Search Results for: health

Why One ‘Big Idea’ Won’t Save the World

In the late ’90s, an MIT economics professor named Michael Kremer wanted to find out if school kids in Kenya were better served by being given free textbooks or medicine that would eradicate stomach worms. Reports Michael Hobbes in The New Republic:

The deworming pills made the kids noticeably better off. Absence rates fell by 25 percent, the kids got taller, even their friends and families got healthier. By interrupting the chain of infection, the treatments had reduced worm infections in entire villages. Even more striking, when they tested the same kids nearly a decade later, they had more education and earned higher salaries. The female participants were less likely to be employed in domestic services.

And compared with Kremer’s first trial, deworming was a bargain. Textbooks cost $2 to $3 each. Deworming pills were as little as 49 cents. When Kremer calculated the kids’ bump in lifetime wages compared with the cost of treatment, it was a 60-to-1 ratio.

These findings led to the founding of an NGO called “Deworm the World” which went on to help 40 million children in 27 countries. But there has been little evidence that giving school children deworming pills in other countries have had similar effects. Hobbes writes:

In the 1980s and early ’90s, a series of meta-analyses found that textbooks were actually effective at improving school performance in places where the language issues weren’t as complex. In his own paper reporting the Kenya results, Kremer noted that, in Nicaragua and the Philippines, giving kids textbooks did improve their test scores.

But the point of all this is not to talk shit on Kremer—who has bettered the world more with his career than I ever have with mine—or to dismantle his deworming charity, or to advocate that we should all go back to giving out free textbooks. What I want to talk shit on is the paradigm of the Big Idea—that once we identify the correct one, we can simply unfurl it on the entire developing world like a picnic blanket.

There are villages where deworming will be the most meaningful education project possible. There are others where free textbooks will. In other places, it will be new school buildings, more teachers, lower fees, better transport, tutors, uniforms. There’s probably a village out there where a PlayPump would beat all these approaches combined. The point is, we don’t know what works, where, or why. The only way to find out is to test these models—not just before their initial success but afterward, and constantly.

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Related: Michael Hobbes talks about writing the story on his blog.

Photo: Susana Secretariat

For the Public Good: The Shameful History of Forced Sterilization in the U.S.

Belle Boggs | The New New South | August 2013 | 62 minutes (15,377 words)

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We’re proud to present, for the first time online, “For the Public Good,” Belle Boggs‘s story for The New New South about the shocking history of forced sterilizations that occurred in the United States, and the story of victims in North Carolina, with original video by Olympia Stone.

As Boggs explained to us last year: 

“Last summer I met Willis Lynch, a man who was sterilized by the state of North Carolina more than 65 years earlier, when he was only 14 years old and living in an institution for delinquent children. Willis was one of 7,600 victims of North Carolina’s eugenics program, and one of the more outspoken and persistent advocates for compensation.

“At the time I was struggling with my own inability to conceive, and the debate within my state—how much is the ability to have children worth?—was something I thought about a lot. It’s hard to quantify, the value of people who don’t exist. It gets even more complicated when you factor in public discomfort over a shameful past, and a present-day political climate that marginalizes the poor.”

Thanks to Boggs and The New New South for sharing this story with the Longreads Community, and thanks to Longreads Members for your helping us bring these stories to you. Join us.

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It’s Time to Stop Saying ‘Drink the Kool-Aid’: Interview with Jonestown Author Julia Scheeres

Children in Jonestown

Mark Armstrong | Longreads | November 18, 2014 | 5 minutes (1,301 words)

 
Thirty-six years ago, on Nov. 18, 1978, a charismatic preacher from San Francisco named Jim Jones led his followers into one of the most horrific massacres in American history. More than 900 people—including 303 children—were slaughtered, in a place called Jonestown. It was a community first built as a socialist utopia for parishioners from the Peoples Temple. But Jones had other plans, planting the seeds of “revolutionary suicide” that ended with mass cyanide poisoning.

I spoke with Julia Scheeres, author of the book A Thousand Lives and our latest Longreads Exclusive, “Escape from Jonestown,” about the newly public home movies from inside and how the phrase “drink the Kool-Aid” became a terrible reminder for its survivors. Read more…

Escape from Jonestown

Julia Scheeres | A Thousand Lives | 26 minutes (6,304 words)

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For our latest Longreads Exclusive, we’re proud to share Julia Scheeres’ adaptation of her book, A Thousand Lives: The Untold Story of Jonestown, which tells the story of five people who lived in Jonestown at the time of the infamous massacre, which occurred 36 years ago, on Nov. 18, 1978.

This story also includes home movies—never before released publicly—from inside Jonestown. The footage, discovered after the massacre, includes tours of the compound by Jim Jones and interviews with many of those who lived and died there. You can view the entire series of clips at YouTube.com/Longreads. Read more…

Interview: ‘Poor Teeth’ Writer Sarah Smarsh on Class and Journalism

Julia Wick | Longreads | November 7, 2014 | 11 minutes (2,674 words)

 

“I am bone of the bone of them that live in trailer homes.” That’s the first line of Sarah Smarsh’s essay “Poor Teeth,” which appeared on Aeon earlier this month. Like much of Smarsh’s work, “Poor Teeth” is a story about inequity in America. It is also a story about teeth, hers and her grandmother’s and also the millions of Americans who lack dental coverage.

Smarsh has written for Harper’s, Guernica and The Morning News, among other outlets. Her perspective is very much shaped by her personal experiences: She grew up in a family where most didn’t graduate from high school, and she later chaired the faculty-staff Diversity Initiative as a professor at Washburn University in Topeka. I spoke with her about her own path to journalism and how the media cover issues of class.  Read more…

When Mitch McConnell Met Roger Ailes: An Early Lesson in Winning At All Costs

Photo by gageskidmore

Alec MacGillis | The Cynic | September 2014 | 13 minutes (3,241 words)

 

Below is an excerpt from The Cynic, a book by The New Republic writer Alec MacGillis about U.S. Sen. Mitch McConnell. Our thanks to MacGillis for sharing this with the Longreads community.

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Untangling the Knot: My Search for Democracy in the Modern Family

Sabine Heinlein | Longreads | October 28, 2014 | 16 minutes (3,966 words)

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When Our Troops Are Abandoned and Neglected at Home: 6 Stories

This October 2014 New York Times investigation by C.J. Chivers is about more than just the discovery of old chemical weapons in Iraq—it’s about how shabbily we still treat our troops when they return home. We leave our all-volunteer army with inadequate medical care, emotional trauma, and fragile families. Here are six stories on our veterans.

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How School Lunch Became the Latest Political Battleground

Longreads Pick

The Healthy, Hunger-Free Kids Act, an “ambitious bill that would impose strict new nutrition standards on all food sold in public schools” was passed in 2010 with overwhelming support in Congresss and the School Nutrition Association. But getting the bill implemented proved to be highly divisive.

Published: Oct 7, 2014
Length: 26 minutes (6,676 words)

Losing My Religion: A Reading List

In the two years since my graduation from my conservative Christian college, approximately half of my friends have reaffirmed their faith: they’ve joined churches, volunteered in youth groups, and read the Bible in its entirety. Other friends have left their faith for something different: agnosticism or atheism. I find myself between the two camps, mostly intrigued by the latter. This is explored in the following four pieces.

1. “The Health Effects of Leaving Religion.” (Jon Fortenbury, The Atlantic, September 2014)

The intersection of spiritual and physical health differs from person to person. Where one person finds solace, another finds isolation. The author shares the emotional experiences of the former faithful post-deconversion.

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