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Notes -
Helen Andrews and the Great Feminization
https://www.compactmag.com/article/the-great-feminization/
Some excerpts:
And we wonder why men are dropping out of the workforce/university...
I found the whole essay quite interesting and also somewhat obvious in that 'oh I should've realized this and put it together before' sense. I read somewhere else on twitter that you could track the origins of civil rights/student activism to women gaining full entry to universities in America, as opposed to just chaperoned/'no picnicking out together' kind of limited access. Deans and admin no longer felt they could punish and control like when it was a male environment, plus young men behave very differently when there are sexually available women around. So there's also a potential element of weakened suppression due to fear of female tears and young men simping for women, along with the long-term demographic change element.
Though I suspect it may be more multi-factorial than that, with the youth bulge and a gradual weakening of the old order. A man had to make the decision to let women into universities after all.
I also find Helen Andrews refreshing in that she's not stuck in the 'look at me I'm a woman who's prepared to be anti-feminist, I'm looking for applause and clicks' mould, she makes the reasons behind her article quite clear:
Another idea that occurred to me is that the committee that drafted the United Nations Declaration of Human Rights was chaired by Eleanor Roosevelt, FDR's wife. The UN Declaration of Human Rights was instrumental in establishing what we now understand as progressivism. That piece of international law, (really the origin of 'international law' as we understand it today, beyond just the customary law of embassies) directly led to the Refugee Convention of 1951 that has proven quite troublesome for Europe's migrant crisis, it introduced the principle of non-refoulement. It also inspired the Convention on the Elimination of All Forms of Racial Discrimination (1965):
Sounds pretty woke! Note that states don't necessarily follow through on international law or sign up with it fully in the first place: Israel, America, Russia and so on routinely ignore these kinds of bodies in the foreign policy sphere. The Conventions and Committees are feminine in a certain sense in that they can be ignored without fear of violence, unlike an army of men. Nevertheless, their urging and clamouring is real and does have an effect, the UN Human Rights Commission helped get sanctions on apartheid South Africa.
To some extent international law could be considered an early feminized field, or perhaps it was born female. Are there any other feminized fields we can easily think of? Therapists, HR and school teachers come to mind, though that seems more recent.
Putting women in law and medicine is also dumb for another reason, which is that you force the most intelligent women to have a lower TFR than they otherwise might have. And you force them into a dysgenic and unhealthy motherhood environment, because stress before and during pregnancy increases the risk of all sorts of impairments in children, and a stressful occupation prevents the kind of loving mother-child bond that is essential during the first three years of life. Your milk will be filled with stress hormones, and your mood will be too stressed for your child to feel safe in the world, and your child will forever have a slightly autistic unease because they did not sustain sufficient skin contact to modulate oxytocin, like the wire monkeys. We have screwed up an entire generation of intelligent adolescents this way, though the effects are almost impossible to study (who is willing to do this to a twin?). And I think a lot of modern ills (overuse of smart phones, parasocial relationships, etc) are consequences of an impoverished bond to the mother during early life.
Also, it seems to me that women just don’t think up interesting ideas at the same rate men do. As someone who ravenuously pursues interesting ideas and thoughts (as I imagine many themotte users do as well), about 99% of interesting ideas I read are produced by men. And if you look at the places where interesting ideas proliferate without the allure of a secondary reward (social attention), it’s overwhelmingly men, like on the anonymous humanities or political board of 4chan (which like it or not has had an enormous influence on today’s online culture). And the games which focus on creative problem solving, strategy or Minecraft style games, are overwhelmingly male, whereas the cosmetic and nurturing games are overwhelmingly female. This tells us something because what people do in their leisure is what they like to do without the watchful eye of society. So, women can do systems-oriented creative problem solving, but will they if they don’t have a structure involving secondary rewards of cogent social reinforcement (degrees and peer competition), by which they can feel superior to their pretty peers? I’m going to say usually not, most just don’t do that, but that’s an issue if we want people who intrinsically love problem-solving in every kind of role like that — such people require less mentoring, less extrinsic reward infrastructure, might come up with a novel insight out of the blue, etc
Female doctors are by and large hiring nannies to give their children the stay at home mom experience, just with someone other than mom. Not daycare. These are, after all, high income women- they buy the cadillac plan for childcare, not the base model. There will functionally always be more teenagers on a gap year than there are high income mothers of young children, this equation is unlikely to change.
A much bigger and more immediate objection to the high female percentage in medicine- it isn't going to be, and probably shouldn't be, 0%, because like gynecologists- is that a limited number of doctors are produced per year and women doctors on average retire early and work fewer hours before then.
Yes female doctors hire nannies, and they are more likely to drop out of residency, have shorter careers, take more vacation, work less hours, and take on more administrative roles.
The absolutely huge gender disparity in medicine is a complete disaster because you need psycho hard working men for the whole thing to work.
God I wish I could get people IRL to think about this at all.
And those men are either increasingly choosing to not work in medicine or have a different view on work life balance from their predecessors.
From what I've gathered from my doctor friends this issue is magnified in rural areas. Doctors choose to work there have a ton of leverage and their salaries are completely out of step with the local cost of living so just working part time still puts them in the local upper middle class, which many now choose to do. The local government can do nothing because most doctors want to work and live in the larger cities and they currently have no way of forcing doctors to work there beyond residency.
The exception to this is are smaller population centers that are effectively pseudo resort towns, like Östersund and Åre.
Night time shifts are another matter and don't seem like a problem for now, as apparently some people kind of enjoy them and the benefits they bring.
Cries in British physician
Isn't working in a rural hospital approximately 7 zillion times more chill?
SMH already answered but at a busy city health system you have a level 1 trauma center, inpatient consults, outpatient clinics for everything, internal medicine teams with appropriate specialties etc etc.
At a rural hospital all of those things are Phil, the local family medicine doctor.
Obviously that's a bit of an exaggeration but true rural medicine involves the ability to do anything which is both empowering and terrifying.
Also you are always on call - the city hospital has a dedicated nocturnist and moonlighters for holidays.
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Uh.. Depends? The workload can vary, and you're often under a lot of stress because dedicated specialists are far away.
My contention is that the British government has, in fact, figured out the means to trap doctors in undesirable localities, including past residency in many cases. Of course, our residencies are almost twice as long as the global average, so we're effectively indentured for that duration.
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Sounds like you are talking about outside the US - the US is usually different in medicine when it comes to a bunch of stuff. However it seems pretty similar on this issue. Yes male doctors are more "normal" now but you are still significantly more likely to find the population we want in men over women.
Doctors in the US also avoid rural areas but its a bit thornier because the US has a ton of them, the salaries involved can be eye popping in some places (like Alaska) and because a good chunk of the problem is downstream of politics. Since the student population is overwhelmingly leftist and feel like they are giving up good leftist opportunities by learning in Iowa City or Scranton, once given freedom they centralize on big blue cities much harder (especially since many are non-white and have racism fears in white places).
At this point we've spent decades farming poor and rich minorities and made no effort at all to grab people who are likely to return to Iowa after graduation. It's a problem.
Also it seems like night shifts in the U.S are increasingly done as part of part time money farming, poor resident staffing, and shit mid levels.
My sister in law is a nurse, not a doctor, but she has a lot of experience in surgery and trauma lvl 1/ER stuff. She's worked mostly in rural/super-rural/underserved areas for many years now, taking generally 6 month contracts all over the US. Wherever is paying the most she generally takes, with 2-3 months off in between, sometimes longer. Her kids are grown and she's single, no pets; we watch her place for her while she's out. Apparently there are some gov't programs that help fund this, I don't know all the details. She says she makes 4x-6x more doing this than if she just took a ER nurse job at the local hospital, and if they don't have surgeries or ER cases she spends a lot of the time not doing much work at all.
Yeah all kinds of arrangements do exist, I'll note specifically that nurses tend to wear a much more limited number of hats and have less burden associated with "being on call" and if no patient is in the ED no work for the nurse. The PCP may be seeing clinic patients in between ED patients.
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The nannies are not breastfeeding in crucial early life years, or providing the skin contact and natural maternal affection that leads to healthy offspring. And because women are averse to pairing with men below their income unless the men compensate with unusual attractiveness, they have a lower rate of marriage than they would otherwise have. And because the school years are intense, they are delaying marriage. This dysgenic effect is more serious than the economic inefficiency effect, because you can’t easily produce more high iq citizens. In a pronatal culture, high iq women have more children than average, learning the skills of husband-acquiring and homemaking at an earlier age.
Besides AWFLs being perhaps the most likely demographic to breastfeed, there's no convincing evidence for benefits of breastfeeding outside of a slight reduction in minor rashes or gastrointestinal upset in babies. Nobody has demonstrated long-run benefits for the child of any kind.
This... doesn't pass the sniff test. Formula almost certainly isn't quite as good as breastmilk and we know early childhood nutrition is very important.
There's a wealth of literature on this. A Belarusian RCT is perhaps the most rigorous. It found reductions in skin and digestive conditions, but these conditions were rare even in the formula group, and it found no effect on respiratory conditions.
They followed up with the kids at age 6.5 (Kramer 2010) and found no evidence of health benefits.
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It's a subject ripe for a more classic 'political correctness' to overtake it since there are mothers out there who can not breastfeed and the notion that these loving parents are depriving their children of optimal nutrition and upbringing is charged to say the least.
If you've ever been in a maternity ward it's difficult to convey how hard the staff pushes for breastfeeding. In my deep blue area mothers who just had a C section and have a baby in the NICU are constantly pressured to breastfeed (despite the pain from the surgery site while holding the baby) and pump to provide milk to the baby. All the usual progressive suspects (WHO, APA) are pro-breastfeeding. We are very much in the "breast is best" era.
That has not been my experience with my 3 kids. My impression is that there has been significant pushback against the push for breastfeeding so now the nurses and doctors are so careful not to push for breastfeeding that it feels like they are marketing formula.
I've talked with similarly aged parents (35-45) in other countries, including the US, and they shared similar experiences.
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And having been around a person who could not breastfeed, the only reassurance that can possibly be offered is 'it doesn't really matter' and 'babies that are breastfed also get 'gastrointestinal upset' all the time, it's not your fault'.
I don't disagree that we are in the "breast is best" era, but the subject is nevertheless ripe for political correctness to overtake it.
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And so we're back around to the subject of the OP.
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Given the social class correlates of breastfeeding, female doctors almost certainly pump so the nanny has breastmilk on hand, and being literal doctors they have access to medical interventions to enable later childbearing- I'd be surprised if female doctors had fewer kids than female accountants, lawyers, etc. Upper class modern women have a low TFR because they choose to do this, not because they start having kids in their thirties(it's totally possible to have 3+ kids starting after thirty- I know a lot of people who've done it- and once more doctors have, by virtue of their incomes and training, access to much better medical interventions for enabling such things than the general public). Female doctors simply don't want to have more than two and so they don't. Yes yes cultural values. But 'women can go to medschool' is a minor part compared to the barrage of antinatalist propaganda shoved down their throats.
Given how good formula is, the chances that pumped, refrigerated, then reheated, breastmilk is providing whatever marginal benefits from-the-source breastmilk does is probably dubious at best. I mean, the formula powder is made to be mixed, heated, etc. Breast milk is made to be drank from the breast. Anything else and its probably rapidly degrading, particularly if you are returning it to body temp for serving.
Not that I dont applaud the effort of pumping. At the very least its converting your excess fat into something useful. It might even provide a 0.1% advantage for you (any greater seems dubious with the stats now, plus my own experiences).
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It is significantly less pleasant being the parent of a young child in your late 30s compared to your late 20s
I saw someone remark 'You're able to pull all-nighters in college because that's when you should be having children' and that line as stuck in me like a thorn.
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I'll second this. I know, I know, starting later means you've had more time to improve your economic situation, but I just don't see that as worth the downsides, as far as my own life and those others I observe IRL go.
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Having experienced the latter and currently experiencing the former, I wish I could have started in my early 20s.
Yep. My wife and I had our final kid mid 30s. The first few months hit harder compared to our first in late 20s despite having a lot more experience re mid 30s
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I 100% believe this but there's like 10,000 things that push upper middle class women to have kids in their thirties instead of their twenties, it isn't a 'education takes too long' problem even if that's part of the problem. If we're going to worry about that maybe worry about how long courtship takes nowadays first.
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A brief search suggests wet nursing still exists as a practice in the US, but isn't terribly common. Maybe that'd see a resurgence, but honestly formula babies seen to turn out mostly okay too.
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