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Elon Musk

Musk Is Right, But He Too Is 'A Disgusting Abomination'

On Tuesday, after Elon Musk blasted out the screed below, a friend texted me: “I guess the worm has turned. Oh, wait, I guess that’s RFK.” Indeed. We don’t know exactly what set off this tweet and the series of whines that followed, but it may have been the ketamine talking.

Anyway, Musk happens to be right: The One Big Beautiful Bill Act — its actual name! — is indeed a disgusting abomination. But this is one of those cases where it takes one to know one. Few men have done as much damage out of sheer arrogance, ignorance and pettiness as Elon Musk. He has thousands, maybe hundreds of thousands, of deaths on his hands.

And even his parting blast is destructive, demonstrating that he has learned nothing from his abject failure as a policymaker. The OBBBA is terrible, but not at all for the reasons Musk claims.

There have been a number of articles about Musk’s departure that portray him as a “Mr. Smith goes to Washington” type, a well-intentioned naif thwarted by special interests. Gag me with a Cybertruck.

What actually happened was that a zillionaire who knew nothing about government marched in claiming that he could cut $2 trillion from the $6 trillion federal budget by eliminating waste, fraud, and abuse. This was obvious nonsense, but Musk has never showed any signs of being willing either to admit his mistakes or learn from them. The wild claims just kept coming, like his insistence that millions of dead people were getting Social Security.

Claims about budget savings by DOGE — the Musk-run not-actually-a-government department that has been running wild since Donald Trump took office — have rapidly shrunk over time. Still, DOGE has continued to put out “walls of receipts” purporting to document some of its achievements. Again and again, investigators going through these reports have found them full of ludicrous errors — the same canceled contract listed three times, an $8 million saving reported as $8 billion, and more.

Seriously, would any of Musk’s tech-bro friends have invested in a venture run by someone with such a record of making extravagant but completely unfilled promises, then following up with false claims of success?

Meanwhile, the Muskenjugend, the extremely young and utterly unqualified acolytes DOGE parachuted into government agencies, disrupted the federal government’s operations. In some cases they summarily fired crucial workers without making any effort to understand their jobs, while encouraging many others to take early retirement. Those workers who remained have found themselves devoting a lot of time and effort to justifying their existence rather than doing their jobs. And although it’s hard to quantify, the DOGE presumption that government workers are worthless unless proven otherwise must have done large damage to morale and efficiency. In the end, DOGE has almost surely increased the budget deficit.

The one area where DOGE really has managed to make big cuts is foreign aid, a very small part of the budget but one it has virtually shut down. The savings have been tiny, but the human impacts immense — as I said, thousands have died as a result of Musk’s actions, and many more will die in the future.

Aside from the special hostility Musk and co. seem to have toward helping the world’s poor, the big driver behind Musk’s whole role in Washington seems to have been the belief that the federal government is a bloated bureaucracy that wastes vast amounts of money. Yet Musk kept not being able to find all that waste. This is despite the fact that he had months to dig up the wasted billions, along with unprecedented, almost surely illegal, access to government data.

A better man might have said to himself, “Hmm. Maybe I was wrong. Maybe the federal government is actually a pretty well-functioning organization, with many workers trying to do their jobs well.”

But Musk isn’t that kind of man. In denouncing the One Big Beautiful Bill Act, he calls it a “pork-filled Congressional spending bill.” Hey, Elon, where’s the beef pork? You’ve spent months trying to find it, with basically zero success. And the reason this bill will explode the deficit is that savage cuts to Medicaid and food stamps aren’t enough to offset huge tax cuts for the rich.

Um, what cost savings? And what personal risks are we talking about?

In the end, Musk’s legacy will be a damaged federal government that has lost many of its best people and will have a hard time replacing them. Oh, and a lot of dead children.

In a just world Elon Musk wouldn’t be heading back to run Tesla. He would, instead, be retreating to a remote monastery somewhere, to spend the rest of his life in poverty and penance.

Reprinted with permission from Substack.

Big Lie: What The Faked MAHA Report Shows About AI (And Bobby)

Big Lie: What The Faked MAHA Report Shows About AI (And Bobby)

I had a friend from my time living in Sag Harbor who is sadly gone from us now, Anthony “Tony” Brandt, who was married to my equally good friend, Lorraine Dusky. I bring up Tony today because he and the way he lived his life illustrate what is so different about us – me and Tracy and Tony and Lorraine and you and yours – and what we are constantly told is the ever-encroaching power, or threat, or utility – we’re always being told something different – of artificial intelligence, or AI.

Tony was a man of books, thousands and thousands of books, which he had acquired over his lifetime. Walking into his and Lorraine’s home on High Street in Sag Harbor was like entering a library. Every wall was covered with floor to ceiling bookshelves. There were more on the glassed-in porch on the front of the house, as well as piles of them out there, and more upstairs in his study, and more in the downstairs extra bedroom, and no doubt more in rooms I had not been in.

Nearly every time you walked into the house, Tony was in an armchair in the living room across from the couch under a lamp, reading. He wrote several books of his own and for years was a journalist writing for Esquire, Connoisseur, The Atlantic, American Heritage, Military History magazine, Psychology Today, and also wrote the books column in Men’s Journal. You could see among the titles what his interests were – lots of American and world history, a complete personal library on Jefferson, military matters including history, tactics, and strategy, and apparently every other book that caught his eye at the yard and estate sales that proliferated in the Hamptons during the summer.

I wondered over the years what Tony did with all those books besides read them. It was clear that they informed his own writing, but there were so many of them it was obvious that he had not collected them for a specific purpose. He had accumulated and read those books because they made him who he was. Any conversation with Tony contained stuff from his books – not the kind of self-conscious specific references that scholars are wont to make; he made casual note of something he had read that touched on the subject at hand.

The general sense you got from talking with him, which I spent hours doing over the years, or simply being around him was that he was not a man of literature so much as he was a man of knowledge which he accumulated right along with his books. His library was as extensive as he was fascinating to be with.

But it was more than knowledge he took from all those books. He took from them not only facts and scholarship and analysis. He gathered up what the books’ authors had to say about their subjects and the world around them, the ineffable sensibility and intelligence that went beyond facts, even beyond the subjects the authors wrote about.

There is the word: intelligence. It doesn’t come just from the words printed on paper between covers. It comes from within the writers, and when their books are good – and most of those Tony had chosen for his shelves were very good – what is within the writers translates into the reader, into Tony. That is why what Tony took from his thousands of books could only be described as ineffable, because it was beyond description except by his presence, the self of Tony Brandt.

It’s also why artificial intelligence will never be the threat to humankind that so many people apparently think it will be. The subject of AI popped up last week with the publication of the RFK Jr. MAHA report that had the subhed of “Make Our Children Healthy Again,” (emphasis in the original.) As you probably know by now, the report was rife with studies that turned out not to exist, and in one case, an author of a study who was made up. As Rolling Stone helpfully summed up, “The MAHA Report was also riddled with broken links, incorrect authors, and other erroneous attributions.” The conservative think tank, the CATO Institute, of all places, went further, concluding that “The data in the report bears little relationship to its conclusions.”

All the coverage of the MAHA report pointed out that at least some of the citations appeared to have been generated by artificial intelligence, with some of them containing the telltale notation, “oaicite,” connoting something generated by ChatGTP, which is owned by OpenAI.

So, here we have what was intended to be a landmark study that featured “authors” including the secretaries of the departments of HHS, Education, HUD, Veterans Affairs, EPA, and Agriculture, in addition to Russell Vought, the director of Office of Management and Budget, and Stephen Miller, the White House all-the-time-and-everywhere-jack-of-all-trades adviser on everything from immigration to national security to the budget. The report is a mess because of arrogance and laziness on the part of RFK Jr. and other “authors” who not only couldn’t bring themselves to take the time to study the subject matter, but did not even read the report once it was published.

And AI was right in the middle of the whole thing.

I read a good description today of what artificial intelligence is by Josh Marshall of Talking Points Memo. “AI is being built, even more than most of us realize,” Marshall wrote, “by consuming everyone else’s creative work with no compensation. It’s less ‘thought’ than more and more refined statistical associations between different words and word patterns.” He goes on to make the salient point that the AI “products” being produced will be “privately owned and sold to us.”

Which happened to me today, as a matter of fact. My Google Mail account recently became infected with some sort of AI product owned by Google called “Genesis,” which provided me each and every time I began an email with this unwanted prompt: “Help me write Alt+H.” I didn’t want to be so prompted, and so I went looking on the internet for how to cause the prompt to go away, which took me down a rabbit hole of solutions involving the “settings” tab of Gmail. I unclicked everything they suggested to no avail. The prompt refused to go away. And today, I discovered why. A new message in a little box appeared within the Gmail page notifying me that my “trial” use of Genesis on Gmail was about to expire, but I could buy the service by clicking “here.” I hit “cancel” and look forward to the day that my Genesis trial will be over so I can write emails without being asked if I want “help.”

Doubtlessly, what Genesis has been doing is recording every email I have ever written and preparing what Marshall called the “statistical associations between different words and patterns” so they could provide me with suggestions for sentences that would appear to echo my email “style” (or whatever) from before. As if what I want to do is write every new email so that it is similar to every other email I have already written.

That is just one of the massive holes in AI – the assumption that what human beings want to do is repeat themselves, which in my experience over the last 70 years or so is exactly 180 degrees from what I have observed human beings wanting to do. Fashion, for just one example, would die if people wanted to put the same clothes on every day. So would supermarkets and restaurants, which are in the business of offering you new and different choices for what to cook or eat.

But the weakness of AI goes way beyond its obvious basis in repetition and the apparent tendency of AI to “hallucinate” facts and references when there are none, as shown in the MAHA report.

AI will never be able to feel. AI will never, in short, be Tony Brandt. AI will never be able to take all that information from all those books on Tony’s shelves – and there is evidence that is exactly what AI companies are doing by copying information from books and magazines and internet sources into huge databases from which they can generate their repetitive “help” for us today and in the future.

AI can copy all the sentences and words it wants, but it will never be able to achieve anything resembling something as simple as emphasis – that is, synthesizing the information and applying experience from a human life to choose which fact or what “study” is more important than another except by using statistics or by emphasis according to repetition and usage, by applying numbers to create “solutions” that would in a human being come from within.

Ask yourself this: of the books or articles or poems you have read, or the music you have listened to, or the movies you have watched, what changed you? The assessments made by AI will never be changed except in ways that can be expressed mathematically within its system, by counting things and adding them up, or assessing the importance of something by what it costs – if it’s more expensive, it’s better; if it’s cheaper, it’s not worth as much.

There is also the matter of changing one’s mind. If you assess something and come to a conclusion based on the information you have, and then you come upon new and different information, you may change your mind about the subject. AI can presumably do this by accumulating information, adding to it, and changing because of the added information.

But what if your assessment is one of what might be called a human value? In my life, I have personally seen people who had been racists since childhood change their beliefs about Black people because of their lived experience knowing and working with them, or by becoming friends, or even falling in love with someone of a different race. How does AI factor that into its computations?

Because that’s what we’re talking about in the end: mathematical computations. If you use this word after that word again and again, it becomes either your common usage or your style. But words arranged in patterns can be serious, or ironic, or sarcastic, or even funny. Math doesn’t work with patterns to achieve humor or sarcasm. Math achieves repetition because it has been taught to apply a value: repetition is good, so use again.

Which is as good a definition of humanness in the accumulation of knowledge in the form of words as I can think of, other than in this way: Tony Brandt. Every time I walked into his house on High Street in Sag Harbor, I knew the experience would be different, because Tony would have read a new book or books, or something in the New York Review of Books, or a column in the Times, or a poem in the East Hampton Star, or even something in the tide tables of the Sag Harbor Express that changed him in some way that would delight me and Tracy and the rest of us in new and wonderful ways.

Let’s see AI try to replicate that.

Lucian K. Truscott IV, a graduate of West Point, has had a 50-year career as a journalist, novelist, and screenwriter. He has covered Watergate, the Stonewall riots, and wars in Lebanon, Iraq, and Afghanistan. He is also the author of five bestselling novels. He writes every day at luciantruscott.substack.com and you can follow him on Bluesky @lktiv.bsky.social and on Facebook at Lucian K. Truscott IV. Please consider subscribing to his Substack.

Reprinted with permission from Lucian Truscott Newsletter.

Viral Fury: Fourth Grader Puts RFK Jr. On Blast Over 'War On Autism'

Viral Fury: Fourth Grader Puts RFK Jr. On Blast Over 'War On Autism'

Advocacy groups are outraged over Health and Human Services Secretary Robert F. Kennedy Jr.'s war on Americans with autism.

They say Kennedy uses the disorder as a political tool and pushes damaging stereotypes that spread misinformation.

“The U.S. Secretary of Health, RFK Jr., made false comments about autism, like people with autism are broken, that autism is caused by vaccines, and that people with autism will never have jobs or families,” said Teddy, a fourth grader from New Jersey whose statement at a school board meeting went viral earlier this month.

“I have autism and I’m not broken,” Teddy said. “And I hope that nobody in Princeton Public Schools believes RFK Jr.'s lies.”

The New Jersey schoolkid and autism awareness groups felt the need to speak out after Kennedy’s vile comments last month about U.S. autism rates, where he repeated his false claim that autism is an epidemic that “destroys families.”

Kennedy also mischaracterized autism as a “preventable disease” and falsely asserted that 25% of autistic people are non-functioning—ridiculous notions that experts say are inaccurate.

“His comments were incorrect, but more to the point, they were eugenic,” Colin Killick, executive director of the Autistic Self Advocacy Network, told the Boston Globe. “Talking about autistic people as themselves being destroyed but also having destroyed their families is a horrific argument.”

“There’s an unscrupulous industry of alternative medicine providers who exploit families by charging them tens of thousands of dollars to ‘recover’ people with autism,” Ari Ne’eman, who is autistic and an assistant professor of health policy and management at Harvard’s T.H. Chan School of Public Health, told NBC News. “The way that industry works is by terrifying families.”

David Mandell, a University of Pennsylvania psychiatry professor and director of the Penn Center for Mental Health, told PBS News that Kennedy’s “fixed, myopic view” stems from needing to interface with parents of autistic children and scientists who work in the field.

Julie DeFilippo, a social worker with an autistic son, told the Boston Globe that “as a parent of an autistic kid, I get hundreds of moments of joy every day. That’s the easy part—being at home and supporting him.”

Kennedy’s characterization of autism as a preventable tragedy also appears connected to his notorious anti-vaccine crusade. In a recent interview with Dr. Phil McGraw, he repeated the vigorously debunked claim of a link between autism and vaccines.

“Many of the parents have reported that their kid, that their child, developed autism immediately after [childhood vaccinations],” Kennedy told the psychologist-turned-TV star.

Kennedy has used his position as America’s chief public health official to launch what he claims is a scientific study into the cause of autism, to be led by an anti-vaccine activist with heinous ideas about treatments for the condition that include experimenting with chemical castration drugs.

“I have seen a lot of people treat [Autism Spectrum Disorder] as some sort of disease that needs to be ‘cured,’ which is very offensive towards people like me,” John Trainor, a high school student, told the Boston Globe. ”We are normal people who have a much harder time socially.”

Kennedy has also announced plans to create an autism database, using the private medical information of millions of Americans, promising Trump in a surreal Cabinet meeting in April that he’d be able to identify the cause of autism by September.

Kennedy announced on May 7 that he intends to direct the National Institutes of Health to use Medicare and Medicaid insurance claims related to autism diagnoses to build his database.

Critics point out that Kennedy’s plan amounts to an autism registry, and experts add that Kennedy’s promises are unrealistic.

"If you just ask me, as a scientist, is it possible to get the answer that quickly? I don't see any possible way,” Dr. Peter Marks, a former top vaccine scientist for the FDA, said on Face the Nation last month.

Kennedy’s talk about investigating autism is extra hypocritical considering the Trump administration’s slashing of funds for scientific research and haphazard dismantling of America’s public health institutions.

Reprinted with permission from Daily Kos.

RFK Jr. Rips Away Protection Of Human Subjects In Medical Trials

RFK Jr. Rips Away Protection Of Human Subjects In Medical Trials

In 1999, 18-year-old Jesse Gelsinger eagerly signed up for a clinical trial testing a promising therapy for his rare genetic disorder. The Arizona resident’s dream was to lead a normal life that wouldn’t require him swallowing four dozen pills a day simply to stay alive.

He traveled to the University of Pennsylvania where physician-scientists were conducting an early experiment in gene therapy. They told Gelsinger they would implant a working gene for his mutated one using a viral vector. What they failed to tell him was that two of the previous 17 patients in the trial had developed serious side effects; two lab monkeys had died from high doses of the gene-transfer vector; and the lead physician-scientist had an ownership stake in the company sponsoring the trial.

Four days after receiving the treatment, Gelsinger died from a massive inflammatory reaction that shut down his kidneys, liver and lungs. His death received substantial news coverage since gene therapy was the hot new thing in medical science.

The Senate held hearings and legislators promised sweeping reforms of the nation’s institutional review boards (IRBs). Every institution running clinical trials relies on its IRB to review trial protocols and patient informed consent processes to ensure adherence to the highest safety and ethical standards.


IRBs and their minders

While the first IRBs were established in the 1950s, they didn’t become mandatory until the horrors of Tuskegee Syphilis Study became known. In that infamous experiment, which ran from 1932 to 1972, the U.S. Public Health Service denied readily available antibiotic treatment to 400 African American men with syphilis, choosing instead to study them to learn more about the progression of the disease. African Americans’ memory of that gross violation of medical ethics (“first do no harm”) bred an ongoing distrust of the medical system that has limited their participation in clinical trials to this day.

In the wake of Gelsinger’s death, the Health and Human Services Department created the Office of Human Research Protections (OHRP) to police clinical trials. HHS ordered the Food and Drug Administration and OHRP to step up oversight of clinical trials protocols, increase field inspections, and immediately report serious side effects and any deaths. It also prohibited researchers from having a financial stake in their trials and toughened the rules governing informed consent disclosures for prospective participants.

But those requirements, which the nation’s 2,300 IRBs must insure their institutions adhere to, have never been rigorously enforced. Johns Hopkins University, the University of Rochester and the University of Colorado are among the small handful of institutions that have had their right to run clinical trials briefly suspended for ethics violations, with none coming in the past decade.

In part that’s because over the past 20 years, the OHRP’s inflation-adjusted budget had shrunk by a third. Its 40 budgeted positions had been whittled down to 20 by the end of the Biden administration. A 2023 Government Accountability Office report found OHRP conducted just 3 or 4 clinical trial site visits annually, while the FDA averaged just 133 inspections per year between 2010 and 2021.

This limited oversight is especially worrisome when it involves clinical trials for experimental drugs seeking FDA approval. While only 2% of IRBs are independent (non-university or medical center based), they provided oversight for 48% of all investigational drug research in 2021. Just two private equity firms -- Advarra (partially owned by Blackstone) and WCG Clinical (partially owned by Leonard Green and Arsenal Partners) – dominate that privatized market with a 92% share, according to the GAO. These for-profit IRB firms represent a blatant conflict of interest since future work depends on pleasing their current pharmaceutical and medical device industry clientele.

Oversight axed

Despite lax enforcement, the Trump administration is moving quickly to eliminate what little IRB oversight still exists. In early April, the acting head of OHRP abolished the Secretary’s Advisory Committee on Human Research Protections, a panel of 11 volunteer bioethicists, clinicians, scientists and lawyers that offers bioethics and regulatory advice to OHRP. Last week, an industry newsletter reported the staff at OHRP has been whittled down to just nine people.

The IRBs themselves face future financial hurdles from the new National Institutes of Health rule limiting overhead payments to no more than 15% of any NIH research grant, which universities are contesting in court. University and medical center IRBs, which are independent of the researcher receiving the grant, are funded with those overhead payments.

“The IRB system serves as a critical mechanism for protecting participants and minimizing the potential for serious incidents that could jeopardize public trust,” authors of a JAMA Network Viewpoint wrote this week. The authors included the heads of the Association for the Accreditation of Human Research Protection Programs and Public Responsibility in Medicine & Research, which trains and certifies IRB participants. “To meet their ethical and legal obligations—and minimize delays associated with their oversight—IRBs require significant resources, a substantial portion of which come from indirects on federal grants.”

Well before the current round of cuts, the IRB system drew persistent criticism from bioethicists. In addition to the occasional high-profile deaths or serious adverse events in an IRB-approved trial, the university-based boards are frequently accused of failing to enforce informed consent requirements. They rarely police researchers who obtain signatures on consent forms from patients who don’t truly understand the risks they face (so-called “check the box” consent). Some still allow clinicians with financial ties to the sponsoring companies to enroll patients.

These internal boards, while trained and certified, can be subject to the same institutional pressure as privately-owned IRBs. Their university employers want the research money to continue pouring in. The stipends many receive for serving on IRBs depends on that cash flow. These pressures can lead to hasty approval of studies with minimal questioning even when some IRB members have ethical qualms. It’s often easier to let things slide when you know there’s no cop on the beat.

“How is it possible that we’ve had such a weak ineffective organization (OHRP) overseeing research for so long? There needs to be something else,” said Carl Elliott, a trained physician and bioethicist who is now a professor of philosophy at the University of Minnesota. “On the other hand, I don’t think it needs to be nothing, which is what RFK Jr. has in mind.”

Meanwhile, drug and device companies and their defenders attack IRBs from the other direction. They accuse review boards of being cumbersome and bureaucratic, delaying research and hampering innovation.

And that may explain why the Trump administration surgically targeted OHRP and its advisory committee for elimination. “This is a disaster for effective oversight,” said Robert Steinbrook, director of the Public Citizen Health Research Group. “There’s not going to be much federal involvement in protecting human subjects.”

Merrill Goozner, the former editor of Modern Healthcare, writes about health and politics at GoozNews.substack.com, where this column first appeared. Please consider subscribing to support his work.

Reprinted with permission from Gooz News.


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