Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Thursday, May 28, 2026

The Boy in the Bubble: Our Perilous Postmodern Predicament (Revisited)

Each of us, whether conscious of it or not, lives inside a meta-narrative — a story that gives shape and meaning to our experience. These frameworks help us interpret suffering, progress, history, morality, identity, and hope itself. The songs we listen to, the books we read, the films we absorb, and the headlines that bombard us daily all reinforce or undermine these narratives.


The New World Encyclopedia defines a meta-narrative as: “A theory that tries to give a totalizing, comprehensive account to various historical events, experiences, and social or cultural phenomena based upon the appeal to universal truth or universal values.”


For centuries, the dominant Judeo-Christian meta-narrative placed God at the center of human history. Life had meaning because history itself had meaning — a beginning, a moral structure, and an end toward which humanity was moving.


Modernism gradually displaced this framework. The new narrative suggested that humanity no longer needed transcendence. Progress itself became the faith. Science, technology, education, democracy, medicine, and human ingenuity would build a brighter tomorrow. The future became our secular heaven.


But as the twentieth century, these Utopian visions encountered the reality of world wars, Auschwitz, Hiroshima, gulags, terrorism and alienation. The collapse of trust and the realization that technological advancement does not necessarily produce moral advancement became self-evident.


From these ruins Postmodernism emerged. It questioned whether progress was ever truly progress at all. It distrusted grand narratives entirely and hope itself became suspect.


It is in this sense that "The Boy in the Bubble" by Paul Simon feels so prophetic.

Listening to the song again recently, I was struck by its architecture. The verses arrive like fragments from a newsfeed: terrorism, drought, celebrity spectacle, scientific breakthroughs, violence, medicine, wealth, and technological marvels. The modern world flashes before us in disconnected images.


-- A bomb in a baby carriage.
-- A baby with a baboon heart.
-- Lasers in the jungle.
-- These are the days of miracle and wonder.


And after each unsettling verse comes the refrain: “Don’t cry, baby, don’t cry.”


But the reassurance feels hollow, which is the genius of the song. The Boy in the Bubble captures the emotional contradiction of late modernity — astonishing technological achievement paired with spiritual exhaustion and civilizational anxiety. The narrator seems convinced that technological wonder should somehow compensate for spiritual dislocation. Look at all we can do, he insists. Look at the miracles. Look at the progress.


Yet beneath the surface lies exhaustion and dread. The one being comforted appears to understand something the narrator cannot: human beings can surround themselves with spectacle and still feel abandoned. We can cure diseases, transplant organs, photograph distant galaxies, and instantaneously transmit information across the planet — yet remain spiritually adrift. The modern world increasingly resembles a giant illuminated carnival trembling atop a void. 


One thing that makes the song enduring is how it captures the emotional texture of postmodern life long before social media intensified it. Today we scroll endlessly through catastrophe, innovation, entertainment, outrage, tragedy, and distraction in one continuous stream. We are flooded with information yet starving for coherence.


Even the most amazing reels soon leave us bored. Nothing satisfies.


And what makes the song so incredibly pointed is that while the narrator doesn't see it, the one he's trying to comfort sees it perfectly. She's not only crying because of the brokenness of the world but because the one who seeks to comfort her is so oblivious to it. It's like Graham Greene's The End of the Affair in which the narrator tells the whole story, yet can't see that which is plain to everyone who hears his tale. Listen to this song several times and hear the painfulness in his appeal at the end of each verse. 


We reassure one another with the language of progress while quietly sensing that something essential has gone missing. Perhaps that is why the song still haunts listeners nearly forty years later. It understands that our crisis is not merely political or technological. It is metaphysical.


The Boy In The Bubble

It was a slow day
And the sun was beating
On the soldiers by the side of the road
There was a bright light
A shattering of shopwindows
The bomb in the baby carriage
Was wired to the radio

These are the days of miracle and wonder
This is the long-distance call
The way the camera follows us in slo-mo
The way we look to us all
The way we look to a distant constellation
That’s dying in a corner of the sky
These are the days of miracle and wonder
And don’t cry baby don’t cry
Don’t cry

It was a dry wind
And it swept across the desert
And it curled into the circle of birth
And the dead sand
Falling on the children
The mothers and the fathers
And the automatic earth

These are the days of miracle and wonder
This is the long-distance call
The way the camera follows us in slo-mo
The way we look to us all
The way we look to a distant constellation
That’s dying in the corner of the sky
These are the days of miracle and wonder
And don’t cry baby don’t cry
Don’t cry

It’s a turnaround jump shot
It’s everybody jumpstart
It’s every generation throws a hero up the pop charts
Medicine is magical and magical is art
Thinking of the Boy in the Bubble
And the baby with the baboon heart

And I believe
These are the days of lasers in the jungle
Lasers in the jungle somewhere
Staccato signals of constant information
a loose affiliation of millionaires
And billionaires, and baby

These are the days of miracle and wonder
This is the long-distance call
The way the camera follows us in slo-mo
The way we look to us all, oh yeah
The way we look to a distant constellation
That’s dying in a corner of the sky
These are the days of miracle and wonder
And don’t cry baby don’t cry
Don’t cry, don’t cry


© 1986 Words and Music by Paul Simon and Forere Mothoeloa

Monday, November 28, 2022

What's Worse, Misinformation or Loss of Freedom?

Photo by Louis Reed on Unsplash
It is easy to identify something in medicine that sounds fishy, but very hard to know what is indisputably wrong. This is especially true in the heat of the moment, when emotions are heightened, and when politics intersect with science.

That is why wise scientists are concerned that policing misinformation (particularly using blunt modern tools: censorship, shadow-banning and de-throttling) is dangerous. Policing is different than debating. It's different than rebutting. It's using the brute force of the modern algorithmic platforms to slow the spread of your opponent's ideas. I worry it has been misused.

--Vinay Prasad

* * *

In a world where truth is pliable as plastic, it is immensely helpful to have people who can lead us through the haze. Vinay Prasad is one of these whose insights I have come to value during these past few harrowing years. 

Here are some thoughts from a century ago about free thought and official propaganda in which Bertrand Russell asserts that we can't have freedom of thought as long as there are legal penalties for the expression of opinions. You can read an amplification of these ideas here:  Bertrand Russell's Free Thought and Official Propaganda Has Much to Say about the Current State of Cancel Culture

The following is a short bio from the website of Dr. Prasad:

Vinay Prasad MD MPH is a hematologist-oncologist and Professor in the Department of Epidemiology and Biostatistics at the University of California San Francisco. He runs the VKPrasad lab at UCSF, which studies cancer drugs, health policy, clinical trials and better decision making. He is author of over 350 academic articles, and the books Ending Medical Reversal (2015), and Malignant (2020). He hosts the oncology podcast Plenary Session, the general medicine podcast the VPZD show is active on Substack and runs a YouTube Channel VinayPrasadMDMPH. He tweets @VPrasadMDMPH.

* * * 

Related Links

Malignant: How Bad Policy and Bad Evidence Harm People with Cancer

By Vinayak K. Prasad

http://www.vinayakkprasad.com/

He Who Controls the Narrative Controls the People

Tuesday, January 28, 2020

Wuhan and the Coronavirus--How Much Worrying Should We Be Doing?

Wuhan U of Technology. Photo by Benjamin Chris on Unsplash
The story that caught my eye was the one that said Wuhan is a city the size of London. That's a pretty good sized city. Why have we never heard of it? Well, because China has boatloads of large cities, and not just Shanghai or Beijing.

It's really hard to gauge the degree one should be worried about this new virus strain that's causing shockwaves around the globe. Are we looking at another bubonic plague that wiped out one-third or more of Europe?

Currently this particular virus has struck more than 2000 people, and killed 106. The hysteria it has engendered shows that we live in a very different world than 14th century Europe in the days of the Black Plague.

Back then we had no pharmaceutical industry. We hardly had any understanding of how disease is transmitted. There were no antibiotics, no vaccines for anything, and no comprehension of the role of cleanliness with regards to health care. And no Twitter to spread the panic immediately in all directions.

Acttually, Wuhan is a fairly important city in the grand scheme of things. This is partly why the story has made such an impact. You can read more about Wuhan here, and see a nice map showing its relationship to the rest of China's big cities.

A second reason this story has shaken people is that it is a virus transmitted from person to person. According to the World Health Organization (WHO) cholera still kills thousands of people each year, with some estimating the death toll to be 100,000 or more. That is a lot of heartbreak. Yet, for the most part the cause is bad water in specific areas remote to us, so we seldom if ever think about it, because it's not happening here.

Coronavirus Info
Artist rendition of the Wuhan coronavirus
According to the Center for Disease Control (CDC) coronaviruses are nothing new. They have been around for years in various strains. The CDC site states: "Human coronaviruses are common throughout the world. Seven different coronaviruses, that scientists know of, can infect people and make them sick. Some human coronaviruses were identified many years ago and some have been identified recently. Human coronaviruses commonly cause mild to moderate illness in people worldwide."

For more info about coronaviruses visit the Coronavirus page from the CDC.

What's interesting is how these different organizations present the information. The CDC and WHO strive to present facts for the purpose of keeping people informed. It's science and data. Because they know that whatever they say can trigger a panic, they try to be careful with their words.

On the other hand, the media loves hysteria. It sells papers, garners eyeballs. And so we find this inflated story now going viral: WHO Has Admitted an Error in Its Assessment of Wuhan Coronavirus Risk. If you read the story carefully, you'll see that WHO has not determined that the future of humanity is at risk.

At the end of the article we see the organization is always going to be on the hot-seat in these matters. If they react too fast, they get criticized for stirring up the hysteria. If they react too slow, well.. It's the old adage, "Damned if you do, damned if you don't."

Meantime, life goes on... 

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