Connect with us

Science

‘The Interview’: Ed Yong Wants to Show You the Hidden Reality of the World

Published

on

‘The Interview’: Ed Yong Wants to Show You the Hidden Reality of the World

The science journalist and author Ed Yong likes to joke that during the first wave of Covid-19 in 2020, the impact and reach of his reporting for The Atlantic turned him into “a character in the season of ‘Pandemic.’” Indeed, his Covid journalism — which documented the earliest stages of the pandemic and made him one of the first chroniclers of long Covid — established Yong as a key and trusted public interpreter of the illness and its many ripples. It also won him a Pulitzer Prize. (Additionally, Yong’s 2022 book about animal perception, “An Immense World,” became a best seller. A young reader’s edition will be published on May 13.)

But despite having achieved a level of success and attention that most writers can only dream of, Yong’s immersion in Covid left him feeling as utterly depleted as many of the health care professionals and patients he was covering. So much so that in 2023, he decided to leave his prestigious perch at The Atlantic. Since then, in addition to working on a new book, he has found a measure of salvation, even transcendence, in birding, a pastime that he, like so many others, took up in the wake of those grim days of social distancing and time stuck inside.

So as we approach the fifth anniversary of the U.S. pandemic lockdowns, I wanted to talk with Yong about his Covid lows, his hopeful response to those struggles and his perspective on the lessons we learned — or maybe more accurate, didn’t learn from that strange and troubling time.

I want to start with a subject that a lot of people can relate to: burnout. How did you realize that you had given all that you had to give? I remember talking to public-health experts for a story and hearing people say that they were feeling depressed, anxious, they couldn’t sleep, and thinking, Man, that feels very familiar. That was in June of 2020. By the middle of 2023, I realized that I was doing my best work at severe cost to all of the other parts of myself. I actually dislike the word “burnout.” It creates this image that the person in question did their job, the job was really hard and after a while they couldn’t stand how hard it was and they stopped doing it. Which I don’t think is correct. A lot of the health care workers I spoke to said that it wasn’t that they couldn’t handle doing their job. It was that they couldn’t handle not being able to do their job. They saw all of the institutional and systemic factors that prevented them from providing the care that they wanted to provide. For them, it was more about this idea of moral injury, this massive gulf between what you want the world to be and what you see happening around you. At some point that becomes intolerable. I think that’s much closer to my experience of pandemic journalism too.

Do you have any answers for how to contextualize your feelings in a world where people are struggling for subsistence or with the threat of violence? I often think, when I’ll be low, What right do I have to complain? I’m sure you must have had similar thoughts. This is a great point because you don’t even have to go to that extreme of folks who are struggling to get by, folks who are in the middle of war zones. Let’s just talk about the people whose stories I’m trying to tell. What right do I have to say, “I have listened to your stories, and I’m trying to write about them, and that, for me, is too hard”? Doesn’t that sound a little bit pathetic?

Advertisement

There is something absurd about it. One hundred percent there is.

And yet, the feelings are real. Right. I’ve had this conversation with friends and with my therapist a lot. I think that if we as journalists do our job correctly, what we end up doing is extending as much empathy as we can to the people we are writing about, so that we can correctly characterize and convey their experiences to the world. Empathy really does mean, for me, spending days listening to the worst moments of dozens of people’s lives, having them run through my head again and again so that I can turn them into something that might shift the needle in someone who has never thought about those experiences. I’m sitting here still questioning myself about whether it’s ridiculous to say that that’s hard, but what I can tell you is that I know it’s hard because I felt it. I think that’s enough.

You’ve been clear in saying that Covid has not gone away. You ask people to wear masks at your events. But that attitude is not necessarily where the rest of the world is. How do you think about continuing to take precautions and advising others to do so when it feels as if society has moved on? I do it for a bunch of reasons. Firstly, I have learned that I enjoy not being sick. I know that the cost of long Covid is real and substantial, and I don’t want to run that risk lightly. I also know that I have many friends and people I’m close to who are immunocompromised. So for the sake of the people around me, I also don’t want to get sick. When I do events, I wear a mask for those reasons, and because I know that every time I do a talk, while the vast majority of people in the audience have probably moved on, there are going to be other people who haven’t. I think it makes a huge difference to them to have the person at the front of the stage wear a mask. It tells them, It’s not weird. So I do it for that reason, too. In terms of holding this line at a point when a large swath of society has moved on, I have written a lot about the panic-neglect cycle.

What’s that? The idea is, a crisis happens. Let’s say a new epidemic. Attention and resources flow toward that, people take it seriously, freak out, and then once the problem abates, so, too, does everything else. The resources dwindle, the attention goes away and we lapse into the same level of unpreparedness that led to the panic in the first place. This is real. I’ve seen it through my reporting. I’ve seen it for Ebola, for Covid — you name it.

Bird flu? Sure, why not? All of which is to say, for all of those reasons, I don’t feel self-conscious about still being cautious at a time when most people aren’t. I personally don’t want to lapse into the neglect phase, because I don’t think it’s warranted.

Advertisement

This has been blaring in the back of my mind the whole time we’ve been talking: How worried are you about a bird-flu pandemic? I try not to answer questions on things I haven’t specifically reported on because it is hard to make sense of all this. I didn’t come to these views on Covid lightly. So, specifically how worried am I about bird flu? On a scale of 1 to 10? I don’t know.

I’ll rephrase the question: How worried should I be about bird flu? That’s an even harder question. What I will say is that it is a threat that we should absolutely take seriously. In all likelihood the next pandemic will be a flu one, whether it’s H5N1 or something else. So the specifics of my level of worry about this particular pathogen are subsumed in this ambience of worry about everything. We live in a world where new viruses will have an ever easier time of jumping into us, and where the infrastructure of our societies continues to be poorly suited to handling those threats. If you think about what happened with Covid, why did the U.S. fare so badly? There’s all of these things that people rarely think of in terms of pandemic preparedness: It’s social stuff and, crucially, a lack of trust in government and one another that turns a pandemic into a true disaster. All of those problems are still with us, and, I would argue, are worse than they were in early 2020. The way that it’s often framed is: “Tell me, on a scale of 1 to 10, how worried you are that H5N1 is going to go pandemic.” I think the more important question is, if it does, how screwed are we? And the answer is: really.

So you were dealing with the feelings we talked about earlier, and you got to a point where you decided your life had to change. One of the things that then changed your life was birding. How did you find it? In the spring of 2023, just before I left The Atlantic, I moved to Oakland from D.C., and one thing that happened was I started paying attention to the birds around me. They were omnipresent in a way they weren’t before. On my first day in my new house, there was an Anna’s hummingbird in the garden. I would go for walks and hear birdsong: the melodious sound of a Pacific wren in a nearby redwood forest. I bought a pair of binoculars and would take it with me on neighborhood walks or hikes. I would have Merlin while I was working and look up occasionally and go: “Oh, that’s interesting. It’s an oak titmouse. I’ve never seen one before.” To me, the difference between being casually bird-curious and being an actual birder is making a specific effort to go and look at birds.

Going from passive to active. Exactly. So early September of 2023 was when I made my first trip to a local wetland to specifically look at birds and nothing else. That was, honestly, a life-changing moment.

Can you put me back in that moment? I went to a place called Arrowhead Marsh. It’s this relatively small stretch of wetland that has a boardwalk sticking out into this little chunk of bay, and on that day, I saw all these creatures. I’ve been writing about animals since I’ve been writing about anything, but a lot of my knowledge of the natural world, if you want to be reductive, it’s just trivia. Whereas the knowledge I gained from birding, that started on that boardwalk, feels rooted in the lives of the birds themselves in time and space. I look at the birds, and I see how they behave. Small things that I would never have noticed if I was just reading scientific publications. Those two halves, the academic side and the more lived knowledge, beautifully interact with each other. And the thing that I felt palpably at that place on that day, that I still do every time I go birding, is this incredible sense of being present.

Advertisement

When you’re watching birds — and this could apply to the natural world writ large — there is so much going on that is basically beyond our comprehension. Because of our sensory capabilities as human beings, we are condemned to having only an ankle-deep understanding of what it is to be alive on Earth. To me, that’s humbling and mind-blowing. What do you think? I fully agree. I mean, that is a beautiful précis of basically my entire body of work.

Nailed it! [Laughs.] I can go home now, right? All of it is about the idea that much of the world is hidden from us, that we don’t perceive it and don’t understand it, and that it is worth understanding and it is necessary to understand. I’m now working on Book 3, and I see them as a trilogy that all touch on this theme. “I Contain Multitudes,” the first book, was about the microbes that live inside our bodies and those of other animals, and the enormous influence they play in our lives. “An Immense World” is about how other creatures perceive things that we miss, and about how each of us is perceiving only a thin sliver of the fullness of reality, which is a wonderfully humbling concept. The book that I’m currently working on takes those themes and runs with them. The book is called “The Infinite Extent,” and it is about life at different scales. It is about what it is like to be the size of a blue whale or the size of a bacterium, to live for millennia like a bristlecone pine, or for just a few hours like a mayfly. It’s about these extremes of experience and existence.

I have a curmudgeonly question. Developing an awareness of the magic that’s happening all around us at any given moment, and understanding that there’s this vast cosmic dance playing out — in the abstract, I can see how internalizing those perspectives might change one’s perspective. Sometimes I’m able to get to that place. But the way I’m picturing it in my head is like, I blow up a beautiful balloon. I’m carrying that balloon around and looking up at the balloon: What a beautiful balloon I’m carrying with me. Then I get to the office, and the balloon pops on the halogen light, and I’m back in the [expletive]. Did your understanding of the bigger existential stuff you were writing about actually help you in the moments when you were struggling? I can say that thinking about these ideas constantly really helped me. It felt like a salve to all of that moral injury and despair that I was feeling. It doesn’t cure it, but it fills my life with wonder and joy, and that acts as a buffer against all the other existential dread and fear that we have to grapple with. One thing I’ve said about science as a field is that it is one of the only areas of human endeavor that take us out of ourselves. We exist at a time when we are being crunched ever inward. Whether it’s through a novel virus, or frayed social connections, or algorithms that feed us more of what we already were seeking out. There is a kind of implosive effect of the modern world, and the science and nature writing that I’m prioritizing, and the birding that I do, are all counters to that. They are a way of radiating your attention outward. I’m still wrestling with the curmudgeonly question that you asked. Like, does any of that matter? Sometimes when I go out and look at birds, there’s a voice in my head that says, Is this really the best thing you could be doing with your time?

It’s a dropout solution. Totally, because often people talk about birding as escapism, and there’s something about the word “escapism” that has a slight negative connotation. I had a conversation with a good friend about this, and what she said was, “I think it’s more important than ever to be out in the world.” I agree with that. We need to replenish ourselves, and it matters, because for those of us who care about biodiversity and diversity and the environment and equality, we need to be connected to the thing that we are fighting for. And if we don’t do that, then the work, the fights, become abstract.

So, putting work aside, one could reasonably feel a sense of moral injury just as a result of living in the world right now. We can change our work situation, or at least try, but changing the bigger problems is beyond our scope. Any advice for how to get through that feeling? A nice softball question! There are three ideas that come to mind. One is a quote from the amazing Mariame Kaba, who says, “Hope is a discipline.” She argues that hope is not this nebulous, airy thing. It is a practice that you cultivate through active effort. I think of a line by the great and late global-health advocate Paul Farmer, who said that he “fought the long defeat.” By which he meant that he was often swimming against forces that were extremely powerful, and he knew that he was going to suffer defeats and setbacks, and that he was going to fight nonetheless. Then the third one is an idea called the Stockdale paradox, which was named after Vice Adm. James Stockdale, who was a prisoner of war. When he was finally released, after a long time in captivity, he was asked how he managed to survive what he endured, and he talked about how he made it because he was able to hold two seemingly contradictory ideas in his head at the same time. One was the full and brutal realization of his situation, combined with the indomitable hope that things could get better. These three ideas anchor me in these moments when it feels like the gulf between what we hope the world should be and what it actually is seems vast and growing. That gulf is agonizingly difficult to bear, but we bear it nonetheless.

Advertisement

I’d like to wrench the conversation away from heavier topics. Tell me a cool scientific fact that you learned while you were researching your next book. Something that gave you delight. You know, I’m writing a section of the book that is about hummingbirds. The fact that hummingbirds have iridescent colors that are especially vivid at certain angles. The Anna’s hummingbird is a great example of that. In some angles it looks like this vivid capital-“M” magenta jewel. Then it might turn its head and look black and dark. Those colors are not inherent to the feathers themselves. They occur because the feathers have rows of tiny disc-shaped structures that are arranged perfectly at the nanoscale. The light they reflect interferes with and amplifies each other specifically in red wavelengths, and specifically at certain angles. I think about all that I’ve learned through scientific papers and talking with scientists, but I also know the things I’ve learned from watching hummingbirds as a birder. They are small bundles of sass and fury, and I love them for that. This is sort of what I meant when I said that my world now is this mix of the academic and the experiential. It’s all these sides of nature colliding in every single experience — and it’s wonderful.

This interview has been edited and condensed from two conversations. Listen to and follow “The Interview” on Apple Podcasts, Spotify, YouTube, iHeartRadio, Amazon Music or The New York Times Audio app.

Director of photography (video): Aaron Katter

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Science

Trump administration declares ‘war on sugar’ in overhaul of food guidelines

Published

on

Trump administration declares ‘war on sugar’ in overhaul of food guidelines

The Trump administration announced a major overhaul of American nutrition guidelines Wednesday, replacing the old, carbohydrate-heavy food pyramid with one that prioritizes protein, healthy fats and whole grains.

“Our government declares war on added sugar,” Health and Human Services Secretary Robert F. Kennedy Jr. said in a White House press conference announcing the changes. “We are ending the war on saturated fats.”

“If a foreign adversary sought to destroy the health of our children, to cripple our economy, to weaken our national security, there would be no better strategy than to addict us to ultra-processed foods,” Kennedy said.

Improving U.S. eating habits and the availability of nutritious foods is an issue with broad bipartisan support, and has been a long-standing goal of Kennedy’s Make America Healthy Again movement.

During the press conference, he acknowledged both the American Medical Association and the American Assn. of Pediatrics for partnering on the new guidelines — two organizations that earlier this week condemned the administration’s decision to slash the number of diseases that U.S. children are vaccinated against.

Advertisement

“The American Medical Association applauds the administration’s new Dietary Guidelines for spotlighting the highly processed foods, sugar-sweetened beverages, and excess sodium that fuel heart disease, diabetes, obesity, and other chronic illnesses,” AMA president Bobby Mukkamala said in a statement.

Continue Reading

Science

Contributor: With high deductibles, even the insured are functionally uninsured

Published

on

Contributor: With high deductibles, even the insured are functionally uninsured

I recently saw a patient complaining of shortness of breath and a persistent cough. Worried he was developing pneumonia, I ordered a chest X-ray — a standard diagnostic tool. He refused. He hadn’t met his $3,000 deductible yet, and so his insurance would have required him to pay much or all of the cost for that scan. He assured me he would call if he got worse.

For him, the X-ray wasn’t a medical necessity, but it would have been a financial shock he couldn’t absorb. He chose to gamble on a cough, and five days later, he lost — ending up in the ICU with bilateral pneumonia. He survived, but the cost of his “savings” was a nearly fatal hospital stay and a bill that will quite likely bankrupt him. He is lucky he won’t be one of the 55,000 Americans to die from pneumonia each year.

As a physician associate in primary care, I serve as a frontline witness to this failure of the American approach to insurance. Medical professionals are taught that the barrier to health is biology: bacteria, viruses, genetics. But increasingly, the barrier is a policy framework that pressures insured Americans to gamble with their lives. High-deductible health plans seem affordable because their monthly premiums are lower than other plans’, but they create perverse incentives by discouraging patients from seeking and accepting diagnostics and treatments — sometimes turning minor, treatable issues into expensive, life-threatening emergencies. My patient’s gamble with his lungs is a microcosm of the much larger gamble we are taking with the American public.

The economic theory underpinning these high deductibles is known as “skin in the game.” The idea is that if patients are responsible for the first few thousand dollars of their care, they will become savvy consumers, shopping around for the best value and driving down healthcare costs.

But this logic collapses in the exam room. Healthcare is not a consumer good like a television or a used car. My patient was not in a position to “shop around” for a cheaper X-ray, nor was he qualified to determine if his cough was benign or deadly. The “skin in the game” theory assumes a level of medical literacy and market transparency that simply doesn’t exist in a moment of crisis. You can compare the specs of two SUVs; you cannot “shop around” for a life-saving diagnostic while gasping for air.

Advertisement

A 2025 poll from the Kaiser Family Foundation points to this reality, finding that up to 38% of insured American adults say they skipped or postponed necessary healthcare or medications in the past 12 months because of cost. In the same poll, 42% of those who skipped care admitted their health problem worsened as a result.

This self-inflicted public health crisis is set to deteriorate further. The Congressional Budget Office estimates roughly 15 million people will lose health coverage and become uninsured by 2034 because of Medicaid and Affordable Care Act marketplace cuts. That is without mentioning the millions more who will see their monthly premiums more than double if premium tax credits are allowed to expire. If that happens, not only will millions become uninsured but also millions more will downgrade to “bronze” plans with huge deductibles just to keep their premiums affordable. We are about to flood the system with “insured but functionally uninsured” patients.

I see the human cost of this “functional uninsurance” every week. These are patients who technically have coverage but are terrified to use it because their deductibles are so large they may exceed the individuals’ available cash or credit — or even their net worth. This creates a dangerous paradox: Americans are paying hundreds of dollars a month for a card in their wallet they cannot afford to use. They skip the annual physical, ignore the suspicious mole and ration their insulin — all while technically insured. By the time they arrive at my clinic, their disease has often progressed to a catastrophic event, from what could have been a cheap fix.

Federal spending on healthcare should not be considered charity; it is an investment in our collective future. We cannot expect our children to reach their full potential or our workforce to remain productive if basic healthcare needs are treated as a luxury. Inaction by Congress and the current administration to solve this crisis is legislative malpractice.

In medicine, we are trained to treat the underlying disease, not just the symptoms. The skipped visits and ignored prescriptions are merely symptoms; the disease is a policy framework that views healthcare as a commodity rather than a fundamental necessity. If we allow these cuts to proceed, we are ensuring that the American workforce becomes sicker, our hospitals more overwhelmed and our economy less resilient. We are walking willingly into a public health crisis that is entirely preventable.

Advertisement

Joseph Pollino is a primary care physician associate in Nevada.

Insights

L.A. Times Insights delivers AI-generated analysis on Voices content to offer all points of view. Insights does not appear on any news articles.

Viewpoint
This article generally aligns with a Center Left point of view. Learn more about this AI-generated analysis
Perspectives

The following AI-generated content is powered by Perplexity. The Los Angeles Times editorial staff does not create or edit the content.

Ideas expressed in the piece

  • High-deductible health plans create a barrier to necessary medical care, with patients avoiding diagnostics and treatments due to out-of-pocket cost concerns[1]. Research shows that 38% of insured American adults skipped or postponed necessary healthcare or medications in the past 12 months because of cost, with 42% reporting their health worsened as a result[1].

  • The economic theory of “skin in the game”—which assumes patients will shop around for better healthcare values if they have financial responsibility—fails in medical practice because patients lack the medical literacy to make informed decisions in moments of crisis and cannot realistically compare pricing for emergency or diagnostic services[1].

  • Rising deductibles are pushing enrollees toward bronze plans with deductibles averaging $7,476 in 2026, up from the average silver plan deductible of $5,304[1][4]. In California’s Covered California program, bronze plan enrollment has surged to more than one-third of new enrollees in 2026, compared to typically one in five[1].

  • Expiring federal premium tax credits will more than double out-of-pocket premiums for ACA marketplace enrollees in 2026, creating an expected 75% increase in average out-of-pocket premium payments[5]. This will force millions to either drop coverage or downgrade to bronze plans with massive deductibles, creating a population of “insured but functionally uninsured” people[1].

  • High-deductible plans pose particular dangers for patients with chronic conditions, with studies showing adults with diabetes involuntarily switched to high-deductible plans face 11% higher risk of hospitalization for heart attacks, 15% higher risk for strokes, and more than double the likelihood of blindness or end-stage kidney disease[4].

Different views on the topic

  • Expanding access to health savings accounts paired with bronze and catastrophic plans offers tax advantages that allow higher-income individuals to set aside tax-deductible contributions for qualified medical expenses, potentially offsetting higher out-of-pocket costs through strategic planning[3].

  • Employers and insurers emphasize that offering multiple plan options with varying deductibles and premiums enables employees to select plans matching their individual needs and healthcare usage patterns, allowing those who rarely use healthcare to save money through lower premiums[2]. Large employers increasingly offer three or more medical plan choices, with the expectation that employees choosing the right plan can unlock savings[2].

  • The expansion of catastrophic plans with streamlined enrollment processes and automatic display on HealthCare.gov is intended to make affordable coverage more accessible for certain income groups, particularly those above 400% of federal poverty level who lose subsidies[3].

  • Rising healthcare costs, including specialty drugs and new high-cost cell and gene therapies, are significant drivers requiring premium increases regardless of plan design[5]. Some insurers are managing affordability by discontinuing costly coverage—such as GLP-1 weight-loss medications—to reduce premium rate increases for broader plan members[5].

Advertisement
Continue Reading

Science

Trump administration slashes number of diseases U.S. children will be regularly vaccinated against

Published

on

Trump administration slashes number of diseases U.S. children will be regularly vaccinated against

The U.S. Department of Health and Human Services announced sweeping changes to the pediatric vaccine schedule on Monday, sharply cutting the number of diseases U.S. children will be regularly immunized against.

Under the new guidelines, the U.S. still recommends that all children be vaccinated against measles, mumps, rubella, polio, pertussis, tetanus, diphtheria, Haemophilus influenzae type B (Hib), pneumococcal disease, human papillomavirus (HPV) and varicella, better known as chickenpox.

Vaccines for all other diseases will now fall into one of two categories: recommended only for specific high-risk groups, or available through “shared clinical decision-making” — the administration’s preferred term for “optional.”

These include immunizations for hepatitis A and B, rotavirus, respiratory syncytial virus (RSV), bacterial meningitis, influenza and COVID-19. All these shots were previously recommended for all children.

Insurance companies will still be required to fully cover all childhood vaccines on the CDC schedule, including those now designated as optional, according to the Department of Health and Human Services.

Advertisement

Health Secretary Robert F. Kennedy Jr., a longtime vaccine critic, said in a statement that the new schedule “protects children, respects families, and rebuilds trust in public health.”

But pediatricians and public health officials widely condemned the shift, saying that it would lead to more uncertainty for patients and a resurgence of diseases that had been under control.

“The decision to weaken the childhood immunization schedule is misguided and dangerous,” said Dr. René Bravo, a pediatrician and president of the California Medical Assn. “Today’s decision undermines decades of evidence-based public health policy and sends a deeply confusing message to families at a time when vaccine confidence is already under strain.”

The American Academy of Pediatrics condemned the changes as “dangerous and unnecessary,” and said that it will continue to publish its own schedule of recommended immunizations. In September, California, Oregon, Washington and Hawaii announced that those four states would follow an independent immunization schedule based on recommendations from the AAP and other medical groups.

The federal changes have been anticipated since December, when President Trump signed a presidential memorandum directing the health department to update the pediatric vaccine schedule “to align with such scientific evidence and best practices from peer, developed countries.”

Advertisement

The new U.S. vaccination guidelines are much closer to those of Denmark, which routinely vaccinates its children against only 10 diseases.

As doctors and public health experts have pointed out, Denmark also has a robust system of government-funded universal healthcare, a smaller and more homogenous population, and a different disease burden.

“The vaccines that are recommended in any particular country reflect the diseases that are prevalent in that country,” said Dr. Kelly Gebo, dean of the Milken Institute School of Public Health at George Washington University. “Just because one country has a vaccine schedule that is perfectly reasonable for that country, it may not be at all reasonable” elsewhere.

Almost every pregnant woman in Denmark is screened for hepatitis B, for example. In the U.S., less than 85% of pregnant women are screened for the disease.

Instead, the U.S. has relied on universal vaccination to protect children whose mothers don’t receive adequate care during pregnancy. Hepatitis B has been nearly eliminated in the U.S. since the vaccine was introduced in 1991. Last month, a panel of Kennedy appointees voted to drop the CDC’s decades-old recommendation that all newborns be vaccinated against the disease at birth.

Advertisement

“Viruses and bacteria that were under control are being set free on our most vulnerable,” said Dr. James Alwine, a virologist and member of the nonprofit advocacy group Defend Public Health. “It may take one or two years for the tragic consequences to become clear, but this is like asking farmers in North Dakota to grow pineapples. It won’t work and can’t end well.”

Continue Reading

Trending