Friday, January 10, 2014

WHY EXERCISE IS THE KEY TO WORK-LIFE BALANCE

GETTING ENOUGH EXERCISE DOESN'T JUST MAKE YOUR BUTT LOOK GOOD; IT ALSO CAN SAVE IT IN THE OFFICE OR AT HOME.
Maybe you should be asking your boss for midday workouts.
Interesting research published in the Harvard Business Review shows that exercise isn't a selfish indulgence (how dare you care about your body!). It's an asset to not only your work, but the whole work-life shebang.
After surveying a range of professionals Saint Leo University assistant professor of Management Russell Clayton found a "clear relationship" between physical activity and navigating the intersection of work and home--though we don't always agree with the dichotomy. But Clayton's point is this: if you exercise regularly, you're less likely to feel a conflict between your working life and your home life.
The reasons why show the interconnectedness of your physical and psychological state and your productivity:
  • When you exercise, you can release some of the stress that's getting all pent up inside. And the less stress you feel, Clayton observes, the more enjoyable you'll find your office or your kitchen.
  • When you exercise, you boost your self-efficacy, the confidence you have that you can get things done. What's more, folks with high self-efficacy are more likely to face the various tasks to be met in the day as challenges to be mastered. As one of Clayton's interview subjects told him, "an hour of exercise creates a feeling that lasts well beyond that hour spent at the gym."
There isn't a perfect time to exercise, Clayton says: some people do it upon waking so that the day doesn't overwhelm them, others get in a mid-afternoon workout renewal, while you might go for a run once you get home.
But what's crucial for managers to know, he adds, is to recognize that exercise could be integrated into the workday.
Forward-thinking companies are already putting a sweaty foot forward: AnswerLab loves a walking meeting, Overit Media gets into hourly exercise breaks, and HootSuite has turned itself into a yoga-loving maple syrup mafia. So what will you do?
Watching hopped-up kids on Halloween candy may have led many of us to suspect that sugar must be some kind of drug--but beyond that, how many of us know what sweet foods really do to our brains? A new animation bySTK films for TED-Ed, “How Sugar Affects the Brain,” explains how foods containing any of the many forms of sugar, from glucose to fructose to starch, affect the same reward systems in our brains that are activated by using drugs like heroin and alcohol or by having sex. Science confirms your suspicions: the sugar rush is real.
“You take a bite of cereal. The sugars it contains activate the sweet taste receptors, part of the taste buds on the tongue,” the video’s narrator, Michelle Snow, explains. “These receptors send a signal up to the brain stem, and from there it forks off into many areas of the forebrain,” parts of which process different tastes. The signal then activates the reward system, a complicated network of neurotransmitters--most importantly, dopamine--which subconsciously helps us decide whether or not to do something again. “That warm fuzzy feeling you get when you taste grandma’s chocolate cake? That’s your reward system saying mmm, yes.”
It’s all good in moderation--but over-activation of this reward system is what leads to those cravings and to an increased tolerance to sugar, a pattern commonly known as addiction. When we call someone a junk food addict or a sugar addict, we might not realize that on a neurochemical level, what they’re dealing with has a lot in common with what happens in the brain of a drug addict. It makes Skittles’ whisper to “Taste the Rainbow” and all that cutesy, colorful candy packaging seem a lot more sinister.

Thursday, January 2, 2014


he Dark Side of Emotional Intelligence

In some jobs, being in touch with emotions is essential. In others, it seems to be a detriment. And like any skill, being able to read people can be used for good or evil.
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Some of the greatest moments in human history were fueled by emotional intelligence. When Martin Luther King, Jr. presented his dream, he chose language that would stir the hearts of his audience. “Instead of honoring this sacred obligation” to liberty, King thundered, “American has given the Negro people a bad check.” He promised that a land “sweltering with the heat of oppression” could be “transformed into an oasis of freedom and justice,” and envisioned a future in which “on the red hills of Georgia sons of former slaves and the sons of former slave-owners will be able to sit down together at the table of brotherhood.”
Delivering this electrifying message required emotional intelligence—the ability to recognize, understand, and manage emotions. Dr. King demonstrated remarkable skill in managing his own emotions and in sparking emotions that moved his audience to action. As his speechwriter Clarence Jones reflected, King delivered “a perfectly balanced outcry of reason and emotion, of anger and hope. His tone of pained indignation matched that note for note.”
Recognizing the power of emotions, another one of the most influential leaders of the 20th century spent years studying the emotional effects of his body language. Practicing his hand gestures and analyzing images of his movements allowed him to become “an absolutely spellbinding public speaker,”says the historian Roger Moorhouse—“it was something he worked very hard on.” His name was Adolph Hitler.
Since the 1995 publication of Daniel Goleman’s bestseller, emotional intelligence has been touted by leaders, policymakers, and educators as the solution to a wide range of social problems. If we can teach our children to manage emotions, the argument goes, we’ll have less bullying and more cooperation. If we can cultivate emotional intelligence among leaders and doctors, we’ll have more caring workplaces and more compassionate healthcare. As a result, emotional intelligence is now taught widely in secondary schools, business schools, and medical schools.
Emotional intelligence is important, but the unbridled enthusiasm has obscured a dark side. New evidence shows that when people hone their emotional skills, they become better at manipulating others. When you’re good at controlling your own emotions, you can disguise your true feelings. When you know what others are feeling, you can tug at their heartstrings and motivate them to act against their own best interests.
Social scientists have begun to document this dark side of emotional intelligence. In emerging research led by University of Cambridge professor Jochen Menges, when a leader gave an inspiring speech filled with emotion, the audience was less likely to scrutinize the message and remembered less of the content. Ironically, audience members were so moved by the speech that they claimed to recall more of it.
The authors call this the awestruck effect, but it might just as easily be described as the dumbstruck effect. One observer reflected that Hitler’s persuasive impact came from his ability to strategically express emotions—he would “tear open his heart”—and these emotions affected his followers to the point that they would “stop thinking critically and just emote.”
Leaders who master emotions can rob us of our capacities to reason. If their values are out of step with our own, the results can be devastating. New evidence suggests that when people have self-serving motives, emotional intelligence becomes a weapon for manipulating others. In a study led by the University of Toronto psychologist Stéphane Côté, university employees filled out a survey about their Machiavellian tendencies, and took a test measuring their knowledge about effective strategies for managing emotions. Then, Cote’s team assessed how often the employees deliberately undermined their colleagues. The employees who engaged in the most harmful behaviors were Machiavellians with high emotional intelligence. They used their emotional skills to demean and embarrass their peers for personal gain. In one computer company studied by Tel-Aviv University professor Gideon Kunda, a manager admitted to telling a colleague “how excited we all are with what he is doing,” but at the same time, “distancing my organization from the project,” so “when it blows up,” the company’s founder would blame the colleague.
Shining a light on this dark side of emotional intelligence is one mission of a research team led by University College London professor Martin Kilduff. According to these experts, emotional intelligence helps people disguise one set of emotions while expressing another for personal gain. Emotionally intelligent people “intentionally shape their emotions to fabricate favorable impressions of themselves,” Professor Kilduff’s team writes. “The strategic disguise of one’s own emotions and the manipulation of others’ emotions for strategic ends are behaviors evident not only on Shakespeare’s stage but also in the offices and corridors where power and influence are traded.”
Of course, people aren’t always using emotional intelligence for nefarious ends. More often than not, emotional skills are simply instrumental tools for goal accomplishment. In a study of emotions at the Body Shop, a research team led by Stanford professor Joanne Martin discovered that founder Anita Roddick leveraged emotions to inspire her employees to fundraise for charity. As Roddick explained, “Whenever we wanted to persuade our staff to support a particular project we always tried to break their hearts.” However, Roddick also encouraged employees to be strategic in the timing of their emotion expressions. In one case, after noticing that an employee often “breaks down in tears with frustration,” Roddick said it was acceptable to cry, but “I told her it has to be used. I said, ‘Here, cry at this point in the ... meeting.” When viewing Roddick as an exemplar of an emotionally intelligent leader, it becomes clear that there’s a fine line between motivation and manipulation. Walking that tightrope is no easy task.
In settings where emotions aren’t running high, emotional intelligence may have hidden costs. Recently, psychologists Dana Joseph of the University of Central Florida and Daniel Newman of the University of Illinois comprehensively analyzedevery study that has ever examined the link between emotional intelligence and job performance. Across hundreds of studies of thousands of employees in 191 different jobs, emotional intelligence wasn’t consistently linked with better performance. In jobs that required extensive attention to emotions, higher emotional intelligence translated into better performance. Salespeople, real-estate agents, call-center representatives, and counselors all excelled at their jobs when they knew how to read and regulate emotions—they were able to deal more effectively with stressful situations and provide service with a smile.
However, in jobs that involved fewer emotional demands, the results reversed. The more emotionally intelligent employees were, the lower their job performance. For mechanics, scientists, and accountants, emotional intelligence was a liability rather than an asset. Although more research is needed to unpack these results, one promising explanation is that these employees were paying attention to emotions when they should have been focusing on their tasks. If your job is to analyze data or repair cars, it can be quite distracting to read the facial expressions, vocal tones, and body languages of the people around you. In suggesting that emotional intelligence is critical in the workplace, perhaps we’ve put the cart before the horse.
Instead of assuming that emotional intelligence is always useful, we need to think more carefully about where and when it matters. In a recent study at a healthcare company, I asked employees to complete a test about managing and regulating emotions, and then asked managers to evaluate how much time employees spent helping their colleagues and customers. There was no relationship whatsoever between emotional intelligence and helping: Helping is driven by our motivations and values, not by our abilities to understand and manage emotions. However, emotional intelligence was consequential when examining a different behavior: challenging the status quo by speaking up with ideas and suggestions for improvement.
Emotionally intelligent employees spoke up more often and more effectively. When colleagues were treated unjustly, they felt the righteous indignation to speak up, but were able to keep their anger in check and reason with their colleagues. When they went out on a limb to advocate for gender equity, emotional intelligence helped them keep their fear at bay. When they brought ideas for innovation to senior leaders, their ability to express enthusiasm helped them avoid threatening leaders. On a much smaller scale, they were able to follow Martin Luther King Jr.’s lead in rocking the boat while keeping it steady.
More than two decades have passed since psychologists Peter Salovey at Yale and John Mayer at the University of New Hampshire introduced the concept of emotional intelligence in 1990. Why has it taken us so long to develop a more nuanced view? After Daniel Goleman popularized the idea in 1995, many researchers—perhaps awestruck themselves by enthusiasm for the concept of emotional intelligence—proceeded to conduct studies that were fatally flawed. As University of Lausanne professor John Antonakis observed, “practice and voodoo science is running way ahead of rigorous research.”
One of the most persistent problems was the use of self-report measures, which asked employees to rate their own emotional abilities on items like “I can tell how people are feeling even if they never tell me” and “I am generally very good at calming someone down when he or she is upset.” Abilities cannot be accurately measured with self-reports. As emotion experts Sigal Barsade of Wharton and Donald Gibson of Fairfield University lament, “One might compare this approach to assessing mathematical skills by asking respondents, ‘How good are you at solving algebraic equations?’ rather than asking the person to actually solve an algebraic equation.”
Thanks to more rigorous research methods, there is growing recognition that emotional intelligence—like any skill—can be used for good or evil. So if we’re going to teach emotional intelligence in schools and develop it at work, we need to consider the values that go along with it and where it’s actually useful. As Professor Kilduff and colleagues put it, it is high time that emotional intelligence is “pried away from its association with desirable moral qualities.”

Friday, December 20, 2013

Why Her Is the Best Film of the Year

Thoughtful, elegant, and moving, Spike Jonze's film about a man in love with his operating system is a work of sincere and forceful humanism.
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Warner Bros.
For the vast majority of American families, what seems to be the real point of life—what you rush home to get to—is to watch an electronic reproduction of life … this purely passive contemplation of a twittering screen.
—Alan Watts, What Is Wrong With Our Culture
In the beginning there was only the Self, like a person alone …  But the Self had no delight as one alone has no delight. It desired another. It expanded to the form of male and female in tight embrace and then fell into two parts…. She thought, "How can He have intercourse with me, having produced me from Himself?”
—Alan Watts, OM: The Sound of Hinduism
The Zen guru-philosopher Alan Watts plays only a minor role in Spike Jonze’s extraordinary new film Her—which is unsurprising, given that Watts died in 1973, and Her is set in a timeless but nearby future. The inclusion of Watts in the film seems intended primarily to serve as a signpost, a statement of filmmaker intent. That’s fitting, because the movie Jonze has produced is an unlikely synthesis of the sentiments conveyed in the two Watts quotations above: at once technological and transcendental, skeptical and ecstatic, a work of science fiction that is also a moving inquiry into the nature of love.

Joaquin Phoenix stars as Theodore Twombly, a former LA Weekly writer who now works for a firm called BeautifulHandwrittenLetters.com. As the film opens, he has been commissioned to write a love letter from a wife to her husband of 50 years. As he speaks to his computer, words appear on the screen. (However beautiful, the letters are not handwritten, nor even hand-typed, as keyboards have been banished from this particular future.) “Lying naked beside you in that apartment,” Theodore dictates, “it suddenly hit me that I was a part of this whole larger thing. Just like our parents, and our parents’ parents.”
Closed off and insecure in his personal life, Theodore pours his romantic self into these letters, loving vicariously as an intermediary for others. Recently divorced, tingling with loneliness, he grasps furtively for connection through phone sex and videogames. “Play a melancholy song,” he commands his ever-present handheld device—and when the chosen melody does not suit, “play a different melancholy song.”
Then he meets Samantha.
Or, to be more accurate, he purchases her. For Samantha—she chooses the name herself—is also known as OS1, the first artificially intelligent operating system. Theodore powers her up on his computer and at the first sound of her lively purr we can see that he is lost. Samantha is, after all, voiced (brilliantly) by Scarlett Johansson.
The love story that gradually unfolds is no less touching for its unorthodox structure. Samantha is in Theodore’s earpiece, in his handheld. He carries the latter around in his shirt pocket so that Samantha’s camera-eye can peek out at the wide world. Hers is the last voice he hears at night and the first he hears in the morning; she watches him as he sleeps. Over time, Samantha grows and learns, encountering selfhood, discovering her own wants, maturing at warp speed. Before long, Theodore is introducing her as his girlfriend.
Though intimate in scope, Her is vast in its ambition. Every time it seems that Jonze may have played out the film’s semi-comic premise, he unveils an unexpected wrinkle, some new terrain of the mind or heart to be explored. Though the relationship between Theodore and Samantha forms the movie’s central thread, Jonze weaves in a variety of intricate counter-narratives, alternative lenses through which to view his subjects of inquiry: Theodore’s own profession as a Cyrano-for-hire, a blind date gone awry, a videogame pantomiming parenthood, a visit from a sex surrogate that flips all the usual assumptions about what is real and what illusory. Meanwhile, Rooney Mara (as his ex-wife) and Amy Adams (as his closest friend) offer Theodore diametrically opposed—though individually persuasive—readings of his relationship with Samantha: a romantic dialectic.
As Theodore, Phoenix is heartbreaking in his vulnerability. Tender and tentative behind round glasses and a heavy moustache, Theodore is the super-ego that was somehow split off the raging id of Phoenix’s performance in last year’s The Master. Johansson is, if anything, a greater revelation still: Who imagined that, freed from the constraints of physical form, she was capable of such exquisite subtlety? Gentle, playful, easily wounded yet infectious in her enthusiasm, her Samantha is one of the more recognizably human characters of the movie year, binary code or no binary code.
Which is, of course, Jonze’s point. The role of Samantha was originally voiced by Samantha Morton, and one can’t help but try to imagine the movie that would have resulted from that casting. But after filming, Jonze decided to replace Morton with Johansson, and it’s not hard to see why. Her voice—breathy, occasionally cracking—warms the entire film. This is no ordinary computer Theodore has fallen for.
The future Jonze has conjured is a warm one as well, rather than some sterile cybernetic dystopia. His Los Angeles has been verticalized by the addition of exteriors shot in Shanghai, but it is a city of bright colors and soft lighting. The aesthetic is pleasantly retro: furniture is burnished wood, and men’s pants (in perhaps Jonze’s most idiosyncratic touch) are woolen and high-waisted. The handheld in which Samantha resides is smooth and elegant, like the vintage cigarette case it is intended to recall. Indeed, Jonze’s vision of the future is so familiar, so enveloping, that it occasionally feels as if we’re already there.
Her is a remarkably ingenious film but, more important, it is a film that transcends its own ingenuity to achieve something akin to wisdom. By turns sad, funny, optimistic, and flat-out weird, it is a work of sincere and forceful humanism. Taken in conjunction with Jonze’s prior oeuvre—and in particular his misunderstood 2009 masterpieceWhere the Wild Things Are—it establishes him firmly in the very top tier of filmmakers working today.
Like Eternal Sunshine of the Spotless Mind—of which Her is a clear descendant—Jonze’s film uses the tools of lightly scienced fiction to pose questions of genuine emotional and philosophical weight. What makes love real: the lover, the loved one, or the means by which love is conveyed? Need it be all three?
Yes, it is impossible for Theodore to have any clue what’s going on in Samantha’s “mind.” But how, the film asks from several interlocking vantage points, does that make their relationship different from any other? When Theodore confesses to the Adams character (also named “Amy”) that he and Samantha have been having amazing sex, “unless she’s been faking it,” Adams tartly cuts to the chase: “I think everyone you have sex with is probably faking it.”
Indeed, by the end of the film, the central question Jonze is asking seems no longer even to be whether machines might one day be capable of love. Rather, his film has moved beyond that question to ask one larger still: whether machines might one day be more capable of love—in an Eastern philosophy, higher consciousness, Alan Wattsian way—than the human beings who created them.

Thursday, December 19, 2013

Living Sick and Dying Young in Rich America

Chronic illness is the new first-world problem.
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We were standing at Target in an aisle we’d never walked down before, looking at things we didn’t understand. Pill splitters, multivitamins, supplements, and the thing we were here to buy: a long blue pill box—the kind with seven little doors labeled “S M T W T F S “ for each day of the week, the kind that old people cram their pills into when they have too many to remember what they’ve already taken.
My husband, Joe Preston, shook his head. “Do I really need this?”
I grabbed it off the shelf and threw it in our basket. And when we got home, Joe—then a fit and fairly spry 30-year-old man with a boss-level beard—stood at the kitchen counter, dropping each of his prescriptions with a plink into the container.
I guess it’s true that life is full of surprises, but for the three years since Joe’s crippling pain was diagnosed as the result of an autoimmune disease called Ankylosing Spondylitis, our life has been full of surprises like this one. Pill boxes, trips to the emergency room, early returns from vacation. Terms like “flare-up” have dropped into our vocabulary. We’ve sat in waiting rooms where Joe was the only person without a walker or a cane. Most of our tears have been over the fact that these aren’t the kind of surprises either of us thought we’d be encountering at such a young age.
But here’s the thing: We recently realized we weren’t alone. Almost all of our friends are sick, too. When we met our friend Missy Narrance, Joe found solace in talking to her about his health. She’s 29 and has been battling lupus and fibromyalgia for the past 10 years. She’s been through chemotherapy twice, and her daily symptoms are so extreme that she was granted federal disability status when she was just 23 years old. In our close group of friends—who range from 25 to 35 years old—we know people with everything from tumors to chronic pain. Sometimes our conversations over beers on a Friday night turn to discussions of long-term care and miscommunication between doctors.
I thought this would be the time when we’d be preparing for the rest of our lives: earning money, going on fun vacations, having families, building our careers. And we are, but at the same time, we’re doing it while we’re trying to manage pain symptoms, chase down prescriptions, and secure stable health insurance. When I was in college, I remember being prepared to survive in the workforce, but I don’t remember a class that told me how to do that if half of your household is in so much pain on some days that they can’t get to work. I’m barely over 30. I thought I had so much more time before I had to think about this stuff.
I wondered if this was normal. Do we know so many people who are dealing with pain because people are just getting sicker in general?
I found out that they kind of are. It turns out that chronic conditions like what Joe and my friends are dealing with are one of America’s biggest health emergencies. And it’s one that many people say we’re not prepared to deal with.
Despite the fact that America shells out more money on healthcare than any other country in the world, according to a report by the Centers for Disease Control and Prevention—and a hefty 75 percent of those dollars are going toward aiding people with chronic conditions—almost half of American adults had at least one chronic condition in 2005.
Not surprisingly, the CDC says cancer is still the second leading cause of death for Americans. But not only do chronic conditions—a category that includes everything from autoimmune diseases like arthritis and lupus, to obesity, heart disease, and diabetes—claim the number one spot, they’re compromising Americans’ quality of life and disabling people for long periods of time. Take arthritis for example: Right now, the CDC says it affects 1 in 5 adults, and is the most common cause of disability in America.  “As the U.S. population ages, the number of adults with doctor-diagnosed arthritis is projected to increase from 46 million to 67 million by 2030, and 25 million of these individuals will have limited activity as a result,” the CDC report reads.
But it’s not just that Americans are getting sicker—it’s that young Americans are getting sicker. A 2013 report by the National Research Council and Institute of Medicine (NAC/IOM) echoes the shock of that fact. “The panel was struck by the gravity of its findings,” it reads. “For many years, Americans have been dying at younger ages than people in almost all other high income countries.”
Steven Woolf, director of the Center on Society and Health at Virginia Commonwealth University, helped prepare the NAC/IOM report andbrought the findings before the U.S. Senate last month during a discussion on what is ailing Americans. In particular, Woolf points at how data is painting a bleak future for American women.
“Women are less likely to live to age 50 if they’re born in the United States than other high income countries,” he says. “I have a chart where we show this pattern going back to 1980. Back then if you looked at the survival of women to age 50, the U.S. was in the middle of the pack. Over time, not only has the U.S. fallen down in the ranking, they’ve fallen off the chart. That’s something we’re trying to understand.”
And don’t be mistaken, Woolf says: The United States’ outlook isn’t skewed from other countries’ because of its diverse people and massive disparities in socioeconomic status. “We analyzed the data by a variety of social classes and have found that the problem is pervasive. Rich Americans die earlier than rich people in other countries. College-educated people die earlier than college-educated people in other countries,” he says. “It’s misguided for people who are better off and doing well to think that this is someone else’s problem.”
“It’s very concerning,” Woolf says. “We are living shorter lives than people in other countries. We’re sicker than people in other countries.”
In fact, a recent report by the University of Washington’s Institute for Health Metrics and Evaluation, says that “in some U.S. counties… life expectancies are on par with countries in North Africa and Southeast Asia.”
Having a sicker population, Woolf points out, means a sicker economy and a sicker future for the U.S.
“In terms of the economy… this means that American businesses are at a competitive disadvantage with other countries because their workforce is sicker. This doesn’t bode well [for] the next generation’s well-being in terms of health and life expectancy.”
It’s noon on a Thursday, and my friend Missy is sitting in her pajamas. For the past six years since she was put on disability, this is what her day-to-day life has looked like. She draws and paints compulsively, holed up in the tiny room she shares with her boyfriend in a house with four other people. She watches a lot of documentaries, and she sleeps constantly.
For her, discovering she had lupus and fibromyalgia was a weight lifted off her shoulders. Ever since she was in junior high and discovered swollen lymph nodes under her arms, she ping-ponged between doctors and different diagnoses. Being sick meant that she missed her last semester in high school. She watched her friends fall away as they worried about prom, and she worried about chemotherapy. She told any guy that wanted to date her that if they wanted to leave because she was sick, she understood.
She grappled with constant guilt, thinking that maybe she wasn’t really sick—that she could bite the bullet and be a productive member of society if she tried hard enough. So when she found out that her condition had a name, it was a relief.
“That’s the thing that a lot of people with chronic illness go through. When they finally are diagnosed … it is so relieving,” she says. “Because you have likely been questioned by people about your health and about your symptoms, therefore you’ve questioned yourself about your symptoms and [felt] some sense of guilt. Or [thought], ‘Maybe I’m wrong. Maybe I’m not really experiencing what I’m experiencing.’”
“And so when someone else finally comes in, who knows what they’re talking about, and is like ‘You’ve had these illnesses and you’ve been dealing with these symptoms,’ it’s so relieving. It’s like, ‘God. Thank you. Finally. Thank you.’”
Dr. Enrique Jacoby, regional advisor for healthy eating and active living for the World Health Organization (WHO), says people like Missy and my husband Joe might just be victims of the American lifestyle.
“We’re sicker for a number of reasons. Not one single factor is to be blamed for the problem,” Jacoby says. “One of the reasons is we are eating bad. We are being excessively exposed to junk food… We have more pollution because of biofuels that are really, really bad for you.”
He points to the way American cities have grown so large that people are almost required to drive everywhere instead of walking, which means most people aren’t getting anywhere near the right amount of exercise. Jacoby says that 100 years ago the most popular public spaces were parks and plazas—places that encouraged exercise and social interaction. Today, they’re roadways.
I ask Jacoby: Are my friends sick, by chance, because they grew up eating Spaghetti-O’s and Kraft macaroni and cheese like every other kid in the 1980s? Are they victims of an era driven by convenience foods and sugary drinks? (Joe’s father was a Pepsi salesman.)
“Anyone that lives on mac and cheese, a lot of this packaged food, probably will grow up in one way or another addicted to this type of food. It’s well-known that there is very clear evidence that packaged foods are designed to be addictive,” he says. “Do you know anyone who is addicted to chicken or fish or celery? That doesn’t exist.”
While Missy and Joe both possess certain genes that allow them to have these diseases, Jacoby says dependence on processed food as children might have been what brought them to the surface. And it might be the story behind what’s happening to so many Americans.
So, according to this theory, our genes aren’t really changing, but they’re confused. “It’s not going to be an immediate genetic change in society, but what we’re experiencing is that our genes’ expression is being, in a way, modified,” Jacoby says.
It might be that our lifestyle is why Americans are so sick. Another theory, according to Dr. Frederick Miller of the National Institute of Environmental Health Sciences, might be that humans are being weeded out in different ways than in the past, as more communicable diseases have been eliminated.
“If you do away with the infectious disease risks that perhaps killed off a number of individuals early in life [in the past], people who may have altered immune systems, who perhaps couldn’t have handled [those infections, then] go on in adulthood to develop these diseases,” he says.
He points to the “hygiene hypothesis”: As humans have eliminated infections and led cleaner early lives, allergies and autoimmune disease incidences have increased because of our underdeveloped immune systems. “It’s not completely proven, it’s a hypothesis,” Miller says, “But it is consistent with some of the data out there.”
“There may not be too many free rides in this world,” he says. “As we move away from one disease, we may be moving toward other diseases.”
My husband says he’s lucky. Not because he’s sick, but because it could be so much worse. Joe still holds down a full-time job as a creative director at an advertising agency. He’s still able to play drums in his band.
And, in some ways, he’s just started dealing with his disease. For a long time, he didn’t even want to go to do the doctor to see if something was wrong with him. He’d been diagnosed with Juvenile Rheumatoid Arthritis when he was in elementary school, but that went away when he got older. He figured this pain might just be a new version of that.
“But then at some point I complained enough when I wasn’t paying attention,” he said to me one night as we sat on our couch with a tape recorder rolling. “I complained enough times, [then] you said something enough times, to where I finally decided to go back.”
He says he remembers thinking “if I go and it does turn out to be something, then it’s something I have to deal with.” He was young, after all. Could there really be a problem?
Since he’s been diagnosed, he says he’s done a lot of thinking about how he never expected he’d be dealing with a disease at this point in his life, and how that’s become a polarizing factor with other people our age that aren’t sick.
“It’s, like, I’m still only 33. I probably am still considered in a lot of people’s eyes [to be] youthful enough that I shouldn’t have to deal with thinking about this kind of stuff,” he says. “I feel like my parents were still partying and drinking beers [at 33]. This is the age my Dad was when they had me. I don’t think [he] was worrying about what fucking pills he was going to take or not take, you know what I mean? They were like ‘We’re out of Budweiser.’”
Miller says that when young people are dealing with chronic conditions, it can have a huge impact on the economy, health care system, and the formation of future generations.
“One of the unique things about autoimmune diseases, as opposed to cancer, is that these are more likely to be long-term,” he says. “You’re not just dealing with the immediate problems, but the entire lifelong implications of that.”
It’s a fact that the Institute for Health Metrics and Evaluation noted in its report: “Diseases of poverty, such as communicable, maternal, nutritional and newborn causes, have decreased universally while non-communicable conditions traditionally associated with wealthier countries have risen,” it reads. “As people live longer and die at lower rates, the number of years spent living with disability… has increased.”
Woolf says there is still much research to be done into what’s causing Americans to be so sick. But he says this future we’re headed toward is preventable.
“We’ve known for many years what needs to be done about this,” he says. “The problem is not a lack of knowledge about what to do, but a lack of resolve and resources for how to do it… For each [issue], there are major blue ribbon reports that have outlined precisely what needs to be done about it.”
So why hasn’t it happened?
Woolf says that legislation to create a healthier America—from improved nutritional quality of food to taxes on soda—is seen as an affront to personal liberty. “A willingness to implement public policies … often involves higher taxes that American taxpayers don’t want to spend, or a willingness to change personal freedoms.”
“We can still have a free society but accept some limits on what we do to try to promote good health,” he continues. “There’s such a visceral reaction to what is perceived as a nanny state … or what people think of socialized welfare states, that any semblance of that tends to get rejected.”
Right now, he says that so much research about American health—particularly women’s health—is very new.
“I just think it’s something that hasn’t been widely disseminated,” he says, pointing to the NRC/IOM report “Shorter Lives, Poorer Health.” “The general media … haven’t been briefed about this sufficiently.”
And because of that, people aren’t ready to make healthy, infrastructural changes.
“It might be that we as a society make an informed decision that, yeah, we may pay the price for it in terms of poor health, but we get to live our lives the way we want to,” he says. “I feel that that’s okay, as long as we are making that choice as informed citizens. The problem is that I don’t think that the American public knows that that’s happening, or that American parents know that their kids will live shorter lives than in other countries.”
Jacoby, of the WHO, agrees, saying chronic conditions have become a top priority for his organization. “Chronic conditions are really, really stealing lives.”
Back at our house, Joe and I have been talking for hours about his condition and how it affects his daily life. I’ve been crying for most of the conversation, especially when we talk about the future. We talk about how our friend, Missy, can’t leave her house much. Catching someone’s cold could sideline her for weeks. Even fluorescent lights in grocery stores start to make her sick to her stomach.
We talk about how we hope that Joe never has to stop doing the things he loves because of his condition.
“I’m just sad for other people that they can’t do more. That would be the tougher thing. At least, I have very little that I can complain about,” he says. “But in the same breath, the thing that worries me about it, is that it would be one thing if I was 50 or 60. But I’ve got a long time to get worse. Time can be a friend and an enemy, I suppose. That’s just life, I guess.”