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The myth of scale is seductive because it is easier to spread technology than to effect extensive change in social attitudes and human capacity. In other words, it is much less painful to purchase a hundred thousand PCs than to provide a real education for a hundred thousand children; it is easier to run a […]

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Deadly Medicine

Deadly Medicine During the congressional hearings, lawmakers heard from former F.D.A. scientists who had criticized their agency’s oversight of the Ketek trials and the drug-approval process. One was Dr. David Ross, who had been the F.D.A.’s chief reviewer of new drugs for 10 years, and was now the national director of clinical public-health programs for […]

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The Decline Effect

The Decline Effect But now all sorts of well-established, multiply confirmed findings have started to look increasingly uncertain. It’s as if our facts were losing their truth: claims that have been enshrined in textbooks are suddenly unprovable. This phenomenon doesn’t yet have an official name, but it’s occurring across a wide range of fields, from […]

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What We Can Learn from a Nuclear Reactor

What We Can Learn from a Nuclear Reactor The connection between banks and nuclear reactors is not obvious to most bankers, nor banking regulators. But to the men and women who study industrial accidents such as Three Mile Island, Deepwater Horizon, Bhopal or the Challenger shuttle—engineers, psychologists and even sociologists—the connection is obvious. James Reason, […]

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Forty Years Later: How 'Oregon Trail' Was Born

Forty Years Later: How ‘Oregon Trail’ Was Born For the next two weeks, Dillenberger and Heinemann spent each night wedged into a tiny computer office—a former janitor’s closet at Bryant Junior High School—tapping code into a teletype machine. The teletype was a screen-less, electromechanical typewriter connected via telephone to a mainframe computer that could issue […]

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If neither party is proposing effective solutions to the cost crisis, and political deadlock in Washington is preventing the consideration of new ideas, are we doomed to witness a slowly collapsing health care system that eventually will provide adequate care only to those who can afford to pay? In his latest book on health care, […]

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Still, a man who at 105—he’ll be 106 on December 19—has never had a life-threatening disease, who takes no cholesterol or blood-pressure medications and can give himself a clean shave each morning (not to mention a “serious sponge bath with vigorous rubbing all around”), invites certain questions. Is there something about his habits that predisposed […]

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Featured Longreader: Jalees Rehman, associate professor of medicine and pharmacology at the University of Illinois at Chicago. See his story picks from National Geographic, Intelligent Life Magazine, n+1 and more on his #longreads page.

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