Category: Health

  • The medical emergency in the Oval Office

    The medical emergency in the Oval Office

    The buzzword in politics, in the wake of the socialist takeover of New York City, is “affordability.” That was certainly on Donald Trump’s mind today during an Oval Office announcement for cheaper GLP-1s, or, as Trump called them, “fat drugs.” Trump took brief potshots at Gavin Newsom and the Obama Presidential Library, and, of course, continued to urge pregnant women not to take Tylenol. 

    Commerce Secretary Howard Lutnick, when Trump called him out, said he was “not yet” on GLP-1s. “Good,” Trump said, adding “CMS administrator Mehmet Oz, he doesn’t take it” – obviously, since we can all agree Dr. Oz looks great. Trump did, however, roll call the quite large White House head of communications Steven Cheung. “He’s taking it,” Trump said.

    Duly outed, Cheung later said, less troll-like than in his usual style, “It’s important to encourage others to explore options to address concerns by speaking openly and honestly about it.” 

    HHS Secretary Robert F. Kennedy Jr., spoke, and so did Dr. Oz, who also touted reduced costs for fertility drugs, saying he was hoping it would lead to more “Trump babies,” a phrase that could lead to lots of frightening AI meme images. The event cut short at its midpoint during remarks from David Ricks, CEO of Eli Lilly, when an attendee fainted behind the lectern. “You OK?” Ricks asked to the person, who was obviously not OK at that moment. Dr. Oz rushed to his side. RFK Jr. rushed off stage left. A half hour or so later, the event resumed, and Trump said that the man, who did not appear to be in need of GLP-1s, was, in fact, OK.

    “You saw he went down. And he’s fine. They just sent him out,” Trump said. “He’s got doctors’ care. But he’s fine.”

    Trump sat at the Resolute Desk and took what felt like 100 questions. No one takes questions like Trump. There were some fun statements about tariffs, which Trump claims have brought $21 trillion into the federal coffers. The ongoing Supreme Court tariff case is “one of the most important cases in the history of our country,” of “the eight wars I ended, I would say five or six were ended because of tariffs,” and, of course, “If I didn’t come along, our country would be destroyed right now.”

    Then it was back to the fat drugs. A reporter asked about potential side effects. Trump isn’t a doctor, but he’s friends with Dr. Oz, Dr. Phil, and, we presume, Dr. Drew. He said what you might expect the average Sunday afternoon football viewer to say: “I’ve heard about very little side effects in respect to these drugs. It’s all positive. And that’s usually not the case. You see these crazy commercials on television where they tell you 15 different things that can go wrong. And then they tell you to buy it.”

    True enough, Mr. President. Next, the press conference came full circle to affordability. Trump would not address repeated questions about grocery prices. But a reporter, obviously quite friendly to the administration, brought up yesterday’s Wal-Mart statement that this year’s Thanksgiving dinner will cost less than last year’s. Thank you for bringing that up, said President Trump. 

    “Our Thanksgiving meal this year will cost 25 percent less than Joe Biden’s. To me, that’s better than anything there is. That’s better than a poll. You’ve got everything included. From the trimmings from the turkey. From everything. Lotta different items. That is a big factor. And I was angry last night with the Republicans. I said, you don’t talk about this stuff. I had to rely on a question from a reporter to get that out. We should be talking about it. We had the highest inflation in the history of our country under Biden. Gas prices are close to two dollars a gallon. Under them, it was four or five. When gasoline goes down and energy goes down, everything else follows. What the Democrats do is they lie. We are the ones who’ve done great on affordability. They’ve done horribly at it. They take commercials out, ‘under Democrats you have affordability.’ It’s just the opposite. Every price is down.”

    This includes, after today’s announcement, the price of GLP-1s, which many people will need after an inexpensive Thanksgiving feast. Trump closed with this less-than-gracious thought about the retiring Nancy Pelosi:  “I thought she was an evil woman who did a poor job, who cost the country a lot in damages and in reputation.” You’d expect nothing less about Pelosi from Trump, her sworn enemy. But she’s got doctors’ care, and she’s fine. 

  • Autopen report: Biden was a puppet president

    Autopen report: Biden was a puppet president

    Yesterday the House Oversight Committee released an extraordinary 91-page document called “The Biden Autopen Presidency: Decline, Delusion and Deception in The White House.” Based on interviews with a dozen Biden aides, the committee concluded, essentially, that Biden was a puppet President incapable of self-functioning. Biden’s advisers took “steps” to make him appear marginally Presidential. The report states:

    “These steps ranged from addressing President Biden’s makeup, clothing, schedule, the number of steps President Biden could walk or climb, the amount of time President Biden needed to read and to spend with his family,” the report states, “keeping cabinet meetings to a minimum, eliciting ‘direction’ from Hollywood on the State of the Union and other events, and using teleprompters even at small, intimate events.”

    All this is part and parcel of the Trump administration and Republican congressional majority’s efforts to erase all traces of the Biden presidency from existence. The Biden camp, as usual, claims there was nothing wrong and that Joe was sharp as a tack during his time in office. “This investigation into baseless claims has confirmed what has been clear from the start: President Biden made the decisions of his presidency,” a spokesperson told the Wall Street Journal. “There was no conspiracy, no cover-up, and no wrongdoing. Congressional Republicans should stop focusing on political retribution and instead work to end the government shutdown.”

    The most interesting and potentially damning elements of the Autopen Report involve Dr. Kevin O’Connor, Biden’s personal physician, who took the Fifth Amendment while testifying to the Oversight Committee earlier this year. The report calls O’Connor “a key figure in the coverup.”

    The report states, about O’Connor, “His refusal to answer questions about the execution of his duties as physician to the president – combined with testimony indicating that Dr. O’Connor may have succumbed to political pressure from the inner circle, influencing his medical decisions and aiding in the cover-up – legitimizes the public’s concerns that Dr. O’Connor was not forthright in carrying out his ultimate duties to the country.”

    Former Biden press secretary Karine Jean-Pierre, currently having her head examined by the entire mainstream media over her ridiculous new memoir, refused to answer any questions about Biden’s mental faculties and said in February 2024 that Biden “passes a cognitive test every day.” This had me wondering what a “cognitive test” for a senior president might look like. Fortunately, we have Donald Trump to tell us.

    While on the plane to Asia, Trump told reporters that he’d had an MRI during his recent checkup at Walter Reed Medical Center, and that it was “perfect.” “Nobody has ever given you reports like I gave you, and if I didn’t think it was going to be good, either, I would let you know negatively,” Trump added. “I wouldn’t run, I’d do something. But the doctors said some of the best reports for the age, some of the best reports they’ve ever seen.”

    Trump also underwent an IQ test, which he said he passed with the highest possible score. That’s something that Alexandria Ocasio-Cortez and Jasmine Crockett would never be able to do, he said.

    “Those are very hard – they’re really aptitude tests, I guess, in a certain way,” he said. “The first couple of questions are easy. A tiger, an elephant, a giraffe, you know. When you get up to about five or six, and then when you get up to 10 and 20 and 25, they couldn’t come close to answering any of those questions.”

    Crockett is 44 and AOC is in her thirties, so we have to assume they’d be able to pass the same mental aptitude test as Donald Trump and that Trump was just trolling them. Joe Biden is another story. When asked if the former president could identify a “tiger, an elephant, a giraffe,” his former staffers took the Fifth.

  • Trump’s Pfizer deal will increase drug costs

    Trump’s Pfizer deal will increase drug costs

    President Donald Trump’s new partnership with Pfizer to sell drugs directly to consumers is being cast as a major win for patients. He’s right about the problem: healthcare and prescription drugs cost too much.

    Families are struggling, and patients often face heartbreaking choices between groceries, rent and the medicines they need. But the proposed solution isn’t tackling the root of the issue. It risks exacerbating federal government failures that created this problem.

    For starters, Pfizer is claiming that this new campaign is about lowering consumer costs. But it’s really about creating a cozy relationship with the government that nobody else can. Pfizer will gain special government profits, no-charge marketing from the most powerful voice in the world, and, perhaps most importantly, avoidance of the administration’s 100 percent section 232 tariffs on branded drug imports.

    This is good for Pfizer’s investors, but it hurts the overall market, especially for smaller competitors and many patients. Imagine what that will do to an innovative company researching and developing a better, more affordable life-saving drug. It’ll deny that company opportunity, reduce drug supply for consumers, increase drug prices and disrupt drug supply chains.

    In short, patients will pay more for worse access to critical drugs, even if the government-mandated direct-to-consumer plan does everything Pfizer and Trump say it will.
    Then there’s the simple math on how much this new relationship could, under the most optimistic scenario, save consumers. The answer is… not much.

    We spend about $5 trillion annually on healthcare. That staggering number is not just about doctors, nurses and medicines. As much as half of it – $2.5 trillion – is consumed by overhead: paperwork, compliance systems, licensing, mandates and bureaucratic red tape. Most of that has nothing to do with caring for patients, as at least 70 percent of these costs are likely wasted.

    Retail and non-retail spending on prescription drugs account for about 15 percent of overall healthcare spending, totaling around $750 billion annually. Apply the same waste factor, and you get more than $260 billion of unnecessary costs tied up in regulation and bureaucracy. That is nearly two times the entire generic drug market of $139 billion, which is less than 20 percent of spending on prescription drugs.

    So, even if the Trump-Pfizer agreement can save people 10 percent on generic drugs, it won’t make much of a difference to their bank accounts. The real financial challenges arise when more expensive, life-saving drugs are needed. And yet it’s those life-saving drugs that make up almost the entire debate surrounding the rising cost of prescription medications.

    This “deal” isn’t a solution, just like the Medicare “negotiation” or the Most Favored Nation (MFN) Executive Order “solutions” didn’t solve any real problems. They simply followed the long-held, bipartisan pattern of inserting government even more into how drugs are made.

    The path forward isn’t complicated, but it does require courage to take on Washington’s bureaucracy and other rent-seekers who want to create barriers for competition. If Trump – or others – wants to help make healthcare affordable while ensuring America remains the world’s leader in medical breakthroughs, the focus should be on deregulation.

    That means eliminating the 70 percent of healthcare costs that fail basic cost-benefit tests, resisting new price controls like MFN, streamlining FDA approvals to speed up generics and biosimilars and restoring real competition throughout the system. On the demand side, giving patients more control through No-Limit Health Savings Accounts and private direct-pay or direct-to-consumer approaches could introduce the price discipline that nearly every other market enjoys.

    America doesn’t need gimmicks or more central planning. It needs the freedom to innovate, compete and deliver care efficiently. Patients deserve a system where costs reflect value, where new drugs reach the market quickly and where politics don’t suffocate innovation.

  • ‘Gender-affirming care’ is never justified

    ‘Gender-affirming care’ is never justified

    Even now, hundreds of thousands of ordinary Americans just assume that there is a vast and vulnerable cohort of kids who are born “trans” and need so-called “gender-affirming care.” They look at the protests and listen to progressive politicians and assume that there must be at least some evidence that pediatric medical transition helps children in distress.

    It would be unthinkable to have put children through all this for nothing, and for American medics to have gone along with it all. But the awful truth is that there is no evidence that allowing children to transition actually works in any meaningful sense. An analysis recently published in the Journal of Sex and Marital Therapy has finally cut through the noise with a simple but devastating tool: a calculator.

    And as you read the evidence and absorb its implications, consider also that the European Commission is about to propose new legislation that would allow any European citizen, of any age, to legally change gender without consulting a physician or getting their parents’ permission and support. And under the proposed legislation, any nation that objects would be subject to having all its EU funding cut off.

    The paper, by my colleague, Lauren Schwartz, a senior fellow at the non-profit Do No Harm, and M. Lal, uses the medical establishment’s own numbers to check its work. The conclusion is disturbing, suggesting that a medical scandal is unfolding on a scale that has been dangerously underappreciated.

    In short, the article shows that, even according to the standards of those who would help children to transition, there is simply no justification for the mass medicalization of healthy children under the guise of “gender-affirming care.”

    The harms are significant, including diminished bone density, cardiovascular disease and infertility

    The authors’ method is simple. First, they establish a clear baseline for the number of adolescents who meet gender activists’ own “clinical” criteria for gender dysphoria. They do this by synthesizing three major reviews co-authored by ten of the key figures behind the most recent World Professional Association for Transgender Health (WPATH) standards of care – the very guidelines cited by proponents of medical transition. These WPATH-aligned professionals estimate the prevalence of the clinical population to be around 4.6 to 7.5 per 100,000 individuals.

    Next, the authors compare these numbers with recent data on how many adolescents are actually being diagnosed and treated. They cite a study from this year in the journal JAMA Pediatrics which found that approximately 100 out of every 100,000 American adolescents received puberty blockers or cross-sex hormones between 2018 and 2022.

    The discrepancy between the clinical population and those receiving treatment is staggering – a gap greater than one order of magnitude. According to the field’s own standards, more than 92 percent of kids receiving these interventions fall outside the clinical threshold for severe gender-related distress. Yet these are also vulnerable, confused kids, often struggling with a multitude of behavioral health challenges.

    Lisa Littman was among the first researchers to observe such a troubling trend beyond baseline prevalence: a surge of adolescent girls suddenly identifying as transgender despite no earlier signs of gender-related distress.

    In 2018, she published a study based on parent reports, introducing the term “rapid-onset gender dysphoria.” Rather than sparking thoughtful inquiry within the field, her work was met with intense backlash.

    But Littman was on to something. Her early observations pointed to a powerful influence: the role of social contagion and online communities. These platforms often amplify certain narratives, contributing to a surge in self-identification that far exceeds the true clinical population.

    Moreover, this troubling trend isn’t just confined to the United States. Britain has seen a similar phenomenon with a rapid rise in diagnoses beyond any prior prediction. Another study from this year found a 50-fold increase in gender dysphoria diagnoses in UK primary care for children and young people between 2011 and 2021.

    The Schwartz and Lal analysis provides the chilling answer to what this really means: a profound shift from treating a small, well-defined clinical group to medicalizing a much larger, overwhelmingly non-clinical population. It’s no longer a vague feeling that “too many kids are being medicalized.” It is a specific, quantifiable crisis.

    Yet even among the minority of children who do fall within the clinical population, puberty blockers and hormones aren’t the answer. Multiple systematic reviews reveal no reliable evidence of benefit. The harms, however, are significant, including diminished bone density, cardiovascular disease and infertility – to name just a few.

    What these struggling kids need is psychosocial support and psychotherapy. In that regard, countries such as England, Finland and Sweden are now leading the way in restricting medicalization and focusing on psychological and psychiatric care, while around them many in the EU double down.

    Simply put, subjecting children to dangerous medical interventions in the name of “gender-affirming care” is never justified.

    The scale of the problem is no longer a matter of opinion; it’s a number. We now have the data to demand accountability and we must do just that. We must use this new evidence to ensure that we protect vulnerable children by returning to a standard of care that is cautious, ethical and, above all, evidence-based.

    This article was originally published in The Spectator’s October 27, 2025 World edition.

  • Why weed is the most dangerous drug in America

    Why weed is the most dangerous drug in America

    Weed is the most dangerous drug in America. The main reason for this is the fact that most people don’t think it is. In fact, they typically think just the opposite. They believe not only that pot is safe, but also that it has true medicinal qualities. Little do they know that those benefits are barely worth the paper you wrap your joint in.

    Marijuana is most commonly touted as a balm for anxiety. But it may actually increase anxiety to the point of psychosis – especially for those with underlying psychiatric conditions. Combine it with a diet of daily intake of violent video games and social media – as did Joshua Jahn, the man who shot three victims at a Dallas ICE facility – and you’ve got all the makings of an unstable American. Jahn is only the latest example of this dangerous makeup.

    Weed is also supposed to help you sleep at night, but cannabis gummies, vapes and smoked leaf may actually disrupt sleep patterns. It’s also been praised for pain relief, but in my experience as a physician, it is certainly not effective as a first-line agent.

    Even scarier is the fact that cannabis gummies laced with high amounts of the psychoactive compound tetrahydrocannabinol (THC) are attractively packaged in such a way that young children keep taking them and ending up in the emergency room. This past year alone, more than 22,000 patients were admitted to the ER with THC poisoning, and more than 75 percent of those patients were children and teenagers. Many of them were infants. No doubt many of these came from households where weed is treated as a mostly harmless substance.

    Speaking of infants – pregnant women are taking more cannabis products than ever, often to ease morning sickness in the first trimester. This greatly increases the risk of preterm birth, low-birth-weight infants, developmental problems, and impaired lung function. I have to wonder how many mothers smoking weed during pregnancy are even aware of these risks.

    Besides being more available, today’s cannabis also tends to be far more potent. This isn’t your parents’ Woodstock weed. The typical concentration of THC in widely available products has skyrocketed from 1.5 percent to more than 30 percent. This is resulting in casual users getting hooked at dangerous levels of THC concentration, which increases their appetite for the drug and the amount they need to consume to get high.

    People are broadly aware of the danger of laced fentanyl and opioid overdoses, but marijuana is becoming routinely mixed with other psychoactive substances – the result is a massive increase in the number of deadly ER visits due to the drug. The Substance Abuse and Mental Health Services Administration reported 7.59 million drug-related emergency-department visits, a 5.8 percent increase in 2022. The most common cause of this visit was alcohol – cannabis was number two, and opioids three.

    Then there are the long-term risks. Smoking is obviously bad for the lungs. Cannabis use of any kind has been proven to damage the heart and increases the risk of cardiac arrest. And excessive cannabis use leads to cognition problems, poor memory function, and difficulty performing tasks and decision-making.

    There’s a lot we can do to keep the problem from getting worse. There ought to be no rush to make marijuana products easier to come, and there is no reason to change its status as a Schedule I drug, despite pressure to do so. Three criteria must be met for a Schedule I classification: there must be a high potential for abuse, no accepted medical use, and a lack of safety associated with the substance. The first of these is clearly met, the second hasn’t been proven, and the third is obvious. There are currently no established safety protocols or guidelines for the drug’s use.

    Many activists want to change the drug to Schedule III, which would remove key regulatory barriers, make the drug easier to access, and formalize its medical uses. What these activists don’t acknowledge is that the expansion of legal use would undoubtedly carry with it an expanded shadow industry. This growing trade would be totally unregulated and would peddle in an increasingly potent form of the product.

    Instead, we need a consistent regulatory standard for the amount of THC that cannabis can legally contain. Across the 40 states that have approved the drug for medical use and the 24 for recreational, there are a massive range of accepted THC levels. This must be standardized at a low level.

    And people must be made aware of just how dangerous the drug is. Ignorance about its dangers combined with its increasing availability, its diverse forms and the strength of the cannabis industry have all combined to create a giant green monster. Until we recognize this beast for what it is, it will continue to stomp across the nation unchecked.

  • By order of the non-doctor

    By order of the non-doctor

    Health and Human Services Secretary Robert F. Kennedy Jr. did not say, in yesterday’s cabinet meeting, that circumcision causes autism. But the fact that we’d even consider that a real statement shows just how far down the rabbit hole into the MAHA Wonderland of his mind RFK has dragged us. In fact, RFK said that after doctors circumcise boys, they give them too much Tylenol, and that causes autism. President “Don’t Take Tylenol” responded, “there’s a tremendous amount of proof or evidence. I would say as a non-doctor, but I’ve studied this a long time.” 

    A non-doctor is right, and I say this as someone who’s not a fan of male circumcision, a practice based on dated religious superstition. If we abhor female circumcision as a barbaric practice (and we should), then why is male circumcision any different? This is a personal issue for me. My wife didn’t want to circumcise our son more than 20 years ago, but my Jewish parents, now deceased, threatened to disown him, and me, if we didn’t do it. There was no bris. We didn’t enjoy wine and bagels afterwards. A urologist strapped our baby to a board and caused him untold pain, for no reason. I’ll never be able to unhear those screams.  

    Thank you for allowing me to process that trauma. But the point here is that the doctor probably gave our son Tylenol, and our son doesn’t have autism. I’m also circumcised, as are most men I know, or at least I assume they are. We don’t talk about such things. No one ever interviewed me for the studies that RFK cited at the cabinet meeting. “Circumcision leads to autism” is just embarrassing crankery that plays on people’s emotions.  

    Then, on the same day we saw “RFK claims circumcision causes autism” headlines, the Wall Street Journal decided to run a light feature story on RFK’s strange habit of working out wearing jeans. They show photos of him bench-pressing in denim and climbing Phoenix’s Camelback Mountain in denim. I grew up in Phoenix and did that Camelback hike many times. It’s no fun in workout shorts; hiking in jeans is suicide.  

    We live in interesting health times, where the Health Secretary issues a joint “fitness challenge” with the Secretary of War, does a gym circuit wearing Levis, and claims that vaccines and Tylenol cause autism. At least there’s no more Red Dye #12 in our beef tallow Steak and Shake fries. And I have to wonder if this is actually making us healthier, or if we’re just fetishizing the lifestyle eccentricities of a wealthy bulked-up falconer from America’s most famous political family.  

    This movement is starting to feel like a mirror image of the “more doctors smoke Camels” ads that the tobacco industry used to produce. In 1930, Lucky Strike said that “20,679 Physicians say ‘LUCKIES are less irritating” because of a “toasting” process. Millions of people died because of those campaigns. 

    It’s a long way down the path from that to MAHA claiming that sugar is poison (true) and that brief morning exposure to sunlight helps regulate our circadian rhythms (also true). So let’s bring it all together and list my true prescription for a healthy life: eat moderately, exercise often but not excessively, don’t smoke, don’t get circumcised, DON’T TAKE TYLENOL, and, for god’s sake, don’t climb a mountain in jeans.  

  • The reality of raising an autistic child

    The reality of raising an autistic child

    Although I disagree with Donald Trump’s and Robert F. Kennedy Jr.’s suggestion that mothers who took Tylenol during pregnancy may have caused the huge rise of children born with autism in the US, I also can’t agree with the spate of articles and interviews that have followed – several by high-functioning autistic adults, others by parents of autistic children – basically saying it is great to be autistic. I understand that they are fearful that Trump’s idea of a “cure” could result in anyone with special needs being regarded as subnormal and a second-class citizen, but it’s not helpful, either, to pretend that autism is without its many frightful drawbacks.

    My son, 42, was diagnosed with Asperger syndrome on his 13th birthday in 1996. Then, not so much was known about the condition, and my ex-husband, my daughter and I went through hell wondering why my son was so difficult – and then dealing with his strange, often explosive behavior. I would invite children over to play with him and his older sister, but he seemed to regard them as an alien species and she would end up playing with both visiting children.

    When he went to kindergarten, in the room with all his peers, he would often put his hands over his ears and scream. He preferred to be alone in the corridor. When I asked why he didn’t like his companions he said: “They have squeaky voices” and imitated them. Instead of toys, he had his obsessions – balloons, then houseplants, the cartoon film Robin Hood, tarantulas. The obsessions seemed to give him as much pain as pleasure. The balloons burst or flew away or weren’t the right type. (One category he called “All March Down the Room Balloons.”) He would think a houseplant was dying when it wasn’t and scream with frustration, even grief, and throw the plant and its pot down.

    Aged 11, he announced: “My obsessions have ruined my life!” Years later, I recall his only real friend Peter, then 31, who also had Asperger’s, waiting with me in a car park for my son to turn up. Peter turned to me and said seriously: “We don’t want to have our obsessions. We’d rather not have them.”

    Their obsessions, their high anxiety, their misunderstanding of others’ talk and gestures and their inability to hold conversations, make even high-functioning autistic people isolated and unable to lead a calm, fulfilling life.

    My son’s condition causes him to reiterate the same obsessive stories going round and round in his head

    My son has tried several simple jobs such as cleaning in a supermarket, being a night porter in a hotel, working in a care home for the elderly, but has failed through misunderstanding the social behavior of his coworkers. (In the care home he was intimidated by the advances of what he called “yee-ha girls” – forward young female workers.)

    Much is made now of special interests and the genius of certain people with autism being able to concentrate on their great skills, but I wonder which of them wouldn’t sacrifice these just to have one proper friend. Peter no longer lives near my son, so he is mostly reliant on part-time carers, tolerant women of my age and his father’s elderly relatives. The overtures of a sweet local artist of his age were rejected.

    To be blunt, he is no further on with his contemporaries than he was as a child. His autism causes him to reiterate the same obsessive stories going round and round in his head, often about the past, even about dead relatives – such as my father – whom he has never met. How can most people relate to this? My son wants to marry and have a family but does not know how to go about it and says if the children don’t fit his criteria he won’t like them.

    And would anyone wish to live, as he does, with a terror of dragonflies, convinced they bite? Or with an exaggerated fear of certain local areas, making travel difficult because of a past misunderstanding with a bus driver or passenger? (Actually it is my son, over 6ft, sometimes shouting on a bus, who probably frightens other passengers.)

    And what about us mothers and fathers? In my experience, there are constant discussions and often blame between the parents of these children on how best to treat them. Studies show that 80 percent of parents of autistic children split up. The financial strain – difficulties getting funding for them – stress and emotional toll associated with raising any child with a disability are all contributing factors. There’s also the frequent problem of physical aggression, surely a manifestation of extreme frustration and surging hormones, when the autistic child reaches adolescence. At 14, my son would would often lash out at me, his father – we split up when he was eight – and his sister.

    And it can continue into adulthood. A friend’s nonverbal autistic adult son caused a knee injury to a carer which will never properly heal. Another friend’s adult autistic son, intelligent and articulate as my son also can be, smashed up his parents’ house during lockdown. My son once destroyed the staircase of a rented apartment and the police have been called because of his behavior. At 17 he was involuntarily hospitalized for 28 days and in his twenties was in a psychiatric unit. And what about nonverbal autistic adults who need the physical care normally given to babies? How much I admire parents and carers who have to deal with that.

    On the plus side, my son is a good artist who has sold paintings to strangers, he is an excellent cook and can perform hilarious imitations of people and situations. He likes to make meals for his three young nephews and has given them many well-thought-out gifts. He is in some ways more compassionate than I am to people who are bereaved.

    I will let him have the last word: “Some people with Asperger’s can do extremely well and have successful jobs. But autism, OCD and ADHD get in the way of learning and living life.”

    This article was originally published in The Spectator’s October 13, 2025 World edition.

  • The study of psychology has been a disaster

    The study of psychology has been a disaster

    A young Chinese girl approached me after I gave a talk at a conference and asked for my advice about what she should study. I knew nothing of her, except that she was pretty, with beautiful dark eyes, and was almost certainly of high intelligence. I was touched by her naive assumption that I would answer benevolently and in her best interests. It suggested that she had not yet encountered much of human malignity. “What are you interested in?” I asked.

    “I was thinking of history and psychology,” she replied.

    “Ah,” I said, “definitely not psychology, at all costs not psychology.”

    My answer emerged spontaneously, without any reflection – too spontaneously, in fact. I have never entirely overcome my early awareness that I was a child in a world of adults and that everyone around me therefore had more authority than me. That anyone such as this girl should now consider me an authority therefore seemed to me strange; I could hardly credit the idea that in her eyes I might be a sage, or that my answer could play a part in determining her future and that I had a great responsibility to weigh my words carefully.

    For me, our conversation was initially one between equals, a casual encounter such as between people at a party; because I had never fully grown up and reached the awe-inspiring status of the adults of my childhood, I failed to appreciate that a conversation between a 75-year-old man and 16-year-old girl can never be one between equals. “Why?” she asked, with regard to my interdiction of psychology.

    People come to think of themselves as objects rather than subjects, almost as laboratory specimens

    “Because it will turn you in on yourself. It will make you self-obsessed. Most students of psychology want to learn about themselves. It never works. No explanation is ever satisfactory to them. They enter a labyrinth from which there is no return. I don’t know why you want to study psychology, but if it is because you want to find out about yourself, abandon the search straight away – before it is too late. You don’t need to find yourself; you need to lose yourself.”

    I seemed to have struck a chord, for finding out about herself was one of her motivations for choosing psychology.

    “What should I study, then?”

    “Anything that really interests you that has nothing whatsoever to do with you.”

    I retreated slightly from my dogmatism. By now, I realized that I had changed mode, from that of equal to that of guru, and that she was looking at me as a fount of wisdom and truth. Perhaps I would be responsible for having turned her from what would have been a satisfying path in life, a cause of long-term regret. “Of course, if you have other reasons for wanting to study psychology and you are passionate about it, I wouldn’t want to discourage you.”

    But in retreating from my original position, I was not being entirely sincere. For in truth, I believe that the study of psychology, notwithstanding the assistance that it may give in some cases, has been a cultural, and even a psychological, disaster. Not only have these ideas filtered their way down into the general population, but so has the notion that the study of psychology is the best possible way to understand the human predicament. People now turn to psychology rather than to literature for an explanation of the difficulties in living that mankind eternally has. A technocratic solution is the pot of gold at the end of psychology’s rainbow.

    Psychology has the effect of alienating people from themselves. They come to think of themselves as objects rather than subjects, almost as laboratory specimens, or as feathers in the wind of circumstance rather than as contributors to their own lives. I do not wish to deny that featherdom, so to speak, really occurs, but it is not the normal condition of mankind, certainly not in daily life in the modern world. It is both the burden and the glory of being human that our life entails constant and inescapable choice. Psychology supposedly relieves us of that burden, but in the process destroys the glory.

    The desire to avoid the realization that we are often at least the partial authors of our own downfall is an old one, and probably inherent in human nature. Edmund refers to this tendency in King Lear as “an admirable evasion of whoremaster man to lay his goatish disposition to the charge of a star”: in other words, to explain his actions by reference to anything except himself. In psychology, himself ceases to be himself; he starts to talk of himself with pseudo-objectivity; and even the most unimaginative person can come up almost instantaneously with ingenious mechanistic explanations of his wrongdoing when it is necessary or advantageous to do so. I should be surprised if any reader had never in his life made use of this powerful faculty of mind. I should add that no one goes to much trouble to explain his good, kind or generous actions, which do not puzzle him.

    The habit of thinking psychologically – that is to say, with the concepts, however superficially or mistakenly, of psychology – places a distorting lens of theory between a person’s behavior and his explanation of that behavior. He becomes even for himself a mere vector of forces that he is powerless to control: in short, he becomes a victim.

    Of course, in a sense we all think psychologically, and much more is available to us by way of explanation than we customarily employ. Doctor Johnson said, “He who attends the motions of his own mind will find…”: our problem is that we will not examine the motions of our own minds, either from laziness or fear of what we might find there. Dryden said of Shakespeare that “he was naturally learned; he wanted not the spectacles of books to read nature; he looked inward, and found it there.” Imagine Shakespeare with the spectacles of psychology. Falstaff on the couch; Richard II on Prozac; Richard III in group therapy; Hamlet having CBT. What progress in human self-understanding that would represent.

    This article was originally published in The Spectator’s October 13, 2025 World edition.

  • Why the left wants you to be weak

    Why the left wants you to be weak

    For much of my life, fitness wasn’t optional. I was held to very specific standards and tested to confirm that I was adhering to those standards. I was a hockey player. In college, and briefly, in the minor pros. Most seasons began the same way: a searing battery of strength and conditioning tests – on-ice sprints, off-ice endurance runs, bench press, squats, pull-ups, all to termination. Scores aggregated and ranked, from first to last. Personal value was assigned to the scores. Coaches took notice. I trained accordingly and drew a portion of my self-worth from being fit.

    That mindset would serve me well after school, when I joined the US Air Force as a Pilot Trainee. I was medically discharged before commissioning, but while I was in, fitness wasn’t optional. Meeting minimums was required to stay in the program, to keep my shot at serving.

    I never saw a problem with any of this. And I certainly never detected anything political about maintaining high fitness. The first inkling I had, of something shifting culturally, was during a relationship I had in my 20s. I was dating an art school graduate from Denver. She didn’t understand why I worked out every day. I was training to meet Air Force standards. But she suspected vanity. She put me in a position I’d never been in before: justifying my fitness.

    That seed of fitness-skepticism I sensed in my girlfriend ten years ago caught me off guard. But it was a harbinger of a wider trend, which blossomed fully during the pandemic, entrenching itself as a bona fide leftist worldview in which fitness is held to signal vanity, privilege, ableism or even conservatism.

    Where did this worldview maligning fitness come from? The inception point likely begins with the body positivity movement. The movement wasn’t without merits, promoting confidence in a wider variety of body types, suggesting that desire and worth could be attributed to those whose physiques fell beyond the parameters of Kate Moss or Arnold Schwarzenegger. But body positivity went too far, embracing obesity, an oftentimes fatal condition, and fueling the skepticism I detected in my then-girlfriend.

    If body positivity was the inception point, the pandemic marked the crystallization. A line was drawn in the sand. Conservatives wanted to bullheadedly forge through Covid. Liberals meanwhile committed wholeheartedly to safetyism, policies that prioritized physical safety at all costs (social distancing, masking, vaccinations), and embraced a broader suspicion of physical risk and exertion altogether.

    But the point isn’t who was right about Covid – it’s that one political tribe embraced policies that promoted physical strength while another tribe, almost reflexively, embraced policies that dwelled in physical fragility.

    Perspectives towards fitness have sorted along the same ideological faultline. Conservatives embrace fitness, whereas a cultural current on the left, already suspicious of several fit cultures (soldiers, survivalists, jocks) increasingly reject fitness.

    Obviously, the divide isn’t universal. The left has its yoga teachers and thru-hikers with single-digit body fat, just as the right has sedentary pre-diabetics. But when fitness is assigned political value, the left skews toward unfitness, the right toward fitness.

    And that’s not to say conservatives have taken a universally admirable approach. Gym bros. CrossFit cultists. Roid ragers. The whole MMA thing. The right’s embrace of a performative, macho brand of fitness alienates large portions of the population, myself included. But when you strip away the tastelessness a core fact remains: to be fit is better than to be unfit, no matter the culture through which the fitness was attained.

    On most things, reasonable people can disagree. But not fitness. It leads to lower healthcare costs, to crisis response preparedness, to national readiness. Fitness extends lives and keeps people sane. To spurn fitness is to spurn a biological imperative, something no political framework can rationalize.

    Through much of human history, in most places and societies on Earth, fitness wasn’t negotiable, it was a survival mechanism. And being weak wasn’t a political position – it was a prospective death sentence. Ironically, the left suggests that fitness is a form of privilege.

    But to be unfit is the privileged position, to disdain fitness is only possible when danger and physical hardship seem far away – luxuries much of the world’s population cannot relate to.
    Yet, increasingly, the progressive left’s view on fitness is consistent with the progressive left’s wider worldview in which citizens are deemed too weak to do anything. Indeed, the embrace of weakness just seems to be the physical extension of a worldview in which every individual shortcoming is ascribed to an inherent and unavoidable weakness, which society at large must then accommodate. In this world view, weakness isn’t just tolerated – it’s a creed.

    And in the contemporary left, helplessness itself has social value. Being perceived to be disadvantaged confers currency. Increasingly, that same logic is being applied to the physical body, whereby weakness becomes a form of virtue, while strength is treated with suspicion. The trend here is plainly self-defeating: to build a society around weakness, physical or otherwise, is to build a society to fail.

    The downstream effects of embracing physical weakness are more profound than love handles or shortness of breath. People are dying. Obesity is an epidemic. The healthcare system is collapsing. Citizens are losing their resilience. Children are softening. The civilian-military gap is widening. National readiness is reduced. These are medical, cultural, and strategic failures – the root of which a portion of the leftist population has embraced.

    Fitness is a biological maximization that unlocks health, wellbeing, and happiness. We can argue about tax rates, foreign policy, and gun control. But there is no rational debate over whether strength is more desirable than weakness. The idea that general fitness is a vanity project, or a conservative ideal, needs to be dismissed wholesale. Our collective aim should be to field citizens who live healthier and happier. Who require less health care. Who are resilient and who raise their children to be resilient. Who, if required, could defend the nation. These are the ideals of a functional society, north star ideals for much of human history – and they require the acceptance of fitness as a civic virtue.

    I’m in my late 30s now. No hockey coaches or military recruiters yelling at me to do another pullup. The external incentives to keep pushing myself are less obvious. But I still wake up at four am to skate hard with my friends. I still sprint stairs and grind the stationary bike. I do it because I’m a better version of myself when I’m fit – not just a better hockey player but a better husband, father, and citizen. And there’s nothing political about that.

  • We should treat veterans with psychedelics

    We should treat veterans with psychedelics

    “Shit starts to get real, real quick,” recalled former US Marine Tyler Flanigan. An Iraqi sniper had just shot out the tires of his truck, and a key member of his team had been killed. “We were like sitting ducks,” he remembers. “There wasn’t a single day in Iraq when I wasn’t shot at or didn’t have something explode next to me,” says his fellow Marine veteran, Nigel McCourry. Combat experience is hard to forget.

    Like a Proustian madeleine, life offers daily triggers that throw them back to a world of nerve-jangling journeys down “IED alley,” the flailing feeling of in a conflict and then the horror of having to gather the body parts of your friends and put them into bags. These former US Marines very bravely discussed their difficulties with processing their trauma in the moving documentary short Dead Dog on the Left. It chronicles their journey through the no-man’s-land of complex post-traumatic stress disorder, or C-PTSD, which in turn triggered alcoholism and suicidal thoughts, to recovery aided by MDMA-led psychotherapy.

    Psychedelic therapy doesn’t simply suppress symptoms. It may help reshape the system generating them

    Their stories are not unusual. For the past eight years I have been the patron of a small charity called Supporting Wounded Veterans, which helps veterans who have suffered life-changing injuries. Increasingly though, our work is less to do with physical injury and more to do with mental injury, C-PTSD does not necessarily arise until sometime after the trauma. We are the only UK charity conducting medical research with trials using MDMA-led therapy, first at King’s College London and now in Cambridge.

    When I was chief of the general staff, the professional head of the British Army, eight years ago, we recognized that while we had an excellent focus on physical health, we were not doing enough for mental health. So we introduced training for commanders at all levels and developed a mental-first-aid assessment. But most importantly we worked to change the culture. We wanted to make it acceptable for soldiers to talk about mental health and to have the confidence to ask for help, secure in the knowledge that it wouldn’t be seen as a weakness. Recently, I took three weeks off and traveled to a retreat to try to understand the effect that multiple year-long combat tours in Afghanistan have had on my own mental well-being. It was an extraordinary experience to bring my feelings out of their sealed box and to begin to understand the impact of the conflicts. I am fortunate. My issues are entirely manageable – but imagine what it is like for those who suffer with complex PTSD.

    The guilt of surviving when others have died. Living in a society that does not want to know what you saw, and seems not to care, leaving you feeling betrayed. Losing your sense of purpose and belonging. And the desperation that comes from not being able to find a treatment that works. It should be alarming for all of us that suicide rates in young veterans are two to four times higher than for the rest of the population. Hence my purpose in writing this article – for there is a treatment that potentially works if only our government would get behind it.

    At the risk of sounding “woo-woo,” I am talking about psychedelic therapy. It is not new. Between the 1950s and 1970s, LSD, MDMA and psilocybin were used in psychiatric clinics across Europe and North America to treat alcoholism, trauma and end-of-life anxiety. Tens of thousands of patients received care before prohibition abruptly ended the work. The methods were sub-par by modern standards, but one insight endured: these compounds seemed to activate the mind, not just medicate it. Patients described experiences that were vivid, challenging and often profound, and outcomes improved when those experiences were supported before and after with specialized care.

    We now have MDMA-led therapy, currently the most rigorously studied psychedelic intervention for C-PTSD. MDMA doesn’t produce hallucinations. Instead, it reduces activity in the amygdala, the part of the brain where fear-based emotions are processed, allowing patients to revisit trauma without being overwhelmed. Psychedelic therapy doesn’t simply suppress symptoms. It may help reshape the system generating them. Neuroscientists now speak of a “window of plasticity” – a brief period in which the brain becomes more responsive, flexible and open to learning. It’s not alchemy. It’s structured, supervised psychological work.

    Phase three trials in the US and earlier studies in Australia, Canada and Israel have shown sustained reductions in symptoms. But sadly, despite the FDA designating MDMA-assisted treatment as a “breakthrough therapy,” there is still no formal approval. Even so, momentum continues. In March, the US Department of Defense awarded $9.8 million in grants for MDMA research, including studies with active-duty troops. Regrettably, the UK is not keeping up. Though MDMA and psilocybin show promise in trials, both remain Schedule 1 substances in Britain, labeled as having “no medical use.” That legal status triggers licensing hurdles, a regulatory burden and huge additional costs.

    America is investing in healing her warriors while the UK hesitates. Ministers cite regulation, but the deeper issue is a lack of commitment to collaborative research, to therapeutic innovation and to serious investment in mental health care.

    I believe Britain doesn’t need to wait for the US to license this treatment. It should recategorize MDMA for research purposes to enable trials to happen more quickly and at a vastly reduced cost. If these trials are as successful as the ones we have seen so far, then the government and the Medicine and Health Care Products Regulatory Agency need to allow full licensing – and at pace. This is a moral obligation to those who serve our country.

    The Byzantine emperor Maurice had it right when he said: “The nation which forgets its defenders will itself be forgotten.” All these years later, his warning still feels painfully relevant.

    This article was originally published in The Spectator’s September 29, 2025 World edition.