Tag Archives: Opioid Epidemic

America Condemns One Violent Mob While Celebrating Another

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Tear gas being deployed outside the Capitol on January 6 as Trump supporters stormed the building. [Tyler Merbler / CC BY 2.0]

Where is the corporate media’s disgust for the courtesans of corporate destruction that wreak violence on Americans daily?

By Lee Camp

Source: ScheerPost.com

Most rational Americans have correctly criticized and denounced the violent insurrection in the Capitol last week. Those moments of attack by a racist, disgusting mob have not lacked for condemnation and denunciation. They were violent. They were reprehensible. They called for the killing of lawmakers, demanded the hanging of Congress members. The liberal media and even most of Fox News have not held their tongues when it comes to excoriating the morally bankrupt people who took part. And I agree with those thoughts.

BUT – why don’t we see an equal amount of disgust and condemnation for the violence done by our ruling class, the courtesans of corporate destruction?

Is allowing people to die or fall ill due to lead pipes in Flint, Chicago, Pittsburgh, and hundreds of other cities not violence?

Is allowing citizens to lose their lives to cancer from Teflon™ chemicals dumped in their water or preventable oil spills not violence?

Is allowing tens of thousands to die of preventable illnesses from our garbage healthcare system not violence?

Is allowing 15 million to lose their healthcare during a pandemic and therefore fear going to the hospital when they get sick not violence?

Is imprisoning millions of people for years for non-violent crimes not violence?

Is locking up political prisoners like Steven Donziger, Mumia Abu-Jamal, Reverend Pinkney, Julian Assange, Chelsea Manning, Leonard Peltier not violence??

Is dropping a bomb every 12 minutes on innocent people in countries thousands of miles away not violence??

Is allowing millions in this country to go hungry while we throw out 40% of all food not violence?

Is arresting people who try to feed those who are starving not violence?

Is allowing hundreds of thousands to go homeless, living under bridges or on benches or squatting in collapsing structures while this country has trillions of dollars and millions of empty houses —is that not violence?

Is arresting, beating, and persecuting those who try to give those people houses not violence? And bulldozing the homes — is that not violence?

Is causing the sixth great extinction, the mass death of half the world’s wildlife, in pursuit of corporate profit not violence?

Is causing the deaths of tens of thousands of Venezuelans via economic warfare not violence?

Is creating an opioid epidemic by pushing pills on desperate people, ultimately leading to the deaths of hundreds of thousands not violence?

And then arresting those who stand up and fight back against the pollution, against the pipelines, against the factory farming, against the war industry —IS—THAT—NOT—VIOLENCE?

Of course it is.

It’s violence on a breathtaking scale, far greater than what was done at the Capitol and far greater than any of us will witness in person. And yet large scale corporate-endorsed violence, death and destruction is not only allowable, it’s celebrated, it’s furthered, and promoted. Oil company documents show that they tell cities that oil spills are good for the economy. Other documents show that fossil fuel companies have known about the harm climate change would do since the 1970’s, but they simply saw it as the price of doing business. Corporate sacrifice zones like “Cancer Alley” in Louisiana are well known to be deadly to those who live there, yet it doesn’t matter to the corporations because their money will be green nonetheless. It doesn’t matter to the politicians because the poor who live in these sacrifice zones have no political power. The 40% of food that’s thrown out is not a secret. The subsidies paid to factory farms encourage them to produce heaping mountains of food and dairy and meat even if they can’t sell it all in our market economy. So they throw it out or bury it. Giving it to those in need would take too much time and effort.

Should the racist violent insurrectionists at the Capitol be punished? Absolutely. But so too should the bought-off politicians who do the bidding of our morally bankrupt corporate America. These politicians and the CEOs they serve are purveyors of violence. They trade in, produce, and reap violence. They sit on hordes of money—the obscene profit from feeding American lives into the death cult of unfettered capitalism.

Our mainstream media are blanketing the airwaves with talk of how the violent insurrectionists must be punished, and while they are not wrong, the criminal behavior those same talking heads and “reporters” ignore speaks volumes. All violence is not equal. Some of it is profitable and protected. Some of it is the American way.

Corporate America Is an Anti-Social Black Plague: Negative Network Effects Run Amok

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By Charles Hugh Smith

Source: Of Two Minds

The anti-social carnage unleashed by Corporate America’s “lock-in” / negative network effects has no real limits.

Here’s the U.S.economy in a nutshell: Corporate America is an anti-social Black Plague, gorging on cartel-monopoly profits reaped from negative network effects running amok, enriching the few at the expense of the many and concentrating political power in the hands of the most rapacious, anti-democratic corporate sociopaths.

Let’s start with network effects: the conventional definition is “When a network effect is present, the value of a product or service increases according to the number of others using it.”

So for example, when telephone service was only available to a few users, its value was limited. As more people obtained telephone service, the value of the network increased to both its owners and to users, who could reach more people and conduct commerce more easily as a result of having telephone service.

In the conventional analysis, negative network effects occur from “congestion,” i.e. the network is adding new users so quickly that “more users make a product less valuable.”

But this superficial analysis misses the fatally anti-social consequences of corporate negative network effects, a dynamic described by analyst Simons Chase in this essay. Here is an excerpt:

Even the most imaginative and far-reaching narratives about non-obvious economic fragility and off balance sheet risks are mere rants without constructive ideas about causes and solutions.

Consider network effects, the popular economic construct applied to market concentration and increasing returns for strategies pursued by some leading tech companies. This dynamic economic agent is also known as demand side economies of scale.

W. Brian Arthur, the economist credited with first developing the theory, described the condition of increasing returns as a game of strategic positioning and building up a user base to the point where ‘lock in’ of dominant players occurs. Companies able to tap network effects have been rewarded with huge valuations and highly defensible businesses.

But what about negative network effects? What if the same dynamic applies to the U.S.’s pay-to-play political industry where the government promotes or approves of something through a policy, subsidy or financial guarantee due to private sector influence.

Benefits accrue only to the purchaser of the network effects, and consumers, induced by the false signal of large network size, ultimately suffer from asymmetric risk and experience what I’m calling a loss of intangible net worth for each additional member after the ‘bandwagon’ wares off.

If this were the case, then you would see companies experience rapid revenue growth (out of line with traditional asset leverage models), executives accumulating huge fortunes and political campaign coffers swelling.

But the most striking feature would be the anti-social outcomes, the ones not available without the instant critical mass of government-supported network effects, the ones that, at scale, monetize a society’s intangible net worth.

Some products tied to these metrics include: prescriptions drugs, junk food targeting children, mortgages, diplomas, and social media. The list of industries that are likely to have gained through the purchasing of network effects in D.C. maps closely to the decay that is visible in U.S. society.

The loss of intangible capital and other manifestations of non-obvious economic fragility (to use Simons’ apt phrase) is the subject of my latest book, Will You Be Richer or Poorer? Profit, Power and A.I. in a Traumatized World, in which I catalog the anti-social consequences of negative network effects and other forces eroding our nation’s intangible capital.

Consider Facebook, a classic case of negative network effects running amok, creating immensely anti-social consequences while reaping billions in profits: Facebook isn’t free speech, it’s algorithmic amplification optimized for outrage (TechCrunch.com).

The full social cost of social media’s negative network effects are difficult to tally, but studies have found that loneliness and alienation are correlated to how many hours a day individuals spend on social media. (An Internet search brings up dozens of reports such as NPR’s Feeling Lonely? Too Much Time On Social Media May Be Why.)

Facebook is trying to leverage its social media “lock-in” to issue its own global currency and both Facebook and Google are trying to offer banking services without any of the pesky regulations imposed on legitimate banks. (Will $10 million in lobbying do the trick? How about $100 million? We’ve got billions to “invest” in corrupting and controlling public agencies and political power.)

Once Corporate America locks in cartel-monopoly power, i.e. you have to use our services and products, the corporate sociopaths use their billions in market cap and profits to buy the sociopaths in government. Pay-to-play is the real political machinery; “democracy” is the PR fig-leaf to mask the private sector “lock-in” (monopoly) and the public-sector “lock-in” (regulatory influence, anti-competitive barriers to entry, the legalization of corporate fraud, cooking the books, embezzlement, etc.)

Consider Boeing, an effective monopoly which used $12 billion in profits to buy back its own shares and “invested” millions in buying political influence so it could minimize public-sector oversight.

Rather than spend the $12 billion designing a new safe aircraft, Boeing cobbled together a fatally flawed design dependent on software, as described in The Case Against Boeing (The New Yorker) to maximize the profitability of its “lock-in”.

Google is running amok on so many levels, it’s difficult to keep track of its anti-social “let’s be evil, it’s so incredibly profitable” agenda: Google’s Secret ‘Project Nightingale’ Gathers Personal Health Data on Millions of Americans (Wall Street Journal). The goal, of course, is to reap more billions in profits for insiders and corporate sociopaths.

The anti-social carnage unleashed by Corporate America’s “lock-in” / negative network effects has no real limits. Consider the essentially limitless private and social damage caused by Big Tech: Child Abusers Run Rampant as Tech Companies Look the Other Way (New York Times).

Then there’s the opioid epidemic, whose casualties run into the hundreds of thousands, an epidemic that was entirely a creature of Corporate America seeking to maximize “lock-in” profits by buying regulatory approval and pushing false claims that the corporate products were safe and non-addictive.

Note the media sources of these reports: these are the top tier of American journalism, not some easily dismissed alt-media source.

What does this tell us? It tells us the anti-social consequences are now so extreme and so apparent that the corporate media cannot ignore them. Once Corporate America locks-in market, financial and political power, it acts as a virulent Black Plague on the social order, legitimate democracy, and an entire spectrum of intangible social capital including the rule of law.

As Simons put it: “The ethical dimension underpinning the whole system is this: what’s moral is what’s legal and what’s legal is for sale.” Where does this Black Plague pathology take us? To a collapse of the status quo which enabled it, cheered it, and so richly rewarded it.

US Technological Transformations and the Narcotic-Fueled Genocide of American Workers

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By James Petras

Source: The Unz Review

Introduction

During his recent visit to New Hampshire on 3/20/18, President Trump declared once again that the US is facing a ‘drug epidemic’. This time he advocated the death penalty for criminal drug dealers as the solution to a national crisis that has killed over 1 million Americans since the 1990’s (when the blockbuster prescription opiate Oxycontin was first released on the market). Trump promised that the Justice Department would develop the most severe penalties for criminal drug traffickers, by which he meant foreigners. He argued that his proposed “Wall” (between the Mexican- US border) would cut the flow of drugs responsible for the ongoing addiction of millions of US citizens – as though the prescription opiate addiction epidemic resulted from a foreign invasion, and not corporate decisions from Big Pharma.

President Trump’s claim that 116 ‘drug deaths’ occur every day (42,000 a year) is a major underestimate. In 2017, alone over 64,000 drug overdose deaths were reported in official statistics (with many unreported cases signed off as natural or undetermined, especially in counties too poor to afford autopsies and expensive forensic toxicology). Another 4 million Americans, at least, are currently addicted to opioids and at risk for overdose.

In comparative terms, more American workers have been killed or devastated by narcotics (mostly via prescription) in 2017 alone, than in the entire decade of the Vietnam War with its 58,000 dead and 500,000 wounded. In 2017, 40,000 Americans died in motor vehicle accidents and another 39,000 by gun violence – and these statistics are not broken down to include vehicular accidents due to drug intoxication or gun violence over drugs. Prescription or illegal opiates, alone or mixed with other sedative drugs, like Valium, or alcohol, are the most prominent and preventable cause of premature death in the United States today.

This pattern is unique to the United States, where the irresponsible medical prescription of highly addicting narcotics has been the primary portal of entry into the degrading life of addiction for millions. Despite President Trump’s claims, the addiction crisis is not a product of urban Afro-American street dealers or Mexican narco-traffickers: This uniquely American crisis has been created and fueled by billionaire-owned US pharmaceutical corporations, which produced, distributed and wildly profited from legal narcotics. They were aided by the irresponsible prescription practice of tens of thousands of doctors and other ‘providers’ who introduced millions of vulnerable patients to the world of narcotic dependency – including youngsters with sports injuries and workers with job-related pain. These are physicians and medical providers who rarely stopped to examine their own responsibility, even when their otherwise healthy patients overdosed or were destroyed by addiction. It is especially outrageous that doctors and ‘Big Pharma’ worked hand in hand for over 20 years to create this epidemic, enjoying wild profits and almost total legal immunity. Few have dared to openly question their irresponsibility and greed. In the poorest and most vulnerable areas of this country, the most irresponsible and unaccountable incompetence has replaced real medical care and created a health care apartheid.

The Federal Drug Enforcement Agency (FDA) and the Drug Enforcement Agency (DEA) have protected the corporate drug traffickers and ensured the manicured and cultured narco-bosses the highest rates of return on their products. These polished pushers have their names engraved on the walls of museums and opera houses around the country.

The majority of Presidential, Federal, State and municipal candidates from both major parties have received millions of dollars in electoral campaign funds from these huge legal narcotic manufacturers and distributors, as well as from physicians and other representative of the ‘pain-treatment industry’. Over the past decades, politicians have openly or secretly opposed or weakened legislation designed to address this crisis.

Why not just ask President Trump to direct his Justice Department to impose the death penalty on the board of directors of the big corporate narcotic manufacturers or distributors or on the CEOs of major ‘pain clinics’ or on the owners of local rural ‘health centers’ that drove the villagers of West Virginia into their life-destroying downward spirals?

When will the DEA finally storm the medical centers to arrest the over-prescribing ‘providers’ of narcotics and benzodiazepine tranquilizers (a very common deadly combination)?

When will the SWAT teams seize the vacation homes of the CEOs of major US hospitals where the convenient and fake ideology of promising a ‘pain-free’ experience (‘make it Zero on the Pain Scale’) led to the generalized promotion of highly addicting narcotics for minor injuries, arthritic pain, or chronic back discomfort due to work or obesity? Responsible alternatives existed and were used in the rest of the world – largely untouched by this prescription-fueled crisis.

No doubt what President Trump has in mind is something else: the expulsion of Latin American workers under the pretext of going after the drug dealers and the even more massive incarceration of petty street dealers in the African American community.

Trump will then turn to further monitoring and arresting small-scale American marijuana farmers, who earn a basic income from growing a product that many believe is safe, non-addicting, and significantly reduces demand for dangerous narcotics.

As ugly as this all seems, the complicity of the political, economic and the medical elite in exponentially spreading deadly narcotics among the poor, working class and downwardly mobile middle class, points to a deeper and more sinister policy goal: the systematic elimination of millions of American workers made redundant in the new economy. This is a ‘gentler genocide’, where millions of workers die prematurely seeking an escape from pain as they have been replaced by a new technology and a new ideology: Robots, artificial intelligence and digitalization have rendered them disposable, while the out-sourcing of work to low paid overseas laborers and immigrants have guaranteed unimaginable profits for the elite decision makers.

This highly profitable process, benefiting the political, pharmaceutical, financial, police and judicial elites, conveniently blames the victims, a significant proportion of whom come from the poor and working class in this country, including white rural and small town addicts, especially youth, stuck at minimum wage jobs with no prospects of a decent future – injured construction workers, 15% of whom abuse prescription narcotics for work-related injuries, as well as the marginalized petty drug dealers from the urban slums and desperate Latino immigrants forced to accommodate the cartels. These people have little rights and are easily monitored, incarcerated, expelled and just written-off in one-line obituaries.

The narcotic-fueled genocide had grown out of a calculated corporate strategy meant to cull and subdue a huge population of potentially restive marginalized workers and their families, blaming the overdosing victims for their own ‘irresponsible’ choices, their reliance on prescription opiates, their lack of access to competent medical care, and their untimely deaths as though this were all a collective suicide as the great nation marches forward.

The higher the death toll among marginalized Americans, the greater the reliance on political distractions and racist deceptions. President Trump loudly blames street-level retail distributors, while ignoring the links between tax-exempt mega-billionaires who have profited from the shortened life-expectancies of addicted workers (scores of billions of dollars already saved in future pension and health care expenses) and the millions fired for addiction and denied jobless benefits and treatment. Trump has yet to even mention the actions of the legal pharma-medical industry that set this in motion.

Meanwhile, the Democratic Party leaders denounce the worker-victims of addiction and their communities as ‘irresponsible and racist’, for having believed the populist rhetoric of candidate Trump. Trump’s most intense rural areas of support coincided with areas of the worst opioid addiction and suicide rates. Trump’s rival, Hillary Clinton wrote off scores of millions of vulnerable Americans as ‘deplorables’ and never once addressed the addiction crisis that grew exponentially during her husband’s administration.

Since the implementation of NAFTA during the 1990’s, scores of millions of American workers have been relegated to unstable, low paid jobs, deprived of health benefits and subject to grueling work, prone to physical and mental injuries. Workplace injuries set the stage for the prescription narcotic crisis. Even worse, today workers are constantly distracted by electronic gadgets at the workplace, with their orders from above arriving digitally. These highly profitable gadgets have created enormous distractions and contributed to workplace death and injuries. The plaything of choice for the masses, the I-phone, has added to the addiction crisis, by increasing the rate of injury. This mind-numbing distraction, produced abroad at incredible profit, has played an unexplored role in the increase in premature death in the US.

The corporate narcotic elites, like the ultra-cultured Sackler clan owners of Perdue Pharmaceuticals, and their allies in the finance sector, support the diverse ideological distractions fashioned by their politician pawns: Eager to please her donor-owners, Hillary Clinton and the Democrats blame the working class for their backwardness and genetic propensity to addiction and degradation. Meanwhile, President Trump and the Republicans blame ‘outside’ suppliers and distributors including Mexican narco-cartels, illegal immigrant traffickers, black urban street dealers and now point to overseas Chinese fentanyl labs – as though the entire crisis came from the outside. Trump’s approach flies in the face of the unquestionable source of most narcotic addiction in the US: Irresponsible prescribing of highly addicting legal narcotics.

No other industrialized country is experiencing this scale of addiction and pre-mature death. No other industrialized country relies on a private, for-profit, unregulated system of delivering medical care to its citizens. Only the US.

Both elite political parties avoid the basic issue of the long-term, large-scale structural imperatives underlying the transformation of the US work places. They refuse to address the marginalization of tens of millions of American workers and their families, made disposable by corporate economic and political decisions.

The US corporate elite are completely incapable of developing, let alone favoring, any policy that addresses the needs of millions of surplus office and factory workers and their family members replaced by new technology and ‘global’ economic policies. The American financial and political elite is not about to support an economic, political and cultural ‘GI’ bill to save the scores of millions shoved to the wayside in their rush to obscene wealth and power.

The unstated, but clearly implemented, ‘final solution’ is a Social Darwinian policy of active and passive neglect, the unleashing of profitable prescription narcotics into the population of vulnerable disposable workers, offering them a convenient, painless way out – the opioid solution to the over-population problem of redundant rural and small town ‘Helots’. The political elite’s willing complicity with Big Pharma, the medical profession, the financial oligarchs and the prison-industrial complex has transformed the country in many ways. Shortened lives and depopulation of rural and small town communities translates into lower demand for public services, such as schools, health care, pensions and housing. This is guaranteeing a greater concentration of national wealth in the hands of a tiny elite. The financial press has openly celebrated the projected decrease in pension liabilities as a result of the drop in worker life expectancy.

The ongoing mass genocide by opioids may have started to arouse popular discontent among working people who do not want to continue dying young and miserable! Social services and child protective services for the millions of orphaned or abandoned children of this crisis have been demanding real policies. Unfortunately, the usual platitudes and failed policies prevail. Drug education and ‘opioid addiction treatment’ programs (currently among the largest expense in some union health plans) are pointless Band-Aids when confronted by the larger policy decisions fuelling this crisis. Nevertheless, thousands of health care professionals are beginning to resist corporate pressure to prescribe cheap opioids – and fight for more expensive, but less dangerous, alternative for addressing their patients’ pain. Even if all medical providers stopped over-prescribing narcotics today, there are still millions of addicts already created by past practice, who seek the most deadly street drugs, like fentanyl, to feed their addiction.

Politicians now publicly denounce ‘Big Pharma’, while privately winking at the lobbyists and accepting millions from their ‘donor-owners’.

Public critics in the corporate media are quick to condemn the workers’ susceptibility to narcotic addiction but not the underlying causative imperatives of global capitalism.

Mainstream academics celebrate corporate technological advances with occasional neo-Malthusian warnings about the dangers of millions of redundant workers, while ignoring the profit-driven role of narcotics in reducing the social threat of excess workers!

Finally the role of an elite and respected profession must be re-evaluated in a historic context: In the 1930’s German doctors helped develop an ideology of ‘racial hygiene’ and a technology to demonize and eliminate millions of human beings deemed redundant and inferior, through overwork in slave camps, starvation and active genocide – serving the ambitions of Nazi expansionism and deriving significant profit for select individuals and corporations. US physicians and the broader medical community have less consciously assisted in the ongoing ‘culling of the herd’ of American laborers and rural residents rendered superfluous and undesirable by the decisions of a global oligarchy increasingly unwilling to share public wealth with its masses. There are similarities.

Once prosperous, industrial cities and towns, as well as rural villages, in the US have seen marked declines in populations and a premature death crisis among those who remain.

This must be reversed.

 

Why We’re Underestimating American Collapse

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The Strange New Pathologies of the World’s First Rich Failed State

By Umair Haque

Source: Information Clearing House

You might say, having read some of my recent essays, “Umair! Don’t worry! Everything will be fine! It’s not that bad!” I would look at you politely, and then say gently, “To tell you the truth, I don’t think we’re taking collapse nearly seriously enough.”

Why? When we take a hard look at US collapse, we see a number of social pathologies on the rise. Not just any kind. Not even troubling, worrying, and dangerous ones. But strange and bizarre ones. Unique ones. Singular and gruesomely weird ones I’ve never really seen before, and outside of a dystopia written by Dickens and Orwell, nor have you, and neither has history. They suggest that whatever “numbers” we use to represent decline — shrinking real incomes, inequality, and so on —we are in fact grossly underestimating what pundits call the “human toll”, but which sensible human beings like you and I should simply think of as the overwhelming despair, rage, and anxiety of living in a collapsing society.

Let me give you just five examples of what I’ll call the social pathologies of collapse — strange, weird, and gruesome new diseases, not just ones we don’t usually see in healthy societies, but ones that we have never really seen before in any modern society.

America has had 11 school shootings in the last 23 days. That’s one every other day, more or less. That statistic is alarming enough — but it is just a number. Perspective asks us for comparison. So let me put that another way. America has had 11 school shootings in the last 23 days, which is more than anywhere else in the world, even Afghanistan or Iraq. In fact, the phenomenon of regular school shootings appears to be a unique feature of American collapse — it just doesn’t happen in any other country — and that is what I mean by “social pathologies of collapse”: a new, bizarre, terrible disease striking society.

Why are American kids killing each other? Why doesn’t their society care enough to intervene? Well, probably because those kids have given up on life — and their elders have given up on them. Or maybe you’re right — and it’s not that simple. Still, what do the kids who aren’t killing each other do? Well, a lot of them are busy killing themselves.

So there is of course also an “opioid epidemic”. We use that phrase too casually, but it much more troubling than it appears on first glance. Here is what is really curious about it. In many countries in the world — most of Asia and Africa — one can buy all the opioids one wants from any local pharmacy, without a prescription. You might suppose then that opioid abuse as a mass epidemic would be a global phenomenon. Yet we don’t see opioid epidemics anywhere but America — especially not ones so vicious and widespread they shrink life expectancy. So the “opioid epidemic” — mass self-medication with the hardest of hard drugs — is again a social pathology of collapse: unique to American life. It is not quite captured in the numbers, but only through comparison — and when we see it in global perspective, we get a sense of just how singularly troubled American life really is.

Why would people abuse opioids en masse unlike anywhere else in the world? They must be living genuinely traumatic and desperate lives, in which there is little healthcare, so they have to self-medicate the terror away. But what is so desperate about them? Well, consider another example: the “nomadic retirees”. They live in their cars. They go from place to place, season after season, chasing whatever low-wage work they can find — spring, an Amazon warehouse, Christmas, Walmart.

Now, you might say — “well, poor people have always chased seasonal work!” But that is not really the point: absolute powerlessness and complete indignity is. In no other country I can see do retirees who should have been able to save up enough to live on now living in their cars in order to find work just to go on eating before they die — not even in desperately poor ones, where at least families live together, share resources, and care for one another. This is another pathology of collapse that is unique to America — utter powerlessness to live with dignity. Numbers don’t capture it — but comparisons paint a bleak picture.

How did America’s elderly end up cheated of dignity? After all, even desperately poor countries have “informal social support systems” — otherwise known as families and communities. But in America, there is the catastrophic collapse of social bonds. Extreme capitalism has blown apart American society so totally that people cannot even care for one another as much as they do in places like Pakistan and Nigeria. Social bonds, relationships themselves, have become unaffordable luxuries, more so than even in poor countries: this is yet another social pathology unique to American collapse.

Yet those once poor countries are making great strides. Costa Ricans now have higher life expectancy than Americans — because they have public healthcare. American life expectancy is falling, unlike nearly anywhere else in the world, save the UK — because it doesn’t.

And that is my last pathology: it is one of the soul, not one of the limbs, like the others above. Americans appear to be quite happy simply watching one another die, in all the ways above. They just don’t appear to be too disturbed, moved, or even affected by the four pathologies above: their kids killing each other, their social bonds collapsing, being powerless to live with dignity,or having to numb the pain of it all away.

If these pathologies happened in any other rich country — even in most poor ones — people would be aghast, shocked, and stunned, and certainly moved to make them not happen. But in America, they are, well, not even resigned. They are indifferent, mostly.

So my last pathology is a predatory society. A predatory society doesn’t just mean oligarchs ripping people off financially. In a truer way, it means people nodding and smiling and going about their everyday business as their neighbours, friends, and colleagues die early deaths in shallow graves. The predator in American society isn’t just its super-rich — but an invisible and insatiable force: the normalization of what in the rest of the world would be seen as shameful, historic, generational moral failures, if not crimes, becoming mere mundane everyday affairs not to be too worried by or troubled about.

Perhaps that sounds strong to you. Is it?

Now that I’ve given you a few examples — there are many more — of the social pathologies of collapse, let me share with you the three points that they raise for me.

These social pathologies are something like strange and gruesome new strains of disease infecting the body social. America has always been a pioneer — only today, it is host not just to problems not just rarely seen in healthy societies — it is pioneering novel social pathologies have never been seen in the modern world outside present-day America, period. What does that tell us?

American collapse is much more severe than we suppose it is. We are underestimating its magnitude, not overestimating it. American intellectuals, media, and thought doesn’t put any of its problems in global or historical perspective — but when they are seen that way, America’s problems are revealed to be not just the everyday nuisances of a declining nation, but something more like a body suddenly attacked by unimagined diseases.

Seen accurately. American collapse is a catastrophe of human possibility without modern parallel . And because the mess that America has made of itself, then, is so especially unique, so singular, so perversely special — the treatment will have to be novel, too. The uniqueness of these social pathologies tell us that American collapse is not like a reversion to any mean, or the downswing of a trend. It is something outside the norm. Something beyond the data. Past the statistics. It is like the meteor that hit the dinosaurs: an outlier beyond outliers, an event at the extreme of the extremes. That is why our narratives, frames, and theories cannot really capture it — much less explain it. We need a whole new language — and a new way of seeing — to even begin to make sense of it.

But that is America’s task, not the world’s. The world’s task is this. Should the world follow the American model — extreme capitalism, no public investment, cruelty as a way of life, the perversion of everyday virtue — then these new social pathologies will follow, too. They are new diseases of the body social that have emerged from the diet of junk food — junk media, junk science, junk culture, junk punditry, junk economics, people treating one another and their society like junk — that America has fed upon for too long.