Long Covid and the Blind Spots of American Medicine

Long Covid and the Blind Spots of American Medicine

One of the most frightening, least understood aspects of the coronavirus pandemic is what’s come to be known as “long Covid.” Stories abound of young, healthy adults who experienced mild or asymptomatic coronavirus infections and recovered fairly quickly, only to experience an onset of debilitating symptoms weeks or even months later. One major study of almost two million Covid patients in the United States found that nearly a quarter sought medical treatment for new conditions one month or more after their initial infection.

Scientists still don’t fully understand what’s causing long Covid or how to best treat it. But in that sense, long Covid isn’t all that novel. Today, millions of Americans suffer from chronic illnesses set off by the body’s response to infections. Many of these conditions routinely go undiagnosed or are misdiagnosed. And even those who find their conditions identified correctly often struggle to find treatments that work for them.

“To have a poorly understood disease,” writes Meghan O’Rourke, “is to be brought up against every flaw in the U.S. health care system; to collide with the structural problems of a late-capitalist society that values productivity more than health; and to confront the philosophical problem of conveying an experience that lacks an accepted framework.”

O’Rourke, an award-winning journalist and poet and the editor of The Yale Review, has spent more than a decade of her life struggling with chronic illness, a journey she documents in her forthcoming book, “The Invisible Kingdom: Reimagining Chronic Illness.” In it, O’Rourke uses her experience to illuminate the facets of American society that often remain invisible to the rest of us: the blind spots in our scientific and medical paradigms, the shortcomings of our individualistic ethos, the way economic inequalities show up in our bodies, our culture’s tendency to pathologize suffering.

So this conversation begins with long Covid and the debates surrounding it, which O’Rourke has done excellent reporting and writing on. But it is also about what it’s like to experience America’s hidden chronic illness epidemic firsthand, and what that epidemic reveals about the society that too often pretends it doesn’t exist.

Mentioned:

Long-Haulers Are Fighting for Their Future” by Ed Yong

Lyme Disease Is Baffling, Even to Experts” by Meghan O’Rourke

Unlocking the Mysteries of Long Covid” by Meghan O’Rourke

The Deep Places: A Memoir of Illness and Discovery by Ross Douthat

Book Recommendations:

The Journal of a Disappointed Man by W.N.P. Barbellion

On Immunity by Eula Biss

The Cancer Journals by Audre Lorde

This episode is guest-hosted by Ross Douthat, a New York Times columnist whose work focuses on politics, conservatism, religion and, more recently, chronic illness. He is also the author of numerous books, including “The Deep Places” and “The Decadent Society.” You can read his work here and follow him on Twitter @DouthatNYT (Learn more about the other guest hosts during Ezra’s parental leave here.)

You can find transcripts (posted midday) and more episodes of "The Ezra Klein Show" at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.

Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.

“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Mary Marge Locker and Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld, audience strategy by Shannon Busta. Special thanks to Kristin Lin.

Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

Episoder(459)

What Were Democrats Thinking?

What Were Democrats Thinking?

Democrats’ case for the government shutdown was just starting to break through to voters. Why fold now?Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find the transcript and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.html This column read was produced by Kristin Lin. Fact-checking by Jack McCordick. Our senior engineer is Jeff Geld, with mixing by Isaac Jones. Our executive producer is Claire Gordon. The show’s production team also includes Marie Cascione, Annie Galvin, Michelle Harris, Rollin Hu, Marina King, Emma Kehlbeck and Jan Kobal. Original music by Aman Sahota and Pat McCusker. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser.Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

10 Nov 10min

The Blue Wave Cometh?

The Blue Wave Cometh?

Democrats won big on Tuesday. It looks like the MAGA coalition has started to crack.Ezra is joined by his column editor, Aaron Retica, to discuss the big lessons for Democrats as they eye the midterms next year, and whether an anti-MAGA playbook is coming into focus.This episode contains strong language.NOTE: We're recording an "Ask Me Anything" episode soon. You can send your question to ezrakleinshow@nytimes.com with the subject line "AMA." We'll consider any questions submitted on or before the morning of Monday November 11 at 10am ET.Mentioned:“This Is the Way You Beat Trump — and Trumpism” by Ezra KleinOrdinary Vices by Judith N. ShklarMarc Maron's podcast with Barack Obama“Zohran’s Smile” by Anand GhiridharadasThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Annie Galvin. Fact-checking by Michelle Harris, Kate Sinclair and Marie Cascione. Our senior engineer is Jeff Geld. Mixing by Isaac Jones. Our executive producer is Claire Gordon. The show’s production team also includes Rollin Hu, Kristin Lin, Emma Kehlbeck, Jack McCordick, Marina King and Jan Kobal. Original music by Pat McCusker. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

7 Nov 58min

This Is How the Democratic Party Beats Trump

This Is How the Democratic Party Beats Trump

Democrats don’t just need to win more people; they also need to win more places. And that requires a different kind of thinking.Mentioned:"How Liberalism Wins" by Ezra KleinThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find the transcript and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.htmlThis episode of “The Ezra Klein Show” was produced by Claire Gordon, Marie Cascione and Kristin Lin. Fact-checking by Michelle Harris. Our senior engineer is Jeff Geld. Our executive producer is Claire Gordon. The show’s production team also includes Annie Galvin, Rollin Hu, Emma Kehlbeck, Jack McCordick, Marina King and Jan Kobal. Original music by Pat McCusker. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Isaac Jones. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

2 Nov 37min

The Israeli Right’s Plan to Carve Up Gaza

The Israeli Right’s Plan to Carve Up Gaza

Israeli forces still occupy half of Gaza. In the cease-fire deal, Israel agreed to fully withdraw its presence there once Hamas fully demilitarized. But Amit Segal thinks that’s unlikely to happen anytime soon. Instead, he believes Gaza will end up divided. So what does that really mean? What are the implications?Segal is the chief political analyst for Channel 12 News in Israel and is known to be quite close to the Netanyahu government. He writes the newsletter It’s Noon in Israel and is the author of the book “A Call at 4 a.m.: Thirteen Prime Ministers and the Crucial Decisions That Shaped Israeli Politics,” which was recently published in English.In this conversation, he talks about why most Israelis don’t see the cease-fire as the end of the war between Israel and Hamas and how this conflict is mapping onto Israeli politics — both at present and as the country looks toward its next elections.This episode contains strong language.Book Recommendations:The Accidental President by A. J. BaimeAn Unfinished Love Story by Doris Kearns GoodwinMessiah in Sde Boker by Hagai SegalThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find the transcript and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.htmlThis episode of “The Ezra Klein Show” was produced by Jack McCordick. Fact-checking by Michelle Harris, Kate Sinclair and Mary Marge Locker. Our senior engineer is Jeff Geld, with additional mixing by Isaac Jones. Our executive producer is Claire Gordon. The show’s production team also includes Marie Cascione, Annie Galvin, Rollin Hu, Kristin Lin, Emma Kehlbeck, Marina King and Jan Kobal. Original music by Pat McCusker and Aman Sahota. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser. Transcript editing by Naomi Noury. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

28 Okt 1h 8min

Can Economic Populism Save the Democratic Party?

Can Economic Populism Save the Democratic Party?

The “Democratic penalty” should scare the hell out of Democrats.The Democratic Party brand has become toxic in certain parts of the country, especially with working- class voters. The Center for Working-Class Politics has actually measured this so-called “Democratic penalty,” and found it’s in the double digits in some Rust Belt states.So what should Democrats do about it?One theory says that Democrats were once economic populists and just need to be again. Another theory says that the working class feels left behind and looked down on by a Democratic Party that has moved sharply left on culture, on climate, on guns, on immigration.Jared Abbott is the director of the Center for Working-Class Politics, which has done a lot of research and polling on working- class voters. So I asked him on the show to talk through these theories and what it would take for Democrats to once again be the party of the working class.Mentioned:“Compensate the Losers?” Economic Policy and Partisan Realignment in the US“Representation Gaps: Changes in Popular Preferences and the Structure of Partisan Competition in the Developed Democracies” by Peter A. Hall and Georgina EvansBook Recommendations:Rust Belt Union Blues by Lainey Newman and Theda SkocpolWe’re Still Here by Jennifer M. SilvaAmerica, América by Greg GrandinThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Rollin Hu. Fact-checking by Michelle Harris. Our senior engineer is Jeff Geld, with additional mixing by Isaac Jones. Our executive producer is Claire Gordon. The show’s production team also includes Marie Cascione, Annie Galvin, Kristin Lin, Emma Kehlbeck, Jack McCordick, Marina King and Jan Kobal. Original music by Aman Sahota and Pat McCusker. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

24 Okt 1h 3min

The Rural Power Behind Trump’s Assault on Blue Cities

The Rural Power Behind Trump’s Assault on Blue Cities

President Trump’s deployment of the National Guard from red states into blue cities isn’t just a partisan attack; it’s also a geographic one. In the 2024 election, Donald Trump won rural areas by 40 percentage points. And you could see what’s been happening in Washington, D.C., and Chicago as a rural political coalition militarily occupying urban centers. The rural-urban divide in America has become so big it’s dangerous — for our politics, and for democracy. And yet, just a few decades ago, this divide didn’t exist. Urban and rural areas voted pretty much in lockstep. And for Democrats to gain power again, they’ll need to figure out how to win some of those voters back.So how did the Democratic Party lose rural voters? And what could they do to win their votes back?Suzanne Mettler is a political scientist at Cornell University and the co-author with Trevor E. Brown of the new book “Rural Versus Urban: The Growing Divide That Threatens Democracy.”Mentioned:Rural Versus Urban by Suzanne Mettler and Trevor E. BrownFour Threats by Robert C. Lieberman and Suzanne MettlerBook Recommendations:The Politics of Resentment by Katherine J. CramerDemon Copperhead by Barbara KingsolverDevotions by Mary OliverThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Jack McCordick. Fact-checking by Will Peischel. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota. Our executive producer is Claire Gordon. The show’s production team also includes Marie Cascione, Annie Galvin, Rollin Hu, Kristin Lin, Michelle Harris, Marina King, Emma Kehlbeck and Jan Kobal. Original music by Isaac Jones, Carole Sabouraud, and Pat McCusker. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

21 Okt 1h 4min

Can the Israel-Hamas Deal Hold?

Can the Israel-Hamas Deal Hold?

Every Israeli-Palestinian peace deal has failed. Could Trump’s be any different?On Oct. 10, the Israeli cabinet approved a cease-fire deal brokered by the Trump administration, Turkey and Qatar. Since then, the living Israeli hostages have come home. Nearly 2,000 Palestinian prisoners in Israel have been freed. Israeli forces have partially withdrawn from the Gaza Strip, and they’re allowing in more desperately needed aid. This is finally, hopefully, the end of this war.But that was just the first part of the deal. The next phase is a lot more ambitious — and ambiguous. And while President Trump said the region would now “live, God willing, in peace for all eternity,” history would suggest otherwise.Robert Malley has worked on Middle East policy under President Barack Obama, President Joe Biden and President Bill Clinton. Hussein Agha negotiated on the Palestinian side, working under both Yasir Arafat, the first president of the Palestinian Authority, and the P.A.’s current president, Mahmoud Abbas. Together they wrote a sweeping new history of attempts at peace, “Tomorrow Is Yesterday: Life, Death, and the Pursuit of Peace in Israel/Palestine.” They join me to examine what could go right — or wrong — as the rest of the deal takes shape.Mentioned:Tomorrow Is Yesterday by Hussein Agha and Robert MalleyBook Recommendations:One Day, Everyone Will Have Always Been Against This by Omar El AkkadSay Nothing by Patrick Radden KeefeDirty Hands by Jean-Paul SartreThe Just Assassins by Albert CamusThe History of the Peloponnesian War by ThucydidesThe Man Without Qualities by Robert MusilHollywood Babylon by Kenneth AngerThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Annie Galvin. Fact-checking by Michelle Harris and Jack McCordick. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota and Isaac Jones. Our executive producer is Claire Gordon. The show’s production team also includes Marie Cascione, Annie Galvin, Rollin Hu, Kristin Lin, Emma Kehlbeck, Marina King and Jan Kobal. Original music by Pat McCusker. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Chris Wood and Ashley Clivery. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

17 Okt 1h 2min

How Afraid of the A.I. Apocalypse Should We Be?

How Afraid of the A.I. Apocalypse Should We Be?

Eliezer Yudkowsky is as afraid as you could possibly be. He makes his case.Yudkowsky is a pioneer of A.I. safety research, who started warning about the existential risks of the technology decades ago, – influencing a lot of leading figures in the field. But over the last couple of years, talk of an A.I. apocalypse has become a little passé. Many of the people Yudkowsky influenced have gone on to work for A.I. companies, and those companies are racing ahead to build the superintelligent systems Yudkowsky thought humans should never create. But Yudkowsky is still out there sounding the alarm. He has a new book out, co-written with Nate Soares, “If Anyone Builds It, Everyone Dies,” trying to warn the world before it’s too late.So what does Yudkowsky see that most of us don’t? What makes him so certain? And why does he think he hasn’t been able to persuade more people?Mentioned:Oversight of A.I.: Rules for Artificial IntelligenceIf Anyone Builds It, Everyone Dies by Eliezer Yudkowsky and Nate Soares“A Teen Was Suicidal. ChatGPT Was the Friend He Confided In.” by Kashmir HillBook Recommendations:A Step Farther Out by Jerry PournelleJudgment under Uncertainty by Daniel Kahneman, Paul Slovic, and Amos TverskyProbability Theory by E. T. JaynesThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Rollin Hu. Fact-checking by Michelle Harris. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota. Our executive producer is Claire Gordon. The show’s production team also includes Marie Cascione, Annie Galvin, Kristin Lin, Jack McCordick, Marina King and Jan Kobal. Original music by Pat McCusker. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Helen Toner and Jeffrey Ladish. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

15 Okt 1h 7min

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