Two Years Later, We Still Don’t Understand Long Covid. Why?
Depending on the data you look at, between 10 and 40 percent of people who get Covid will still have symptoms months later. For some, those symptoms will be modest. A cough, some fatigue. For others, they’ll be life-altering: Debilitating brain fog. Exhaustion. Cardiovascular problems. Blood clotting.This is what we call long Covid. It’s one term for a vast range of experiences, symptoms, outcomes. It’s one term that may be hiding a vast range of maladies and causes. So what do we actually know about long Covid? What don’t we know? And why don’t we know more than we do?Dr. Lekshmi Santhosh is an assistant professor at UCSF Medical Center, and the founder and medical director of UCSF’s long Covid and post-ICU clinic. Her clinic opened in May 2020 and was one of the first to focus on treating long Covid patients specifically. We discuss the wildly broad range of symptoms that can qualify as long Covid; the confusing overlaps between Covid symptoms and other diseases; whether age, race, sex and pre-existing conditions affect a person’s chances of contracting long Covid; why it’s so difficult to answer a seemingly simple question like, “How many people have gotten long Covid?”; what to make of a recent study that seemingly undermines the biological existence of long Covid; how worried we should be about correlations between Covid and medical disasters like heart attacks, strokes and abnormal blood clotting; and more.Mentioned:“Post–COVID Conditions Among Adult COVID-19 Survivors Aged 18–64 and ≥65 Years — United States, March 2020–November 2021” by Lara Bull-Otterson, Sarah Baca1, Sharon Saydah, Tegan K. Boehmer, Stacey Adjei, Simone Gray and Aaron M. Harris“Long COVID after breakthrough SARS-CoV-2 infection” by Ziyad Al-Aly, Benjamin Bowe and Yan Xie“A Longitudinal Study of COVID-19 Sequelae and Immunity: Baseline Findings” by Michael C. Sneller, C. Jason Liang, Adriana R. Marques, et al.“Positive Epstein–Barr virus detection in coronavirus disease 2019 (COVID-19) patients” by Ting Chen, Jiayi Song, Hongli Liu, Hongmei Zheng and Changzheng Chen“Risk factors and disease profile of post-vaccination SARS-CoV-2 infection in UK users of the COVID Symptom Study app” by Michela Antonelli, Rose S. Penfold, Jordi Merino, Carole H. Sudre, Erika Molteni, Sarah Berry, et al.“Understanding and Improving Recovery From COVID-19” by Aluko A. Hope“Markers of Immune Activation and Inflammation in Individuals With Postacute Sequelae of Severe Acute Respiratory Syndrome Coronavirus 2 Infection” by Michael J. Peluso, Scott Lu, Alex F. Tang, Matthew S. Durstenfeld, et al.Book Recommendations:In Shock by Dr. Rana AwdishEvery Deep-Drawn Breath by Wes ElyMountains Beyond Mountains by Tracy KidderWe're hiring a researcher! You can apply here or by visiting nytimes.wd5.myworkdayjobs.com/NewsThoughts? 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.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Haylee Millikan and Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld; audience strategy by Shannon Busta. Our executive producer is Irene Noguchi. Special thanks to Kristin Lin, Kristina Samulewski, Dr. Ziyad Al-Aly and Lauren Nichols. Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.
21 Jun 202257min
The End of 'The Everything Bubble'
This week, the S&P 500 entered what analysts refer to as a bear market. The index has plunged around 22 percent from its most recent peak in January. Many growth stocks and crypto assets have crashed double or triple that amount.New home sales declined 17 percent in April, causing some analysts to argue that the housing market has peaked. And, in response to rising inflation, the Federal Reserve just approved its largest interest rate increase since 1994, meaning asset prices could dip even lower.To understand what’s happening in the stock market right now, you have to understand the era that preceded it. Rana Foroohar is a columnist at The Financial Times, and the author of several books on the economy including “Makers and Takers” and “Don’t Be Evil.” Her view is that a decade-plus of loose monetary policy has been the economic equivalent of a “sugar high,” which kept the prices of stocks, housing and other assets going up and up and up, even as the fundamentals of the economy have been eroding. This “everything bubble,” as she calls it, was bound to burst — and that’s exactly what she thinks is happening right now.So I wanted to have her on the show to discuss the economic choices — and lack thereof — that led to this point. We also discuss why the increasing power of the financial sector hasn’t resulted a stronger economy, whether the housing market has indeed hit its peak, the massive missed opportunity for public investment while interest rates were low, why policymakers treat asset price inflation so differently from other types of inflation, the true costs of the meat we eat and clothes we wear, why crypto represents the apotheosis of hyper-financialized capitalism, why I’m skeptical of the argument that we’re moving rapidly toward a less globalized world and more.Book recommendations:All That She Carried by Tiya MilesBeautiful Country by Qian Julie WangThe Rise and Fall of the Neoliberal Order by Gary GerstleWe're hiring a researcher! You can apply here or by visiting nytimes.wd5.myworkdayjobs.com/NewsThoughts? 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.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris and Andrea López Cruzado; original music by Isaac Jones; mixing by Jeff Geld; audience strategy by Shannon Busta. Our executive producer is Irene Noguchi. Special thanks to Kristin Lin and Kristina Samulewski. Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.
17 Jun 20221h 11min
Is Climate Change a Reason to Avoid Having Children? and Other Listener Questions Answered
It’s that time of year, when we invite listeners to send in questions, and I answer them on the air. And as usual, you delivered. I’m joined by my producer Annie Galvin, who asks me some of the most intriguing questions of the many we received: Is climate change a reason to forgo having kids? What would happen if Trump were allowed to return to Twitter, in the event of an Elon Musk acquisition? Should Biden run again in 2024? Is wokeness killing the Democratic Party?We also discuss the recent congressional hearing about U.F.O. sightings; whether it’s a good thing that so many talented young people are going to work in consulting, finance and corporate law; the worrisome anti-institutional direction of the Republican Party; why government is failing to deliver on liberals’ policies and promises — and how to start fixing that problem; whether Americans’ distrust in institutions is warranted; why I could use some recommendations for a good reading chair; and more.Mentioned:We're hiring a researcher! You can apply here or by visiting nytimes.wd5.myworkdayjobs.com/News“Your Kids Are Not Doomed” by Ezra Klein“Empirically Grounded Technology Forecasts and the Energy Transition” by Rupert Way, Matthew Ives, Penny Mealy and J. Doyne Farmer“Ibram X. Kendi on What Conservatives — and Liberals — Get Wrong About Antiracism” by The Ezra Klein Show“A Different Way of Thinking About Cancel Culture” by Ezra KleinPublic Citizens by Paul Sabin“This Is Why Your Holiday Travel Is Awful” by Marc J. Dunkelman“Are We More Polarized? Or Just Weirder?” by The Ezra Klein Show“Donald Trump Didn’t Hijack the G.O.P. He Understood It.” by The Ezra Klein Show“Robert Sapolsky on the Toxic Intersection of Poverty and Stress” by Vox ConversationsBook Recommendations:Amusing Ourselves to Death by Neil PostmanThe Invention of Nature by Andrea WulfBeautiful World, Where Are You by Sally RooneyMusic Recommendations:“Spring 1” by Max RichterChristian LöfflerThoughts? 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.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld; audience strategy by Shannon Busta. Our executive producer is Irene Noguchi. Special thanks to Kristin Lin and Kristina Samulewski. Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.
14 Jun 20221h 15min
Socialism Is Supposed to Be a Working-Class Movement. Why Isn’t It?
American socialists today find themselves in a tenuous position. Over the past decade, the left has become a powerful force in American politics. Bernie Sanders seriously contested two presidential primaries. Democratic socialists have won local, state and congressional races. Organizations like Democratic Socialists of America and socialist publications like Jacobin have become part of the political conversation.But the progressive left’s successes have been largely concentrated in well-educated, heavily blue districts, and the movement that claims to represent the interests of workers consistently fails to make meaningful inroads with working-class voters. As a result, socialists have struggled to build broad, lasting political power at any level of government.“We might feel more confident about the prospects for the left if, rather than a momentary shift leftward in liberal economic priorities or the rhetoric of certain parts of the mainstream media, there had been deeper inroads made among workers,” writes Bhaskar Sunkara. “There have been rare exceptions, but on the whole, it would be delusional to say that our ideological left has made a decade of progress merging with a wider social base.”Sunkara is the founding editor of Jacobin and the president of The Nation, two of the leading publications on the American left. He recently published an issue of Jacobin titled “The Left in Purgatory,” which attempts to grapple with the left’s failures, interrogate its political strategies and chart a path for American socialists to win over more working-class voters. So I invited him on the show to lay out where the left is now, and where he thinks it needs to go next.We discuss whether the left learned the wrong lessons from the Sanders 2016 campaign, why working-class voters across the world have increasingly abandoned left-wing parties, the fundamental error in Sanders’s theory of the 2020 electorate, why winning over working-class voters is just as much about a candidate’s aesthetic as it is about policy, why Sunkara is pessimistic that the socialists who came after Bernie will be able to match his widespread appeal, the “end of the A.O.C. honeymoon” on the left, what a “supply-side socialism” could look like, the tension between the left’s desire for government to do big things and its skepticism of concentrated power, why it costs so much to build in America, why Sunkara is worried about America’s “thin associative democracy” and more.Mentioned:“Brahmin Left versus Merchant Right: Changing Political Cleavages in 21 Western Democracies, 1948-2020” by Amory Gethin, Clara Martínez-Toledano and Thomas PikettyInfrastructure issue from Jacobin"The End of the A.O.C. Honeymoon" by Natalie ShureBook recommendations:Socialism: Past and Future by Michael HarringtonThe Age of Extremes by Eric HobsbawmThe South by Adolph L. Reed, Jr.Thoughts? 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.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris, Rollin Hu and Kate Sinclair; original music by Isaac Jones; mixing by Jeff Geld; audience strategy by Shannon Busta. Our executive producer is Irene Noguchi. Special thanks to Kristin Lin and Kristina Samulewski. Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.
10 Jun 20221h 11min
Thomas Piketty’s Case For ‘Participatory Socialism’
The French economist Thomas Piketty is arguably the world’s greatest chronicler of economic inequality. For decades now, he has collected huge data sets documenting the share of income and wealth that has flowed to the top 1 percent. And the culmination of much of that work, his 2013 book “Capital in the Twenty-First Century,” quickly became one of the most widely read and cited economic texts in recent history.Piketty’s new book, “A Brief History of Equality,” is perhaps his most optimistic work. In it, he chronicles the immense social progress that the U.S. and Europe have achieved over the past few centuries in the form of rising educational attainment, life expectancy and incomes. Of course, those societies still contain huge inequalities of wealth. But in Piketty’s view, this outcome isn’t an inevitability; it’s the product of policy choices that we collectively make — and could choose to make differently. And to that end, Piketty proposes a truly radical policy agenda — a universal minimum inheritance of around $150,000 per person, worker control over the boards of corporations and “confiscatory” levels of wealth and income taxation — that he calls “participatory socialism.”So this conversation isn’t just about the current state of inequality; it’s about the kind of policies — and politics — it would take to solve that inequality. We discuss why wealth is a far more accurate indicator of social power than income, the quality of the historical data that Piketty’s work relies on, why Piketty believes the welfare state — not capitalism itself — is the most important driver of human progress, why representative democracy hasn’t led to more economic redistribution, whether equality is really the best metric to measure human progress in the first place, how Piketty would pay for his universal inheritance proposal, whether the levels of taxation he is proposing would stifle innovation and wreck the economy, why he believes it would be better for societies — and economic productivity — for workers to have a much larger say in how companies are governed, how Piketty thinks about the prospect of inflation and more.Mentioned:The Great Leveler by Walter Scheidel“Anne Applebaum on What Liberals Misunderstand About Authoritarianism” by The Ezra Klein ShowBook Recommendations:The Great Demarcation by Rafe BlaufarbThe Emergence of Globalism by Or RosenboimThe Origins of Totalitarianism by Hannah ArendtWe're hiring a researcher! You can apply here or by visiting nytimes.wd5.myworkdayjobs.com/NewsThoughts? 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.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld; audience strategy by Shannon Busta. Our executive producer is Irene Noguchi. Special thanks to Kristin Lin and Kristina Samulewski. Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.
7 Jun 20221h 1min
A Conservative's View on Democrats' Biggest Weakness
“There is definitely a contest for the future of the center right,” says Reihan Salam, the president of the Manhattan Institute, a conservative think tank. In his telling, one side in this contest is “deeply pessimistic about the prospect of a diversifying America, explicitly anti-urban and increasingly willing to embrace redistribution and centralized power,” more so than conservatism before Donald Trump. This populist right has received a lot of attention since Trump’s election, and we’ve done other shows to try to understand it.But Salam is advancing a very different set of ideas with a very different theory of the electorate. He’s identified what he sees as a core fissure between the progressive elites who run the Democratic Party and the working-class voters of color who make up a large part of its base — particularly on issues of race and gender. And he believes that by putting forward an “urban conservative” agenda centered on education, housing and public safety, Republicans can exploit those internal cleavages and begin to win over demographics that have been central to the Democratic coalition.So for the final episode in our “The Rising Right” series, I wanted to use Salam’s thoughts to explore this alternate path for the American right. We discuss why the Republican Party has turned against major cities, whether antiracism is the right framework for addressing racial inequality, why he believes that children of Latino and Asian immigrants could become a core G.O.P. constituency, the difference between antiracism and “antiracialism,” the tactics of the anti-critical-race-theory movement, why he thinks there’s been an “overcorrection” on the right in favor of state power and redistribution, what a supply-side conservatism beyond just tax cuts could look like, why he believes we could be entering an era of “fiscal constraints” that could radically reshape policymaking on both the left and right and more.Mentioned:“The Anti-C.R.T. Movement and a Vision For a New Right Wing” by Jay Caspian Kang“America Needs Anti-Racialism” by Reihan Salam“Ibram X. Kendi on What Conservatives — and Liberals — Get Wrong About Antiracism” by The Ezra Klein Show“Prison-Gang Politics” by Christopher F. RufoBook recommendations:Classified by David E. BernsteinCriminal (In)Justice by Rafael A. MangualSir Vidia’s Shadow by Paul TherouxThe Strategy of Denial by Elbridge A. ColbyThoughts? 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.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris, Rollin Hu and Mary Marge Locker; original music by Isaac Jones; mixing and engineering by Jeff Geld; audience strategy by Shannon Busta. Our executive producer is Irene Noguchi. Special thanks to Kristin Lin and Kristina Samulewski. Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.
3 Jun 20221h 16min
Sex, Abortion and Feminism, as Seen From the Right
For decades, the conservative position on abortion has been simple: Appoint justices who will overturn Roe V. Wade. That aspiration is now likely to become reality. The question of abortion rights will re-enter the realm of electoral politics in a way it hasn’t for 50 years. And that means Republicans will need to develop a new politics of abortion — a politics that may appeal not only to their anti-abortion base but to some of the many Americans who believe Roe should stand.One place those Republicans may look for inspiration is to the work of the legal scholar Erika Bachiochi. She is a fellow at the Ethics and Public Policy Center, director of the Wollstonecraft Project at the Abigail Adams Institute and the author of “The Rights of Women: Reclaiming a Lost Vision,” where she argues for a “dignitarian feminism.” Bachiochi embraces women’s gains in professional and civic life but holds that techno-pharmacological birth control, the sexual revolution and the legalization of abortion have created a sexual and family culture that has ultimately been devastating to women’s well-being.In hopes of improving that status quo, Bachiochi puts forward a policy agenda that could very well become the post-Roe playbook for some Republicans: tighter abortion restrictions combined with a robust slate of family policies — some of which would be even bolder than the Biden administration’s proposals to date. Hers is not an argument I agree with, but it’s one that I imagine will become increasingly salient in a post-Roe America.In the third episode of our series “The Rising Right,” we discuss Bachiochi’s views on why the “gender revolution” has stalled; her belief that market logic has come to dominate our understandings of family, parenting, sex and feminism; her critique of modern “hookup” culture; and her pro-family economic agenda. And we debate whether it’s realistic to encourage the use of natural fertility regulation over hormonal contraception, how abortion relates to single motherhood and poverty, whether stricter abortion laws might benefit or hurt poor women, what role the law should play in teaching moral behavior, whether progressives have become too “Lockean” in their understanding of bodily autonomy, whether the sexual revolution gave people too much choice and more.Mentioned:Defenders of the Unborn by Daniel K. WilliamsGeneration Unbound by Isabel V. Sawhill“Equal Rights, Equal Wrongs” by Christopher KaczorBook recommendations:Rights Talk by Mary Ann GlendonFeminism Without Illusions by Elizabeth Fox-GenovesePublic Man, Private Woman by Jean Bethke ElshtainThoughts? 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.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Kate Sinclair, Mary Marge Locker and Michelle Harris; original music by Isaac Jones; mixing and engineering by Jeff Geld; audience strategy by Shannon Busta. Our executive producer is Irene Noguchi. Special thanks to Kristin Lin and Kristina Samulewski. Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.
31 Mai 20221h 25min
Best Of: Nikole Hannah-Jones and Ta-Nehisi Coates on the Fight Over U.S. History
What does it mean to reckon with the violence, the tragedy, and the numerous contradictions of America? That is the focus of this conversation – originally aired in July of 2021 – with Nikole Hannah-Jones and Ta- Nehisi Coates. On one level, the conversation is a reflection on the fights over teaching critical race theory and the 1619 Project. But it is really focused on the deeper meaning behind those skirmishes: The ongoing fight over the story we tell about America and why that fight has so gripped our national discourse. What changes when a country’s sense of its own history changes? What changes when who gets to tell that story changes? What are the stakes here, and why now?My guests for this conversation need little introduction. Nikole Hannah-Jones is an investigative journalist for the New York Times Magazine where she led the 1619 Project, and, before that, did incredible work on racial inequality in the American education system. Ta-Nehisi Coates is the author of books including “Between the World and Me” and “The Water Dancer,” essays including “The Case for Reparations,” and, for Marvel Comics, “Captain America” and “Black Panther.” Each of them has won more prestigious awards for their work than I could possibly list here, and both will be taking faculty positions at Howard University.We discuss the 1619 Project, whether patriotism can coexist with shame and regret, the political power of American exceptionalism, the cracked foundations of American democracy, how journalism is and should be taught, our relationships to Twitter, what journalists can learn from children and much more. It's a conversation that feels just as relevant today as when it first aired. Nikole Hannah-Jones book recommendations:Black Reconstruction in America, 1860-1880 by W.E.B Du BoisThe Warmth of Other Suns by Isabel WilkersonTa-Nehisi Coates book recommendations:Postwar by Tony JudtAvengers of the New World by Laurent DuboisYou 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.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 Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld; audience strategy by Shannon Busta. Special thanks to Kristin Lin and Kristina Samulewski. Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.
27 Mai 20221h 17min
