What To Do About Lockdown-Induced Arrested Or Delayed Development?

Four years after the official start of the pandemic, two years after practically all restrictions were lifted, and roughly one year after it was declared to be over, the consequences of the lockdowns, quarantines, school closures, mask mandates, and other restrictions can still be seen in its aftermath long after these restrictions were lifted.  This is especially true among children and young people, whose development has been delayed, stunted, or arrested as a result.

It is a truly massive elephant in the room!

Now, the temptation would be to knee-jerkedly raise age limits for various things in response to this, up to and including even the age of majority itself.  You know some people want to.  But that would only exacerbate such developmental delays in practice by kicking the can even further down the road.  The specious idea that "kids today are infantilized, so let's infantilize them even further, because reasons" is absolutely insane.  If anything, we should be doing the opposite and lowering or even abolishing various age limits (within reason), and giving young people a megadose of independence.  That is, go "straight from zero to the Fourth of July", like the song by the band The Killers says, in both the real AND virtual worlds, and certainly no later than age 16.  And at the very, very least, seriously, let's NOT add any more restrictions whatsoever on the already most heavily monitored and (in many ways) restricted generation of children and teens in all of recorded history.

Infancy cannot be re-run.  Childhood cannot be re-run.  And, try as so many adults may, adolescence cannot be re-run either.  The best thing to do is to build a time machine and go back to March 2020 and make it so the lockdowns, school closures, etc. never happened, and that we adopted the "flu strategy" per the original pandemic plan from the get-go per the wisdom of the ages.  Failing that, the second best thing is to rectify things as best we can, yesterday.

The latest attempts to abruptly restrict or revoke teens' access to the virtual world will leave a "social media-shaped hole" in the lives of millions that will most likely NOT be filled with anything good. And after decades of gradually restricting and reducing their access to the real world, it would be a bait-and-switch to disingenuously claim that children and teens will now all of sudden be given more access to the real world in order to fill the void.  Most likely, they will lose access to both the real AND virtual worlds, and increased access to the real world will NOT be forthcoming for a while.

True, the virtual world is no substitute for the real world, as we have all learned the hard way during lockdown.  But as renowned sociologist and youth rights activist Mike Males says, "The dangers of both the virtual and real worlds have been wildly exaggerated. Teens don’t need more restrictions."  Truer words have never been spoken.

And will today's youngest generations, and future generations, ever forgive us?

(Mic drop)

UPDATE:  What would be a good shorthand to describe what needs to be done?  Twenty-One Debunked thinks we should call it the "Reverse Icelandic Model", that is, the reverse of the vaunted Icelandic Prevention Model (IPM).  When the pandemic and related restrictions and isolation intersected with the existing IPM that had been in place for two decades, it really did a number on the mental health of young people in Iceland.

The View From 2030 (At The Latest)

At the rate things are going these days, the following is a very likely conversation that will happen many times over in 2030, at the latest.  At least in the USA:

18 Year Old: "I'm an adult now.  Why am I still not allowed to go on social media or have a smartphone?"

Parent:  "Because the law now forbids both until you are 21, and the law is the law."

18 Year Old:  "But Canadian, Australian, British, and European people my age are allowed to.  As are people my age in almost every other country as well."

Parent:  "Well, we're not Canada, Australia, Europe, or any other country for that matter.  Different cultures and such.  America has too many problems as it is."

18 Year Old:  "But your generation was allowed to at a much earlier age than me!"

Parent:  "That was then.  Life was cheap back then.  We know better now.  And your grandparents were allowed to drink and smoke too at your age, which we obviously no longer allow either, so your point is?"

18 Year Old:  "And they were allowed to play outside with their friends unsupervised even when they were in single digits too, or so I have heard.  Grandma and Grandpa actually got to enjoy the real world before they forgot how to, while you got to enjoy the virtual world at least.  My generation had neither."

Parent:  "Well, the real world was much safer back then compared to now, and as for me, we didn't know just how dangerous the virtual world really was."

18 Year Old:  "Statistics say otherwise".

Parent:  "You need to watch more news and true crime documentaries before you can argue statistics.  It's really a jungle out there now. In any case, I see your statistics, and I raise you a "Because I said so!""

18 Year Old: "Statistics beat logical fallacies and anecdotes every time.  Regardless, it's not fair in what is supposed to be a free country."

Parent:  "Life isn't fair.  Deal with it!"

18 Year Old:  "But I'm literally old enough to get married, and yet I can't even post my own wedding on Facebook?  That doesn't make any sense at all."

Parent:  "If you're so mature and such an adult, then why don't you get married right now?" (Tries to trick the young person into saying they are "too young".)

18 Year Old:  "Because as an adult, I know that just because you CAN do something, it doesn't mean that you SHOULD.  Just like you raised me".

Parent:  (speechless)

18 Year Old:  (Mic drop)

One Silver Lining Of The Pandemic And Its Aftermath

Four years after the pandemic began, and roughly one year after the very last traces of the illiberal restrictions have been removed, one can observe that one particular and very platitudinous phrase seems to have vanished entirely from our lexicon.  It was a phrase that long predated the pandemic, and first became common about 40 years ago, which was used to cover any number of illiberal policies, most notably the 21 drinking age.  So what is it?

"If it saves even ONE life, it's worth it"

Those nine words have clearly been a very, very slippery slope towards totalitarianism, which really came to a head during the pandemic.  And both sides of the lockdown and mandates debate have since given that idea up for the time being recently.  Thus, we may actually have a chance temporarily to finally end other illiberal policies like the 21 drinking age and similar abominations.  Pendulum Theory can therefore be used to our advantage. 

Better thing to replace it with:  "Safety Third".  So what's first and second then?  Liberty and justice for all, not necessarily in that order.

What are we waiting for?

Does Cannabis Really Cause Heart Attacks And Strokes?

A new study is making the rounds claiming so, apparently.  And unlike most previous studies on the matter, this one was not only very large, but was also able to fully tease out the massive confounding factor of tobacco as well.  It was run on both a representative sample as well as re-run on the subset of never-tobacco users, and controlled for many other variables as well.  So what did it find?

Daily cannabis users had a 25% higher risk of heart attack and 42% higher risk for stroke compared with nonusers overall.  For never tobacco users who were used cannabis daily, the odds ratios were higher, but confidence intervals were also much wider as well.  As for nondaily users, the numbers were proportionally much lower relative to days used per month, with those using weekly or less having barely any statistically increased risk for either cardiovascular outcome relative to nonusers.

And to that we give a resounding....(yawn).

Now, we all know that correlation is not causation, and this was a cross-sectional study that could not possibly rule out every other explanation for the association, nor determine temporality of the association.  And given how in all of the analyses of the study, the odds ratios were either 1) below 2.0, 2) had fairly wide confidence intervals, or 3) both, it is possible that the results were still at least partly (if not entirely) due to selection bias, reporting bias, or residual or unmeasured confounding, if not chance.  For example, while tobacco (which increased risk), alcohol (which appeared to decrease risk), and a host of individual health and demographic variables were statistically controlled for, the use or abuse of any other psychoactive substances (licit or illicit) was NOT controlled for, nor were any dietary factors.

And of course, as the study was done on BRFSS survey data, another major limitation was that it, by definition, only measured cardiovascular outcomes among those who lived to tell about it.  While longitudinal cohort studies in the past generally did not find any robust and significant differences in all-cause death rates between cannabis users in general versus nonusers, unlike in the infamous case of tobacco which has been well-known for decades.

In fact, interestingly enough, when the sample was restricted to those who never used tobacco, while daily cannabis users still fared worse, the lowest (best) point estimates for each of the cardiovascular outcomes studied were actually found among the nondaily cannabis users, not the nonusers, in the unadjusted results. And of course, that nuance was glossed over and only mentioned briefly.

That said, regardless, as a wise man once said, I have still never met a daily (or near-daily) cannabis user that could not benefit from cutting back a bit.  In other words, something about Aristotle and moderation comes to mind.  Food for thought indeed. 

UPDATE:  Another recent study, from Canada in 2023, also found a statistically significant and dose-dependent correlation between the severity of cannabis use disorder (i.e. abuse and/or dependence) and various cardiovascular disease outcomes.  But of course, the majority of cannabis users do not develop cannabis use disorders, let alone  severe ones.  And the study did not control for confounding from tobacco use either, so no causal relationship could be proven.  Either way, both studies lend themselves far more to a commonsense message of moderation, NOT the usual unscientific "no safe level" hysterics.

UPDATE 2:  One confounder that is difficult to fully measure and account for statistically is STRESS, which is a real killer when it becomes chronic.  And since one of the reasons why people use cannabis is to relieve stress, well, there is the biggest confounder right there.  Our verdict?  Cannabis is most likely no worse in this regard than, and probably less deadly than, the caffeine in coffee, tea, and elsewhere, which is about as legal and unrestricted as one can get. 

UPDATE 3:  A 2024 study found that cannabis use is associated with LOWER in-hospital mortality rates among heart attack patients.  That's not a typo!

A recent meta analysis also casts doubt on the supposed link between cannabis and adverse cardiovascular events, including heart attack and stroke.  Additionally, for stroke, several previous but recent studies such as this one have cast doubt on that link as well.

2025 UPDATE:  A more recent 2025 study casts even more doubt still on the supposed link between current cannabis use and heart attacks.  Ditto for a large 2023 study as well.  Put that in your pipe and smoke it, fearmongers!

America Is Still Drowning In The Bottle

Americans are still drowning in the bottle to this day, and paying a heavy price for it.  While the pandemic and especially the lockdowns were clearly gasoline on the fire, that fire has been burning for a very long time before that.  The ageist abomination that is 21 drinking age, and all of its illiberal ancillary laws, has clearly done NOTHING to stem that tide in the long run.  And it's truly no coincidence that alcohol (of all types, but especially hard liquor) is now the cheapest it has been in many, many decades relative to inflation and (especially) income.  That's largely because alcohol taxes have greatly lagged behind and were thus eroded by inflation in recent decades, with the tax on distilled spirits lagging the very most of all.

To quote the latest CDC report on the matter:

Average annual number of deaths from excessive alcohol use, including partially and fully alcohol-attributable conditions, increased approximately 29% from 137,927 during 2016–2017 to 178,307 during 2020–2021, and age-standardized death rates increased from approximately 38 to 48 per 100,000 population. During this time, deaths from excessive drinking among males increased approximately 27%, from 94,362 per year to 119,606, and among females increased approximately 35%, from 43,565 per year to 58,701.

Thus, as Twenty-One Debunked has long advocated, we need to raise the alcohol taxes across the board, and harmonize them all based on alcohol content.  To raise just the beer tax alone, for example, would result in drinkers simply switching to liquor, similar to how minimum unit pricing in Scotland disproportionately affected strong cider and perversely incentivized switching to liquor.  MADD (Mothers Against Drunk Driving) has long heavily beaten the drum (though not so much recently) for raising the beer tax, but has also largely been strangely silent on the distilled spirits tax.  Perhaps some alleged palm-greasing from both the liquor industry and/or foreign beer industry may be at work here?  Things that (should) make you go, hmmmm.....

We advocate raising all federal alcohol taxes to about $30 per proof-gallon, equal to the inflation-adjusted value for the distilled spirits tax in 1991 (in 2023 dollars), the last time it was raised. That would add anywhere between one and two dollars (depending on alcohol content), to the price of a six-pack of beer, a gallon of wine, or a fifth of liquor, while also incentivizing reduced-alcohol beers and wines.  And while that may not be very much of a difference to a moderate drinker, for heavy drinkers it sure adds up, as it also does for the youngest drinkers as well.  And contrary to what some believe, the price elasticity of demand for alcohol is NOT zero or trivial, and the public health benefits of higher alcohol taxes and prices are well-known and established.

To sweeten the deal, we support a relatively reduced tax rate for the smallest producers, and we also support tax incentives for producers who fortify their beverages with thiamine (vitamin B1) and perhaps other vitamins as well.  And we would also support phasing in alcohol tax hikes a bit more gradually if that is the only way to get them passed.  But raise these taxes, we certainly must.

(And, of course, we also also lower the drinking age to 18 yesterday, full stop.  We are still Twenty-One Debunked, after all.)

It is true that Thomas Jefferson once famously said, "no nation is drunken where wine is cheap".  Granted.  But the second half of that very same quote was, "and none sober when the dearness [expensiveness] of wine substitutes ardent [distilled] spirits as the common beverage.  It is, in truth, the only antidote to the bane of whiskey."  And now in 2024, it would seem that ALL categories of alcoholic beverages are too cheap for America's own good, and a fortiori for ardent (distilled) spirits today.