site banner

Culture War Roundup for the week of March 18, 2024

This weekly roundup thread is intended for all culture war posts. 'Culture war' is vaguely defined, but it basically means controversial issues that fall along set tribal lines. Arguments over culture war issues generate a lot of heat and little light, and few deeply entrenched people ever change their minds. This thread is for voicing opinions and analyzing the state of the discussion while trying to optimize for light over heat.

Optimistically, we think that engaging with people you disagree with is worth your time, and so is being nice! Pessimistically, there are many dynamics that can lead discussions on Culture War topics to become unproductive. There's a human tendency to divide along tribal lines, praising your ingroup and vilifying your outgroup - and if you think you find it easy to criticize your ingroup, then it may be that your outgroup is not who you think it is. Extremists with opposing positions can feed off each other, highlighting each other's worst points to justify their own angry rhetoric, which becomes in turn a new example of bad behavior for the other side to highlight.

We would like to avoid these negative dynamics. Accordingly, we ask that you do not use this thread for waging the Culture War. Examples of waging the Culture War:

  • Shaming.

  • Attempting to 'build consensus' or enforce ideological conformity.

  • Making sweeping generalizations to vilify a group you dislike.

  • Recruiting for a cause.

  • Posting links that could be summarized as 'Boo outgroup!' Basically, if your content is 'Can you believe what Those People did this week?' then you should either refrain from posting, or do some very patient work to contextualize and/or steel-man the relevant viewpoint.

In general, you should argue to understand, not to win. This thread is not territory to be claimed by one group or another; indeed, the aim is to have many different viewpoints represented here. Thus, we also ask that you follow some guidelines:

  • Speak plainly. Avoid sarcasm and mockery. When disagreeing with someone, state your objections explicitly.

  • Be as precise and charitable as you can. Don't paraphrase unflatteringly.

  • Don't imply that someone said something they did not say, even if you think it follows from what they said.

  • Write like everyone is reading and you want them to be included in the discussion.

On an ad hoc basis, the mods will try to compile a list of the best posts/comments from the previous week, posted in Quality Contribution threads and archived at /r/TheThread. You may nominate a comment for this list by clicking on 'report' at the bottom of the post and typing 'Actually a quality contribution' as the report reason.

7
Jump in the discussion.

No email address required.

I am kindly asking this knowledgable community to check my data and my argument.

Fact 1

In the 2024 state of the union address Biden said:

Women are more than half of our population but research on women’s health has always been underfunded.

Biden used this argument to call for more funding for women's health research:

That’s why we’re launching the first-ever White House Initiative on Women’s Health Research, led by Jill who is doing an incredible job as First Lady. Pass my plan for $12 Billion to transform women’s health research and benefit millions of lives across America!

https://www.whitehouse.gov/state-of-the-union-2024/

Fact 2

The NIH 2017, 2018 and 2019 research budget breakdown is:

  • Gender neutral research: 80% of funding.

  • Women's health research: 14% of funding.

  • Men's health research: 6% of funding.

Source: Report of the Advisory Committee on Research on Women’s Health: 2017–2019, table 8, page 117. https://orwh.od.nih.gov/sites/orwh/files/docs/ORWH_BiennialReport2019_20_508.pdf

In other words, Biden was not saying the truth because at least in 2017, 2018 and 2019 women's health research received more than double the funding compared to man's health research.

Note 2.1

83% of all medical research in the US is funded via NIH. The other 17% may be funded via private foundations and organizations, pharmaceutical companies and other for-profit entities, or via state and local governments.

Source: https://www.nih.gov/about-nih/what-we-do/budget

Note 2.2

Funding of the reproductive & maternal care is certainly justified and will be always reported as women's specific research funding - but only about 7%-10% of the women's health research was in the "Reproductive & Maternal/Child/Adolescent Health" category.

Source: Report of the Advisory Committee on Research on Women’s Health: 2017–2019, table 9, page 117. https://orwh.od.nih.gov/sites/orwh/files/docs/ORWH_BiennialReport2019_20_508.pdf

Note 2.3

NIH defines “Women’s health conditions,” as...

...defined in section 141 of the NIH Revitalization Act of 1993 (PublicLaw 103–43), include all diseases, disorders, and conditions:

  • That are unique to, more serious in, or more prevalent in women
  • For which the factors of medical risk or types of medical intervention are different for women or for which it is unknown whether such factors or types are different for women
  • With respect to which there has been insufficient clinical research involving women as subjects or insufficient clinical data on women

Source: Report of the Advisory Committee on Research on Women’s Health: 2021–2022 https://orwh.od.nih.gov/sites/orwh/files/docs/ORWH_Biennial%20Report_121823_1516_F_508c_Optimized.pdf

Note 2.4

After 2019, the NIH has decided to stop calculating data on men's health research funding. This means that it will no longer be possible to show that men's health research is grossly underfunded compared to women's health research. I wonder what the motivation was for this decision.

NIH does not currently calculate or report annual funding associated with projects dedicated solely to men’s health or projects benefiting men and women.

Source: Report of the Advisory Committee on Research on Women’s Health: 2021–2022 https://orwh.od.nih.gov/sites/orwh/files/docs/ORWH_Biennial%20Report_121823_1516_F_508c_Optimized.pdf

Fact 3

Globally men suffer 53.4% of all Burden of Disease.

Global Burden of Disease: https://ghdx.healthdata.org/gbd-2019

Note 3.1

In the US specifically:

Men over the past decade have shown poorer health outcomes than women across all racial and ethnic groups as well as socioeconomic status.

https://www.congress.gov/bill/117th-congress/house-bill/5986/text?r=16

PS: I do not consider the argument "research on women’s health is underfunded because all health research is underfunded" a good faith argument.

I do not see flaws in your in reasoning. But arguing against "women are the primary victims of war", "11% of killed journalists are women" type statements which value utils experienced by women higher than those of men, is a dead end. Women Are Wonderful is a universal and powerful bias. It makes sense in patriarchies, because if women have as much rights as children, then they also deserve greater protection. But in egalitarian state, in which women are considered to be able to make their own choices and are allowed to do so, granting them extra consideration is a textbook example of privilege.

On the other hand, perhaps thinking women are just as capable as men is a paradigm which doesn't explain present gender relations. But thinking women as being akin to people with disability does. A person in a wheelchair or a person with blindness are given the same rights as a person with working legs and eyes, but also some on top. Like the ADA which demands resources be expended for the sole benefit of the disabled.

Going back to healthcare funding, just because women's health gets twice as much money as men's, and American women live on average 5.8 years longer than American men, it doesn't mean US women are experiencing peak possible health, just as all lectures being subtitled doesn't mean all natural handicaps which nature imposed on those unlucky by birth or accident, have been overcome.

On the other hand, perhaps thinking women are just as capable as men is a paradigm which doesn't explain present gender relations. But thinking women as being akin to people with disability does. A person in a wheelchair or a person with blindness are given the same rights as a person with working legs and eyes, but also some on top. Like the ADA which demands resources be expended for the sole benefit of the disabled.

I've seen a few times in the crime-think-sphere a partially joking suggestion in various forms, to mount a campaign to call out misogyny or "misogyny" as a form of ableism under social justice discourse.

But yeah, a lot of this is the usual "women most affected" kind of thing. For example, women have always been the primary victims of male expendability as @RenOS described below.