/year, you could employ them running a soup kitchen, get that $8K of value, and then you’re really only “losing” $2K/year.

I am less sanguine. If you pay people $10K/year, you’re only losing $10K/year. If you employ them to run a soup kitchen, and the soup kitchen has to keep closing because of hygiene violations, or gets hit with a sexual harassment lawsuit because someone groped a customer, or burns down because someone left the stove on, or loses all its customers because the manager shouts “GRAAAAGH” at everybody who asks for soup – then you’re losing more.

6. Private industry deals with bad workers by firing them; nobody has a good plan for how basic jobs would replace this

Suppose someone does accidentally leave a stove on and burn down the soup kitchen. You transfer them to an agricultural commune and they crash the tractor into a tree. You transfer them to some kind of low-risk paper-pushing job, but they’re late to work every day and skip it entirely once or twice a week, and important papers end up tragically un-pushed. After a while, you decide they are too incompetent to add non-negative value to any of the programs on offer. What do you do with them?

If you fire them, then you’re not a basic jobs guarantee. You’re a basic-jobs-for-skilled-workers-whom-bosses-like guarantee. We already have one of those – it’s called capitalism, maybe you’ve heard of it. But a real solution to poverty would have to encompass everybody, not just people who are good at working within the system.

And if you don’t fire them, what’s your plan? Accept a certain level of burning-things-down, customer complaints, coworker complaints, and unexcused absences? Let them make everybody around them miserable? Turn your soup kitchen into some kind of federal disaster area because you’re absolutely committed to letting every single human being in the United States work there?

Or transfer them to a job in a padded room putting blocks in stacks and knocking them down again, in a way that inconveniences nobody because nobody cares about it? Abandon all pretense at creating anything other than busy-work for poor people out of an all-consuming desire to make sure nobody can live comfortably unless they have spent forty hours of every week in boredom and misery?

Or offer these people a basic income, and let all your other employees hate you for giving incompetent people leisure time at home with their family while the hard workers dig ditches all day?

This isn’t speculation about some vague future. These questions get played out all around the country in our existing “government must take everyone no matter how little they want to be there” institution, ie public school. Here’s a quote from a reader the last time we discussed the public school system.

I was friends with a guy who briefly worked as a teacher at a public high school in central DC (I’m 80% sure it was Cardozo High). He had an education background thanks to spending several years working as a youth camp counselor and as an after-school program counselor, and that was sufficient to qualify him for DCPS’ abbreviated teacher training program (such a thing existed in 2009 when he did it; I’m unsure if it is still around). During the training program, I remember him speaking about his enthusiasm for the teaching skills he was learning and about his eagerness to put them to use (in retrospect, I think some of this was a nervous attempt to convince himself the job wouldn’t be bad). After a break of several months, we spoke again, and he was almost totally disillusioned with the job and was already thinking of quitting. This is what I remember him saying:

1) On the first day of classes, there was no orientation for new teachers, no brief meeting where the Principal shook his hand and said “Welcome Aboard,” nothing. He had to go to the front office and ask a secretary what classroom was his and walk there by himself.

2) Unexcused absences were chronic and undermined his ability to teach anything. At the start of each of his classes, he had a written roster of students, and he had to check off which students were there. For any class, typically 20-30% of students would be missing, without explanation (This is a very important point to remember whenever anyone tries to blame DCPS’ poor outcomes on large class sizes–on paper, each class might have 35 students, but typically, only 23 are actually showing up). Additionally, the 20-30% of students who were absent each class varied from day-to-day, meaning one student didn’t know what was taught on Monday, the one next to him was there Monday but not Tuesday, the third was there the first two days but not Wednesday, etc.

3) Student misbehavior was atrocious. For example, out of the students who showed up to class, it was common for some to walk into the classroom late, again without any explanation and often behaving disruptively. As a rule, whenever a student did that, he was obligated to sign his name on a clipboard for the teacher’s attendance records (there was no punishment for tardiness–late students merely had to write their names down). Some late students would chronically resist doing this, either ignoring him and just going to their desks or yelling curses at him. My friend described an incident where one student–who was physically bigger than he was–yelled out he was a “FAGGOT” when asked to sign the clipboard, provoking laughs from all the other students, before sitting down without signing it. After seeing he could get away with that, the student started calling my friend “FAGGOT” all the time. Other examples of misbehavior included near-constant talking among the students during lessons and fooling around with cell phones.

4) Teachers received almost no support from the school administration. Had sane rules been followed at this high school, students would have been immediately sent to the office for formal punishment for these sorts of offenses I’ve described. However, under such a policy, the office would have been overwhelmed with misbehaving students and probably some of their enraged parents, so the administration solved the problem by forbidding teachers from sending students to the office for anything other than physical violence in the classroom. My friend had no ability to formally punish the student who liked to call him “FAGGOT” other than to use stern verbal warnings.

5) Most of the students were unwilling and in some cases unable to learn. During class sessions, the students were clearly disengaged from what he was teaching. Homework completion rates were abysmal. As the end of the academic semester neared, he saw that a huge fraction of them were on track to fail, so he resorted to pitiful cajoling, pizza parties, reward schemes, and deals involving large curves to everyone’s grades if they could only, for once do a little work, and it didn’t work. Some of his students were Latino and understood little or even no English, meaning they learned (almost) nothing, even when they tried. He resorted to seating the students who knew no English next to bilingual Latinos who could translate for them. That was the best he could do. In fairness, he spoke glowingly of some of his students, who actually put in some effort and were surprisingly smart […]

I’ll never forget how crestfallen and stressed out he was when he described these things to me. Having never taught in American public schools, I didn’t realize just how bad it was, and the detailed nature of his anecdotes really had an impact on me. I advised him to finish his year at the high school and then to transfer to ANY non-urban school in the area, even if it meant lower pay or a longer commute. We lost touch after that, but I can’t imagine he still works in DCPS.

The education system remains popular because they can always hold up glossy posters of smiling upper-class children at Rich Oaks Magnet High School and claim the system works. But basic jobs are going to be selecting primarily from the very poor demographic and they’re going to get hit with the same problem as the poorest public schools – a need for people to behave, combined with inability to credibly disincentivize misbehavior.

Basic income avoids this problem. It provides money to everyone, good employees and bad employees alike, without forcing any workplace to keep people it finds unproductive or threatening, and without having to find humiliating make-work jobs for anybody.

7. Private employees deal with bad workplaces by quitting them; nobody has a good plan for how basic jobs would replace this

And if you think this is a problem for the managers, just wait until you see what the employees have to put up with.

Some bosses are incompetent. Some are greedy. Some are downright abusive. Some don’t have any obvious flaw you can put your finger on, they just turn every single day into a miserable emotional grind. Sometimes the boss is fine, but the coworkers are creeps, or bullies, or don’t do their fair share. Sometimes the boss and the coworkers are both okay, but the job itself just isn’t suited to your personality and what you can manage.

In private industry, people cope by leaving their job and finding a better one. It’s not a perfect system. A lot of people are stuck in jobs they don’t like because they’re not sure they can find another, or because they don’t have enough money to last them through the interim. And this is one reason why poor people who can’t easily change jobs have worse working conditions than wealthier people who can. But everyone at least has the option in principle if their job becomes unbearable.

What about the people who can’t get any jobs besides the guaranteed basic ones? How do they deal with abusive working conditions?

Probably somebody will set up some system to let you quit one basic job and go to a different one in the same city. But probably it will end up being much more complicated than that. How do you deal with the guy who quits every job after a week or two, looking for the perfect cushy position? How do you deal with the case where there’s only one basic job available within a hundred miles? How do you deal with the case where everyone wants the same few really good jobs, and nobody wants to work at the awful abusive soup kitchen down the road?

People will set up systems to solve these problems, and the systems will be unwieldy and ineffective, just like the systems for switching public schools today, and just like all the other clever top-down socialist systems people invent to replace exit rights. Probably they’ll take the edge off some of these problems, but probably nobody will be truly satisfied with the results.

Basic income solves this problem. It doesn’t make anybody stay at a workplace they don’t like.

8. Basic income could fix private industry; basic jobs could destroy it

In my dreams, the government finds a way to provide a basic income at somewhere above subsistence level. The next day, every single person working an awful McJob quits, because there’s no reason to work there except not being able to subsist otherwise.

After that, one of two things happens. First, maybe McDonald’s makes a desperate effort to invent awesome robots that can serve food without human support. Society and Ronald McDonald share a drink together – McDonald’s has managed to remain a profitable company providing a valuable service, and poor people live comfortable lives without having to flip burgers eight hours a day.

Or maybe inventing robots is hard, and McDonald’s has to lure some people back. They raise pay and improve working conditions, until the prospect of working for McDonald’s and getting luxuries is better than the prospect of living off basic income and getting subsistence. Maybe McDonald’s has to raise prices; maybe they even have to close some stores. But again, something like McDonald’s continues to exist and workers are relatively well-off.

A poorly-planned basic jobs guarantee could make the problem worse. Suppose that the government decided to use its free labor to farm cows. This puts various private cow-farming companies out of business; after all, the government can pay its employees out of the welfare budget, but private companies have to pay employees out of revenue. Some of the unemployed cow-farmers go get a guaranteed basic job, putting further private companies out of work. And other unemployed cow-farmers go work at McDonald’s, driving up the supply of McDonald’s employees and so ensuring lower wages and worse conditions.

This isn’t to deny that a well-planned basic jobs guarantee could have the same effect as basic income; if the government jobs were better than McDonald’s’s, McDonald’s might have to raise wages and improve conditions to lure people back. The direction of the effect would depend on how good the government jobs are and how much they compete with private industry. I predict the government jobs will be very bad, and compete with private industry a lot, which makes me expect the effect will be negative.

9. Basic income supports personal development; basic jobs prevent it

I have a friend who was stuck on a dead-end career path. His job paid a decent amount, he just didn’t really like where it was going. So he saved up enough money to live on for a year, spent a year teaching himself coding, applied to a programming job, got it, and felt a lot more comfortable with his financial situation.

And I had a patient in a similar situation. Hated her job, really wanted to leave it, didn’t have enough skills to get anything else. So she went to night school, and – she found she couldn’t do it. After working 8 to 6 every day, her ability to go straight from a long day’s work to a long night’s studying just wasn’t in the cards. And her income didn’t give her the same opportunity to save up some money and take a year off. So she gave up and she still works at the job she hates. The end.

Basic income would give everyone who wants to work the same opportunity as my friend – the ability to take a year off, cultivate yourself, learn stuff, go to school, build your resume – without it being a financial disaster.

Basic jobs would leave everyone in the same position as my patient – forced to work 40+ hours a week, commute however many hours a week, good luck finding time to earn yourself a ticket out of that lifestyle while still staying sane.

There are more creative things you can do with time off work. Entrepreneurs like to talk about “runway” – how long can you keep burning through money before you run out and have to declare your new business a failure? Sometimes your runway is costs like renting an office or paying employees, but for small one-person businesses the question is usually “how long can I continue to live and feed myself working on this not-yet-profitable company?”

And poor people have runway issues of their own. One of the most common reasons poor people end up in crappy jobs is because they don’t have the luxury of a long job search. If your savings will only last you a month before you can’t make rent, you’re going to accept the first job that will take you and feel grateful for it. If you have a guaranteed income source, you can wait until somebody presents you with a better fit.

Basic income is unlimited runway. Entrepreneurs can feel free to try out crazy ideas without the constant pressure of losing their shirt; people in between jobs can feel free to spend time looking for options they can tolerate.

Basic jobs solves none of these problems, and maintains the time pressures that prevent people from exploring interesting ideas or realizing their full potential.

10. Basic income puts everyone on the same side; basic jobs preserve the poor-vs-the-rest-of-us dichotomy

Welfare users often talk about the stigma involved in getting welfare. Either other people make them feel like a parasite, or they just worry about it themselves. Basic jobs would be little different. There will be the well-off people with jobs producing useful goods and services. And there will be the people on guaranteed basic jobs, who know their paychecks are being subsidized by Society. In the worst case scenario, people complaining about workplace abuses at their guaranteed basic job will be told how lucky they are to have work at all.

Basic income breaks through that dichotomy. Everybody, from Warren Buffett to the lowliest beggar on the street, gets the same basic income. We assume Warren Buffett pays enough taxes that the program is a net negative for him, but taxes are complicated and this is hard to notice. Rich people are well aware they contribute more to the system than they get out. But they don’t think of it on the level of “I pay $340 in taxes to support my local police station, but only get $154.50 of police services. Meanwhile, Joe over there pays $80 in police taxes and gets $190 in police services. I hate him so much!”

There will be people on basic income who have no other source of money. There will be people who supplement it with odd jobs now and then. There will be people who work part-time but who plausibly still get more than they pay in taxes. There will be people who work full-time and maybe pay more than they get but aren’t really sure. At no point does a clear dichotomy between “those people getting welfare” and “the rest of us who support them” ever kick in.

11. Work sucks

Amidst all of these very specific complaints, I worry we’re losing site of the bigger picture, which is that work sucks. I have my dream job, the job I’ve been lusting after since I was ten years old, it’s going exactly as well as I expected – but I still Thank God It’s Friday just like everyone else.

And other people have it almost arbitrarily worse. Here are some of the cases you hear about several times a week doing psychiatry:

“I work really long days at my job. I have to deal with angry clients, bosses who don’t appreciate me, and coworkers who try to dump their work on me. By the time I get home after my hour-long commute, I’m too wiped to do anything other than make a microwave dinner and watch TV for an hour or two until I pass out. Then on the weekends I take care of business like grocery shopping, cleaning, and paying my bills. Then Monday comes around and I have to do it all over again. I feel like work drains all my energy and doesn’t leave me any time to be me. I used to play in a band, and we had dreams of making it big, but I had to quit because I don’t feel like I have time for it any more. It’s just work, go home, sleep, repeat.”

“I can’t stand the new open office plan. I feel like I’ve got to do work in the middle of a loud bar where everyone’s trying to talk over each other. Sometimes I hide in the janitorial closet just so I can concentrate for a couple of hours while I finish sometimes important. I’m afraid if anyone ever catches me doing that they’ll say I’m ‘not a team player’ and I’ll get written up, but I just can’t take being crammed together with all those people. Maybe if you gave me some Adderall I could focus better?”

“Sorry I haven’t seen you in a few months. My workplace says it gives time off for doctor’s appointments, but you still get in trouble for missing targets, and I just couldn’t find any time that works. I ran out of my medication a month ago and am having constant panic attacks, so if you could refill that right away it would be nice. And sorry, I need to go now, I’m actually calling you from the bathroom. I wanted to call you from the janitorial closet, but when I went in, there was a woman inside who mumbled something about the open office plan and accused me of distracting her.”

And the people with the worst jobs don’t have good enough time or money to see psychiatrists; I just never meet them. But I understand it gets pretty bad:

Amazon employee here. The post [The Undercover Author Who Discovered Amazon Warehouse Workers Were Peeing In Bottles Tells Us The Culture Was Like A Prison] is pretty spot on. They don’t monitor bathroom breaks, but your individual rate (or production goal) doesn’t account for bathroom breaks. Or let’s say there is a problem like you need two of something and there’s only one left, well you have to put on your “andon”, wait for someone to come “fix” for you, all the while your rate is dropping. The two most common reasons pepole get fired are not hitting rate, and attendance. They don’t really try to help you hit rate, they just fire and replace.

My first week there two pepole collapsed from dehydration. It’s so common place to see someone collapse that nobody is even shocked anymore. You’ll just hear a manager complain that he has to do some report now, while a couple of new pepole try to help the guy (veterans won’t risk helping becuse it drips rate). No sitting allowed, and there’s nowhere to sit anywhere except the break rooms. Before the robots (they call them kivas) pickers would regularly walk 10-15 miles a day, now it’s just stand for 10-12 hours a day.

People complain about the heat all the time but we just get told 80 degrees (Fahrenheit obviously) is a safe working temp. Sometimes they will pull out a thermometer, but even when it hits 85 they just say it’s fine.

There’s been deaths, at least one in my building… Amazon likes to keep it all hush hush. Heard about others, you can find the stories if you search for it, but Amazon does a good job burying it.

Every now and we have an inspection, where stuff like this should be caught and changed. But they just pretty it up. If the people doing the inspection looked at numbers on inspection day vs normal operation, they would see a massive difference… but no fucks given.

The truth is the warehouses operate at a loss most the time, Amazon literally can’t afford to pay the workers decent pay, and can’t afford to not work them to death. The entire business model is dependent on cheap (easily replacable) labor, which is why tier 1s are the bulk of the Amazon work force. My building has like 3-5k workers most the time and around 10-30k on the holiday (what they call peak). Almost all of that is tier 1, most states have 4-7 of these warehouses, and some like Texas and Arizona have tons more.

Next time you order something off Amazon, remember it was put in that box buy a guy sweating his ass off trying to put 100-250 things in a box per hour, for 10 hours a day or he will be fired, making about a dollar more than minimum wage. Might have even been a night shift guy, who goes to work at 630pm and gets off at 5am.

I 100% understand that advocates of basic jobs insist that they’ll be better than that, that they guarantee really good jobs in clean sunny offices where everybody has a smile in their face and is well-paid. I also understand they said the same thing about those DC public schools before throwing huge amounts of money at them. Forget promises; I care about incentives.

Either one of basic jobs or basic income could be potentially the costliest project the US government has ever attempted. Government projects usually end up cash-constrained, and the costliest one ever won’t be the exception. The pressure to cut corners will get overwhelming. It’s hard to cut corners on basic income – either citizens get their checks or they don’t. It’s simple to cut corners on basic jobs. You do it the same way Amazon does – you let working conditions degrade to intolerable levels. What are your workers going to do do? Quit? Neither Amazon nor government-guaranteed basic jobs need to worry about that – both know that their employees have no good alternatives.

Gathering a bunch of disempowered poor people in a place they’re not allowed to opt out of, with budget constraints on the whole enterprise, is basically the perfect recipe for ensuring miserable conditions. I refuse to believe that they will be much better than private industry; the best we can hope for is that they end up no worse. But the conditions in private industry are miserable, even for people with better resources and coping opportunities than basic jobs recipients are likely to have.

I grudgingly forgive capitalism the misery it causes, because it’s the engine that lifts countries out of poverty. It’s a precondition for a free and prosperous society; attempts to overthrow it have so consistently led to poverty, tyranny, or genocide that we no longer believe its proponents’ earnest oaths that this time they’ve got it right. For right now, there’s no good alternative.

But if we have a basic jobs guarantee, it will cause all the same misery, and I won’t forgive it. The flimsy justifications we can think up won’t be up to the task of justifying the vast suffering it will cause. We can’t excuse it as necessary to produce the goods and services we rely on. We can’t excuse it as a necessary condition for political freedom. If a worker asks “why?”, our only answer will be “because Cory Booker thought a basic jobs guarantee would play better among the electorate than basic income, now get back to packing boxes and collapsing from dehydration”. There will be an alternative: a basic income guarantee. We will have rejected it.

I feel like as a quasi-libertarian, I sometimes downplay how awful private industry, capitalism, and the modern workplace are. If so, I apologize. The only possible excuse for defending such a flood of misery is what inevitably happens when people meddle with it. But the price of such morally tenuous greater-good style reasoning is that you need to stay hyper-aware of times when you don’t need to defend the system, when there is a chance to do better without destroying everything. I think basic income is such a chance. And I think basic jobs are a tiny modification to the idea, which destroys its potential and perpetuates all the worst parts of the existing system.

It would be unfair to make this argument without responding to jobs’ proponents points, so I want to explain why I don’t think they provide a strong enough argument against. These will be from the Sarris piece. I don’t want to knock it too much, because it’s a really fair and well-written piece that presents the case for jobs about as well as it can be presented, and any snark I might give it below is totally undeserved and due to personal viciousness. But it argues:

i) Studies of UBI haven’t been very good, so we can’t know if it works.

Studying a UBI pilot with an end date is not studying UBI at all: It is instead studying a misnamed temporary cash payment. By the nature of pilots, the cohort’s behavior cannot reliably change to depend on UBI’s long term existence. No study yet has guaranteed a cohort money forever, and even if it did it would be difficult for a pilot to study the long term effects, some of which may be generations out. What pilot can tell us what its like for kids to grow up with parents who have never worked?[…]

Basic Job programs are more amenable to piloting and a gradual roll-out, since new clusters of jobs appear (and end) all the time. Piloting Basic Jobs can be tried in different communities with varying magnitudes. The legislation to justify such a pilot may already be in place[1], and even a pilot may have lasting benefits. What we learn from the pilot will be more applicable than studying temporary cash transfers in a community and expecting that knowledge to translate into society-wide UBI. If a pilot is successful, one can imagine a kind of National Civil Service, organized like existing federal programs such as the National Park Service, which can hire professionals to train and supervise projects.

I have some minor caveats – Alaska has had a (very small) universal basic income for some time, which seems to have worked relatively well. And basic job studies will also have trouble scaling; smaller trials might preferentially select the most functional unemployed people, would have less impact on private industry, and can always just dismiss people back to the general pool of the unemployed. But overall I agree with the point that basic income is a bigger change and we should be more suspicious of bigger changes.

But at some point you’re arguing against testing something because it’s untested. If we can’t 100% believe the results of small studies – and I agree that we can’t – our two options are to give up and never do anything that hasn’t already been done, or to occasionally take the leap towards larger studies. I think basic income is promising enough that we need to pursue the second. Sarris has already suggested he won’t trust anything that’s less than permanent and widespread, so let’s do an experiment that’s permanent and widespread.

ii) UBI gives everyone the same amount, but some people need more (for example, diabetics need more money to pay for insulin). Existing social programs like medical aid take this into account; UBI wouldn’t.

This seems like exactly the problem that insurance exists to solve. Bringing insurance into the picture, “everybody has to get this” switches from a negative to a positive.

I won’t speculate on how this will look, except to note that it would work well with some kind of mandate where the cost of a Medicare-like state insurance gets auto-deducted from your UBI. Since I’m quasi-libertarian, I would support people’s right to opt out of this, after signing and notarizing a bunch of forms with “I UNDERSTAND I AM AN IDIOT AND MIGHT DIE” on them in big red letters, but I understand other people might prefer to avoid the chance of moral hazard. It still seems like this problem is solvable.

iii) Somehow even if everyone has more money they won’t be better off

One of the biggest assumptions people make with UBI is that the problems of today and the near future are primarily ones of money. I don’t think the data supports this. [link to various charts showing that people generally have food and access to health care]

On some level, if you’re tempted to believe this you should find a poor person and ask them how they feel about being poor. I predict they will say it is bad. They will not agree that our society has basically solved all of its money-related problems. They will say there is a very real sense in which their money-related problems remain unsolved. I guarantee you they will have very strong feelings about this.

But that’s overly pat. A steelman of Sarris’ point might go something like this: it definitely seems true that there is some complicated way in which a family of eight living in a tiny farmhouse in the Kansas prairie in 1870 was happy and felt financially secure even though they probably only earned a few hundred dollars a year by today’s measures. So isn’t it weird that people earning twenty thousand dollars a year still think of material goods as their barrier to happiness?

I think explaining that effectively would require a book-length treatment. But I think the book would end with “even though it’s weird and complicated, poor people today who make $10,000 or $20,000 are often unhappy, in a way that richer people today aren’t, and this involves money in a real sense.”

I am not the person to write this book (though see the post on cost disease); I can only relay what poor people tell me. Sometimes it’s “my rent-controlled apartment is underneath noisy frat boys who keep me awake every night with their parties, but I can never leave because it’s the only apartment I can afford in this town.” Sometimes it’s “I hate my boss but I can’t leave because if I go a month without getting a paycheck I won’t have enough money for rent.” Sometimes it’s “I couldn’t afford good birth control, got pregnant, and now I can’t afford to support the child, what do I do?” Sometimes it’s “Obamacare mandates me to buy health insurance, but I can’t afford it, I guess I am going to have to pay a fee I can’t afford on tax day instead.” Sometimes it’s any of a thousand versions of “my car broke down and I can’t afford to get it fixed but I need to get to work somehow”. Sometimes it’s “I am sick but if I miss a day of work my company will fire me, because when you’re poor enough legally-enshrined workplace protections somehow fail to exist in real life”. And sometimes it’s “I work eighty hours a week driving for Uber because it’s the only way to make ends meet, I hate everything.” A lot of times it involves the same crappy job-centered lifestyle I worry a basic jobs guarantee would perpetuate forever.

Trying to steelman the “it’s not money” point further takes us to Sarris’ other essay on UBI, where he writes:

Rent is currently eating the world. Rental income just hit an all-time high. If everyone is given a very predictable amount of money, it may be seen as a system that can be gamed by landlords and maybe other essentials producers. Implementing UBI without reforming land use and zoning regulations may end up as nothing more than a slow transfer to landlords. What are the odds of that happening? Well, it seems like it already did happen with healthcare and college tuition (loans) in the US, and if those are our guide, the “money” part and the “meaningful reforms” part should be done in a very particular order.

Since housing does work well in some places (Japan and Montreal come to mind) I think this is a problem that can be fixed. But without the fix first, UBI may be punting real political problems while giving the appearance of solving them (until years later), and making the price inflation obvious for landlords, just like it was for healthcare companies and colleges getting guaranteed loans.

Payments as a solution to a broken system is not the same as fixing the system. If UBI punts this real problem, we’ll be creating a financial time bomb.

This is basically how I think about any request for giving more money to education or health care, so I guess I have to take it seriously. Maybe the situations aren’t exactly the same – education and health care seem to eat up money by hiring administrators, which doesn’t have an obvious analogy to ordinary individuals. But the Kansas farmhouse example suggests that something like this must go on even at the personal level.

It looks like probably what’s being described is that – absent some magical ability to create new houses out of thin air (a task known to be beyond the limits of modern technology) – housing is a positional good and so raising the position of everyone equally will just give extra cash to landlords. The best that can be said here is that insofar as these goods aren’t perfectly inelastic, basic income will help a little. And insofar as other goods used by poor people (cars? furniture? generic medications?) are decently elastic, basic income will help a lot. I do agree the problem exists.

But I think this is one case where basic income is clearly better than basic jobs. All basic jobs can do is give you money, which can get eaten by rent-seekers. Basic income gives you freedom. Somebody works 50 hours a week at two McJobs to afford an apartment, gets basic income, and then they work 20 hours a week at one McJob and afford their apartment. The price of an apartment doesn’t change, but their life has improved.

And by lowering the demand for jobs, basic income provides the seed of a solution to the housing problem. The reason rent costs so much in the Bay Area is because everyone wants to live in the Bay Area because it has so many great jobs. You can buy a house in the country (or in an unpopular city) for cheap; people don’t because the jobs aren’t as good, or the good jobs take longer to find. Freed from the need to live right in city center (or right next to the subway stop leading to city center), people can spread out again. If rent is $2000 in San Francisco and $500 in Walnut Creek, they can live in Walnut Creek (and still go to San Francisco whenever they want – cities are very accessible from suburbs, for every purpose except commuting during rush hour five days a week).

Go to the suburbs and people are building new housing tracts all the time. Supply is elastic and everyone’s backyards are so far away from one another that NIMBYs mostly stay quiet. It’s only when our job-centered culture forces everybody into historic San Francisco city center that we start having problems.

There’s still going to have to be a hard battle against cost disease. But much of the cost disease comes from overregulation and creeping socialism, and much of overregulation and creeping socialism come from well-intentioned concerns about the poor. Witness how California’s recent housing bill was opposed by socialists making vague warnings about “greedy developers”. If we can solve the non cost-disease-related parts of poverty first, maybe the socialists will lose some power and we can start fighting the cost disease problem in earnest.

iv) Without work, people will gradually lose meaning from their lives and become miserable

After claiming that money isn’t really a problem for most people, Sarris continues:

The biggest societal ill today is not that people don’t have enough money to survive, it is that to survive and thrive people need things beyond food and rent: Social responsibility, sense of purpose, community, meaningful ways to spend their time, nutrition education, and so on. If we fixate merely on the money aspect, we may be misdiagnosing what is making our 21st century so miserable for so many people.

From some psychologists’ points of view, one of the worst things you can do to someone who is suffering from addiction or loss of hope is to give them no-strings-attached money, when what they really need is regularity and the responsibility that comes from having a purpose, even if its simply a job or a station. Basic Jobs have a chance of making the opioid crisis better, UBI risks making it worse…the at-risk population in the US need functions and responsibility more than just a check.

Social responsibility. Sense of purpose. Community. Meaningful ways to spend your time. This is some big talk for promoting jobs that in real life are probably going to involve a lot of “Do you want fries with that?” Getting a sense of purpose from your job is a crapshoot at best. Getting a sense of purpose outside your job is a natural part of the human condition. The old joke goes that nobody says on their deathbed “I wish I’d spent more time at the office”, but the basic jobs argument seems to worry about exactly that.

And let’s make the hidden step in this argument explicit. Everyone on basic income will have the opportunity to work if they want. In fact, they’ll have more opportunity, since people who hate working will have dropped out of the workforce and demand for labor will rise. So the basic jobs argument isn’t just that people need and enjoy work. The argument is that people need and enjoy work, but also, they are too unaware to realize this, and will never get the work they secretly crave unless we force them into it.

That doesn’t seem right. I don’t know enough hopeless opiate addicts to contradict an apparent psychological consensus on them, but it seems to me a lot of people do perfectly well finding meaning on their own time.

What about the retired? The graph of happiness vs. age looks like this:

This is not the shape we would expect if stopping work suddenly made you miserable and deprived you of purpose. Retired people seem to avoid work just fine and have lots of fun golfing, watching golf tournaments, going on golf vacations, arguing about golf, and whatever else it is retired people do.

Sarris says that “If you think UBI would not make the opioid crisis worse, the onus is on UBI proponents to show how writing ‘UBI’ on the top of the check instead of ‘disability’ would do that.” I would counter-argue that the onus is on opponents to explain why writing ‘UBI’ on the check works so much worse than writing ‘Social Security’.

What about homemakers? Yes, homemaker is a full-time job. But it’s the full-time job a lot of people would do if they didn’t have to do their regular full-time job, which makes it fair game when we’re talking about basic income. Here’s a graph of male vs. female happiness over time:

If we assume most women in 1970 were homemakers, and most women in 2000 are working, their shift from homemaking to working doesn’t correspond to any improvement in happiness, either absolutely or relative to men.

There is some debate over whether modern-day homemakers are happier than modern-day workers or vice versa, with the most careful takes usually coming down to “people who prefer to stay home are happier staying home, people who prefer to work are happier working”. But there is no sign of the collapse in meaning and happiness we would expect in homemakers if not having an outside-the-house job reduces you to purposeless nihilism.

When I bring this up to people, they always have the same objection: “Didn’t women back then use lots of tranquilizers because of how stressed and upset they were? Didn’t they even call Valium ‘Mother’s Little Helper?'” Yes. But take it from a psychiatrist who prescribes them: people still use lots of tranquilizers. Nobody cares anymore, because it’s no longer surprising or ironic.

Sure glad that tranquilizer overuse problem got nipped in the bud in the 1970s when we cancelled stay-at-home parenting.

What about aristocrats? History presents us with many examples of entire classes who managed to live off other people’s work and avoid working themselves. These people seem to have not only have been pretty happy with the deal, but often used their free time to contribute in less purely economic ways. Lord Byron and Warner von Braun were hereditary barons, Bertrand Russell a hereditary earl, de Broglie a hereditary Duke, Condorcet and de Sade hereditary Marquises. Von Neumann’s family was some kind of nouveau riche Austro-Hungarian nobility; Wittgenstein’s family was something similar. Winston Churchill was grandson of a Duke and son of a Lord. None of them ever had to worry about money: society gave them a giant basic income check from their ancestral estates.

Yet Churchill found meaning by saving the UK. Von Braun found meaning by shooting missiles at the UK. Condorcet found meaning by becoming one of the foremost defenders of human rights. De Sade found meaning by becoming one of the foremost violators of human rights. De Broglie and von Neumann found meaning by contributing to fundamental physics. Russell and Wittgenstein found meaning by literally figuring out what meaning was. Overall they seem like a pretty flourishing bunch.

What about college students? Technically they have to go to classes, but a lot of them get away with ten hours or less of class per week, and even more of them just never attend. Some, like Mark Zuckerberg and Bill Gates, use the extra time to found startups. Others, like everyone else, use the extra time to party and take lots of drugs. Either way, they seem pretty happy.

What about the self-employed? Being self-employed costs you a lot of the supposed psychological benefits of work. You might not be leaving the house. You might not be interacting with other people. But studies find that the self-employed are happier than the other-employed, even though they work longer hours and have less job security.

What about hunter-gatherers? Hunting-gathering in a fertile area is a pretty good gig, and usually lets people support themselves with only a few hours’ work per day. Most evidence suggests they’re pretty happy despite their lack of material goods.

What about schoolchildren? Every year, I would complain that I hated school. Every year, my mother would repeat some platitude like “Oh, when summer comes around you’re going to be so bored that you’ll be begging to go back”. And every year, summer vacation would be amazing, and I would love it, and I would hate going back to school with every fiber of my being. I understand this is pretty much a consensus position among schoolchildren. This has left me forever skeptical of arguments of the form “Oh, if you had freedom you would hate it”.

What about me? When I graduated medical school, I applied to residency and was rejected. That left me with a year open before I could try again. Thanks to some odd jobs, a little savings, and charity from friends and family, I was able to subsist. I spent the year meeting new people, hiking around California, falling in love, studying philosophy, and starting this blog. At the end of the year I applied to residency again and was accepted. I’m glad I got the job I wanted, but I also remember that year fondly as maybe the best I’ve ever had, and the one that set the stage for a lot of the good things in my life that happened since. I think this is pretty common for well-off people. We call it a “gap year” or a “sabbatical” or “going off to find yourself” or any of a bunch of other terms that disguise how it’s about doing exactly what people say you can’t do – being happy without a 9 to 5 job.

When I bring these points up, basic jobs advocates usually find reasons to dismiss all of them. Schoolchildren and college students are at a special part of their life that doesn’t generalize. Homemakers like being with their kids. Aristocrats get the world as their oyster. Retirees are mysteriously and permanently mesmerized by golf, which becomes an ur-need subsuming all other human desires. Hunter-gatherers are evolutionarily adapted to their lifestyles. I am just weird. They dismiss all of these as irrelevant and go back to their core example: in the US, right now, unemployed and disabled people are terribly unhappy.

I accept the very many studies that show this, but I do wonder if this has more to do with contingent features of unemployment than with work being necessary to human flourishing. For example, unemployed people are chronically low on money. Unemployed people face stigma and constant social pressure to get employment. Unemployed people live in a society built around and emphasizing jobs. Unemployed people may have pre-existing problems in their lives that led to their unemployment. Unemployed people sometimes suffer from disabilities or chronic pain. Unemployed people have no friends to hang out with during business hours because everyone else is working.

If you compared gay vs. straight happiness in 1980, you probably would have found gay people were much less happy. Now some studies suggest that in liberal and accepting areas, they are as happy or happier. The relative happiness of different groups isn’t necessarily a human universal; it can also depend on how society treats them.

Given all this, I lean in favor of thinking most people would tolerate financially secure leisure time just fine. I might be wrong. But I am still more comfortable letting people decide for themselves. People who try leisure and like it – or who prefer homemaking, or taking care of elderly parents, or anything else – will stay out of the workforce. People who try leisure and don’t like it will apply for the new, better class of jobs that will exist once increased demand for labor has forced employers to up their standards. Or they’ll go volunteer at their church. Or they’ll start a nonprofit. Or they’ll do something ridiculous like try to be the first person to unicycle around the world.

Or maybe the meaninglessness of modern life will start to recede. Why don’t we have strong communities anymore? One reason I keep hearing from my patients is that they had lots of friends and family back home in Illinois or Virginia or wherever – but all the good jobs are in the Bay Area so now they live here and don’t know anybody. My own friends have managed to set up a halfway-decent semi-intentional community in California, but only because by a happy coincidence they all work in computers and all the good computer jobs are in the Bay. Freeing people from needing to orient their entire life around where they can get a job might lead to a lot more intentional communities like mine. Or it might lead to other things we can’t think of right now. A bunch of people with a lot of leisure time to throw at problems, and a bunch of people with money and a problem of meaningless, seems like a pretty good combination if you’re looking for meaning-as-a-service.

The best studies on homemakers find that women who want to be homemakers are happier as homemakers and sadder if forced to work, and women who want to work are happier as workers and sadder if forced to stay at home. I would not be surprised if there are some people who are happiest working, and others who are happiest pursuing leisure activities. A basic income would make it easier for both groups to get what they want.

v) If something went wrong, basic jobs programs could be more gracefully wound down.

What if it doesn’t work? What if we run out of jobs? Suppose a Basic Job program fails 20–30 years into the future. Maybe there’s too much corruption or not enough oversight, or the political will is no longer there, or the money itself is no longer there. Contingency planning is good: No matter how much you trust the pilot, you still want an airplane with emergency exits.

If this happens, the side effects seem less severe (or even mildly positive) when contrasted with a UBI failure. So what if we accidentally fund farms, and bakeries, and furniture production, and house construction, and all sorts of small scale crafts across the country? Even in pessimistic scenarios we can expect some of the businesses and functions built to continue serving their communities after an official program is gone, in the same way that the Hoover dam is still there. A Basic Job program can plan for contingencies and the divvying up of what’s been created, democratically, by community. Sheep farmers that are no longer supported by the government have at least got their flocks. If things ever go south, Basic Jobs better position us to try something else.

“So what if we accidentally fund farms?” asked Stalin, creating the kolkhozes. Maybe I am being mean here, but “let’s guarantee full employment by sticking poor laborers on a government farm somewhere and teaching them to till the earth” is a plan that ought to set off as many historical alarm bells as “let’s do something about all the Jews around here” or “let’s murder the Mongol trade delegation”.

True, nobody is proposing the other prong of socialist agricultural policy, which is crushing the private farms. But it’s important to remember that what’s being proposed is basically socializing large parts of the economy in ways that history tells us lead not only to agricultural catastrophe when being set up, but to economic ruin when being wound down:

In the 1990s, the GDP of Russia declined by 50%. Fifty percent! I don’t know if that’s ever happened before in history outside of a civil war or foreign invasion. The Iraqi economy survived the Iraq War and subsequent sectarian conflict better than the Russian economy survived winding down its basic jobs program.

Maybe I’m being unfair. Socializing part of the economy is probably safer than socializing all of it. And not crushing the private farms really does provide a safety valve that previous collectivization efforts lacked (though if the government farms are more subsidized than they are inefficient, you’ll crush the private farms whether you want to or not).

But I’m still not sure if unsocializing the economy is as easy as winding down a basic income. If you want to wind down a basic income, you decrease it by 5% per year, and each year more people go to work in the private sector or start training to do so. If you want to wind down a nationwide system of collective farms, you – well, empirically you flail about for a while, collapse into a set of breakaway republics, and end up getting ruled by Vladimir Putin.

vi) Basic jobs could be used to create useful infrastructure

Have the imagination to consider all of the work that is not being done, and FDR-style public works programs can be found almost everywhere. Building bicycle lane networks. Creating and maintaining public parks, flowerbeds, sidewalks. Demolition and recycling and re-urbanization (or re-forestation) of derelict factory grounds. There are so many things that would make parts of the US better places to live. As long as swaths of America are in disrepair and also where the jobs aren’t, Basic Jobs has a mission to fulfill.

Some of my concern here comes from my concern (mentioned above) that basic-job-havers would not be very good employees, and that you would probably save money by handing needy people a check and separately hiring some super-efficient megacorporation to make your flowerbeds.

But another part comes from asking myself – which would I rather have? More flowerbeds and sidewalks? Or forty extra hours a week to spend seeing friends and family, or pursuing hobbies that I love? Framed this way, the answer is super-obvious – and remember, I love my job.

vii) Capitalism seems to have historically worked pretty well, and basic jobs guarantees preserve the best features of capitalism

We want to try and keep [the] positive effect of capitalist economic transactions. UBI creates paychecks, Basic Jobs programs do too, but Basic Jobs also create transactions, incentives, and products, fulfilling secondary needs for society.

Basic Jobs can be thought of as a program that is paying people to make other people’s lives better in addition to their own. We are paying people to produce local food and crafts, in a subsidized fashion that gives communities an alternative to the WalMart-esque globalized marketplaces. If the government subsidizes the workers so that their goods can be competitive, it will foster local economies while putting money in the pockets of local worker who themselves have more power. Hopefully, the second-order effects of such commerce are large enough to notice. Maybe the benefits will stay. One could argue that the strong Swiss and other European agricultural subsidies are already a soft form of Basic Jobs.

“Capitalism” is a Rorschach test that means many things to many people. Some people think it means oppression, discrimination, and exploitation. Other people think it means any level of freedom better than you get in Maoist China. Still other people identify it with corporations, or banks, or barter, or any of a thousand other things. But to me, if capitalism means anything at all, it means…

Well, remember argument iv above? About how maybe poor people’s lives will be meaningless without work, and maybe they’re not sufficiently self-aware to realize that on their own, so the government should make them work for their own good, in whatever industry most needs their help?

To me, capitalism means shouting “FUCK YOU” at that argument, at the intuitions behind that argument, and at the whole social structure that makes those intuitions possible, then sterilizing the entire terrain with high-quality low-cost American-made salt so that no other argument like it can ever grow again. There are other parts of capitalism, like the stuff about stock exchanges, but they all flow from that basic urge.

Capitalism certainly doesn’t mean you should never get money without working. Heck, some leftists would define a capitalist as a person who gets money without working. The part where you get money without working is the fun part of capitalism. The thing where most people don’t get that is the part that could do with some fixing. That’s why a lot of history’s greatest capitalists (in both senses of the word) – from Friedrich Hayek and Milton Friedman to Mark Zuckerberg and Elon Musk – have supported basic income.

My intuitions are basically Georgist (note to self: read Henry George before saying this too many more times). Capitalists deserve to keep the value they create, but they also owe rent on common resources which they enclose and monopolize (eg land, raw materials). That rent gets paid to the State (as representative of the people who are denied use of the commons) in the form of taxes. The State then redistributes it to all the people who would otherwise be able to enjoy the monopolized resources – eg everybody. I think this process where businesses pay off the government for their raw materials is pretty similar to the process where they pay off the investors for their seed money, and that the whole thing fits within capitalism pretty nicely.

I don’t think the government taking a big role in the economy for Your Own Good can ever really fit within capitalism, at least not the parts of it that I consider valuable. I would consider a basic jobs guarantee, if it lasted, to be a victory for socialism over the parts of capitalism I hold dear – the final triumph of the old Soviet joke about how “We pretend to work, they pretend to pay us”. If you want an image of the future, imagine a glassy-eyed DMV employee staring at a clock, counting down the hours until she can go home – forever.

And that’s what we’re debating here – an image of the future. These basic guarantees always get brought up in the context of technological unemployment. I’ve looked into this before, and although I don’t think jobs are being destroyed per se, I think it’s definitely possible they’re getting worse for complicated reasons. So as more and more people start getting worse and worse jobs, we can choose one of two paths.

First, we can force more and more people into make-work low-paying government jobs. Extrapolate to the very far future, and 99% of the population will spend their time sending their kids off to daycare before a long day of digging ditches that a machine could have dug better, while 1% of people have amazing robot empires.

Second, we can try to break the link between toiling for someone else and being able to live. We can set some tax rate and promise that all revenue above some amount necessary to fund state functions will be redistributed as basic income. It’ll be pretty puny at first. But as GDP grows, more and more people will opt out of work. As the payments increase, we can gradually transfer various forms of welfare into insurance, and use the gains to grow the payments further. There will be plenty of well-paying jobs for whoever wants to keep working, and lives of leisure and enjoyment for the people who don’t. Robots will pick up the slack and keep the big corporations generating the value that gets siphoned off. Extrapolate to the very far future, and 99% of people live in constantly-improving comfort and freedom, while 1% of people have that plus amazing robot empires.

Both of these are kind of tame shock-level-zero visions. But they set the stage for whatever comes next. If we have genetically enhanced superchildren, or Hansonian em overlords, they’re going to inherit the same social structures that were on the scene when they got here. Whatever institutions we create to contain today’s disadvantaged will one day be used to contain us, when we’re disadvantaged in a much more fundamental way. I want those structures to be as autonomy-promoting as possible, for my own protection.

I grudgingly admit basic jobs would be an improvement over the status quo. But I’m really scared that it becomes so entrenched that we can never move on to anything better. Can anyone honestly look at the DC education system and say “Yeah, I’m glad we designed things that way”? Doesn’t matter; we’re never going to get rid of it; at this point complaining about it too much would send all the wrong tribal signals. Nothing short of a civil war is going to change it in any way beyond giving it more funding. I dread waking up in fifty years and finding the same is true of basic jobs.

This is what I mean by hijacking utopia. Basic income is a real shot at utopia. Basic jobs takes that energy and idealism, and redirects it to perpetuate some of the worst parts of the current system. It’s better than nothing. But not by much.

[EDIT: Sarris’ response, where he argues that I am comparing the most utopian formulation of basic income to a very practical ‘let’s get a few unemployed people back to work’ version of basic jobs.]

Links 5/18: Snorri URL-uson

The ancient Persian calendar may be the most metal of all calendars, with months like “Month Of Wolf Killing”, “Month Of The Nameless God”, and “The Terrible One”. (h/t squareallworthy)

A Bayesian analysis of antidepressant efficacy.

funeral-disease on how old names are vs. how old we think they are. People with what we think of “old person names” like Mildred and Gladys are in their 90s or 100s by now; ordinary 70 year olds are more likely to have names like Carol or Sandra that we think of as 40-ish. Our idea of how old names are seems to be 20 or 30 years behind the time – why did they get set in stone a generation ago?

MIT and the private sector invest $50 million into an effort they say will produce a working fusion plant within 15 years.

Washington Post: How Twelve Experts Would End Inequality If They Ran America.

In my post on the Dark Ages, I hacked together some really simple graphs showing that western European cultural production plummeted during the 500 – 1000 AD period. Now Anatoly Karlin, Emil Kierkegaard, and Gwern have the much better and more complete version.

You’ve heard of Pig Latin and Dog Latin, but did you know there was also Botanical Latin?

Latest social psych effect to get questioned: the Pygmalion effect, where telling teachers that certain students are smart really increases the students’ performance. In retrospect, this was always kind of dumb.

A Cellular Basis Of Human Intelligence: “Here, we find that high IQ scores and large temporal cortical thickness associate with larger, more complex dendrites of human pyramidal neurons…these findings provide the first evidence that human intelligence is associated with neuronal complexity…”.

Daily Nous shows a 2011 survey on Who Philosophers Are Less Willing To Hire. Expected bias against conservatives is certainly there, but did you know that 20% of philosophers were be unwilling to hire transgender people? The prejudice against transgender people in philosophy was almost as strong as the prejudice against Republicans. I am seriously shocked by this.

Blogger at the World Bank is extremely unimpressed with GiveDirectly’s analysis of the impact of their cash transfer program; when spillover effects are treated correctly it is not clear it had any positive impact. And GiveWell (which is not the same organization as GiveDirectly, but does help fund them) responds, mostly saying they are waiting for a better study this November which should help clarify the issue.

The FAA has banned flight sharing apps (aka “Uber for planes”), but Congress is considering overruling them and permitting the service.

Learning Others’ Political Views Reduces The Ability To Assess And Use Their Expertise In Nonpolitical Domains -ie if you learn your plumber disagrees with you about politics, you’re less likely to trust his plumbing.

Japan Has Found A Semi-Infinite Deposite Of Rare Earth Minerals. Good news for business which will now be able to make high-tech components without having to beg China, bad news for mathematicians who are going to have to come up with a theory of what “semi-infinite” means.

One Step For Animals is a charity and associated shiny professional-looking website that makes the “eat less chicken for animal rights” argument.

I still think most of those predictive text jokes are fake, but the fake predictive text interview with Neil deGrasse Tyson is a work of art regardless of its authenticity.

Is Alex Tabarrok The Most Honest Economist In Academia?. “The libertarian went looking for the reason for entrepreneurial decline. The answer went against everything he believed. He published the results anyway.” In a functional society, this story would have all the oomph of “man adopts puppy, does not drown it”. Tabarrok’s own commentary here.

And the winner of the 2018 European Tree Of The Year award is…a cork tree in Alentejo, Portugal! Read more about it here, or browse the archive of past winners and finalists.

SB 827, the bill that would force cities to allow high-density housing near transit stops, is dead, through proponents are cautiously optimistic that maybe one day something like it might eventually get some support, or something.

Potential Reporting Bias In Neuroimaging Studies Of Sex Differences. Studies of brain sex differences are more likely to be published if they do show such differences. Doubt that grand political narratives are involved here beyond the tendency for every field to have a bias towards reporting positive results.

Researchers claim (study, popular article) that a Southeast Asian tribe which subsists off pearl diving has evolved anatomical adaptations that make them better at holding their breath.

A claim that the Iraqi elections have been tainted by fake sex tapes intended to discredit female candidates. Not sure if this is true since I can’t find it on a reputable site and a lot of the people involved are blaming Israel (which is kind of a red flag for Middle Eastern fake news). If so, would disconfirm my prediction that fake video software isn’t going to be geopolitically important. Sort of related: the CIA considered making a fake Saddam gay sex tape.

Wikipedia had a sudden transition between a pre-2007 period of rapid growth and a post-2007 period of slow decline. Why? Everything useful already written? Bad decisions about community norms? Or “a more general set of social dynamics at work that we do not think existing research explains in a satisfying way”?

Federal prison system cracks down on…prisoners ordering books. [Update: Feds cancel policy after outrage]

The average American thinks the average company makes a 36% profit – it actually makes about 8%. The AEI speculates that a lot of “raise the minimum wage, the companies can just take the losses out of the buckets of cash the greedy owners are hoarding for themselves” type of arguments come from this misunderstanding.

Yet another California secession movement has started gathering signatures for the ballot.

Friend of the blog Sarah Constantin has started the Longevity Research Institute, an anti-aging nonprofit. Currently they’re focusing on mouse studies of promising anti-aging agents. They also have a blog with Sarah’s assessment of some existing longevity strategies.

Related-ish: anti-aging researcher Aubrey de Grey discovered a new lower-bound in a decades-old unsolved math problem in his spare time.

NPR: When Teens Cyberbully Themselves. “Researchers found that 9 percent of the teens had bullied themselves online”. Also: “She set up ghost accounts on Instagram and posted mean comments about herself, saying things like, ‘I think you’re creepy and gay’ and ‘Don’t sit next to me again,’…She said these things because she feared being mocked by her peers [and] thought their teasing wouldn’t be so bad if she beat them to the punch”.

VC firm Bessemer’s anti-portfolio lists all their worst mistakes and missed opportunities, eg investing in Facebook. “Jeremy Levine spent a weekend at a corporate retreat in the summer of 2004 dodging persistent Harvard undergrad Eduardo Saverin’s rabid pitch. Finally, cornered in a lunch line, Jeremy delivered some sage advice ‘Kid, haven’t you heard of Friendster? Move on. It’s over!'”

Alyssa Vance: Massachusetts transit authority takes bold step of firing contractor that went way behind schedule and over budget for their mass transit project; puts fear of God into other contractors who agree to complete project for less than original cost.

Iowa passes “most restrictive in the US” anti-abortion law outlawing abortions after a fetal heartbeat is detected (usually six weeks, plausibly before many people know they’re pregnant). Likely (and desired by legislators) result is Supreme Court challenge that tests/redefines boundaries of Roe v. Wade.

Hotel Concierge, everyone’s favorite Tumblr cultural commentator who is definitely not secretly The Last Psychiatrist, has another magnum opus out – Shame And Society. My favorite excerpt: “Make no mistake, the performative sadness is not consequent to the pursuit of hedonism; it is a justification.” Deserves a lot closer reading and more discussion than I probably have the time and energy to give it.

Pharma’s Broken Business Model – pharma’s rate of return on research has been steadily declining for the past (at least) twenty-five years, so that it’s now lower than the cost of capital and will be negative by 2020. “Pharma as we know it will shrink out of existence, and no, there is nothing we can do to stop it.”

Liberalism Of The Month for May is Ordoliberalism, an economic philosophy that dominated post-war Germany and “emphasizes the need for the state to ensure that the free market produces results close to its theoretical potential”. That sounds pretty attractive to me, but for some reason it seems to get bogged down in stuff about trade unionism that doesn’t seem to clearly follow.

Trends in the share of population who are not having sex.

QZ has a big article out on how an economic reanalysis shows the consensus was wrong and China was taking our manufacturing jobs all along (with automation having a much smaller role). Still haven’t gotten a chance to look into it in depth, curious what the economists here think.

Is Kanye West’s newfound support for Donald Trump a performance art piece? I know nothing about the music scene and have no intuitions in this area, so somebody else is going to have to tell me if this is at all plausible.

AskReddit: some meteor flashes can look like the entire sky just switches color to become white or green for a few seconds.

The New York Times wedding section covered friend of the blog Patri Friedman’s wedding to Brit Benjamin.

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Varieties Of Argumentative Experience

In 2008, Paul Graham wrote How To Disagree Better, ranking arguments on a scale from name-calling to explicitly refuting the other person’s central point.

And that’s why, ever since 2008, Internet arguments have generally been civil and productive.

Graham’s hierarchy is useful for its intended purpose, but it isn’t really a hierarchy of disagreements. It’s a hierarchy of types of response, within a disagreement. Sometimes things are refutations of other people’s points, but the points should never have been made at all, and refuting them doesn’t help. Sometimes it’s unclear how the argument even connects to the sorts of things that in principle could be proven or refuted.

If we were to classify disagreements themselves – talk about what people are doing when they’re even having an argument – I think it would look something like this:

Most people are either meta-debating – debating whether some parties in the debate are violating norms – or they’re just shaming, trying to push one side of the debate outside the bounds of respectability.

If you can get past that level, you end up discussing facts (blue column on the left) and/or philosophizing about how the argument has to fit together before one side is “right” or “wrong” (red column on the right). Either of these can be anywhere from throwing out a one-line claim and adding “Checkmate, atheists” at the end of it, to cooperating with the other person to try to figure out exactly what considerations are relevant and which sources best resolve them.

If you can get past that level, you run into really high-level disagreements about overall moral systems, or which goods are more valuable than others, or what “freedom” means, or stuff like that. These are basically unresolvable with anything less than a lifetime of philosophical work, but they usually allow mutual understanding and respect.

I’m not saying everything fits into this model, or even that most things do. It’s just a way of thinking that I’ve found helpful. More detail on what I mean by each level:

Meta-debate is discussion of the debate itself rather than the ideas being debated. Is one side being hypocritical? Are some of the arguments involved offensive? Is someone being silenced? What biases motivate either side? Is someone ignorant? Is someone a “fanatic”? Are their beliefs a “religion”? Is someone defying a consensus? Who is the underdog? I’ve placed it in a sphinx outside the pyramid to emphasize that it’s not a bad argument for the thing, it’s just an argument about something completely different.

“Gun control proponents are just terrified of guns, and if they had more experience with them their fear would go away.”

“It was wrong for gun control opponents to prevent the CDC from researching gun statistics more thoroughly.”

“Senators who oppose gun control are in the pocket of the NRA.”

“It’s insensitive to start bringing up gun control hours after a mass shooting.”

Sometimes meta-debate can be good, productive, or necessary. For example, I think discussing “the origins of the Trump phenomenon” is interesting and important, and not just an attempt to bulverizing the question of whether Trump is a good president or not. And if you want to maintain discussion norms, sometimes you do have to have discussions about who’s violating them. I even think it can sometimes be helpful to argue about which side is the underdog.

But it’s not the debate, and also it’s much more fun than the debate. It’s an inherently social question, the sort of who’s-high-status and who’s-defecting-against-group-norms questions that we like a little too much. If people have to choose between this and some sort of boring scientific question about when fetuses gain brain function, they’ll choose this every time; given the chance, meta-debate will crowd out everything else.

The other reason it’s in the sphinx is because its proper function is to guard the debate. Sure, you could spend your time writing a long essay about why creationists’ objections to radiocarbon dating are wrong. But the meta-debate is what tells you creationists generally aren’t good debate partners and you shouldn’t get involved.

Social shaming also isn’t an argument. It’s a demand for listeners to place someone outside the boundary of people who deserve to be heard; to classify them as so repugnant that arguing with them is only dignifying them. If it works, supporting one side of an argument imposes so much reputational cost that only a few weirdos dare to do it, it sinks outside the Overton Window, and the other side wins by default.

“I can’t believe it’s 2018 and we’re still letting transphobes on this forum.”

“Just another purple-haired SJW snowflake who thinks all disagreement is oppression.”

“Really, do conservatives have any consistent beliefs other than hating black people and wanting the poor to starve?”

“I see we’ve got a Silicon Valley techbro STEMlord autist here.”

Nobody expects this to convince anyone. That’s why I don’t like the term “ad hominem”, which implies that shamers are idiots who are too stupid to realize that calling someone names doesn’t refute their point. That’s not the problem. People who use this strategy know exactly what they’re doing and are often quite successful. The goal is not to convince their opponents, or even to hurt their opponent’s feelings, but to demonstrate social norms to bystanders. If you condescendingly advise people that ad hominem isn’t logically valid, you’re missing the point.

Sometimes the shaming works on a society-wide level. More often, it’s an attempt to claim a certain space, kind of like the intellectual equivalent of a gang sign. If the Jets can graffiti “FUCK THE SHARKS” on a certain bridge, but the Sharks can’t get away with graffiting “NO ACTUALLY FUCK THE JETS” on the same bridge, then almost by definition that bridge is in the Jets’ territory. This is part of the process that creates polarization and echo chambers. If you see an attempt at social shaming and feel triggered, that’s the second-best result from the perspective of the person who put it up. The best result is that you never went into that space at all. This isn’t just about keeping conservatives out of socialist spaces. It’s also about defining what kind of socialist the socialist space is for, and what kind of ideas good socialists are or aren’t allowed to hold.

I think easily 90% of online discussion is of this form right now, including some long and carefully-written thinkpieces with lots of citations. The point isn’t that it literally uses the word “fuck”, the point is that the active ingredient isn’t persuasiveness, it’s the ability to make some people feel like they’re suffering social costs for their opinion. Even really good arguments that are persuasive can be used this way if someone links them on Facebook with “This is why I keep saying Democrats are dumb” underneath it.

This is similar to meta-debate, except that meta-debate can sometimes be cooperative and productive – both Trump supporters and Trump opponents could in theory work together trying to figure out the origins of the “Trump phenomenon” – and that shaming is at least sort of an attempt to resolve the argument, in a sense.

Gotchas are short claims that purport to be devastating proof that one side can’t possibly be right.

“If you like big government so much, why don’t you move to Cuba?”

“Isn’t it ironic that most pro-lifers are also against welfare and free health care? Guess they only care about babies until they’re born.”

“When guns are outlawed, only outlaws will have guns.”

These are snappy but almost always stupid. People may not move to Cuba because they don’t want government that big, because governments can be big in many ways some of which are bad, because governments can vary along dimensions other than how big they are, because countries can vary along dimensions other than what their governments are, or just because moving is hard and disruptive.

They may sometimes suggest what might, with a lot more work, be a good point. For example, the last one could be transformed into an argument like “Since it’s possible to get guns illegally with some effort, and criminals need guns to commit their crimes and are comfortable with breaking laws, it might only slightly decrease the number of guns available to criminals. And it might greatly decrease the number of guns available to law-abiding people hoping to defend themselves. So the cost of people not being able to defend themselves might be greater than the benefit of fewer criminals being able to commit crimes.” I don’t think I agree with this argument, and I might challenge assumptions like “criminals aren’t that much likely to have guns if they’re illegal” or “law-abiding gun owners using guns in self-defense is common and an important factor to include in our calculations”. But this would be a reasonable argument and not just a gotcha. The original is a gotcha exactly because it doesn’t invite this level of analysis or even seem aware that it’s possible. It’s not saying “calculate the value of these parameters, because I think they work out in a way where this is a pretty strong argument against controlling guns”. It’s saying “gotcha!”.

Single facts are when someone presents one fact, which admittedly does support their argument, as if it solves the debate in and of itself. It’s the same sort of situation as one of the better gotchas – it could be changed into a decent argument, with work. But presenting it as if it’s supposed to change someone’s mind in and of itself is naive and sort of an aggressive act.

“The UK has gun control, and the murder rate there is only a quarter of ours.”

“The USSR was communist and it was terrible.”

“Donald Trump is known to have cheated his employees and subcontractors.”

“Hillary Clinton handled her emails in a scandalously incompetent manner and tried to cover it up.”

These are all potentially good points, with at least two caveats. First, correlation isn’t causation – the UK’s low murder rates might not be caused by their gun control, and maybe not all communist countries inevitably end up like the USSR. Second, even things with some bad features are overall net good. Trump could be a dishonest businessman, but still have other good qualities. Hillary Clinton may be crap at email security, but skilled at other things. Even if these facts are true and causal, they only prove that a plan has at least one bad quality. At best they would be followed up by an argument for why this is really important.

I think the move from shaming to good argument is kind of a continuum. This level is around the middle. At some point, saying “I can’t believe you would support someone who could do that with her emails!” is just trying to bait Hillary supporters. And any Hillary supporter who thinks it’s really important to argue specifics of why the emails aren’t that bad, instead of focusing on the bigger picture, is taking the bait, or getting stuck in this mindset where they feel threatened if they admit there’s anything bad about Hillary, or just feeling too defensive.

Single studies are better than scattered facts since they at least prove some competent person looked into the issue formally.

“This paper from Gary Kleck shows that more guns actually cause less crime.”

“These people looked at the evidence and proved that support for Trump is motivated by authoritarianism.”

“I think you’ll find economists have already investigated this and that the minimum wage doesn’t cost jobs.”

“There are actually studies proving that money doesn’t influence politics.”

We’ve already discussed this here before. Scientific studies are much less reliable guides to truth than most people think. On any controversial issue, there are usually many peer-reviewed studies supporting each side. Sometimes these studies are just wrong. Other times they investigate a much weaker subproblem but get billed as solving the larger problem.

There are dozens of studies proving the minimum wage does destroy jobs, and dozens of studies proving it doesn’t. Probably it depends a lot on the particular job, the size of the minimum wage, how the economy is doing otherwise, etc, etc, etc. Gary Kleck does have a lot of studies showing that more guns decrease crime, but a lot of other criminologists disagree with him. Both sides will have plausible-sounding reasons for why the other’s studies have been conclusively debunked on account of all sorts of bias and confounders, but you will actually have to look through those reasons and see if they’re right.

Usually the scientific consensus on subjects like these will be as good as you can get, but don’t trust that you know the scientific consensus unless you have read actual well-conducted surveys of scientists in the field. Your echo chamber telling you “the scientific consensus agrees with us” is definitely not sufficient.

A good-faith survey of evidence is what you get when you take all of the above into account, stop trying to devastate the other person with a mountain of facts that can’t possibly be wrong, and start looking at the studies and arguments on both sides and figuring out what kind of complex picture they paint.

“Of the meta-analyses on the minimum wage, three seem to suggest it doesn’t cost jobs, and two seem to suggest it does. Looking at the potential confounders in each, I trust the ones saying it doesn’t cost jobs more.”

“The latest surveys say more than 97% of climate scientists think the earth is warming, so even though I’ve looked at your arguments for why it might not be, I think we have to go with the consensus on this one.”

“The justice system seems racially biased at the sentencing stage, but not at the arrest or verdict stages.”

“It looks like this level of gun control would cause 500 fewer murders a year, but also prevent 50 law-abiding gun owners from defending themselves. Overall I think that would be worth it.”

Isolated demands for rigor are attempts to demand that an opposing argument be held to such strict invented-on-the-spot standards that nothing (including common-sense statements everyone agrees with) could possibly clear the bar.

“You can’t be an atheist if you can’t prove God doesn’t exist.”

“Since you benefit from capitalism and all the wealth it’s made available to you, it’s hypocritical for you to oppose it.”

“Capital punishment is just state-sanctioned murder.”

“When people still criticize Trump even though the economy is doing so well, it proves they never cared about prosperity and are just blindly loyal to their party.”

The first is wrong because you can disbelieve in Bigfoot without being able to prove Bigfoot doesn’t exist – “you can never doubt something unless you can prove it doesn’t exist” is a fake rule we never apply to anything else. The second is wrong because you can be against racism even if you are a white person who presumably benefits from it; “you can never oppose something that benefits you” is a fake rule we never apply to anything else. The third is wrong because eg prison is just state-sanctioned kidnapping; “it is exactly as wrong for the state to do something as for a random criminal to do it” is a fake rule we never apply to anything else. The fourth is wrong because Republicans have also been against leaders who presided over good economies and presumably thought this was a reasonable thing to do; “it’s impossible to honestly oppose someone even when there’s a good economy” is a fake rule we never apply to anything else.

Sometimes these can be more complicated and ambiguous. One could argue that
“Banning abortion is unconscionable because it denies someone the right to do what they want with their own body” is an isolated demand for rigor, given that we ban people from selling their organs, accepting unlicensed medical treatments, using illegal drugs, engaging in prostitution, accepting euthanasia, and countless other things that involve telling them what to do with their bodies – “everyone has a right to do what they want with their own bodies” is a fake rule we never apply to anything else. Other people might want to search for ways that the abortion case is different, or explore what we mean by “right to their own body” more deeply. Proposed without these deeper analysis, I don’t think the claim would rise much above this level.

I don’t think these are necessarily badly-intentioned. We don’t have a good explicit understanding of what high-level principles we use, and tend to make them up on the spot to fit object-level cases. But here they act to derail the argument into a stupid debate over whether it’s okay to even discuss the issue without having 100% perfect impossible rigor. The solution is exactly the sort of “proving too much” arguments in the last paragraph. Then you can agree to use normal standards of rigor for the argument and move on to your real disagreements.

These are related to fully general counterarguments like “sorry, you can’t solve every problem with X”, though usually these are more meta-debate than debate.

Sometimes isolated demands for rigor can be rescued by making them much more complicated; for example, I can see somebody explaining why kidnapping becomes acceptable when the state does it but murder doesn’t – but you’ve got to actually make the argument, and don’t be surprised if other people don’t find it convincing. Other times these work not as rules but as heuristics – for example “let people do what they want with their body in the absence of very compelling arguments otherwise” – and if those heuristics survive someone else challenging whether banning unlicensed medical treatment is really that much more compelling than banning abortion, they usually end up as high-level generators of disagreement (see below).

Disputing definitions is when an argument hinges on the meaning of words, or whether something counts as a member of a category or not.

“Transgender is a mental illness.”

“The Soviet Union wasn’t really communist.”

“Wanting English as the official language is racist.”

“Abortion is murder.”

“Nobody in the US is really poor, by global standards.”

It might be important on a social basis what we call these things; for example, the social perception of transgender might shift based on whether it was commonly thought of as a mental illness or not. But if a specific argument between two people starts hinging on one of these questions, chances are something has gone wrong; neither factual nor moral questions should depend on a dispute over the way we use words. This Guide To Words is a long and comprehensive resource about these situations and how to get past them into whatever the real disagreement is.

Clarifying is when people try to figure out exactly what their opponent’s position is.

“So communists think there shouldn’t be private ownership of factories, but there might still be private ownership of things like houses and furniture?”

“Are you opposed to laws saying that convicted felons can’t get guns? What about laws saying that there has to be a waiting period?”

“Do you think there can ever be such a thing as a just war?”

This can sometimes be hostile and counterproductive. I’ve seen too many arguments degenerate into some form of “So you’re saying that rape is good and we should have more of it, are you?” No. Nobody is ever saying that. If someone thinks the other side is saying that, they’ve stopped doing honest clarification and gotten more into the performative shaming side.

But there are a lot of misunderstandings about people’s positions. Some of this is because the space of things people can believe is very wide and it’s hard to understand exactly what someone is saying. More of it is because partisan echo chambers can deliberately spread misrepresentations or cliched versions of an opponent’s arguments in order to make them look stupid, and it takes some time to realize that real opponents don’t always match the stereotype. And sometimes it’s because people don’t always have their positions down in detail themselves (eg communists’ uncertainty about what exactly a communist state would look like). At its best, clarification can help the other person notice holes in their own opinions and reveal leaps in logic that might legitimately deserve to be questioned.

Operationalizing is where both parties understand they’re in a cooperative effort to fix exactly what they’re arguing about, where the goalposts are, and what all of their terms mean.

“When I say the Soviet Union was communist, I mean that the state controlled basically all of the economy. Do you agree that’s what we’re debating here?”

“I mean that a gun buyback program similar to the one in Australia would probably lead to less gun crime in the United States and hundreds of lives saved per year.”

“If the US were to raise the national minimum wage to $15, the average poor person would be better off.”

“I’m not interested in debating whether the IPCC estimates of global warming might be too high, I’m interested in whether the real estimate is still bad enough that millions of people could die.”

An argument is operationalized when every part of it has either been reduced to a factual question with a real answer (even if we don’t know what it is), or when it’s obvious exactly what kind of non-factual disagreement is going on (for example, a difference in moral systems, or a difference in intuitions about what’s important).

The Center for Applied Rationality promotes double-cruxing, a specific technique that helps people operationalize arguments. A double-crux is a single subquestion where both sides admit that if they were wrong about the subquestion, they would change their mind. For example, if Alice (gun control opponent) would support gun control if she knew it lowered crime, and Bob (gun control supporter) would oppose gun control if he knew it would make crime worse – then the only thing they have to talk about is crime. They can ignore whether guns are important for resisting tyranny. They can ignore the role of mass shootings. They can ignore whether the NRA spokesman made an offensive comment one time. They just have to focus on crime – and that’s the sort of thing which at least in principle is tractable to studies and statistics and scientific consensus.

Not every argument will have double-cruxes. Alice might still oppose gun control if it only lowered crime a little, but also vastly increased the risk of the government becoming authoritarian. A lot of things – like a decision to vote for Hillary instead of Trump – might be based on a hundred little considerations rather than a single debatable point.

But at the very least, you might be able to find a bunch of more limited cruxes. For example, a Trump supporter might admit he would probably vote Hillary if he learned that Trump was more likely to start a war than Hillary was. This isn’t quite as likely to end the whole disagreement in a fell swoop – but it still gives a more fruitful avenue for debate than the usual fact-scattering.

High-level generators of disagreement are what remains when everyone understands exactly what’s being argued, and agrees on what all the evidence says, but have vague and hard-to-define reasons for disagreeing anyway. In retrospect, these are probably why the disagreement arose in the first place, with a lot of the more specific points being downstream of them and kind of made-up justifications. These are almost impossible to resolve even in principle.

“I feel like a populace that owns guns is free and has some level of control over its own destiny, but that if they take away our guns we’re pretty much just subjects and have to hope the government treats us well.”

“Yes, there are some arguments for why this war might be just, and how it might liberate people who are suffering terribly. But I feel like we always hear this kind of thing and it never pans out. And every time we declare war, that reinforces a culture where things can be solved by force. I think we need to take an unconditional stance against aggressive war, always and forever.”

“Even though I can’t tell you how this regulation would go wrong, in past experience a lot of well-intentioned regulations have ended up backfiring horribly. I just think we should have a bias against solving all problems by regulating them.”

“Capital punishment might decrease crime, but I draw the line at intentionally killing people. I don’t want to live in a society that does that, no matter what its reasons.”

Some of these involve what social signal an action might send; for example, even a just war might have the subtle effect of legitimizing war in people’s minds. Others involve cases where we expect our information to be biased or our analysis to be inaccurate; for example, if past regulations that seemed good have gone wrong, we might expect the next one to go wrong even if we can’t think of arguments against it. Others involve differences in very vague and long-term predictions, like whether it’s reasonable to worry about the government descending into tyranny or anarchy. Others involve fundamentally different moral systems, like if it’s okay to kill someone for a greater good. And the most frustrating involve chaotic and uncomputable situations that have to be solved by metis or phronesis or similar-sounding Greek words, where different people’s Greek words give them different opinions.

You can always try debating these points further. But these sorts of high-level generators are usually formed from hundreds of different cases and can’t easily be simplified or disproven. Maybe the best you can do is share the situations that led to you having the generators you do. Sometimes good art can help.

The high-level generators of disagreement can sound a lot like really bad and stupid arguments from previous levels. “We just have fundamentally different values” can sound a lot like “You’re just an evil person”. “I’ve got a heuristic here based on a lot of other cases I’ve seen” can sound a lot like “I prefer anecdotal evidence to facts”. And “I don’t think we can trust explicit reasoning in an area as fraught as this” can sound a lot like “I hate logic and am going to do whatever my biases say”. If there’s a difference, I think it comes from having gone through all the previous steps – having confirmed that the other person knows as much as you might be intellectual equals who are both equally concerned about doing the moral thing – and realizing that both of you alike are controlled by high-level generators. High-level generators aren’t biases in the sense of mistakes. They’re the strategies everyone uses to guide themselves in uncertain situations.

This doesn’t mean everyone is equally right and okay. You’ve reached this level when you agree that the situation is complicated enough that a reasonable person with reasonable high-level generators could disagree with you. If 100% of the evidence supports your side, and there’s no reasonable way that any set of sane heuristics or caveats could make someone disagree, then (unless you’re missing something) your opponent might just be an idiot.

Some thoughts on the overall arrangement:

1. If anybody in an argument is operating on a low level, the entire argument is now on that low level. First, because people will feel compelled to refute the low-level point before continuing. Second, because we’re only human, and if someone tries to shame/gotcha you, the natural response is to try to shame/gotcha them back.

2. The blue column on the left is factual disagreements; the red column on the right is philosophical disagreements. The highest level you’ll be able to get to is the lowest of where you are on the two columns.

3. Higher levels require more vulnerability. If you admit that the data are mixed but seem to slightly favor your side, and your opponent says that every good study ever has always favored his side plus also you are a racist communist – well, you kind of walked into that one. In particular, exploring high-level generators of disagreement requires a lot of trust, since someone who is at all hostile can easily frame this as “See! He admits that he’s biased and just going off his intuitions!”

4. If you hold the conversation in private, you’re almost guaranteed to avoid everything below the lower dotted line. Everything below that is a show put on for spectators.

5. If you’re intelligent, decent, and philosophically sophisticated, you can avoid everything below the higher dotted line. Everything below that is either a show or some form of mistake; everything above it is impossible to avoid no matter how great you are.

6. The shorter and more public the medium, the more pressure there is to stick to the lower levels. Twitter is great for shaming, but it’s almost impossible to have a good-faith survey of evidence there, or use it to operationalize a tricky definitional question.

7. Sometimes the high-level generators of disagreement are other, even more complicated questions. For example, a lot of people’s views come from their religion. Now you’ve got a whole different debate.

8. And a lot of the facts you have to agree on in a survey of the evidence are also complicated. I once saw a communism vs. capitalism argument degenerate into a discussion of whether government works better than private industry, then whether NASA was better than SpaceX, then whether some particular NASA rocket engine design was better than a corresponding SpaceX design. I never did learn if they figured whose rocket engine was better, or whether that helped them solve the communism vs. capitalism question. But it seems pretty clear that the degeneration into subquestions and discovery of superquestions can go on forever. This is the stage a lot of discussions get bogged down in, and one reason why pruning techniques like double-cruxes are so important.

9. Try to classify arguments you see in the wild on this system, and you find that some fit and others don’t. But the main thing you find is how few real arguments there are. This is something I tried to hammer in during the last election, when people were complaining “Well, we tried to debate Trump supporters, they didn’t change their mind, guess reason and democracy don’t work”. Arguments above the first dotted line are rare; arguments above the second basically nonexistent in public unless you look really hard.

But what’s the point? If you’re just going to end up at the high-level generators of disagreement, why do all the work?

First, because if you do it right you’ll end up respecting the other person. Going through all the motions might not produce agreement, but it should produce the feeling that the other person came to their belief honestly, isn’t just stupid and evil, and can be reasoned with on other subjects. The natural tendency is to assume that people on the other side just don’t know (or deliberately avoid knowing) the facts, or are using weird perverse rules of reasoning to ensure they get the conclusions they want. Go through the whole process, and you will find some ignorance, and you will find some bias, but they’ll probably be on both sides, and the exact way they work might surprise you.

Second, because – and this is total conjecture – this deals a tiny bit of damage to the high-level generators of disagreement. I think of these as Bayesian priors; you’ve looked at a hundred cases, all of them have been X, so when you see something that looks like not-X, you can assume you’re wrong – see the example above where the libertarian admits there is no clear argument against this particular regulation, but is wary enough of regulations to suspect there’s something they’re missing. But in this kind of math, the prior shifts the perception of the evidence, but the evidence also shifts the perception of the prior.

Imagine that, throughout your life, you’ve learned that UFO stories are fakes and hoaxes. Some friend of yours sees a UFO, and you assume (based on your priors) that it’s probably fake. They try to convince you. They show you the spot in their backyard where it landed and singed the grass. They show you the mysterious metal object they took as a souvenir. It seems plausible, but you still have too much of a prior on UFOs being fake, and so you assume they made it up.

Now imagine another friend has the same experience, and also shows you good evidence. And you hear about someone the next town over who says the same thing. After ten or twenty of these, maybe you start wondering if there’s something to all of this UFOs. Your overall skepticism of UFOs has made you dismiss each particular story, but each story has also dealt a little damage to your overall skepticism.

I think the high-level generators might work the same way. The libertarian says “Everything I’ve learned thus far makes me think government regulations fail.” You demonstrate what looks like a successful government regulation. The libertarian doubts, but also becomes slightly more receptive to the possibility of those regulations occasionally being useful. Do this a hundred times, and they might be more willing to accept regulations in general.

As the old saying goes, “First they ignore you, then they laugh at you, then they fight you, then they fight you half-heartedly, then they’re neutral, then they grudgingly say you might have a point even though you’re annoying, then they say on balance you’re mostly right although you ignore some of the most important facets of the issue, then you win.”

I notice SSC commenter John Nerst is talking about a science of disagreement and has set up a subreddit for discussing it. I only learned about it after mostly finishing this post, so I haven’t looked into it as much as I should, but it might make good followup reading.

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