Month: December 2025 Page 1 of 2

Happy New Year

By John Turley

On December 31, 2025

In Commentary

From Reagan Conservative to Social Democrat: A Political Evolution

By John Turley

On December 30, 2025

In Commentary, Politics, Uncategorized

Political beliefs rarely change overnight. Mine certainly didn’t. My journey from Reagan-era conservatism to social democracy unfolded slowly, shaped less by ideology than by lived experience and an accumulating body of evidence about what actually works.

Morning in America

Like many Americans of my generation, my political awakening came during the Reagan years. The message was optimistic and reassuring: limited government, free markets, individual responsibility, and a strong national defense would restore American greatness. Reagan’s charisma made complex economic ideas feel like common sense. Lower taxes would spur growth. Deregulation would unleash innovation. Markets would reward effort and discipline.

That worldview was personally affirming. Success was earned. Failure reflected poor choices. Government’s role should be narrow—defense, public order, and little else. Social programs, we were told, fostered dependency rather than opportunity. It was a coherent framework, and for a time, it seemed to fit the facts.

Cracks in the Foundation

By the 1990s, inconsistencies began to surface. Economic growth continued, but inequality widened. Entire industrial communities collapsed despite residents working hard and playing by the rules. The benefits of “trickle-down” economics were not trickling very far.

Personal experiences made the abstractions impossible to ignore. Families lost health insurance because of pre-existing conditions. Medical bills pushed insured households into bankruptcy. These outcomes weren’t failures of character; they were failures of systems.

The 2008 financial crisis shattered whatever illusions remained. Financial institutions that preached personal responsibility engaged in reckless speculation, then received massive government bailouts, while homeowners were left to face foreclosure. Like millions of others, I lost nearly half of my retirement savings. The contradiction was glaring: socialism for the wealthy, harsh market discipline for everyone else. Individual responsibility meant little when systemic risk brought down the entire economy.

A Turning Point

Job loss during the Great Recession completed the lesson. Despite qualifications and work history, employment opportunities vanished. Unemployment benefits—once easy to dismiss in theory as handouts—became essential in practice. The bootstrap mythology doesn’t hold up when the floor is pulled away.

This period also exposed the fragility of employer-based healthcare and retirement systems. COBRA coverage was unaffordable. 401(k)s evaporated. The safety net that once seemed excessive suddenly looked inadequate. Meanwhile, countries with stronger social protections weathered the recession better than the United States.

Seeing Other Models

Travel and research broadened my perspective further. Nations like Germany, Denmark, France, and Sweden paired market economies with robust social programs—and consistently outperformed the U.S. on measures of health, social mobility, and life satisfaction.

These were not stagnant, overregulated societies. They were thriving capitalist democracies that simply made different choices about public investment and risk-sharing.

Writers like Joseph Stiglitz and Thomas Piketty documented how concentrated wealth undermines both democracy and long-term growth. Historical evidence showed that America’s most prosperous era—the post-World War II boom—coincided with high marginal tax rates, strong unions, and major public investment.

Healthcare Changed Everything

Healthcare ultimately crystallized my shift. The U.S. spends far more per capita than any other nation yet produces worse outcomes on many basic measures.

As a physician, I watched patients struggle with insurance denials, opaque pricing, and medical debt. Healthcare markets don’t function like normal markets. You can’t comparison shop during a heart attack. When insurers profit by denying care, the system aligns against patients. Medical bankruptcy is virtually unknown in countries with universal coverage—for a reason. We have a system where the major goal of health insurance companies is making a profit for their investors—not providing affordable healthcare to their subscribers.

Climate and Collective Action

Climate change further exposed the limits of market fundamentalism. Individualism and laissez-faire policies have failed to account for shared environmental costs and long-term consequences. Markets alone cannot price long-term environmental harm or coordinate collective action at the necessary scale. Addressing climate risk requires regulation, public investment, and democratic planning.

What Social Democracy Is—and Isn’t

Social democracy is not the rejection of capitalism. It is regulated capitalism with guardrails—markets where they work well, public systems where markets fail. Healthcare, education, infrastructure, and basic income security perform better with strong public involvement.

This differs from democratic socialism, a distinction I’ve explored elsewhere. Social democracy embraces entrepreneurship and competition while preventing monopoly power, protecting workers, and taxing fairly to fund shared prosperity.

As sociologist Lane Kenworthy notes, the U.S. already has elements of social democracy—Social Security, Medicare, public education—we simply underfund them compared to European nations.

A Pragmatic Conclusion

My evolution wasn’t ideological betrayal; it was pragmatic learning. I adjusted my beliefs based on outcomes, not slogans. Countries with strong social democracies routinely outperform the U.S. on health, mobility, education, and even business competitiveness.

True prosperity requires both entrepreneurial freedom and collective investment. The choice isn’t markets or government—it’s how to balance them intelligently. This lesson took me decades to learn, but the evidence now feels hard to ignore.

References

Federal Reserve History – The Great Recession
Overview of causes, systemic failures, and economic consequences of the 2007–2009 financial crisis.
https://www.federalreservehistory.org/essays/great-recession
OECD – Social Protection and Economic Resilience
Comparative data on how countries with stronger social safety nets performed during economic downturns.
https://www.oecd.org/economy
World Happiness Report (United Nations / Oxford)
Cross-national comparisons of well-being, social trust, and economic security.
https://worldhappiness.report
Joseph Stiglitz – Inequality and Economic Growth (IMF Finance & Development)
Analysis of how income concentration undermines long-term economic performance and democracy.
https://www.imf.org/en/Publications/fandd/issues/2019/09/inequality-and-economic-growth-stiglitz
Thomas Piketty – Capital in the Twenty-First Century (Data Companion & Summaries)
Historical evidence on wealth concentration and taxation in advanced economies.
https://wid.world
Tax Policy Center – Historical Top Marginal Income Tax Rates
U.S. tax rate history showing high marginal rates during the post-war economic boom.
https://www.taxpolicycenter.org/statistics/historical-highest-marginal-income-tax-rates
The Commonwealth Fund – U.S. Health Care from a Global Perspective
Comparative analysis of health spending, outcomes, and access across developed nations.
https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022
OECD Health Statistics
International comparisons of healthcare costs, outcomes, and system performance.
https://www.oecd.org/health/health-data.htm
IPCC Sixth Assessment Report – Synthesis Report
Scientific consensus on climate change risks and the need for coordinated public action.
https://www.ipcc.ch/report/ar6/syr
Lane Kenworthy – Social Democratic Capitalism
Comparative research on social democracy, public investment, and economic performance.
https://lanekenworthy.net

Why We Make Promises to Ourselves Every January: The History of New Year’s Resolutions

By John Turley

On December 29, 2025

In Commentary, History

New Year’s resolutions—a practice where individuals set goals or make promises to improve their lives in the upcoming year—have a rich and varied history spanning thousands of years. While the concept of self-improvement at the start of a new year feels distinctly modern, its origins are deeply rooted in ancient civilizations and religious traditions that understood the psychological power of fresh starts.

Origins of New Year’s Resolutions

The tradition of making promises at the start of a new year can be traced back over 4,000 years to ancient Babylon. During their 12-day festival called Akitu, held in mid-March to coincide with the spring harvest and planting season, Babylonians made solemn vows to their gods. These promises typically involved practical matters like repaying debts and returning borrowed items, reflecting the agricultural society’s emphasis on community obligations and divine favor. The Babylonians believed that success in fulfilling these promises would curry favor with their deities, ensuring good harvests and prosperity in the year ahead.

The practice evolved significantly when Julius Caesar reformed the Roman calendar in 46 BCE and established January 1 as the official start of the new year. This wasn’t an arbitrary choice—January was named after Janus, the two-faced Roman god of beginnings, endings, doorways, and transitions. The symbolism was perfect: one face looking back at the year past, the other gazing forward to the future. Romans offered sacrifices to Janus and made promises of good conduct for the coming year, combining reflection on past mistakes with optimism about future improvements.

By the Middle Ages, the focus shifted dramatically toward religious observance. In early Christianity, the first day of the year became a time of prayer, spiritual reflection, and making pious resolutions aimed at becoming better Christians. One of the most colorful New Year’s traditions from this era was the “Peacock Vow,” practiced by Christian knights. At the end of the Christmas season, these knights would reaffirm their commitment to knightly virtue while feasting on roast peacock at elaborate New Year’s celebrations. The peacock, a symbol of pride and nobility, served as the centerpiece for vows promising good behavior and chivalric deeds during the coming year.

In the 17th century, Puritans brought particular intensity to the practice of New Year’s resolutions, focusing them squarely on spiritual and moral improvement. Rather than the broad promises of earlier eras, Puritan resolutions were detailed and specific. They committed to avoiding pride and vanity, practicing charity and liberality toward others, refraining from revenge even when wronged, controlling anger in daily interactions, speaking no evil of their neighbors, and living every aspect of their lives aligned with strict religious principles. Beyond these behavioral commitments, they also resolved to study scriptures diligently throughout the year, improve their religious devotion on a weekly basis, and continually renew their dedication to God. These resolutions were taken with utmost seriousness, often recorded in personal journals and reviewed regularly.

In 1740, John Wesley, the founder of Methodism, formalized this spiritual approach by creating the Covenant Renewal Service, traditionally held on New Year’s Eve or New Year’s Day. These powerful gatherings encouraged participants to reflect deeply on the past year’s failings and successes while making resolutions for spiritual growth in the year ahead. This tradition continues in many Methodist churches today.

Interestingly, the first known use of the specific phrase “New Year’s Resolution” appeared in a Boston newspaper called Walker’s Hibernian Magazine in 1813. The article took a humorous tone, discussing how people broke their New Year’s vows almost as soon as they made them—a wry observation that suggests nothing much has changed over the last 212 years.

The Modern Evolution of New Year’s Resolutions

The secularization of New Year’s resolutions accelerated during the 19th and 20th centuries as Western societies became increasingly diverse and less uniformly religious. Self-improvement and personal growth gradually took precedence over religious vows, though the underlying psychology remained similar. The rise of print media played a crucial role in popularizing the practice beyond religious communities. Newspapers and magazines began publishing advice columns on how to set and achieve goals, turning what had been a primarily spiritual practice into a secular ritual of self-betterment.

The industrial revolution and urbanization also influenced the nature of resolutions. As more people moved to cities and took on wage labor, resolutions began to reflect modern concerns like career advancement, financial stability, and managing the stress of urban life. The self-help movement of the 20th century, spurred by books like Dale Carnegie’s “How to Win Friends and Influence People” and Norman Vincent Peale’s “The Power of Positive Thinking,” further embedded the idea that individuals could transform themselves through conscious effort and goal-setting.

By the 21st century, resolutions were firmly established in Western culture as a beloved tradition of hope and renewal, no longer tied to any particular religious framework. The internet age brought new dimensions to the practice, with social media allowing people to publicly declare their resolutions, fitness tracking apps enabling data-driven self-improvement, and online communities providing support and accountability.

Common New Year’s Resolutions

Resolutions tend to reflect both cultural priorities and universal human aspirations. When researchers survey what people resolve to change, recurring themes emerge that tell us something about areas of discontent in contemporary life. Health and fitness consistently dominate the list, with millions of people vowing to lose weight, exercise more regularly, and eat healthier foods. The popularity of these goals reflects our sedentary modern lifestyles, abundant processed foods, and the cultural premium placed on physical appearance and wellness.

Personal development goals are another major category. People promise themselves they will finally learn that new skill they’ve been putting off, read more books instead of scrolling through social media, and manage their time better to reduce stress and increase productivity. These resolutions speak to a desire for intellectual growth and a nagging sense that we’re not living up to our full potential.

Financial goals also rank high on most people’s resolution lists. Many resolve to save more money for the future, pay off debts that have been accumulating, or stick to a budget instead of impulse spending. These financial resolutions often stem from anxiety about economic security and a recognition that small daily choices compound into major financial consequences over time.

Relationship and community-focused resolutions reflect our social nature and the loneliness epidemic affecting many developed nations. People vow to spend more quality time with family and friends rather than staying busy with work and distractions. They plan to volunteer and to give back to their communities in meaningful ways. They hope to strengthen the social bonds that are crucial to happiness and longevity.

Finally, breaking bad habits remains a perennial favorite. Traditional vices like smoking and excessive alcohol consumption still top many lists, but modern resolutions also target newer concerns like limiting screen time and reducing smartphone addiction. These goals acknowledge how difficult it is to maintain healthy habits in an environment designed to encourage overconsumption and instant gratification.

The Success Rate of Resolutions

Despite their enduring popularity, New Year’s resolutions are notoriously difficult to keep. Multiple studies estimate that approximately 80% of resolutions fail by February, often crashing and burning within just a few days of January 1st. The reasons for this high failure rate are both psychological and practical. Many people set overly ambitious goals without considering the realistic constraints of their lives or the sustained effort needed for meaningful change. Others make vague resolutions like “get healthier” without specific action steps or measurable milestones.

Research in behavioral psychology suggests that setting realistic, measurable, and time-bound goals—often called SMART goals (Specific, Measurable, Achievable, Relevant, and Time-bound)—can significantly improve success rates. Rather than resolving to “exercise more,” for example, a SMART goal would be “go to the gym for 30 minutes every Monday, Wednesday, and Friday morning.” The specificity provides clear direction, and the measurability allows for tracking progress and celebrating small victories along the way.

However, it’s worth noting that most people approach their New Year’s resolutions more as a fun tradition than with serious anticipation that they will actually keep them. There’s a ritualistic, almost playful quality to the practice—we know the odds are against us, but we participate anyway, embracing the hopeful symbolism of a fresh start even if we suspect we’ll be back to our old habits before Valentine’s Day.

The Significance of Resolutions Today

New Year’s resolutions persist across centuries and cultures because they align with a fundamental human desire for self-improvement and the psychological comfort of fresh starts. The appeal of marking time with calendars and treating January 1st as somehow special—despite being astronomically arbitrary—speaks to our need for narrative structure in our lives. Whether rooted in ancient Babylonian pledges to repay debts, Roman sacrifices to Janus, Christian vows of spiritual renewal, or modern goals to lose ten pounds, resolutions represent an enduring belief in the potential for change.

The tradition reminds us that humans have always struggled with the gap between who we are and who we aspire to be, and that we’ve always believed, however naively, that marking a new beginning on the calendar might help us bridge that gap. Even if our resolutions fail more often than they succeed, the very act of making them reaffirms our agency and our hope that we can become better versions of ourselves with just a bit of conscious effort.

Sources:

History.com provides comprehensive coverage of New Year’s resolution traditions: https://www.history.com/news/the-history-of-new-years-resolutions

Britannica offers detailed information on Janus and Roman New Year traditions: https://www.britannica.com/topic/Janus-Roman-god

The Smithsonian Magazine explores New Year’s countdown traditions and their historical context: https://www.smithsonianmag.com/science-nature/why-do-we-count-down-to-the-new-year-180961433/

Anthony Aveni’s “The Book of the Year: A Brief History of Our Seasonal Holidays” provides scholarly analysis of New Year’s traditions across cultures.

Kaila Curry’s article “The Ancient History of New Year’s Resolutions” traces the practice from Babylonian times through modern era.

Joshua O’Driscoll’s research on “The Peacock Vows” documents medieval chivalric New Year’s traditions, excerpted in various historical compilations.

Study The Past If You Would Define The Future—Confucius

By John Turley

On December 26, 2025

In Commentary, History

I particularly like this quotation. It is similar to the more modern version: Those who don’t learn from the past are doomed to repeat it. However, I much prefer the former because it seems to be more in the form of advice or instruction. The latter seems to be more of a dire warning. Though I suspect, given the current state of the world, a dire warning is in order.

But regardless of whether it comes in the form of advice or warning, people today do not seem to heed the importance of studying the past. The knowledge of history in our country is woeful. The lack of emphasis on the teaching of history in general and specifically American history, is shameful. While it is tempting to blame it on the lack of interest on the part of the younger generation, I find people my own age also have little appreciation of the events that shaped our nation, the world and their lives. Without this understanding, how can we evaluate what is currently happening and understand what we must do to come together as a nation and as a world.

I have always found history to be a fascinating subject. Biographies and nonfiction historical books remain among my favorite reading. In college I always added one or two history courses every semester to raise my grade point average. Even in college I found it strange that many of my friends hated history courses and took only the minimum. At the time, I didn’t realize just how serious this lack of historical perspective was to become.

Several years ago I became aware of just how little historical knowledge most people had. At the time Jay Leno was still doing his late-night show and he had a segment called Jaywalking. During the segment he would ask people in the street questions that were somewhat esoteric and to which he could expect to get unusual and generally humorous answers. On one show, on the 4th of July, he asked people “From what country did the United States declare independence on the 4th of July?” and of course no one knew the answer.

My first thought was that he must have gone through dozens of people to find the four or five people who did not know the answer to his question. The next day at work, the 5th of July, I decided to ask several people, all of whom were college graduates, the same question. I got not one single correct answer. Although, one person at least realized “I think I should know this”. When I told my wife, a retired teacher, she wasn’t surprised. For a long time, she had been concerned about the lack of emphasis on social studies and the arts in school curriculums. I was becoming seriously concerned about the direction of education in our country.

A lot of people are probably thinking “So what, who really cares what a bunch of dead people did 200 years ago?” If we don’t know what they did and why they did it how can we understand its relevance today? We have no way to judge what actions may support the best interests of society and what might ultimately be detrimental.

Failure to learn from and understand the past results in a me-centric view of everything. If you fail to understand how things have developed, then you certainly cannot understand what the best course is to go forward. Attempting to judge all people and events of the past through your own personal prejudices leads only to continued and worsening conflict.

If you study the past you will see that there has never general agreement on anything. There were many disagreements, debates and even a civil war over differences of opinion. It helps us to understand that there are no perfect people who always do everything the right way and at the right time. It helps us to appreciate the good that people do while understanding the human weaknesses that led to the things that we consider faults today. In other words, we cannot expect anyone to be a 100% perfect person. They may have accomplished many good and meaningful things and those good and meaningful things should not be discarded because the person was also a human being with human flaws.

Understanding the past does not mean approving of everything that occurred but it also means not condemning everything that does not fit into twenty-first century mores. Only by recognizing this and seeing what led to the disasters of the past can we hope to avoid repetition of the worst aspects of our history. History teaches lessons in compromise, involvement and understanding. Failure to recognize that leads to strident argument and an unwillingness to cooperate with those who may differ in even the slightest way. Rather than creating the hoped-for perfect society, it simply leads to a new set of problems and a new group of grievances.

In sum, failure to study history is a failure to prepare for the future. We owe it to ourselves and future generations to understand where we came from and how we can best prepare our country and the world for them. They deserve nothing less than a full understanding of the past and a rational way forward.

This was my first post after I started my blog in 2021. I believe it is even more relevant now.

Merry Christmas from The Grumpy Doc

By John Turley

On December 24, 2025

In Commentary

The Multitasking Myth

By John Turley

On December 20, 2025

In Commentary, Medicine

What’s Really Happening in Your Brain

You’re probably multitasking right now. Maybe you’re reading this with a podcast playing in the background, or you’ve got three browser tabs open and you’re checking your phone every few minutes. We all do it. We even brag about it on resumes: “Excellent multitasker!” But here’s the uncomfortable truth that neuroscience has been trying to tell us for years—what we call multitasking is mostly an illusion.

What People Actually Mean

When most people say they’re multitasking, they’re describing one of two scenarios. The first is doing multiple automatic activities simultaneously—like walking while talking, or listening to music while folding laundry. The second, and the one that gets more interesting, is rapidly switching attention between different demanding tasks—like answering emails while on a conference call, or texting while watching TV.

The distinction matters because our brains handle these situations very differently. Activities that have become automatic through practice don’t require much conscious attention. You can absolutely walk and chew gum at the same time because neither activity demands your prefrontal cortex’s full attention. But when both tasks require active thinking and decision-making? That’s where things get complicated.

The Brain’s Bottleneck

Here’s what neuroscience tells us: true multitasking—simultaneously processing multiple streams of complex information—is essentially impossible for the human brain. What feels like multitasking is actually rapid task-switching, and your brain pays a price every time it makes that switch.

The limitation comes from something researchers call the “response selection bottleneck.” When you’re performing tasks that require conscious thought, they all funnel through the same neural pathways in your prefrontal cortex. This region can only process one demanding task at a time, so when you think you’re doing two things at once, you’re really just toggling between them very quickly.

Studies using functional MRI brain imaging have shown what happens during this switching process. When people attempt to multitask, researchers observe reduced activity in the regions responsible for each individual task compared to when those tasks are done separately. Your brain literally can’t devote full processing power to both activities simultaneously.

The Switching Cost

Every time you switch from one task to another, there’s a cognitive cost. Your brain needs to disengage from the first task, shift attention, and then reorient to the new task. This happens so quickly—sometimes in tenths of a second—that we don’t consciously notice it. But those microseconds add up.

Sorry, but get ready for some doctor talk. When people switch tasks, imaging studies show increased activation in frontoparietal control and dorsal attention networks, especially in prefrontal regions (like the inferior frontal junction) and parietal cortex (such as intraparietal sulcus). This boosted activity reflects the brain dropping one task set, loading another into working memory, and re‑orienting attention—processes that consume time and neural resources.

Over time, practice can make specific tasks more automatic, reducing average activity in these control networks and allowing smoother coordination of tasks. However, even in trained multitaskers, studies still find evidence for serial queuing of operations in the multiple‑demand frontoparietal network, reinforcing the idea that consciously doing multiple demanding things “at once” is extremely limited.

Research from Stanford University found that people who regularly engage in heavy media multitasking actually perform worse at filtering out irrelevant information and switching between tasks than people who focus on one thing at a time. Essentially, chronic multitaskers become worse at the very thing they practice most.

Even when people train extensively, studies indicate they mainly become faster at switching and coordinating, not truly doing two demanding tasks at once. Experimental work using reaction‑time paradigms shows a reliable “switch cost”: when people change tasks, responses get slower and more error‑prone compared to staying with one task. This cost is one of the strongest signs that most human “multitasking” is serial switching under time pressure rather than genuine simultaneous processing.

The American Psychological Association reports that these mental blocks created by switching between tasks can cost up to 40% of productive time. Think about that for a minute—nearly half your work time potentially lost to the mechanics of jumping between activities.

The Attention Residue Problem

There’s another wrinkle that makes multitasking even less efficient. When you switch away from a task before completing it, part of your attention remains stuck on the unfinished work. Researchers call this “attention residue,” and it reduces your cognitive performance on the next task.

Sophie Leroy, a business professor at the University of Washington, demonstrated this effect in a series of studies. People who switched tasks performed significantly worse on the second task than people who finished the first task before moving on. The unfinished task keeps running in your mental background, using up cognitive resources you need for the new activity.

When “Multitasking” Actually Works

There are legitimate exceptions to the no-multitasking rule, but they’re more limited than most people think. You can successfully combine activities when at least one of them is so well-practiced that it’s become automatic—essentially requiring no conscious thought. You can listen to an audiobook while jogging because your body handles the running on autopilot.

Some research also suggests that certain types of background music or ambient noise can enhance performance on creative tasks, though this seems to work best when the music is familiar and lacks lyrics that compete with language-processing tasks.

Why We Keep Trying

If multitasking is so inefficient, why do we persist? Part of the answer lies in how it feels. Task-switching triggers the release of dopamine, the brain’s reward chemical. Every time you check your phone or switch to a new browser tab, you get a little neurochemical hit. It feels productive, even when it isn’t.

There’s also a cultural element. We live in an attention economy where being constantly connected and responsive feels mandatory. Focusing on one thing can feel like you’re missing out or falling behind, even though the research consistently shows that single-tasking produces better results faster.

It’s worth noting that research consistently shows this gap between perception and performance. People who think they are excellent multitaskers tend to be the worst at it.

The Bottom Line

The evidence is pretty clear: what we call multitasking is really task-switching, and it makes us slower and more error-prone at both activities. Your brain has a fundamental processing limitation that hasn’t changed despite our increasingly multi-screen world. The prefrontal cortex can only fully engage with one complex task at a time, and switching between tasks creates cognitive costs that add up to significant lost productivity and increased mistakes.

This doesn’t mean you should never listen to music while working or that walking while talking will melt your brain. But when you’re doing something that really matters—writing an important email, having a meaningful conversation, learning something new—giving it your full attention will always produce better results than splitting your focus.

A1c Without Diabetes: Context Matters As Much As The Number

By John Turley

On December 17, 2025

In Medicine

If you’ve had routine bloodwork lately, you might have noticed something called hemoglobin A1c (or HbA1c) on your results. For years, this test has been the gold standard for monitoring diabetes, but it’s increasingly also being used to assess metabolic health in people who don’t have diabetes. Let’s dig into what this number actually tells us and if lower is always better.

What A1c Actually Measures

Hemoglobin A1c reflects your average blood sugar levels over the past two to three months. When glucose circulates in your bloodstream, some of it sticks to hemoglobin—the oxygen-carrying protein in your red blood cells. The more glucose floating around, the more hemoglobin gets “glycated” (coated with sugar). Since red blood cells live about three months, your A1c percentage gives a rolling average of your blood sugar control. It does not capture individual spikes and dips in glucose, but it correlates reasonably well with overall glycemic exposure and is widely used to monitor diabetes control.

For non-diabetics, a normal A1c is generally considered below 5.7%. The prediabetes range sits between 5.7% and 6.4%, while 6.5% or higher on two separate tests typically indicates diabetes. Nondiabetic adults with A1c above about 6% are more likely to have impaired fasting glucose and other cardiometabolic risk factors than those with A1c around 5.2–5.3%.

These cutoffs represent points where research has shown increased risk for complications, but like most biological measurements, they exist on a spectrum rather than as hard dividing lines.

Even in non-diabetics, A1c can vary by genetics, age, ethnicity, iron levels, sleep quality, and stress—not just diet or exercise. That’s why one person may live at 5.2% with no effort, while another naturally runs 5.6%.

The Prediabetes Gray Zone

Here’s where things get interesting—and a bit complicated. Prediabetes affects roughly 98 million American adults, though most don’t know they have it. An A1c between 5.7% and 6.4% signals that your body’s relationship with glucose isn’t quite right. Maybe your cells are becoming resistant to insulin, or your pancreas isn’t producing insulin as efficiently as it once did. Prediabetes isn’t a disease so much as a metabolic warning sign. It means your body is starting to struggle with glucose regulation—often due to reduced insulin sensitivity, higher visceral fat, chronic stress, poor sleep, or genetics.

The crucial thing about prediabetes is that it’s not a benign waiting room before diabetes. Research shows that even in this intermediate range, you face elevated risks for cardiovascular disease, kidney problems, and nerve damage—though not to the same degree as someone with full-blown diabetes. It often coexists with other metabolic risk factors such as excess weight, dyslipidemia, and elevated blood pressure. A large study published in The Lancet found that people with A1c levels in the prediabetic range had a 15-20% increased risk of cardiovascular events compared to those with normal levels.

The good news? Prediabetes is often reversible. Lifestyle changes—particularly losing 5-7% of body weight through diet and exercise—can bring A1c levels back down. The Diabetes Prevention Program, a landmark study, showed that such interventions reduced the risk of developing diabetes by 58% over three years.

Should Non-Diabetics Aim Lower?

Now we arrive at the million-dollar question: if your A1c is already in the normal range (say, 5.3%), would driving it even lower—to 5.0% or 4.8%—provide additional health benefits?

The honest answer is: we don’t really know, but the evidence suggests probably not much.

Here’s what the research tells us. Population studies have found a continuous relationship between A1c levels and cardiovascular risk even within the normal range, meaning that someone with an A1c of 5.5% might have slightly higher risk than someone at 5.0%. However—and this is critical—this doesn’t necessarily mean that artificially lowering your A1c will reduce that risk. Correlation isn’t causation.

Your A1c reflects your overall metabolic health, dietary patterns, genetics, and lifestyle. Someone who naturally maintains an A1c of 5.0% because they exercise regularly, eat a balanced diet, and have favorable genetics probably has lower risk than someone at 5.5%. But that doesn’t mean the person at 5.5% should obsess over shaving off half a percentage point. Large cohort data suggest that the lowest risk band for nondiabetic adults is roughly an A1c around 5.0–5.6%; below about 5.0% the relationship between A1c and outcomes becomes more complex.

There’s a principle in medicine that “lower is better” but it often has limits. In diabetes treatment, pushing A1c too low can actually increase risks—particularly hypoglycemia (dangerously low blood sugar), which carries its own serious complications. The ACCORD trial, which studied intensive glucose lowering in people with Type 2 diabetes, had to be stopped early because the group targeting very low A1c levels had increased mortality. While this study involved diabetics using medications, it illustrates that extremely low glucose isn’t necessarily optimal.

If someone tries to force their A1c unusually low through extreme dieting, fasting, or intensive exercise, they can run into unintended effects such as fatigue and irritability, hormonal disruption, disordered eating patterns, and nutrient deficiencies. Importantly, extremely low A1c values can sometimes reflect anemia or other medical conditions, not superior health.

For non-diabetics with normal A1c levels, there’s no evidence that trying to push numbers lower through extreme dietary restriction or other interventions provides meaningful benefit. Your body is already handling glucose appropriately. The focus should be on maintaining that healthy state through sustainable lifestyle habits rather than chasing incremental improvements in a single biomarker. In practical terms, the benefit is less about the exact number (say 5.1 versus 4.8) and more about maintaining a metabolic profile that keeps A1c comfortably below the prediabetes threshold over the long term

What Actually Matters

Rather than fixating on squeezing every tenth of a point out of your A1c, the evidence supports a broader approach to metabolic health. Regular physical activity, maintaining a healthy weight, eating a diet rich in whole foods with plenty of fiber, getting adequate sleep, and managing stress all contribute to healthy glucose metabolism—and they bring countless other benefits beyond A1c.

It’s also worth noting that A1c isn’t perfect. Certain conditions—like anemia, chronic kidney disease, or hemoglobin variants—can make A1c readings inaccurate. Some people have A1c levels that don’t match what their continuous glucose monitors show, a phenomenon called “glycation gap.” A1c is a useful tool, but it’s one piece of a larger metabolic picture.

The bottom line? If your A1c is in the normal range, you’re doing well. Maintain the healthy habits that got you there rather than micromanaging the number itself. If you’re in the prediabetic range, you have a genuine opportunity to prevent diabetes through lifestyle changes, and bringing that number down has clear benefits. But for those already in the healthy zone, obsessing over fractional improvements likely won’t move the needle much on your actual health outcomes.

The Freemasons and the Founding Fathers: Secret Society or Just a Really Good Book Club?

By John Turley

On December 14, 2025

In Commentary, History, Politics

You’ve probably heard the whispers—the Freemasons secretly controlled the American Revolution, George Washington wore a special apron, and there’s a hidden pyramid on the dollar bill. It’s the kind of thing that sounds like it came straight from a Nicolas Cage movie. But like most historical legends, the real story is more interesting (and less conspiratorial) than the mythology.

So, what’s the actual deal with Freemasons and America’s founding? Let’s dig in.

What Even Is Freemasonry?

First things first: Freemasonry started out as actual stonemasons’ guilds back in medieval Europe—think guys who built cathedrals sharing trade secrets. But by the early 1700s, it had transformed into something completely different: a philosophical club where educated men gathered to discuss big ideas about morality, reason, and how to be better humans.

The secrecy? That was part of the appeal. Lodges had rituals and passwords, sure, but the core values weren’t exactly hidden. Freemasons were all about Enlightenment thinking—liberty, equality, the pursuit of knowledge. Basically, the kind of stuff that gets you excited if you’re the type who actually enjoys reading philosophy books.

In colonial America, joining a Masonic lodge was a bit like joining an elite networking group today, except instead of swapping business cards, you discussed natural rights and wore fancy aprons. Lawyers, merchants, printers—the educated professional class—flocked to lodges for both the intellectual stimulation and the social connections.

The Founding Fathers: Who Was Actually In?

Let’s separate fact from fiction when it comes to which founders were card-carrying Masons.

Definitely Masons:

George Washington became a Master Mason at 21 in 1753. He wasn’t the most active member—he didn’t attend meetings constantly—but he took it seriously enough to wear his Masonic apron when he laid the cornerstone of the U.S. Capitol in 1793. That’s a pretty public endorsement.

Benjamin Franklin was perhaps the most dedicated Mason among the founders. Initiated in 1731, he eventually became Grand Master of Pennsylvania’s Grand Lodge and helped establish lodges in France during his diplomatic stint. Franklin was basically the poster child for Enlightenment Masonry.

Paul Revere—yes, that Paul Revere—was Grand Master of Massachusetts. His midnight ride gets all the attention, but his Masonic connections were just as important to his Revolutionary activities.

John Hancock also served as Grand Master of Massachusetts. His oversized signature on the Declaration was matched by his outsized commitment to Masonic ideals.

John Marshall, the Chief Justice who shaped American constitutional law, was a dedicated Mason. So was James Monroe, the fifth president.

Here’s a fun stat: of the 56 signers of the Declaration of Independence, at least nine (about 16%) were Masons. Among the 39 who signed the Constitution, roughly thirteen (33%) belonged to the fraternity.

The Maybes:

Thomas Jefferson? Probably not a Mason, despite endless conspiracy theories. There’s no solid evidence of membership, though his Enlightenment philosophy certainly sounded Masonic. His buddy the Marquis de Lafayette was definitely in, which hasn’t helped dispel the rumors.

Alexander Hamilton? The evidence is murky. Some historians think his writings hint at Masonic sympathies, but there’s no membership record.

Definitely Not:

John Adams wasn’t a Mason and was actually skeptical of secret societies. He still believed in many of the same principles, though—virtue, republican government, that sort of thing.

Did the Masons Really Influence the Revolution?

Here’s where it gets interesting. No, the Freemasons didn’t sit around a lodge plotting revolution like some shadowy cabal. But did their ideas and networks matter? Absolutely.

Think about what Masonic lodges provided: a space where educated colonists could meet, discuss radical ideas about natural rights and self-governance, and build trust across colonial boundaries—all without British officials breathing down their necks. These lodges brought together men from different colonies, different religious backgrounds (Anglicans, Quakers, Deists), and different social classes.

The radical part? Inside a lodge, everyone met “on the level.” It didn’t matter if you were born rich or poor—merit and virtue determined your standing. That’s pretty revolutionary thinking in the 1700s when most of the world still believed some people were just born better than others. Sound familiar? “All men are created equal” has a similar ring to it.

Freemasonry also championed religious tolerance. You had to believe in some kind of Supreme Being, but that was it—no specific creed required. This ecumenical approach directly influenced the founders’ commitment to religious freedom and separation of church and state.

The Masonic motto about moving “from darkness to light” through knowledge wasn’t just ritualistic mumbo-jumbo. It reflected genuine Enlightenment belief in reason and progress—the same intellectual current that powered revolutionary thinking.

What About All That Symbolism?

Okay, let’s address the pyramid and the all-seeing eye on the dollar bill. Are they Masonic? Maybe, maybe not. The Great Seal of the United States definitely uses imagery that Masons also used—but so did lots of 18th-century groups drawing on Enlightenment and classical symbolism. The connection is debated among historians.

What’s undeniable is that Masonic culture emphasized architecture and building as metaphors for constructing a just society. When Washington laid that Capitol cornerstone in his Masonic apron, he was making a statement about building something enduring and meaningful.

The “Conspiracy” Question

Let’s be clear: there was no Masonic conspiracy to create America. The fraternity wasn’t even unified—lodges operated independently, and members included both patriots and loyalists. Officially, Masonic organizations tried to stay neutral during the Revolution, though obviously that didn’t work out perfectly when the war split families and communities.

What is true is that many of the Revolution’s most articulate, influential leaders happened to be Masons. And the fraternity’s values—liberty, equality, reason, fraternity—aligned perfectly with revolutionary ideology. Correlation, not conspiracy.

After the Revolution, Freemasonry exploded in popularity. It became associated with the Enlightenment values that had supposedly won the day. Future presidents including Andrew Jackson, James Polk, and Theodore Roosevelt were all Masons. At its 19th-century peak, an estimated one in five American men belonged to a lodge.

What’s the Bottom Line?

The Freemason influence on America’s founding is real, but it’s cultural rather than conspiratorial. The lodges provided a space where Enlightenment ideas could circulate, where colonial leaders could build networks of trust, and where egalitarian principles could be practiced in miniature.

Washington, Franklin, Hancock, and the others weren’t sitting in smoke-filled rooms with secret handshakes planning to overthrow the British crown. They were part of a broader philosophical movement that valued personal improvement, moral virtue, and human rights. The Masonic lodge was one venue—among many—where those ideas took root.

Freemasonry was one tributary feeding into the river of revolutionary thought, along with classical republicanism, British common law, various religious traditions, and plain old grievances about taxes and representation.

The real story is somehow simpler and more fascinating than the conspiracy theories: a bunch of educated colonists joined a fraternity that encouraged them to think big thoughts about human nature and just governance. Those thoughts, debated in lodges and taverns and town halls, eventually sparked a revolution.

Not because of secret symbols or mysterious rituals, but because ideas about liberty and equality—once you start taking them seriously—are genuinely revolutionary.

True confession—The Grumpy Doc is not now, nor has he ever been, a Mason.

Understanding Parkinson’s Disease: From Diagnosis to Daily Living

By John Turley

On December 13, 2025

In Medicine, Uncategorized

When most people think of Parkinson’s disease, they picture the characteristic tremor—that involuntary shaking that has become almost synonymous with the condition. But the reality is far more complex than just one visible symptom. Let’s dig into what’s actually happening in the brain, how doctors figure out what’s going on, and what living with this condition really looks like.

What Causes Parkinson’s Disease?

Here’s where things get frustrating for researchers: despite decades of study, scientists still don’t know exactly what causes the nerve cells in the brain to die. I’m going to apologize in advance because I’m going to be using a lot of “doctor talk”—no way around it.

What we do know is that nerve cells (neurons) in the substantia nigra portion of the basal ganglia—an area of the brain controlling movement—become impaired or die, and these neurons normally produce dopamine, an important brain chemical. When these cells stop working properly, dopamine levels drop, and that’s when movement problems begin showing up.

But dopamine isn’t the whole story. People with Parkinson’s also lose nerve endings that produce norepinephrine, the main chemical messenger of the sympathetic nervous system, which helps explain why the disease affects so much more than just movement—things like blood pressure, digestion, and energy levels all take a hit.

Most Parkinson’s cases are idiopathic, meaning the cause is unknown, though contributing factors have been identified. Current thinking suggests a complicated mix of genetic and environmental factors. About 5% to 10% of cases begin before age 50, and these early-onset forms are often, though not always, inherited.

Some risk factors have emerged from research: age is the most significant, with about 1% of those over 65 and around 4.3% of those over 85 affected. Traumatic brain injury significantly increases risk, especially if recent, and repeated head injuries from contact sports can cause what’s called post-traumatic parkinsonism. Muhammad Ali is a classic example of this.

Exposure to pesticides and industrial chemicals has also been identified as a risk factor. Interestingly, large epidemiologic studies consistently show that people who smoke have a lower risk of being diagnosed with Parkinson’s disease than never‑smokers, although smoking is still strongly discouraged because of its many harmful health risks. Large cohort studies in the U.S. and Europe generally find no direct association between alcohol consumption and Parkinson’s disease. A few observational studies show that moderate drinkers have slightly lower Parkinson’s rates. However, researchers believe this may be due to reverse causation (people in early or undiagnosed stages often reduce drinking because of GI or mood changes) and lifestyle confounders (moderate drinkers may differ in socioeconomic status, diet, or activity level). So, the “protective” effect is considered speculative, not causal.

The Symptoms: More Than Just Shaking

The hallmark movement symptoms—what doctors call “motor symptoms”—are what usually bring people to the doctor. Slowed movements, called bradykinesia, is required for a Parkinson’s diagnosis. People describe it as muscle weakness, though it’s really about control, not strength. The classic tremor, stiffness, and balance problems round out the main movement issues. Patients frequently show reduced arm swing, shuffling gait, difficulty initiating movement or turning, masked facial expression, decreased blinking, and soft or monotone speech.

But here’s what often surprises people: many individuals later diagnosed with Parkinson’s notice that prior to experiencing stiffness and tremor, they had sleep problems, constipation, loss of smell, and restless legs. These “prodromal symptoms” can show up years before the movement problems become obvious. Other early signs include mood disorders like anxiety and depression.

The cognitive side deserves attention too. Some people experience changes in cognitive function, including problems with memory, attention, and the ability to plan and accomplish tasks, though hard to pin down due to concurrence with age related memory problems, 20% at the time of diagnosis is a commonly cited number. More contested is how many develop Parkinson’s dementia, with estimates ranging from 20% all the way to 85%.

How Doctors Make the Diagnosis

Here’s something that might surprise you: there are currently no blood or laboratory tests to diagnose non-genetic cases of Parkinson’s. The standard diagnosis is clinical, meaning there’s no test that can give a conclusive result—certain physical symptoms need to be present.

Doctors typically diagnose Parkinson’s by taking a detailed medical history and performing a neurological examination. If symptoms improve after starting medication, that’s another indicator that the person has Parkinson’s.

There are some imaging tools available. The FDA approved an imaging scan called the DaTscan in 2011, which allows doctors to see detailed pictures of the brain’s dopamine system using a radioactive drug and SPECT scanner. But this scan can’t definitively diagnose Parkinson’s though it helps rule out conditions that mimic it. A hallmark of Parkinson’s is the buildup of misfolded alpha-synuclein proteins (Lewy bodies) inside neurons. Whether this is a cause, an effect, or both is still under study—this part of the science remains somewhat speculative.

Recently, researchers developed something more promising: the alpha-synuclein seeding amplification assay can detect abnormal alpha-synuclein in spinal fluid and may detect Parkinson’s in people who haven’t been diagnosed yet. The catch? It requires a spinal tap and isn’t widely available, though scientists are working on blood and saliva tests.

The early diagnostic challenge is real. Many disorders can cause similar symptoms, and people with Parkinson’s-like symptoms from other causes are sometimes said to have parkinsonism, which includes conditions like multiple system atrophy and Lewy body dementia that require different treatments.

What to Expect: The Prognosis

Let’s address the big question: how does Parkinson’s affect life expectancy? The news here is better than you might think. The average life expectancy of a person with Parkinson’s is generally the same as for someone without the disease.

More specifically, average life expectancy has increased by about 55% since 1967, rising to more than 14.5 years from diagnosis. Modern treatments have made a huge difference. Research indicates that those with Parkinson’s and normal cognitive function appear to have a largely normal life expectancy.

That said, timing matters. Research from 2020 suggests that people who receive a diagnosis before age 70 usually experience a greater reduction in life expectancy, and males with Parkinson’s may have a greater reduction in life expectancy than females.

The disease is progressive, meaning it gets worse over time, but symptoms and progression vary from person to person, and neither you nor your doctor can predict which symptoms you’ll get, when, or how severe they’ll be. The tremor-dominant type usually has a more favorable prognosis than the hypokinetic type.

What actually causes death in advanced Parkinson’s? Advanced symptoms can cause falls, pressure ulcers, swallowing difficulties and general frailty, all of which are linked to death. Aspiration pneumonia—when you inhale food or liquid into the lungs—is the leading cause of death for people with Parkinson’s.

Managing the Disease

Currently, there’s no cure for Parkinson’s, but medications or surgery can improve many of the movement symptoms.

The gold standard medication is levodopa (often combined with carbidopa as Sinemet). Healthcare providers use levodopa cautiously and they commonly combine it with other medications to keep your body from processing it before it enters your brain. This helps avoid side effects like nausea, vomiting, and low blood pressure when standing up. The tricky part? Over time, the way your body uses levodopa changes, and it can lose effectiveness.

Beyond levodopa, doctors use MAO-B inhibitors and dopamine agonists. As the disease progresses, these medications become less effective and may cause involuntary muscle movements. When drugs stop working well, there are surgical options to treat severe motor symptoms.

The main surgical treatment today is called deep brain stimulation (DBS). It is the most important therapeutic advancement since the development of levodopa, and it’s been FDA-approved since the late 1990s A surgeon places thin metal wires called electrodes into one or both sides of the brain, in specific areas that control movement. A second procedure implants an impulse generator battery under the collarbone or in the abdomen. It is similar to a heart pacemaker and about the size of a stopwatch, this device delivers electrical stimulation to those targeted brain areas.

A new treatment that is being used is focused ultrasound. Guided by MRI, high-intensity, inaudible sound waves are emitted into the brain, and where these waves cross, they create high energy that destroys a very specific area connected to tremor. It’s considered non-invasive and the FDA has approved it for Parkinson’s tremor that doesn’t respond to medications.

Don’t underestimate lifestyle interventions either. Physical therapy can improve balance and address muscle stiffness, and regular exercise improves strength, flexibility, and balance. Eating a balanced diet helps—drinking plenty of water and eating enough fiber reduces constipation, while omega-3 fats and magnesium may boost cognition and help with anxiety.

Parkinson’s disease sits at the intersection of aging, genetics, environment, and biology. Diagnosis is clinical, progression is gradual and variable, and treatment has become increasingly sophisticated. While it remains incurable, early diagnosis, personalized medication plans, targeted therapies like DBS, and consistent exercise allow many people to maintain meaningful independence for years.

The key message from specialists? Treatment makes a major difference in keeping symptoms from having worse effects, and adjustments to medications and dosages can hugely impact how Parkinson’s affects your life.

The Enigma of Magical Thinking: From Everyday Enchantment to Political Discourse

By John Turley

On December 10, 2025

In Commentary

Have you ever been talking to someone when you started to think, “How in the world can they believe that?” They may have been engaging in magical thinking. But don’t feel too superior because most likely you have been guilty of the same thing.

Magical thinking is one of those fascinating quirks of human psychology that shows up everywhere—from your friend who won’t talk about their job interview until it’s over, to major political movements that shape our world. At its core, it’s the belief that our thoughts, words, or actions can influence events in ways that completely ignore standard cause-and-effect logic.

What We’re Really Talking About

Magical thinking isn’t new. Our ancestors practiced animism, believing spirits lived in everything around them. They created rituals to appease these spirits or tap into their power. Fast forward to today, and despite all our scientific advances, these patterns of thinking haven’t gone anywhere—they’ve just evolved.

It’s essentially a cognitive bias where we connect events that aren’t truly linked. This typically happens when we’re facing uncertainty, stress, or situations where we feel powerless. The thinking pattern gives us a psychological safety net—a feeling that we’re in control.

How It Shows Up in Daily Life

Superstitions and Rituals

Knocking on wood to prevent bad luck is a universal example. There’s zero logical connection between rapping your knuckles on a wooden surface and your future, but people do it anyway because it feels like taking action against uncertainty.

Athletes are notorious for this. That “lucky” jersey, the pre-game meal eaten in exactly the same order, the specific warm-up routine—these rituals don’t really affect performance, but they can boost confidence and calm nerves, which indirectly helps.

Lucky Charms and Talismans

Rabbit’s feet, four-leaf clovers, special coins—lots of people carry objects they believe bring good fortune. These beliefs come from cultural traditions and personal experiences. While there’s no scientific backing for their power, the comfort they provide is genuinely real.

The Jinx Effect

Ever avoided talking about something good that might happen because you didn’t want to “jinx” it? I worked in emergency rooms for many years, and no one would ever use the word “quiet” for fear that that would cause a sudden rush of ambulances. That’s magical thinking connecting your words to external outcomes in a totally irrational way.

Health Decisions

This gets more serious when magical thinking influences medical choices. Some people strongly believe in homeopathic remedies or alternative therapies that lack scientific validation. Interestingly, the placebo effect demonstrates how powerful belief can be—people sometimes experience limited health improvements simply because they believe a treatment works, although these effects are most common in relief of mild to moderate pain.

Gambling Behaviors

Casinos thrive on magical thinking. Blowing on dice, wearing lucky clothes, or believing you’re “due” for a win after several losses—these are all examples of the illusion of control. Gamblers think they can influence random outcomes through specific actions, which can fuel persistent gambling even when they’re losing money.

When Magical Thinking Enters Politics

Here’s where things get more complex and consequential. Magical thinking doesn’t just affect personal decisions—it shapes entire political movements and policy debates.

Conspiracy Theories

QAnon represents one of the most striking modern examples. Followers believe a secret group of powerful figures runs a global operation, and that certain political leaders possess almost supernatural abilities to fight against it. Despite zero credible evidence, this belief system has attracted significant followings, demonstrating how magical thinking can create entire alternate realities in the political sphere.

Pandemic Responses

COVID-19 brought magical thinking into sharp relief. Some people blamed 5G technology for causing the virus, leading to actual attacks on cell towers in multiple countries. Others promoted unproven treatments as miracle cures, despite scientific evidence showing they didn’t work and in some cases were harmful. The desire for simple answers to a complicated crisis made people vulnerable to these beliefs.

Vaccine denial—another pandemic related example of magical thinking—is attributing harmful effects to vaccines despite extensive scientific evidence to the contrary, while simultaneously believing that alternative approaches (like “natural immunity” alone) possess special protective powers.

Economic Policies

“Trickle-down economics”—the idea that tax cuts for wealthy individuals automatically generate economic growth and increased government revenue—often functions as magical thinking in policy debates. This theory simplifies incredibly complex economic dynamics and, according to multiple economic analyses, lacks consistent empirical support. Critics point out it ignores the nuances of fiscal policy and income distribution.

Climate Change

Despite overwhelming scientific consensus, some political movements deny climate change reality. This sometimes involves believing that natural cycles alone explain everything, or that technological solutions will magically appear without significant policy intervention. This type of thinking often protects existing economic interests or ideological positions.

Why Our Brains Do This

Pattern Recognition

Humans are pattern-seeking machines. We’re wired to spot connections, even when they don’t exist—a tendency called apophenia. This helped our ancestors survive—better to assume that rustling bush is a tiger than to ignore it—but it also leads us to form superstitions and magical beliefs.

The Comfort Factor

When life feels uncertain or stressful, magical thinking offers psychological comfort. Rituals and lucky charms reduce anxiety and give us a sense of agency, even if that control is illusory.

Cultural Transmission

Many superstitions and magical beliefs get passed down through generations, becoming woven into cultural norms. When we see others engaging in these behaviors, it reinforces them. Social acceptance is powerful.

Political Advantages

In politics specifically, magical thinking persists because it:

Simplifies complex issues into digestible narratives
Strengthens group identity and belonging
Can be exploited by politicians and interest groups to mobilize support
Provides psychological certainty in a chaotic political landscape

Finding the Balance

Here’s the thing: magical thinking isn’t purely negative. It serves real psychological functions—helping us cope with uncertainty, reducing anxiety, and giving us a sense of control when the world feels chaotic.

The problem comes when we rely on it too heavily. Avoiding medical treatment for unproven remedies can have serious health consequences. Basing policy decisions on magical thinking rather than evidence can affect millions of people. The key is balance.

The Takeaway

Magical thinking connects us to our shared human history, from ancient animistic beliefs to modern political movements. It reveals how our minds constantly work to make sense of an unpredictable world. By understanding these cognitive patterns, we can appreciate their psychological benefits while staying alert to their limitations.

Whether we’re knocking on wood or evaluating political claims, recognizing magical thinking helps us become more critical consumers of information. We can honor the comfort these beliefs provide while still grounding important decisions in evidence and rational analysis.

The enchantment isn’t going anywhere—it’s part of being human. But awareness of it? That’s our best tool for navigating between the rational and the magical in both our personal lives and our shared political reality.