Physicians From New York City

"I’m not against a global pact to reduce CO2. Indeed, I favor it. But in the absence of one — and there is no chance of getting one in the foreseeable future — there is no point in America committing economic suicide to no effect on climate change, the reversing of which, after all, is the alleged point of the exercise. For a president to propose this with such aggressive certainty is incomprehensible. It is the starkest of examples of belief that is impervious to evidence. And the word for that is faith, not science."

"It doesn’t take a genius to see what happens when the entitlement state outgrows the economy upon which it rests. The time of Greece, Cyprus, Portugal, Spain, the rest of insolvent social-democratic Europe — and now Detroit — is the time for conservatives to raise the banner of Stein's Law and yell, ‘Stop.’ You can kick the can down the road, but at some point it disappears over a cliff."

"The free lunch is the essence of modern liberalism."

"If a bare majority can change the fundamental rules that govern an institution, then there are no rules. Senate rules today are whatever the majority decides they are that morning. What distinguishes an institution from a flash mob is that its rules endure. They can be changed, of course. But only by significant supermajorities. That’s why constitutional changes require two-thirds of both houses plus three-quarters of the states. If we could make constitutional changes by majority vote, there would be no Constitution. As of today, the Senate effectively has no rules. Congratulations, Harry Reid. Finally, something you will be remembered for."

"Politics, the crooked timber of our communal lives, dominates everything because, in the end, everything — high and low and, most especially, high — lives or dies by politics. You can have the most advanced and efflorescent of cultures. Get your politics wrong, however, and everything stands to be swept away. This is not ancient history. This is Germany 1933. […] Politics is the moat, the walls, beyond which lie the barbarians. Fail to keep them at bay, and everything burns."

"The results of the Great Society experiments started coming in and began showing that, for all its good intentions, the War on Poverty was causing irreparable damage to the very communities it was designed to help."

"To understand the workings of American politics, you have to understand this fundamental law: Conservatives think liberals are stupid. Liberals think conservatives are evil."

"We no longer have to search for a name for the post-Cold War era. It will henceforth be known as the age of terrorism. Organized terror has shown what it can do; execute the single greatest massacre in American history, shut down the greatest power on the globe and send its leaders into underground shelters. All this, without even resorting to chemical, biological or nuclear weapons of mass destruction. This is a formidable enemy. To dismiss it as a bunch of cowards perpetrating senseless acts of violence is complacent nonsense. People willing to kill thousands of innocents while they kill themselves are not cowards. They are deadly, vicious warriors and need to be treated as such. Nor are their acts of violence senseless. They have a very specific aim: to avenge alleged historical wrongs and to bring the great American satan to its knees."

"Remember how Democrats were complaining that Republicans were trying to overturn Obamacare, it was somehow unpatriotic, because it was an attack on the law of the land. This law of the land doesn’t even exist. It exists in Obama’s head. It’s whatever he thinks. He wakes up in the morning and decides what the law is gonna be."

"The left is entering a new phase of ideological agitation — no longer trying to win the debate but stopping debate altogether, banishing from public discourse any and all opposition. The proper word for that attitude is totalitarian. It declares certain controversies over and visits serious consequences — from social ostracism to vocational defenestration — upon those who refuse to be silenced."

"I never had a Marxist phase. If I did it lasted a weekend, and it must have been a hell of a weekend because I don’t remember it..."

"There’s a reason why the French are on their fifth republic, and we are on our first, and that’s because we did not have a worship of reason at the beginning of the Founding as the French did, and then discovered that the purity, the Rousseauian idea is simply not one for the real world, or not one that avoids the guillotine..."

"[P]eople misunderstand Israel, and see it now in colonial, imperialist terms is because it’s a unique event in human history. The British colonization of North America, New Zealand, Australia, the Dutch in South Africa, they came to places that they had never been to. That’s colonialism. You put your people in there. You takeover. You marginalize the natives if you can. You may not succeed. In South Africa, that’s colonialism. So they see the Jews arriving in what’s called Palestine, and that’s the parallel, the only one they understand. They can’t put their heads around the fact that this is a people returning to their home. That they never gave up title to. They never gave up their longing for. It was repeated in their rituals three times a day, it wasn’t like once a year, let’s remember the homeland."

"Donald Trump, the man who defied every political rule and prevailed to win his party’s nomination, last week took on perhaps the most sacred political rule of all: Never attack a Gold Star family. Not just because it alienates a vital constituency but because it reveals a shocking absence of elementary decency and of natural empathy for the most profound of human sorrows — parental grief. Why did Trump do it? It wasn’t a mistake. It was a revelation. It’s that he can’t help himself. His governing rule in life is to strike back when attacked, disrespected or even slighted. To understand Trump, you have to grasp the General Theory: He judges every action, every pronouncement, every person by a single criterion — whether or not it/he is “nice” to Trump."

"Of course we all try to protect our own dignity and command respect. But Trump’s hypersensitivity and unedited, untempered Pavlovian responses are, shall we say, unusual in both ferocity and predictability. This is beyond narcissism. I used to think Trump was an 11-year-old, an undeveloped schoolyard bully. I was off by about 10 years. His needs are more primitive, an infantile hunger for approval and praise, a craving that can never be satisfied. He lives in a cocoon of solipsism where the world outside himself has value — indeed exists — only insofar as it sustains and inflates him."

"In 1980, Reagan had to do just one thing: pass the threshold test for acceptability. He won that election because he did, especially in the debate with Jimmy Carter in which Reagan showed himself to be genial, self-assured and, above all, nonthreatening. You may not like all his policies, but you could safely entrust the nation to him. Trump badly needs to pass that threshold. If character is destiny, he won’t."

"I believe that the pursuit of truth and right ideas through honest debate and rigorous argument is a noble undertaking. I am grateful to have played a small role in the conversations that have helped guide this extraordinary nation’s destiny. I leave this life with no regrets. It was a wonderful life — full and complete with the great loves and great endeavors that make it worth living. I am sad to leave, but I leave with the knowledge that I lived the life that I intended."

"@krauthammer: On sale today. Things That Matter in paperback. With a new section on the Obama years."

"Over the more than twenty years that I knew him, Charles thought about death every day. He told me that once. If that sounds morose, it was just the opposite. Because he was one of those rare people with the courage to look reality squarely in the face, Charles radiated a calm cheerfulness. He knew what was coming. He'd been very close to it before. He didn't want to leave, but it didn't scare him. […] 'I lived the life that I intended,' he wrote, and there is no higher achievement than that."

"He was literally in a class by himself. He was […] one of a kind. And […] for all of the sharpness of his thought and writing […] he was extraordinarily kind and gentle. And the combination made you love him. And we did. All of us did. The audience did. You couldn't help it. […] He was a giant of our time, and of our trade. […] He wrote beautifully ; he was careful about his facts ; he thought things through ; and he conducted himself with extraordinary dignity and grace. […] You couldn't dislike him. You couldn't help but admire him. […] Even if you disagreed with him, you recognized the power of his thought, the thoroughness of his research, and the quality of his writing. And […] if you knew him personally, there was that wonderful quality that he had – that kindness, that gentleness, that grace – and […] if you knew what he’d been through, and you could see what he’d overcome, and you saw the way he’d handled all that, […] you admired him as you probably didn’t admire anyone else. I can’t think of anyone on earth that I admired more than Charles Krauthammer, and I admire him to this day."

"Charles was a conservative intellectual, and he looked at things the way they were. He wasn't a knee-jerk anything. [...] I think that his passing is such a loss for conservatism - it's such a loss for public discourse, which, as Mort {Kondracke] just said, is getting more toxic and tribal and ugly by the day - Charles was the antidote to all of that. [...] He also had an incredibly sweet, sunny disposition. I don't think I ever saw Charles dark or angry at anything. And I think that's why he was able to [...] persevere through all of the incredible obstacles that life handed out to him, which he did not dwell on for a second."

"He was one of the most intelligent and honest men I have ever known. […] Charles led a life of change, breaking away and rebuilding with every new generation. He succeeded out of sheer will and a type of quiet passion. His was a life of growth and discovery. And, for the many of us who knew him or followed his writings, there was a genuine genius to his 68-year journey."

"I worked for him as a research assistant out of college. I was scared the entire time. Not because he did anything to make me feel uncomfortable – he'd be incapable of that – but […] he had a formidable dignity to him, and you always knew you were in the presence […] of a superior intellect. I think he ranks with Bill Buckley, Irving Kristol – as among the top conservative intellectuals of the last fifty years. He was one of the great defenders of our civilization and he represented what was best about it, and his voice will be missed and never replaced."

"We hanker to go on, even in the face of plain evidence that long, long lives are not necessarily pleasurable in the kind of society we have arranged thus far. We will be lucky if we can postpone the search for new technologies for a while, until we have discovered some satisfactory things to do with the extra time."

"It is nice to think that there are so many unsolved puzzles ahead for biology, although I wonder whether we will ever find enough graduate students."

"Perhaps the safest thing to do at the outset, if technology permits, is to send music. This language may be the best we have for explaining what we are like to others in space, with least ambiguity. I would vote for Bach, all of Bach, streamed out into space, over and over again. We would be bragging of course, but it is surely excusable to put the best possible face on at the beginning of such an acquaintance. We can tell the harder truths later."

"It is when physicians are bogged down by their incomplete technologies, by the innumerable things they are obliged to do in medicine when they lack a clear understanding of disease mechanisms, that the deficiencies of the health-care system are most conspicuous. If I were a policy-maker, interested in saving money for health care over the long haul, I would regard it as an act of high prudence to give high priority to a lot more basic research in biologic science."

"The need to make music, and to listen to it, is universally expressed by human beings. I cannot imagine, even in our most primitive times, the emergence of talented painters to make cave paintings without there having been, near at hand, equally creative people making song. It is, like speech, a dominant aspect of human biology."

"It is conceivable that we might be able to provide good medical care for everyone needing it, in a new system designed to assure equity, provided we can restrain ourselves, or our computers, from designing a system in which all 200 million of us are assumed to be in constant peril of failed health every day of our lives. In the same sense that our judicial system presumes us to be innocent until proven guilty, a medical care system may work best if it starts with the presumption that most people are healthy. Left to themselves, computers may try to do it in the opposite way, taking it as given that some sort of direct, continual, professional intervention is required all the time, in order to maintain the health of each citizen, and we will end up spending all our money on nothing but this."

"The great secret, known to internists and learned early in marriage by internist’s wives, but still hidden from the general public, is that most things get better by themselves. Most things, in fact, are better by morning. Obviously, it is a great time-saver and money-saver for the physician’s family that anxiety about disease is not handled as though it were the disease itself; there is perhaps greater willingness to accept anxiety as a natural, often transient, phenomenon. And certainly there is much less ambition to deploy the full technology of medicine as a corrective for the human condition."

"I must mend the ways of my mind. This is a very big place, and I do not know how it works. I am a member of a fragile species, still new to the earth, the youngest creatures of any scale, here only a few moments as evolutionary time is measured, a juvenile species, a child of a species. We are only tentatively set in place, error prone, at risk of fumbling, in real danger at the moment of leaving behind only a thin layer of our fossils, radioactive at that."

"It is not a simple life to be a single cell, although I have no right to say so, having been a single cell so long ago myself that I have no memory at all of that stage in my life."

"It is my belief, based partly on personal experience but partly also arrived at by looking around at others, that childhood lasts considerably longer in the males of our species than in the females."

"I have always had a bad memory, as far back as I can remember."

"I agree that you might clone some people who would look amazingly like their parental cell donors, but the odds are that they’d be almost as different as you or me, and certainly more different than any of today’s identical twins."

"The cloning of humans is on most of the lists of things to worry about from Science, along with behavior control, genetic engineering, transplanted heads, computer poetry and the unrestrained growth of plastic flowers."

"As a people we have become obsessed with Health. There is something fundamentally, radically unhealthy about all this. We do not seem to be seeking more exuberance in living as much as staving off failure, putting off dying. We have lost all confidence in the human body."

"Everything here is alive thanks to the living of everything else."

"Maybe there is a single spot, just one, where living organisms are holed up. Maybe so, but if so this would be the strangest thing of all, absolutely incomprehensible. For we are not familiar with this kind of living. We do not have solitary, isolated creatures. It is beyond our imagination to conceive of a single form of life that exists alone and independent, unattached to other forms."

"Maybe altruism is our most primitive attribute out of reach, beyond our control. Or perhaps it is immediately at hand, waiting to be released, disguised now, in our kind of civilization as affection or friendship or attachment. I can’t see why it should be unreasonable for all human beings to have strands of DNA coiled up in chromosomes, coding out instincts for usefulness and helpfulness. Usefulness may turn out to be the hardest test of fitness for survival, more important than aggression, more effective, in the long run, than grabbiness."

"Everyone says, stay away from ants. They have no lessons for us; they are crazy little instruments, inhuman, incapable of controlling themselves, lacking manners, lacking souls. When they are massed together, all touching, exchanging bits of information held in their jaws like memoranda, they become a single animal. Look out for that. It is a debasement, a loss of individuality, a violation of human nature, an unnatural act. Sometimes people argue this point of view seriously and with deep thought. Be individuals, solitary and selfish, is the message. Altruism, a jargon word for what used to be called love, is worse than weakness, it is sin, a violation of nature. Be separate. Do not be a social animal. But this is a hard argument to make convincingly when you have to depend on language to make it. You have to print out leaflets or publish books and get them bought and sent around, you have to turn up on television and catch the attention of millions of other human beings all at once, and then you have to say to all of them, all at once, all collected and paying attention: be solitary; do not depend on each other. You can’t do this and keep a straight face."

"We are endowed with genes which code out our reaction to beavers and otters, maybe our reaction to each other as well. We are stamped with stereotyped, unalterable patterns of response, ready to be released. And the behavior released in us, by such confrontations, is, essentially, a surprised affection. It is compulsory behavior and we can avoid it only by straining with the full power of our conscious minds, making up conscious excuses all the way. Left to ourselves, mechanistic and autonomic, we hanker for friends."

"Science gets most of its information by the process of reductionism, exploring the details, then the details of the details, until all the smallest bits of the structure, or the smallest parts of the mechanism, are laid out for counting and scrutiny. Only when this is done can the investigation be extended to encompass the whole organism or the entire system. So we say. Sometimes it seems that we take a loss, working this way."

"Statistically the probability of any one of us being here is so small that you would think the mere fact of existence would keep us all in a contented dazzlement of surprise. We are alive against the stupendous odds of genetics, infinitely outnumbered by all the alternates who might, except for luck, be in our places."

"The future is too interesting and dangerous to be entrusted to any predictable, reliable agency. We need all the fallibility we can get. Most of all, we need to preserve the absolute unpredictability and total improbability of our connected minds. That way we can keep open all the options, as we have in the past."

"Cells are required to stick precisely to the point. Any ambiguity, any tendency to wander from the matter at hand, will introduce grave hazards for the cells, and even more for the host in which they live. Minor inaccuracies may cause reactions in which neighboring cells are recognized as foreign, and done in. There is a theory that the process of aging may be due to the cumulative effect of imprecision, a gradual degrading of information. It is not a system that allows for deviating."

"I can think of a few microorganisms, possibly the tubercle bacillus, the syphilis spirochete, the malarial parasite, and a few others, that have a selective advantage in their ability to infect human beings, but there is nothing to be gained, in an evolutionary sense, by the capacity to cause illness or death. Pathogenicity may be something of a disadvantage for most microbes, carrying lethal risks far more frightening to them than to us. The man who catches a meningococcus is in considerably less danger for his life, even without chemotherapy, than meningococci with the bad luck to catch a man."

"If we have learned anything at all in this century, it is that all new technologies will be put to use, sooner or later, for better or worse, as it is in our nature to do."

"Ants are more like the parts of an animal than entities on their own. They are mobile cells, circulating through a dense connective tissue of other ants in a matrix of twigs. The circuits are so intimately interwoven that the anthill meets all the essential criteria of an organism."

"I was told I could, if I wished, switch and get a Ph.D. in biochemistry but my preference was to stay with medicine. And I believe that this is all linked to my original ambition, or desire, which was to be of some help to humankind, so to speak, in a larger sense than just on a one-to-one basis. Just as I intended to study law, to make just laws, so I found myself interested now in the laws of nature, as distinct from the laws the people make."