After America полностью

And the refrigerator has a magnet on it holding up an endless list from a municipal agency detailing what trash you have to put in which colored boxes on what collection days.

But other than that, and a few cosmetic changes, he might as well have stayed in 1950.

Let’s pause and acknowledge the one exception to the above scenario: the computer. Instead of having to watch Milton Berle on that commode-like thing in the corner, as one would in 1950, you can now watch Uncle Miltie on YouTube clips from your iPhone. But be honest, aside from that, what’s new? Your horseless carriage operates on the same principles it did a century ago. It’s added a CD player and a few cup holders, but you can’t go any faster than you could fifty years back. As for that great metal bird in the sky, commercial flight hasn’t advanced since the introduction of the 707 in the 1950s.

Air travel went from Wilbur and Orville to bi-planes to flying boats to jetliners in its first half-century, and then for the next half-century it just sat there, like a commuter twin-prop parked at Gate 27B at LaGuardia waiting for the mysteriously absent gate agent to turn up and unlock the jetway.

Other arenas aren’t quite as static as the modern American airport, but nor do they move at the same clip they used to. When was the last big medical breakthrough? I mean “big” in the sense of something that takes a crippling worldwide disease man has accepted as a cruel fact of life and so clobbers it that a generation on nobody gives it a thought. That’s what the polio vaccine did in 1955. Why haven’t we done that for Alzheimer’s? Today, we have endless “races for the cure,” and colored ribbons advertising one’s support for said races for the cure, and yet fewer cures. It’s not just pink ribbons for breast cancer, and gray ribbons for brain cancer, and white for bone cancer, but also yellow ribbons for adenosarcoma, light blue for Addison’s Disease, teal for agoraphobia, periwinkle for acid reflux, pink and blue ribbons for amniotic fluid embolisms, and pinstripe ribbons for amyotrophic lateral sclerosis. We have had phenomenal breakthroughs in hues of awareness-raising ribbons. Yet for all the raised awareness, very few people seem aware of how the whole disease-curing business has ground to a halt.

Compare the Twenties to the Nineties: in the former, the discovery of insulin and penicillin, plus the first vaccines for tuberculosis, diphtheria, tetanus, whooping cough, on and on. In the last decade of the twentieth century, what? A vaccine for Hepatitis A, and Viagra. Good for erectile dysfunction, but what about inventile dysfunction? In October 1920, a doctor in London, Ontario, Frederick Banting, had an idea as to how insulin might be isolated and purified and used to treat diabetes, which in those days killed you.¹ By August 1922, Elizabeth Hughes, the daughter of America’s Secretary of State and a diabetic near death, was being given an experimental course of the new treatment. By January 1923, Eli Lilly & Company were selling insulin to American druggists. That’s it: a little over two years from concept to patient. Not today: the U.S. Food and Drug Administration now adds half a decade to the process by which a treatment makes it to market, and they’re getting slower. Between 1996 and 1999, the FDA approved 157 new drugs. Between 2006 and 2009, the approvals fell by half—to 74.² What happens during that half-decade? People die, non-stop—as young Elizabeth Hughes would have died under the “protection” of today’s FDA. Because statism has no sense of proportion. You can still find interesting articles about new discoveries that might have implications for, say, Parkinson’s disease. But that’s all you’ll find: articles, in periodicals, lying around your doctor’s waiting room. The chances of the new discovery advancing from the magazine on the coffee table to your prescription are less and less. To begin the government-approval process is to enter what the cynics of the twenty-first-century research biz call the valley of death.

When America Alone came out, arguing that the current conflict is about demographic decline, globalized psychoses, and civilizational confidence, a lot of folks objected, as well they might: seeing off supple amorphous abstract nouns is not something advanced societies do well. You’re looking at it the wrong way, I was told. Technocratic solutions, new inventions, the old can-do spirit: that’s the American way, and that’s what will see us through.

Well, okay, so where is it?

Half a century ago, the future felt different. Take 1969, quite a year in the aerospace biz: in one twelve-month period, we saw the test flight of the Boeing 747, the maiden voyage of the Concorde, the RAF’s deployment of the Harrier “jump jet,” and Neil Armstrong’s “giant step for mankind.”