The Farmers Had What the Billionaires Wanted

The New York Times

The Farmers Had What the Billionaires Wanted

Conor Dougherty – January 21, 2024

Jan Sramek, the CEO of California Forever and Flannery Associates who has bought up over 60,000 acres of nearby farmland with plans to build a new city, in Solano County, Calif. on Dec. 21, 2023. (Aaron Wojack/The New York Times)
Jan Sramek, the CEO of California Forever and Flannery Associates who has bought up over 60,000 acres of nearby farmland with plans to build a new city, in Solano County, Calif. on Dec. 21, 2023. (Aaron Wojack/The New York Times)

RIO VISTA, Calif. — When Jan Sramek walked into the American Legion post in Rio Vista, California, for a town hall meeting last month, everyone in the room knew that he was really just there to get yelled at.

For six years a mysterious company called Flannery Associates, which Sramek controlled, had upended the town of 10,000 by spending hundreds of millions of dollars trying to buy every farm in the area. Flannery made multimillionaires out of some owners and sparked feuds among others. It sued a group of holdouts who had refused its above-market offers, on the grounds that they were colluding for more.

The company was Rio Vista’s main source of gossip, yet until a few weeks before the meeting no one in the room had heard of Sramek or knew what Flannery was up to. Residents worried it could be a front for foreign spies looking to surveil a nearby Air Force base. One theory held the company was acquiring land for a new Disneyland.

Now the truth was standing in front of them. And somehow it was weirder than the rumors.

The truth was that Sramek wanted to build a city from the ground up, in an agricultural region whose defining feature was how little it had changed. The idea would have been treated as a joke if it weren’t backed by a group of Silicon Valley billionaires who included Michael Moritz, a venture capitalist; Reid Hoffman, an investor and co-founder of LinkedIn; and Laurene Powell Jobs, the founder of the Emerson Collective and the widow of the Apple co-founder Steve Jobs. They and others from the technology world had spent some $900 million on farmland in a demonstration of their dead seriousness about Sramek’s vision.

Rio Vista, part of Solano County, is technically within the San Francisco Bay Area, but its bait shops and tractor suppliers and Main Street lined with American flags can feel a state away. Sramek’s plan was billed as a salve for San Francisco’s urban housing problems. But paving over ranches to build a city of 400,000 wasn’t the sort of idea you’d expect a group of farmers to be enthused about.

As the TV cameras anticipated, a group of protesters had gathered in the parking lot to shake signs near pickup trucks. Inside, a crowd in jeans and boots sat in chairs, looking skeptical.

Sramek, 36, who is from the Czech Republic and had come to California to try to make it in startups, was now the center of their economy. Flannery had become the largest landowner in the region, amassing an area twice the size of San Francisco.

Christine Mahoney, 63, whose great-grandfather established her family’s farm when Rutherford B. Hayes was president, said that, like it or not, Sramek was now her neighbor. Mahoney had refused several offers for her land, and Flannery’s lawsuit — an antitrust case in federal court — described her as a conspirator who was out to bilk his company.

But she had never met the man in person, so she came to say hello.

“You might be asking yourself, ‘Why is this guy with a funny accent here?’” Sramek began the meeting.

He spent about 20 minutes pitching his plans before submitting to questions and resentments. People accused him of pushing small farms out of business. They said Flannery’s money was turning families against each other.

“Good neighbors don’t sue their neighbors!” one man yelled to applause.

Sramek, who is tall, intense and practiced in the art of holding eye contact, stayed up front after the meeting to glad-hand.

When Mahoney and her husband, Dan, 65, approached him, Sramek said, “Hi, Christine!” as if they had met several times before and he wasn’t currently suing her.

“I’d like to welcome you as our neighbor, but it’s kind of difficult,” Christine Mahoney said.

She talked about how much stress the lawsuit had put on her family.

Sramek nodded, as if she were talking about someone else, not him. Then he asked the couple to dinner. The Mahoneys agreed.

Going to the Ballot

One key difference between building an app and building a city is that a city requires permission. On Wednesday, Sramek’s company officially filed a proposed ballot initiative that would ask voters to buy in. Specifically, the measure aims to amend a long-standing “orderly growth” ordinance that protects Solano County’s farms and open space by steering development to urban areas.

Solano’s residents have consistently backed the city-centered-growth laws, so Sramek’s project is bound to be controversial. To overcome resistance, the initiative includes a long list of promises like new roads, money to invest in downtowns across the county and a $400 million fund to help Solano residents buy homes.

Sramek also revealed that he hoped to build directly next to Rio Vista, with a half-mile-wide park separating the old farming town from the new tech city. Renderings that his company released this month portray a medium-density community that is roughly the opposite of a subdivision, with a grid of row houses that lie a short walk from shops and have easy access to bike lanes and bus stops. He said the first phase of building could accommodate about 50,000 people.

Even if the measure gets on the ballot and passes, it will be one step on a path requiring approval from county, state and federal agencies — a long list of ifs that explains why large projects are usually measured in decades, not the few years that Sramek seems to imagine.

It’s a crucial step, however. Beyond amending the ordinance, a win would pressure county officials to work with Sramek, so opponents are already lining up. A group called Solano Together, a mix of agricultural and environmental organizations like Greenbelt Alliance, recently created a website that characterizes the project as harmful sprawl that would destroy farms.

The fight is something of a throwback. Whether it was paving over San Fernando Valley orange groves to build out Los Angeles or ripping out apricot farms in what is now Silicon Valley, California became the nation’s biggest state and economy largely by trading open and agricultural land for population and development.

That shifted in the 1960s and 1970s, when a backlash against the growth-first regime and its penchant for destroying landscapes helped create modern environmentalism. In the half-century since, this turn has been codified in laws that aim to restrict development to existing cities and their edges. It has protected farms and open space, but also helped drive up the cost of living by making housing scarcer and more expensive to build.

Sramek framed his proposal as a backlash to the backlash, part of an ideological project to revive Californians’ appetite for growth. If the state is serious about tackling its dire affordable housing problem, he argued, it doesn’t just have to build more housing in places like San Francisco and its suburbs — it also has to expand the urban footprint with new cities.

As a matter of policy, this is hard to dismiss. This is politics, however, so the bigger question is whether voters share his desire to return California to an era of expansion. And whether — after six years during which Sramek obfuscated his role in Flannery’s secret land acquisition, along with the company’s billionaire backers and true purpose, all while pursuing farmers with aggressive tactics and lawsuits — they find him trustworthy.

The Golden Boy vs. 1877

Christine and Dan Mahoney’s house looks onto a barn that says 1877, the year Christine Mahoney’s great-grandfather built it.

When I met the couple for an interview at their house last year, Christine Mahoney had decorated the dining table with black-and-white pictures of relatives in button dresses and bonnets. Later we drove along roads named for her ancestors.

Winding through the hills, Christine Mahoney ticked off parcels that belonged to the family, others that were owned by neighbors and more owned by Flannery. When I asked how she discerned the lines of ownership in an expanse of yellow grassland, she said: “You live here a hundred years.”

Sramek, meanwhile, talks about growth in moral terms, as if progress and wealth are simpatico and the most consequential people are those who build big things and a fortune along the way.

Driving near the Mahoneys’ ranch recently, through the same yellow hills, he posited that the mix of wealth and innovation that has exploded in the Bay Area has happened only a handful of times in history. (Florence, Paris, London, New York, Chicago and “maybe LA” were some others.) We were 60 miles from San Francisco in a place where the tallest structures are wind turbines, but his message was that the region could be an economic sun, and that bringing more people in the orbit was worthy of the trade-offs.

An immigrant and striver who at 22 was a co-author of a book called “Racing Towards Excellence,” Sramek got his first spurt of publicity at Goldman Sachs, where the financial press hailed him as a “Golden Boy” trader and considered it newsworthy when he left, after two years of employment, to chase a bigger dream in startups.

His tech career was less sparkling. After Goldman, he moved from London to Zurich and started a corporate education company called Better. It operated for two years and prompted a move to San Francisco, where he founded a social media company, Memo, in 2015.

Memo was billed as a higher-minded version of Twitter and won praise from venture capitalist Marc Andreessen. That praise was delivered on Twitter instead of Memo, which was pretty much the story: Memo failed to rack up users and shut down after a year.

His failures aside, Sramek was smitten with the Bay Area’s culture of creative capitalism. He was less enamored with the actual place.

The mythical Silicon Valley was in reality a bunch of office parks and cul-de-sacs where subdivision-grade homes went for $2 million. The more picturesque and urban San Francisco was being consumed by rising rents and their attendant homeless problems.

Complaining about the cost of living, and the region’s inability to fix it, had become something of a side hustle for many Bay Area CEOs. And after Memo, Sramek started looking for a big disruptive idea for them to fund.

“If we go back six or seven years, the popular hit in the press was ‘Silicon Valley is not doing enough in the real world,’” he said. “And I was sitting there working on this.”

Flannery Associates

Sramek likes to fish. The way he tells it, around 2016 he and his girlfriend (now wife) started making the one-hour drive from San Francisco to Rio Vista to catch bass on the Sacramento River. One of those trips, driving past pastures and grazing sheep, sparked an idea.

“What if you could start from scratch?” he said.

In a state whose agricultural bounty has historically been a function of moving water great distances, the area is something of an anachronism. For generations, families like the Mahoneys have practiced “dryland farming,” which means they rely on rain, not irrigation.

The Mahoneys talk about this the same way they talk about their land and family: with an emphasis on tradition and the romance of continuity. Sramek described the land as “not prime.”

The phrase angered several farmers at the Rio Vista town meeting, but in dollar terms it’s accurate. At the time of Sramek’s first fishing trip, land in the area was trading around $4,000 an acre — a pittance compared with a Central Valley almond orchard (about $10,000 to $55,000 per acre) or a Napa Valley vineyard (anywhere from $50,000 to more than $500,000 per acre), according to the California chapter of the American Society of Farm Managers and Rural Appraisers.

Sramek starting doing research and soon found himself immersed in zoning policy and poring over old development maps dreaming of a startup city. Investors were initially reluctant, he said, so he borrowed $1 million from friends and banks to put a deposit on a handful of properties, then hired consultants and land-use lawyers to assess what it would take to build there.

By now Sramek was well networked. He had done a fellowship at Y Combinator, a startup incubator. He was in a book club with partners at Sequoia Capital. He was friends with billionaires like Patrick and John Collison, the sibling founders of the payments company Stripe.

The Collisons became two of Flannery’s first investors. Andreessen and Chris Dixon, also of the Andreessen Horowitz venture capital firm, joined soon after, along with Moritz, who was Sequoia’s chair. All of them helped Sramek solicit others.

In a 2017 note to potential investors I obtained, Moritz wrote that if “done right” the project could help relieve congestion and housing prices in the Bay Area, and mused about the potential to experiment with new kinds of governance. It could also be spectacularly profitable, he said: Moritz estimated that investors could make 10 times their money even if they just got the land rezoned, and far more if and when it was developed.

Flannery Associates was named for Flannery Road, which borders the first property Sramek bought. Aside from that detail and its Delaware incorporation, residents and public officials could find almost nothing about its shareholders or intentions. Just that it wanted a lot of land, didn’t care about the price and was willing to strong-arm owners when money didn’t work.

In addition to working their own land, many farmers in the area lease parcels where they grow crops and graze animals. As Flannery consumed more and more property, people like Ian Anderson found themselves in the uncomfortable position of trying to rebuff its offers for parcels they owned — while at the same time farming land they rented from Flannery.

Anderson learned how vulnerable he was after a local newspaper quoted him saying that the company had begun insisting on short-term leases and that this made it increasingly difficult to farm. Later, Flannery’s lawyer sent him a letter informing him that it was terminating multiple leases covering thousands of acres.

“The Andersons have made it clear that they do not like Flannery,” according to the letter. “The Andersons are of course free to have their opinions, but they cannot expect that Flannery will continue to just be a punching bag and lease property to them.”

Rep. John Garamendi, a Democrat from the area, characterized moves like this as “mobster techniques.” The bigger concern was that Flannery’s holdings had grown into a giant mass that butted against Travis Air Force Base on three sides.

The proximity to the base alarmed both the county and the Department of Defense, which prompted local officials and members of Congress to call for investigations. The investigations elevated the mystery of Flannery Associates into a mainstay on local TV news.

“The FBI was investigating this, the State Department was investigating this, the Treasury Department was investigating this — all the local electeds were trying to get information and calling their legislators,” said Rep. Mike Thompson, another Democrat from the area.

The company remained silent.

Sramek said Flannery had operated in secret to prevent landowners from jacking up prices, and defended the lawsuits as just. He argued that while some farmers didn’t want to sell, most had done so willingly — at prices no other buyer could offer.

“We paid way over market value, and created hundreds of millionaires in the process,” he said. “We are glad that we have been able to settle most of our disputes, and we are open to settling the remaining ones.”

A Simple Case of Wealthy Landowners?

By 2023, Sramek and his investors were in deep. Flannery had spent some $900 million buying 60,000 acres. The first two rounds of funding, at about $10 million each, had ballooned to several more rounds at $100 million each. (Sramek said the company had now raised “more than $900 million” but would not be more specific.)

Big investors begot bigger investors, and the list expanded to a roster of Silicon Valley heavyweights including Hoffman and Powell Jobs.

The company’s offers became so generous that many farmers decided they couldn’t refuse.

The Mahoneys sold Flannery a few hundred acres early on. (Their land is owned by several different entities and hard to tally overall, but in the 1960s Christine Mahoney’s father told a newspaper that he had 16,000 acres in the area.) But as Flannery gobbled more of the land around them, Christine Mahoney said, she realized that something big was happening and that their entire farming business could be at risk. So the family stopped selling to Flannery. The company persisted with more offers, however, improving terms and increasing prices to levels that would have netted tens of millions of dollars. The family continued to say no.

Flannery arrived while the Mahoneys were in the midst of transition. Over 150 years, the family’s company, R. Emigh Livestock, had expanded from two dozen lambs to one of largest sheep farmers in California. Christine Mahoney’s father was in his 90s (he died last year) and she was passing leadership to her son Ryan, who said his wish was to stay there until he was in his 90s, too.

You wouldn’t know it from her jeans or penchant for nostalgia, but Christine Mahoney had spent her career running a corporation, one whose business was raising lambs and cattle. She was, like Sramek, a CEO.

And after years of back and forth, one thing Flannery’s entreaties had made clear was that there was one property the Mahoneys owned that it coveted above the others: Goose Haven Ranch. But Goose Haven was the one the family was most protective of. It had been the center of the lambing operation long enough that the road leading up to it was designed for wagon traffic.

Elsewhere in the county, Flannery had started buying into farms by acquiring shares from family members who wanted out, then becoming what amounted to unwelcome partners with the ones who remained. Two of these arrangements led to lawsuits between Flannery and the other owners. Both settled, but one of them netted a trove of emails and text messages among several neighbors including the Mahoneys.

In May, Flannery used those messages to file an antitrust suit against the Mahoneys and several holdouts. The suit contended that the farmers were colluding to raise prices, describing them as “wealthy landowners who saw an opportunity to conspire, collude, price fix and illegally overcharge Flannery.” It asked for $510 million in damages.

The complaint describes the messages (like Christine Mahoney writing to a neighbor, “That’s great that we can support each other!”) as “a smoking gun” proving that the defendants did want to sell but at even higher prices than Flannery was offering.

In a joint motion to dismiss, lawyers for the Mahoneys and other defendants described Flannery’s lawsuit as “a ham-fisted intimidation technique” designed to smother them with legal fees.

Even after being sued, the Mahoneys still had no idea who Flannery actually was.

The Campaign Apology Tour

In August, The New York Times broke the news of who was behind the purchases. Sramek confirmed his role, and soon topped his LinkedIn profile with a new title: CEO of California Forever, the company’s new name.

He has been in campaign mode ever since, meeting with elected officials, union leaders and environmental groups. California Forever has opened four offices across the county, and Solano’s freeways are now plastered with California Forever billboards.

In a state where it can take years to get a duplex approved, Sramek seems to have calculated that his project is too big to fail. Developers, planners and lawyers I spoke to all expected the project to either never happen or take at least 20 years. Whether out of bluster, delusion or confidence, Sramek, who recently bought a house in nearby Fairfield, said he had promised his wife that their infant daughter would start school in the development he wanted to build.

He didn’t find some secret hack that can make California an easier place to build. Rather, he believes the state’s attitude toward growth is changing. Californians, he thinks, have grown frustrated — with punishing housing costs, with homelessness, with the state’s inability to complete projects like the high-speed rail line that was supposed to connect the Bay Area and Los Angeles but has stalled. So just maybe his will, and gobs of money, can create a new posture toward growth.

“There’s a cultural moment where we realize the pendulum has gone too far,” Sramek said. “We can’t say we are about economic opportunity and working-class Californians are leaving the state every year.”

Last year’s event in Rio Vista was held at the end of lambing season in December. Before the meeting, I dropped by a barn with the Mahoneys where a group of “bummers” — lambs born weak or to overburdened ewes — were in sawdust pens drinking milk. They would be chops in less than a year, and Christine Mahoney cooed to them between my questions.

I asked her a crass but obvious one: why the money from Sramek, those tens of millions, wasn’t enticing.

“Everybody has their price, right?” she said. “I’ve heard that so many times. ‘Everybody has their number — what’s your number?’ I guess I haven’t found it yet.”

“When God calls us home, that’s our number,” Dan Mahoney joked. “Totally different philosophy.”

On Wednesday, Sramek returned to the American Legion post in Rio Vista. This time he had arrived as part of a kickoff event for the ballot initiative. Neighbors and protesters had returned but were prohibited from going inside, where slides of maps and renderings were presented to the press, and details about design were discussed.

The maps had a curious detail: On the edge of the proposed community’s downtown, was Goose Haven Ranch.

The night before the meeting, the Mahoneys sold it. They got about $23 million.

I Was Diagnosed With Colon Cancer at 32. Here Are the First Symptoms I Had

Self

I Was Diagnosed With Colon Cancer at 32. Here Are the First Symptoms I Had

Julia Ries – January 18, 2024

Raquel A./powerofforever/Getty Images

Raquel A., 33, never guessed she had cancer, even though she had symptoms that worried her. A few years ago, her bowel movements became increasingly frequent and abnormal, which she figured was due to undiagnosed irritable bowel syndrome (IBS) or a food intolerance. She didn’t have health insurance, so she put off going to the doctor and tried to ease her discomfort with fiber supplements and dietary changes. After getting a job that offered medical coverage, she saw a primary care physician, who told her she likely just had anxiety. Her symptoms worsened, and in 2023, she was diagnosed with stage four colon cancer. Raquel has been sharing her experience with the condition—as well as what she wants others to know about seeking help as early as possible—on TikTok. Here’s her story, as told to health writer Julia Ries.

I first started having noticeable gastrointestinal issues in 2019, right before the pandemic. I was living with a roommate, and one day we started talking about how I was going to the bathroom all the time. I could go number two 8 to 10 times a day and never feel like I had a complete bowel movement. I told my roommate I suspected I wasn’t getting enough fiber, or perhaps I simply wasn’t eating “healthy enough.” Maybe I had irritable bowel syndrome (IBS), or a gluten or dairy sensitivity. It never occurred to me that I might have cancer.

I didn’t have health insurance. As a result, going to the doctor—unless I had an absolute emergency—wasn’t something I did in my 20s. Instead of checking in with a primary care doctor, I started intermittently taking Metamucil, a fiber supplement, to help regulate my bowel movements and treat random bouts of diarrhea. This helped, at least for a little while.

In 2021, I moved to the greater Seattle area, where I landed a job in the tech industry and, with it, good health insurance. My symptoms remained quiet until they came back in 2022. I was going to the bathroom a lot again, and my bowel movements became uncomfortable. My stools were pencil-thin, sometimes orangish-red in color, and occasionally there’d be a little blood. I got abnormally full after eating. I was bloated, no matter what I ate—I tried being dairy-free, then gluten-free. Looking back, these were major warning signs that something was wrong, and I wouldn’t find out until later that they were classic signs of colorectal cancer.

I scheduled a physical—my first in over a decade—in May of 2023. I told my doctor about the digestive issues I’d been experiencing since 2019: the frequent—and sometimes painful—bowel movements, the bloody stools, the early satiety. I shared that it felt like my symptoms were getting worse, and she said I likely had anxiety—and maybe gas—and scheduled a psychiatric appointment for me.

I believed her. I thought, “Maybe she’s right: I’m worrying too much about these symptoms and should just let it go.” In retrospect, she was incredibly dismissive, which I think was a result of my being so young at the time—I was 32, a woman, and a minority. Statistically speaking, people who fall into any of those categories, let alone all three of them, tend to have their health issues dismissed by doctors.

Three weeks after that exam, I developed severe abdominal pain. It wasn’t just localized to my lower stomach or my side—the pain radiated throughout my entire abdomen and toward my lower back. It was unbearable. I nearly fainted in my apartment. I’m not somebody who’s quick to take medication or go to the doctor, but I knew something was wrong, so I went to the emergency room. Again, I doubted myself and thought that perhaps I was making a big deal out of nothing. Fortunately, my ER physician took my pain seriously—she ordered a CT scan, scheduled an abdominal ultrasound, and ran a full panel of blood work. When the results came in, she sat down and told me they found cancer on my ovaries and liver. I was diagnosed with ovarian cancer.

I met with an oncologist and had a liver biopsy. That’s when they discovered that the cancer, adenocarcinoma, had originated in my colon and metastasized, or spread, to other organs. I was diagnosed with stage four colorectal cancer. I had an endoscopy and a colonoscopy so the doctors could get a better look—my colorectal cancer was so large and so advanced that they had trouble getting the scope through my colon.

I learned that colorectal cancer is very slow-growing. I could have had cancer for 8 to 10 years, potentially all of my 20s, without knowing it. With colon cancer, you usually don’t start having noticeable (or even severe) symptoms until it’s progressed to stage three or four. Plus, the symptoms, like nausea, constipation, diarrhea, or difficulty going to the bathroom, can be due to so many other conditions—some serious, like ovarian cancer, but others more benign, such as IBS.

After my diagnosis, I started chemotherapy. The cancer had caused a buildup of fluids in my stomach, the source of the bloating, that I had to have drained. I met with a GI specialist who advised me to tweak my diet—for example, I had to limit how much meat I was eating, cut out raw fruits and vegetables, and stick to soft foods, like pudding and mashed potatoes—which immediately improved my bowel movements. I’ve done various blood tests that assess how my cancer is progressing—including a CEA (a marker for colorectal cancer), CA125 (a marker for ovarian cancer), and CA19 (another cancer marker) tests—and have undergone genetic testing to better understand how my genes may have contributed to the cancer.

I continue to get chemotherapy biweekly, though I’ve switched to another chemotherapy drug because I experienced unpleasant side effects with the first type, and the cancer on my liver and lungs wasn’t responding to that treatment. My doctors informed me that eventually the chemo will stop working because my condition is terminal. I don’t qualify for surgery, since my cancer has spread so deeply, but I’m continuing to look into surgical options along with new treatments and clinical trials I can participate in. My chances of reaching survival two years after the diagnosis was 20%. At five years, that drops to 5%, but I’m determined to beat the odds.

Throughout this entire experience, I’ve learned how to advocate for myself. After I received my diagnosis, doctors took my condition very seriously and quickly scheduled multiple procedures and appointments for me—but that wasn’t always the case. I’d been dismissed for years, and even after I started chemotherapy, I felt as though my doctor wasn’t listening to my concerns, so I found a new oncologist who has been very responsive and attentive. I’ve learned how important it is to get a second opinion—all you need is that one doctor who is going to listen and fight for you. You might not find that person right away, but keep pressing: Getting screened could be a matter of life or death.

If I hadn’t followed my intuition—if I skipped going to the ER that day in 2023, or stuck with doctors who said nothing was wrong—there’s a chance I wouldn’t be alive. It’s so easy to doubt yourself, especially if medical professionals are downplaying your symptoms, but if you feel like something is wrong, go with your gut. It’s usually right.

Related:

Colon cancer is killing more younger men and women than ever, new report finds

NBC News

Colon cancer is killing more younger men and women than ever, new report finds

Erika Edwards and Jessica Herzberg – January 17, 2024

Report shows colorectal cancer is deadliest cancer for men under age 50Scroll back up to restore default view.

Colorectal cancer is the deadliest cancer for men under age 50 — and the second deadliest cancer among women in the same age group, behind breast cancer.

The incidence of colon cancer has been rising for at least the last two decades, when it was the fourth-leading cause of cancer death for both men and women under 50.

Among men and women of all ages, lung cancer remains the leading cause of cancer death. Prostate cancer is second for men, and breast cancer is second for women. Colorectal cancer is third, overall, for both sexes.

The diagnosis of late-stage colorectal cancer was a shock to Sierra Fuller, 33. (Courtesy Sierra Fuller )
The diagnosis of late-stage colorectal cancer was a shock to Sierra Fuller, 33. (Courtesy Sierra Fuller )

Even as overall cancer deaths continue to fall in the U.S., the American Cancer Society is reporting for the first time that colon and rectal cancers have become leading causes of cancer death in younger adults. The finding was published Wednesday in CA: A Cancer Journal for Clinicians.

Cancer is traditionally a disease among the elderly, although the percentage of new cases found in people 65 and older has fallen from 61% in 1995 to 58%. The decrease, attributed mainly to drops in prostate and smoking-related cancers, has occurred even though the proportion of people in that age group has grown from 13% to 17% in the general population.

In contrast, new diagnoses among adults ages 50 to 64 have increased since 1995, from 25% to 30%.

Rates of breast and endometrial cancer, as well as mouth and throat disease, have been on the rise. The report did not break down those diagnoses by age.

The findings reflect what cancer doctors have observed for years.

“For a couple of decades now, we have been noticing that the patients coming into our clinic seem to be younger and younger,” said Dr. Kimmie Ng, the director of the Young Onset Colorectal Cancer Center at Dana-Farber Cancer Institute in Boston. “What this report now cements for us is that these trends are real.” Ng was not involved with the new report.

Dr. William Dahut, the chief scientific officer at the American Cancer Society, said younger people tend to be diagnosed at later stages, when the cancer is more aggressive.

“So it’s not only having a colorectal cancer — it’s colorectal cancer that’s more difficult to treat, which is why we’re seeing these changes in mortality,” Dahut said.

The diagnosis of late-stage colorectal cancer was a shock to Sierra Fuller, 33, of Acton, Massachusetts, just outside Boston.

It was around Christmas 2021 when Fuller noticed blood in her stool when she went to the bathroom. With no family history of colon cancer, she figured the problem was most likely an annoying hemorrhoid.

Weeks later, the blood deposits worsened, and she started having abdominal pain.

Sierra Fuller and her husband. (Courtesy Sierra Fuller)
Sierra Fuller and her husband. (Courtesy Sierra Fuller)

“It was a month from when I got the symptoms to when I sought help, and I realize that I was pushing it,” she said. Tests revealed she had stage 3b colorectal cancer. That usually means the cancer has started to spread through the colon and possibly to nearby lymph nodes, but not any farther, according to the American Cancer Society.

It was a blow to Fuller and her husband, who had just started talking about whether to try for a baby. They decided to freeze embryos before Fuller’s treatment protocol, which would include radiation, chemotherapy and surgery.

It is an example of how cancer uniquely affects young patients.

Sierra Fuller. (Courtesy Sierra Fuller)
Sierra Fuller. (Courtesy Sierra Fuller)

“People younger than 65 are less likely to have health insurance and more likely to be juggling family and careers,” Dahut said in a news release announcing the new report. “Also, men and women diagnosed younger have a longer life expectancy in which to suffer treatment-related side effects, such as second cancers.”

Just over a year later, Fuller is cancer-free but must get regular scans and blood tests. She said that she feels good but that she is “always going to have that worry” that her cancer will return.

“If I have to go through this again, whatever that looks like, I’ll cross that bridge if it comes,” Fuller said.

Why is cancer rising in younger people?

Doctors do not know why cancer, especially colorectal cancer, is becoming more common in younger adults. Some hypothesize that increasing obesity rates, sedentary behavior and unhealthy diets could be playing roles.

“But honestly, the patients we’re seeing in clinic often do not fit that profile,” said Dr. Kimmie Ng, the director of the Young Onset Colorectal Cancer Center at Dana-Farber Cancer Institute in Boston. “A lot of them are triathletes and marathon runners. I mean, super healthy people.”

Ng suspects something in the environment may be behind the rise.

“What we suspect may be happening is that whatever combination of environmental factors is responsible for this, that it’s likely changing our microbiomes or our immune systems, leading us to become more susceptible to these cancers at a younger age,” Ng said.

How to protect against colorectal cancer

Colonoscopy screening is generally recommended starting at age 45. People with family histories of the illness may need to begin screening earlier.

A person whose parent was diagnosed with colon cancer at age 50, for example, would need to start screening at age 40, Dahut said.

However, only about a third of people diagnosed with colon cancer have some kind of family history or predisposition to the cancer.

Maintaining a healthy body weight and minimizing red meat in the diet may help reduce risk, Ng said.

Signs that could signal a problem, Ng said, include blood in the stool, abdominal pain, unintentional weight loss and changes in bowel habits.

“If it’s getting worse, if it’s not going away, you know, that’s when somebody really needs to start paying attention and talk to their primary care doctor about what’s happening,” she said.

Why the World Is Betting Against American Democracy

Politico

Why the World Is Betting Against American Democracy

Nahal Toosi – January 15, 2024

Liesa Johannssen/AP

When I asked the European ambassador to talk to me about America’s deepening partisan divide, I expected a polite brushoff at best. Foreign diplomats are usually loath to discuss domestic U.S. politics.

Instead, the ambassador unloaded for an hour, warning that America’s poisonous politics are hurting its security, its economy, its friends and its standing as a pillar of democracy and global stability.

The U.S. is a “fat buffalo trying to take a nap” as hungry wolves approach, the envoy mused. “I can hear those Champagne bottle corks popping in Moscow — like it’s Christmas every fucking day.”

As voters cast ballots in the Iowa caucuses Monday, many in the United States see this year’s presidential election as a test of American democracy. But, in a series of conversations with a dozen current and former diplomats, I sensed that to many of our friends abroad, the U.S. is already failing that test.

The diplomats are aghast that so many U.S. leaders let their zeal for partisan politics prevent the basic functions of government. It’s a major topic of conversations at their private dinners and gatherings. Many of those I talked to were granted anonymity to be as candid with me as they are with each other.

For example, one former Arab ambassador who was posted in the U.S. during both Republican and Democratic administrations told me American politics have become so unhealthy that he’d turn down a chance to return.

“I don’t know if in the coming years people will be looking at the United States as a model for democracy,” a second Arab diplomat warned.


Many of these conversations wouldn’t have happened a few months ago. There are rules, traditions and pragmatic concerns that discourage foreign diplomats from commenting on the internal politics of another country, even as they closely watch events such as the Iowa caucuses. (One rare exception: some spoke out on America’s astonishing 2016 election.)

But the contours of this year’s presidential campaign, a Congress that can barely choose a House speaker or keep the government open, and, perhaps above all, the U.S. debate on military aid for Ukraine have led some diplomats to drop their inhibitions. And while they were often hesitant to name one party as the bigger culprit, many of the examples they pointed to involved Republican members of Congress.

As they vented their frustrations, I felt as if I was hearing from a group of people wishing they could stage an intervention for a friend hitting rock bottom. Their concerns don’t stem from mere altruism; they’re worried because America’s state of being affects their countries, too.

“When the United States’ voice is not as strong, is not as balanced, is not as fair as it should be, then a problem is created for the world,” said Ronald Sanders, Antigua and Barbuda’s longtime ambassador in Washington.

Donald Trump’s name came up in my conversations, but not as often as you’d think.

Yes, I was told, a Trump win in 2024 would accelerate America’s polarization — but a Trump loss is unlikely to significantly slow or reverse the structural forces leading many of its politicians to treat compromise as a sin. The likelihood of a closely split House and Senate following the 2024 vote adds to the worries.

The diplomats focused much of their alarm on the U.S. debate over military aid to Ukraine — I was taken aback by how even some whose nations had little connection to Russia’s war raised the topic.

In particular, they criticized the decision to connect the issue of Ukrainian aid and Israeli aid to U.S. border security. Not only did the move tangle a foreign policy issue with a largely domestic one, but border security and immigration also are topics about which the partisan fever runs unusually high, making it harder to get a deal. Immigration issues in particular are a problem many U.S. lawmakers have little incentive to actually solve because it robs them of a rallying cry on the campaign trail.

So now, “Ukraine might not get aid, Israel might not get aid, because of pure polarization politics,” said Francisco Santos Calderón, a former Colombian ambassador to the United States.

Diplomats from many European countries are especially unhappy.

They remember how, when Russia launched its full-scale invasion of Ukraine, many Republicans downplayed concerns about the far-right fringe in their party that questioned what was then solid, bipartisan support. Now, as the debate over the aid unfolds, it seems the far-right is calling the shots.

There’s a growing sense among foreign diplomats that moral or national security arguments — about defending a country unjustly invaded, deterring Russia, preventing a bigger war in Europe and safeguarding democracy — don’t work on the American far-right.

Instead, some are stressing to U.S. lawmakers that funds for Ukraine are largely spent inside the United States, creating jobs and helping rebuild America’s defense industrial base (while having the side benefit of degrading the military of a major U.S. foe).

“If this doesn’t make sense to the politicians, then what will?” the European ambassador asked.

A former Eastern European ambassador to D.C. worried about how some GOP war critics cast the Ukraine crisis as President Joe Biden’s war when “in reality, the consideration should be to the national interests of the United States.”

Foreign diplomats also are watching in alarm as polarizing abortion politics have delayed the promotions of U.S. military officers and threaten to damage PEPFAR, an anti-AIDS program that has saved millions of lives in Africa. That there are questions about America’s commitment to NATO dumbfounds the diplomats I talked to. Then, there are the lengthy delays in Senate confirmations of U.S. ambassadors and other officials — a trend exacerbated by lawmakers from both parties.

“There was always a certain courtesy that the other party gave to let the president appoint a Cabinet. What if these courtesies don’t hold as they don’t seem to hold now?” a former Asian ambassador said. “It is very concerning.”

When Republicans and Democrats strike deals, they love to say it shows the system works. But simply having a fractious, lengthy and seemingly unnecessary debate about a topic of global security can damage the perception of the U.S. as a reliable partner.

“It is right that countries debate their foreign policy stances, but if all foreign policy issues become domestic political theater, it becomes increasingly challenging for America to effectively play its global role on issues that need long-term commitment and U.S. political capital — such as climate change, Chinese authoritarianism, peace in the Middle East and containing Russian gangsterism,” a third European diplomat warned.

The current and former diplomats said their countries are more reluctant to sign deals with Washington because of the partisan divide. There’s worry that a new administration will abandon past agreements purely to appease rowdy electoral bases and not for legitimate national security reasons. The fate of the Iran nuclear deal was one example some mentioned.

“Foreign relations is very much based on trust, and when you know that the person that is in front of you may not be there or might be followed by somebody that feels exactly the opposite way, what is your incentive to do long-term deals?” a former Latin American diplomat asked.

Still, there’s no ambassadorial movement to band together and draw up a petition or a letter urging greater U.S. unity or focus.

The diplomats’ countries don’t always have the same interests. Some have plenty of polarizing politics themselves. In other words, there will be no intervention.

Some of the diplomats stressed they admire America — some attended college here. They acknowledged they don’t have some magical solution to the forces deepening its political polarization, from gerrymandered congressional districts to a fractured media landscape.

They know the U.S. has had polarized moments in the past, from the mid-1800s to the Vietnam War, that affected its foreign policy.

But they’re worried today’s U.S. political divisions could have lasting impact on an increasingly interconnected world.

“The world does not have time for the U.S. to rebound back,” the former Asian ambassador said. “We’ve gone from a unipolar world that we’re familiar with from the 1990s into a multipolar world, but the key pole is still the United States. And if that key pole is not playing the role that we want the U.S. to do, you’ll see alternative forces coming up.”

Russia’s diplomats, meanwhile, are among those delighting in the U.S. chaos (and fanning it). The Eastern European ambassador said the Russians had long warned their counterparts not to trust or rely on Washington.

And now what do they say? “We told you so.”

So the world’s envoys are reconsidering how their governments can deal with this America for many years and presidents to come.

Some predicted that a Republican win in November would mean their countries would have to become more transactional in their relationship with the United States instead of counting on it as a partner who’ll be there no matter what. Embassies already are beefing up their contacts among Republicans in case they win back the White House.

“Most countries will be in defensive positions, because the asymmetry of power between them and the United States is such that there’s little proactively or offensively that you can do to impact that,” said Arturo Sarukhan, a former Mexican ambassador to the United States.

When I asked diplomats what advice they’d offer America’s politicians if they were free to do so, several said the same thing: Find a way to overcome your divisions, at least when it comes to issues that reverberate beyond U.S. borders.

“Please create a consensus and a long-term foreign policy,” said Santos, the former Colombian ambassador. “When you have consensus, you don’t let the internal issues create an international foreign policy crisis.”

Davos: Global crises set to dominate gathering of business leaders

BBC News

Davos: Global crises set to dominate gathering of business leaders

Faisal Islam – Economics editor – January 15, 2024

A woman takes a picture in front of a screen displaying AI-generated artwork
A woman takes a picture in front of a screen displaying AI-generated artwork

Just a week ago, the expectation about the latest gathering of the World Economic Forum in Davos, Switzerland, was of a line being drawn under three years of pandemic, lockdown and Ukraine war energy shocks.

Inflation is falling, and 2024 was set to be the year that central banks start cutting interest rates, including here in the UK. In three years of different rolling, merging global crises, the world economy has been in the shadow of massive geopolitical shifts.

The events of the past few days shows that the “polycrisis” is far from over.

Perhaps the most telling development has been the ability of the Houthis to use relatively cheap drones and armaments to cause havoc with world trade. Air strikes on the Houthis in Yemen were carried out explicitly to keep the currents of trade and economic recovery flowing through the straits leading to the Suez Canal.

But oil prices jumped on Friday because the risk of a wider confrontation in the region has also gone up. In three months the crisis in Gaza has led to RAF jets attacking targets in Aden. What will be happening three months from now?

As it happens, this sort of fundamental diplomatic challenge is made for the World Economic Forum. Launched in 1971, and held every year in the Alpine ski resort of Davos, the conference puts together the world’s top business people and politicians, as well as key players from charity and academia.

Where else would the Israeli president, Saudi foreign minister and Qatari prime minister be present in the same space at the same time, alongside French President Emmanuel Macron, UK Foreign Secretary David Cameron, US Secretary of State Antony Blinken and Chinese Premier Li Qiang?

Expectations are low surrounding the grim situation in the Middle East, but this is the sort of place where constructive and unexpected conversations can take place discreetly.

There had been a whiff of decay about Davos since the pandemic. G7 leader appearances were getting rarer. Rishi Sunak hasn’t been and isn’t going this week. In a huge year for elections across the globe the US delegation this year is particularly thin. Republicans in particular view the event with some suspicion.

The Republican Party’s Ron DeSantis, a potential presidential candidate, last year called Davos a “threat to freedom” run by China. The Florida governor said any policies emerging from the forum were “dead on arrival” in his state. The view in Davos is that he thought that such rhetoric would play well in the presidential primaries which also start this week.

Ukraine’s President Volodymyr Zelensky is attending, and will be mindful of “Ukraine fatigue” reaching Washington DC and becoming prevalent in developing countries.

Police at Davos
Security is always tight at the Davos gathering

For the UK, some in the business community appear ready to go beyond a curious interest in the Labour Party in this election year.

Chancellor Jeremy Hunt and shadow chancellor Rachel Reeves will be competing for the attention of UK business leaders and international investors.

If business investors are worried about Labour’s economic plans, for example for extra investment spending, the World Economic Forum is exactly where it may, or may not surface. I recall then-opposition leader David Cameron’s parade of meetings with world leaders, just before he became prime minister in 2010.

There has been a backlash against some of the corporate do-gooding typical of the event, especially the recent focus by investors on companies’ environmental and social policies.

Put brutally, the world of the past two years has seen massive returns for hydrocarbon extractors, carbon emitters and arms companies.

The optimism will come from a hope that disturbed geopolitics can somehow settle without a further energy shock.

Artificial intelligence will be everywhere, with the ChatGPT-creating Open AI boss Sam Altman being paraded to the world’s business and political leaders by Microsoft, which is now vying with Apple to be the world’s biggest company.

So at the start of a delicate year of disorder and uncertainty in global politics and diplomacy, and question marks about economic recovery from years of such crisis, it is difficult to imagine a better moment for a gathering like the World Economic Forum this week.

The task is to travel towards the light at the end of the tunnel. It will not be easy.

Davos Elite Size Up the Global Risks of Another Trump Presidency

Bloomberg

Bloomberg

Davos Elite Size Up the Global Risks of Another Trump Presidency

Francine Lacqua – January 15, 2024

(Bloomberg) — Donald Trump is thousands of miles away from the Alpine Swiss town of Davos but talk of his possible return to the White House is on everyone’s lips even before the annual shindig of the global elite has kicked off.

On Monday, in the subzero temperatures of Iowa, he’s set to cement his status as the Republican frontrunner in the first GOP contest of the 2024 election. His crushing lead over rivals appears unsurmountable and polls show Trump and US President Joe Biden facing off and in a dead heat.

Last seen mingling with the Davos crowd in 2020, when he made a dramatic entrance by landing with a squadron of helicopters, Trump is the last US leader to have shown up at the World Economic Forum but has remained a popular topic of conversation for attendees ranging from CEOs, financiers and policymakers.

“You know, we’ve been there before, we survived it, so we’ll see what it means,” BlackRock Inc. Vice Chairman Philipp Hildebrand said in a Bloomberg Television interview. “Certainly from a European perspective, from a kind of globalist, Atlanticist perspective, it’s of course a great concern.”

The former Swiss National Bank president shared the assessment of European Central Bank President Christine Lagarde, who last week said in plain language unusual for a central banker that another term of Trump would clearly be a threat.

Former US Vice President Al Gore, of course, is no stranger to political shocks having come within a whisker of becoming president himself almost a quarter of a century ago. These days he’s better known for being a climate warrior but he shared some caveats about assuming Trump is an inevitability even as the Republican candidate.

“I don’t think that it’s a foregone conclusion,” he told Bloomberg Television in Davos. “I’ve been through the process, I’ve run four national campaigns over the years and seen it from that perspective. I’ve seen a lot of surprises over the years. Something tells me this may be a year of significant surprises. I hope it’s the case because I don’t want to see him re-nominated and re-elected.”

He even issued a warning about not overplaying the importance of the Iowa vote.

“I’m not sure they’re as significant as some believe, he said. “There have been so many examples – last time in 2016 Ted Cruz won the Iowa caucus, and then it mattered not a whit. We’ve seen others win the Iowa caucus on the Republican side and then disappear.”

–With assistance from Laura Millan and Zoe Schneeweiss.

Doctors Alarmed by Young People Getting Cancer at Unprecedented Rates

Futurism

Doctors Alarmed by Young People Getting Cancer at Unprecedented Rates

Noor Al-Sibai – January 14, 2024

People below the age of 50 are getting cancer more than ever before — and doctors are stumped as to why.

As the Wall Street Journal reports, the shocking 2020 death of beloved actor Chadwick Boseman, who died of colorectal cancer at only 43 years old, seemed to wake the public up to the growing trend that researchers had been warning about for a decade prior.

“Colorectal cancer was the canary in the coal mine,” mused cancer epidemiologist Timothy Rebbeck of the Dana-Farber Cancer Institute in Boston. Soon after, there was seemingly an explosion of all different types of cancers, many of which deal with or are near the gastrointestinal tract: appendixpancreaticstomach, and uterine.

As the WSJ points out, incidences of colorectal cancer in younger people have risen significantly in recent decades, with one in five new patients diagnosed with that type of cancer being below 50 in 2019, a rate that had doubled since the year 1995, per an analysis from the American Cancer Society last year.

“We are seeing more and more young people who don’t fit the classic teaching that cancer is a disease of aging,” Monique Gary, the medical director of the cancer program at Pennsylvania’s Grand View Health Center, told the WSJ.

One such youthful cancer patient is 27-year-old Meilin Keen, who had her stomach removed at the end of 2023 following a gastric cancer diagnosis. Keen told the newspaper that she had to postpone taking the bar exam because the brain fog from chemo made studying too hard, which effectively put her dreams of becoming a lawyer and moving to New York City on hold.

Though she’d struggled with stomach issues, including acid reflux and heartburn, since she was a teen, Keen was understandably taken aback to be diagnosed with cancer in her 20s.

“I didn’t really think that much about cancer until I got it,” she told the WSJ. “It messes with your identity.”

GI-based cancers like Keen’s seem to be occurring among youthful populations much more often than other types, and it remains unclear why. There’s been all kinds of educated speculation as to what may be going on there, from research into the amount of time young women spent watching TV growing up and many others that deal with nutritiondiet, and weight. One study even claimed to find a link between being born via caesarian section and developing young-onset colorectal cancer.

Regardless of the causes, doctors are having to deal with the onslaught of young cancer diagnoses. Just a few months after Boseman died in 2020, the American Cancer Society began recommending colon cancer screenings starting at age 45 — though for people like Keen, that’s still much too old to catch it.

“If we’re not understanding what it is now,” Dr. Kimmie Ng of Dana-Farber, told the WSJ, “there’s another whole generation that’s going to be dealing with this.”

$88 trillion in debt and a wave of elections. World leaders are hamstrung

CNN

$88 trillion in debt and a wave of elections. World leaders are hamstrung

Analysis by Hanna Ziady, CNN – January 14, 2024

Nathan Howard/Bloomberg/Getty Images

World leaders are flocking to Davos this week to pontificate on the planet’s most pressing problems.

Two major wars, a shipping crisiscyber attacks on state institutions and yet more alarming evidence of the climate emergency mean there’s no shortage of talking points.

But turning ideas into action when governments owe an unprecedented $88.1 trillion — equivalent almost to the world’s annual economic output — will be hard.

Public debt exploded during the pandemic and new borrowing this year is likely to break records in several big economies, leaving governments less able to respond to shocks such as financial meltdowns, pandemics or wars.

Even in the absence of a new crisis, soaring debt servicing costs will constrain efforts to tackle climate change and care for aging populations. Public services in many countries are already strained after successive budget cuts.

More worryingly still, as debt burdens grow, governments could find themselves unable to borrow more to service existing obligations and fund basic services adequately.

A government unable to finance its debt “would be forced to implement abrupt and painful” spending cuts or tax hikes, said Michael Saunders, a former member of the Bank of England’s monetary policy committee.

“And such a government may lack the fiscal space to respond to future adverse shocks, preventing fiscal support when it is most needed,” he told CNN.

Saunders, now a senior economic adviser at consultancy Oxford Economics, doesn’t think rich economies are approaching what is roughly equivalent to a personal credit limit and points to sustained investor appetite for government debt. But that’s not to say the limit won’t be tested “10, 20, 30 years from now.”

Testing the limit

The United Kingdom — the world’s sixth-biggest economy — offers a cautionary tale of how badly things can go wrong when investors reject a government’s plan to borrow.

In September 2022, the pound and UK government bonds, or gilts, sold off sharply, partly in response to plans by former Prime Minister Liz Truss to issue more debt in order to pay for tax cuts. Mortgage rates and other borrowing costs soared as investors demanded much higher premiums for owning UK debt.

The Bank of England was ultimately forced to intervene and pledge to buy gilts on “whatever scale is necessary.”

“Were dysfunction in this market to continue or worsen, there would be a material risk to UK financial stability,” Dave Ramsden, a senior official at the central bank, said at the time. “This would lead to … a reduction of the flow of credit to the real economy.”

While central banks can provide temporary emergency support, they cannot finance government deficits in lieu of bond investors.

Just ask crisis-stricken Argentina, where for years the central bank printed pesos to help the country’s spendthrift government continue paying interest on its debt and avoid default. That tactic caused the value of the currency to plummet and prices to rocket. Annual inflation exceeded 211% last month, the highest level in three decades.

A risky year of elections

Government budgets will face renewed scrutiny this year from investors on high alert for politicians tempted to make promises in a bid to win over voters.

Half the world’s population is going to the polls. That swathe of elections means little incentive for belt-tightening among incumbent administrations, while also raising the prospect that incoming leaders will seek to make their mark with new tax and spending plans.

Already, debt is shaping up to be a key issue in this year’s US elections, which will culminate in the presidential election in November. Record levels of public borrowing have become a major point of contention between Republicans and Democrats, aggravating standoffs over the national budget that periodically threaten to starve federal agencies of funds and prevent them from operating.

Mounting debt and political brinksmanship have already taken their toll on America’s credit rating, which typically affects borrowing costs for the government, businesses and households.

Fitch cut its rating on US sovereign debt to AA+ from the top AAA grade last August, citing political polarization as a factor in its decision. Meanwhile, in November, Moody’s warned that it could also remove the United States’ last remaining perfect rating from the big three ratings agencies.

“One of the key elements sustaining a country’s credibility on its ability to repay (debt) is political consensus,” said Raghuram Rajan, a former governor of the Reserve Bank of India.

“It’s not unimaginable that if democracy takes a downturn in the United States, if there is a sense that there will be a political calamity,” the value of US sovereign bonds would fall, he added. And that would increase the government’s borrowing costs.

AI to the rescue?

Even if the worst scenarios are avoided, the increased cost of servicing debt after a recent rapid rise in official interest rates is siphoning ever greater amounts of money away from vital public services — and making it harder to address the climate crisis.

According to reports in UK media, Britain’s main opposition Labour Party has scaled back some of its enormous green spending plans because of concerns about adding to country’s debt burden.

In the current financial year, which ends on April 5, the UK government is expected to spend more on debt interest (£94 billion, or $120 billion) than on either education or defense, according to the Office for Budget Responsibility, a fiscal watchdog.

In the United States, interest costs on a common measure soared to $659 billion in fiscal year 2023, which ended on September 30, according to the Treasury Department. That’s up 39% from the previous year and nearly double what it was in fiscal year 2020.

In 2023 the government spent more to service its debt than it did on each of housing, transport and higher education, according to the Committee for a Responsible Federal Budget, a non-profit.

The surge in advanced economies’ debt that those hefty interest payments partly illustrate coincides with slowing economic growth and a rise in the number of the elderly relative to working-age people. Against that backdrop, it’s unclear how the world will dig itself out of its debt hole.

“What could rescue us relatively painlessly is if we have huge productivity improvements without job losses,” Rajan, now a professor of finance at the University of Chicago Booth School of Business, told CNN, suggesting that artificial intelligence could hold the key.

Indeed, many experts think an AI-powered productivity boom could transform the global economy’s fortunes.

Let’s hope that over the next few days in Switzerland they tell us how.

Anna Cooban contributed reporting.

What Costco Doesn’t Want Customers To Know

Daily Meal

What Costco Doesn’t Want Customers To Know

Jacob Smith – January 14, 2024

Costco rotisserie chickens being prepared
Costco rotisserie chickens being prepared – Bloomberg/Getty Images

Costco boasts nearly 130 million members worldwide. The vast majority of these are found in the United States, but regardless of whether they’re shopping in the U.S. or abroad, customers turn to Costco for the same reason: the store’s shockingly low prices.

Bargains form the basis of Costco’s brand, and discounted products can be found everywhere in the store. Furthermore, some of the store’s most iconic products — such as the $4.99 rotisserie chicken or $1.50 hot dog and soda combo — have not experienced price increases for years. But while the prices of these products are widely and frequently celebrated, few customers are aware of the outsized social, environmental, and ethical costs associated with them.

In an effort to drive down prices and maximize profit, Costco has been linked with some rather unsavory business practices including rearing animals in horrible conditions, the use of illegal labor, and questionable product labeling. Although prices remain low, it appears that Costco’s well-loved bargains do not come cheap.

Costco’s Chickens Were Reared Inhumanely
Chickens at Costco farm
Chickens at Costco farm – mercyforanimals/YouTube

Costco’s $4.99 rotisserie chicken is the store’s most celebrated product. In fact, the cheap chicken is so integral to the brand that Costco has spent $1 billion building an industry-leading chicken processing plant in Nebraska with the sole goal of streamlining its rotisserie chicken supply chain. That being said, a $4.99 chicken is never going to be far from controversy, and Costco’s rotisserie chicken has received its fair share of criticism in recent years.

The majority of these complaints stem from a 2021 investigation of a Costco-controlled poultry farm. Videos taken by nonprofit organization Mercy For Animals showed birds living in cramped, filthy conditions. Some were even suffering from open wounds. When confronted with the evidence, Costco claimed to the New York Times that much of the footage was unremarkable and also stated that the company adhered to standards laid out by trade associations (via CNN). Despite pressure, Costco has not followed the lead of many other food businesses and signed on to the Better Chicken Commitment, a welfare policy designed to improve the lives of industrially reared broiler chickens.

Following the Mercy For Animals investigation, two shareholders, represented by the litigation nonprofit Legal Impact for Chickens, launched a lawsuit against Costco. The lawsuit alleged that decisions made by Costco executives caused the company to neglect its livestock, meaning the fast-growing chickens were often unable to access food and water. The case was dismissed, but during the summer of 2023, Costco announced it was reviewing and investigating the issue. No actions have been reported.

Several Costco Products Have Been Linked With Child Labor
A Darigold plant
A Darigold plant – Ian Dewar Photography/Shutterstock

An article published by The New York Times at the end of 2023 alleged that numerous migrant children were and are working for the producers of various Costco products. According to the article, the vast majority of these children use forged documents to gain and keep employment. Lax checks and the huge workforces associated with many plants and factories mean that child workers are often missed by private auditors, while senior employees often turn a blind eye. What’s more, auditors rarely visit businesses during the night shift when child labor is most prevalent.

As part of its article, NYT interviewed Miguel Sanchez, a child migrant who works at Darigold, a milk supplier for Costco. In his interview, Sanchez detailed dangerous working conditions that resulted in him suffering from an injury. Other workers noted that minors were a common part of the workforce.

This is not the only instance of child labor linked with Costco. Underage workers have also been found to work in sanitation teams, cleaning slaughterhouses which supply Costco with meat. Packers Sanitation Services, the company that employed these minors, had over 100 underage workers on its payroll and was fined $1.5 million. In all these instances, Costco has said it was not aware of any child labor practices in its supply chain.

Customers’ Private Health Data Was Shared With Meta
Costco Pharmacy sign
Costco Pharmacy sign – Bloomberg/Getty Images

Costco boasts a pharmacy as part of its business. As with any pharmacy, Costco’s pharmacy frequently requires and receives customers’ private healthcare information, including their prescriptions and prior illnesses or conditions. This information is both private and sensitive, meaning it should be treated with the utmost care. Unfortunately, Costco has not always managed to do this.

According to The Seattle Times, a lawsuit raised against Costco in 2023 alleged that the company had shared millions of Americans’ medical information with Meta without customer consent. This was due to Costco’s improper use of Meta Pixel, a tracking code that is designed for use as a business tool. By having Meta Pixel active on the health care section of Costco’s website, any sensitive information that customers entered was automatically shared with Meta. Health-specific targeted ads were reported as a result of the illicit information sharing.

Meta itself has said that using Meta Pixel in this way is against company policy and claims that steps are taken to educate businesses on how to use Meta products properly. Costco has refused to comment on the issue, and the lawsuit is currently ongoing.

Terrible Conditions Were Reported At Costco’s Egg Suppliers
An egg-laying hen at a Costco farm
An egg-laying hen at a Costco farm – Direct Action Everywhere – DxE/YouTube

It’s not just Costco’s rotisserie chickens that have been victims of inhumane farming practices but the company’s egg-laying hens, too. Initially, calls to improve the chicken’s lifestyles centered upon the removal of battery cages from the company’s supply chain. These cages were shown to cause the birds immense suffering due to the chickens’ inability to move properly in such a small space. Celebrities such as Bill Maher and Brad Pitt called for the company to remove them in 2015, and Costco listened; 97% of Costco eggs were cage free by September 2022.

Unfortunately, the near complete removal of battery cages from Costco’s supply chain does not mean hens are reared in humane conditions. Videos recorded by a network of animal rights activists, Direct Action Everywhere, at a chicken farm that supplied eggs for Costco’s Kirkland brand showed appalling conditions. The barn the animals were kept in was filthy, and dead and rotting birds littered the floor. Many living chickens also bore injuries associated with the increased aggression the animals display in cage-free systems.

In a response to the video, reported by The Seattle Times, Costco said: “We have reinspected the barn and other operations of this supplier, and based on these inspections and prior audits, we are comfortable with the animal-welfare aspects of the operation.”

Costco Is Clamping Down On Membership Card Sharing
Costco member card being checked
Costco member card being checked – View Press/Getty Images

Costco runs a membership model wherein customers must pay an annual fee to shop at its stores. In order to ensure that non-members do not slip into the shop — and benefit from its low prices — all members are given a card they must display when prompted by cashiers or other staff members. These cards usually feature a photograph of the member, ensuring one card cannot be used by numerous people. However, savvy shoppers have frequently used the self-checkout lanes to get away with using another person’s membership card.

Costco committed to closing this loophole during the summer of 2023 by requiring all customers to show their membership cards when using the self-service checkouts. While an unpopular policy for those who have benefited from this loophole, many members think it is only fair that such a policy gets put in place. After all, they pay for access to discounted goods, so why shouldn’t others?

Some Costco members are not in favor of the crackdown. Many of these individuals are tired of being forced to prove they are members time and again. As one Redditor put it, “I think people are getting more annoyed when they’re getting accused of card sharing and have to jump through hoops to prove that it’s them. It doesn’t help that the picture quality on Costco’s cards is cra***.”

The Company’s Advertising Practices Have Been Challenged
Costco canned tuna in boxes
Costco canned tuna in boxes – The Image Party/Shutterstock

In 2023, it was announced that Costco was being taken to court over false and deceptive advertising and labeling practices. The product at the center of the lawsuit was Kirkland Signature White Albacore Tuna in Water. This product carried the “Dolphin Safe” label on its packaging. The plaintiff in the case, Melinda Wright, claimed that this label was directly misleading as the method in which tuna was caught is not dolphin safe.

The Dolphin Protection Consumer Information Act lays out specific criteria tuna products need to achieve to be labeled as dolphin safe. Due to Costco supplier’s use of potentially harmful longline fishing techniques to catch tuna, the Kirkland Signature White Albacore Tuna cannot be defined as dolphin safe according to the Dolphin Protection Consumer Information Act. This suggests that Wright, and other customers like her, were deliberately misled by Costco, which sought to play up the product’s environmental credentials.

This is not the first time Costco has been accused of mislabeling seafood. Also in 2023, the grocery store brand was forced to pay $33,000 AUD after it sold imported Canadian lobsters in its Australian stores, per 9News. In this instance, it was not how the lobsters were caught that was misrepresented but where. Although hailing from Canada, the crustaceans were erroneously labeled as being from Australian waters.

Costco Accepted Illegal Kickbacks From Drug Companies
Tony Gagliese talking
Tony Gagliese talking – The Fifth Estate/YouTube

Kickbacks, often known as rebates, are payments drug companies make to pharmacy chains. These payments are made to ensure the pharmacy will stock the company’s drugs. Kickbacks are legal in some parts of Canada but not in Ontario, which outlawed the practice during 2013 in an effort to lower drug prices. Despite the law, two senior pharmacy executives at Costco in Ontario — Joseph Hanna and Lawrence Varga — demanded kickbacks from drug salesmen several years after 2013.

Tony Gagliese, a salesman for drug company Ranbaxy, secretly recorded Costco pharmacy executives asking for kickbacks in 2018. The Ontario government subsequently launched an investigation into the brand’s illegal kickback practices. It found Costco had accepted over $7.2 million in illegal kickbacks. In an email to CBC, Hanna said: “I genuinely believed at the time Ranbaxy made the payments in question that they were permissible. Neither I, nor Costco, would ever knowingly accept a payment that was prohibited.”

Costco was fined the amount it illegally earnt in kickbacks, around $7.25 million according to CBC. Hanna and Varga were ordered to pay $50,000 each in fines and costs. Neither pharmacy executive was fired.

Costco Underwent An Eight-Year Lawsuit With Tiffany
People by Costco jewlery case
People by Costco jewlery case – Bloomberg/Getty Images

Unlike many other grocery store brands, Costco often stocks an impressive range of jewelry. However, this aspect of the store took a hit when famous jewelry brand Tiffany and Co. launched a lawsuit against Costco on Valentine’s Day 2013. Once again, the lawsuit revolved around Costco’s advertising and labeling choices. In this instance, Costco used the name “Tiffany” to describe a range of diamond rings.

Costco defended this choice by stating that “Tiffany” was being used to describe the ring’s pronged setting and did not indicate any connection with the well-known jewelry brand. Tiffany and Co. begged to differ, alleging that Costco was deliberately misleading customers into believing the rings were made by or in association with the brand. Over 3,000 of the rings were sold.

In 2017, four years after the lawsuit was brought against Costco, a judge ruled that Costco had to pay Tiffany and Co. nearly $20 million in damages and punitive damages, per Reuters. Costco appealed the judgment and won. The two companies settled out of court in 2021, according to CNBC. No details regarding the settlement were released.

Multiple Employees Have Accused Costco Of Discrimination
Rae Ellis smiling
Rae Ellis smiling – Bloomberg/Getty Images

Costco has a reputation for being a good place to work. Employee pay and benefits are among the highest in the sector, and the company’s employee turnover is very low. That being said, Costco has also been accused of taking various discriminatory actions against employees. The most infamous of these resulted in over 700 women launching a class-action lawsuit against Costco.

The lawsuit, led by plaintiff Rae Ellis, alleged that Costco discriminated against women when it came to filling managerial positions. The lawsuit was initiated in 2004. At this time women made up half of Costco’s entire workforce, yet only 13% of Costco store managers were female. The lawsuit was settled in 2013, according to Public Justice. As part of the deal, Costco committed to changing its promotion procedures. These changes are working; at the end of the 2022 fiscal year 37.5% of Costco managers were female.

Other lawsuits have accused Costco of disability discrimination. One such lawsuit was leveled against the company by Marisa Martinez. Martinez was the Mexico Buyer for Costco and was on a work trip to the country when she witnessed a car being held at gunpoint. Martinez developed anxiety after this event and did not feel able to travel to Mexico. In retaliation, Costco banned her from performing any other work-related travel and threatened to remove her from management if she did not travel to Mexico. In the ensuing court case, Costco was forced to pay Martinez $1.85 million in damages, per McGillivary Steele Elkin LLP.

Costco Was Found To Have Lax Pharmacy Controls
Employee working in Costco pharmacy
Employee working in Costco pharmacy – Bloomberg/Getty Images

In January 2017, it was announced that Costco would pay $11.75 million as a result of a number of its pharmacies improperly filling prescriptions. Lax controls were reported in multiple Costco pharmacies in locations including Washington, Michigan, and California. Among the alleged actions were the filling of incomplete prescriptions and the filling of prescriptions without valid Drug Enforcement Administration registration numbers.

After the settlement was reached, U.S. Attorney Eileen M. Decker released a statement. In it she said: “These are not just administrative or paperwork violations — Costco’s failure to have proper controls in place in its pharmacies likely played a role in prescription drugs reaching the black market.”

In an effort to ensure such violations do not occur again, Costco invested in a new pharmacy management system. The chain also adopted an auditing system that involved the use of external auditors.

Many Of Costco’s Steaks Are Mechanically Tenderized
Costco meat
Costco meat – ARTYOORAN/Shutterstock

The process of mechanically tenderizing meat involves tiny holes being punctured into the meat by needle-like blades before packaging and selling. This process helps break down some of the meat’s fibers, making the meat feel more tender when it is eaten.

While there is no disputing that mechanically tenderizing steaks works, the process has drawn some criticism as it increases the risk of foodborne illnesses being transferred by the meat. The United States Department of Agriculture highlights that mechanical tenderizing increases the risk of foodborne illnesses, as any pathogens or bacteria that happen to be located on the meat’s surface will be driven into the center of the meat during the puncturing process. This makes the pathogens harder to kill during cooking, increasing the chances that a contaminated piece of meat makes a customer ill.

One way to mitigate this risk is to cook the steaks more thoroughly, raising their internal temperature to 145 degrees Fahrenheit and holding it there for three minutes, or making sure the internal temperature reaches 160 degrees as Costco recommends. Thankfully, Costco indicates on a steak’s label whether it has been mechanically tenderized, giving customers the knowledge they need to prepare and consume their steaks safely.

Costco’s Gold Ingots Are Not A Great Investment
Gold bought from Costco
Gold bought from Costco – goldeagleprice/X, formerly known as Twitter

Costco made headlines throughout 2023 due to the popularity of an unlikely grocery store product: 1-ounce gold bars. Costco repeatedly sold out of the product, with CFO Richard Galanti indicating in a company earnings call that after restocking, the product sold out in a few hours. The ingots do not come cheap; Costco has been selling them at around $2,000, and some customers have likely seen them as a worthwhile investment.

Although gold is known to hold its value in times of uncertainty, those looking to make some money are probably better off looking elsewhere. George Milling-Stanley, chief gold strategist at State Street Global Advisors, explained the reason for this in an interview with Investopedia: “There’s a premium of up to 5% when you go to buy it, and there’s often a discount of up to 5% when you want to sell it […] gold’s really got to go up 10% before you actually break even.”

Despite being known as a discount wholesaler, Costco has not waived the costs associated with gold. The price of the company’s gold ingots has hovered between 5% and 7% above the market value. This ensures that it’s Costco, and not the buyers, that are benefiting from this transaction the most.

Many cities across the United States could become ghost towns by 2100

UPI

Many cities across the United States could become ghost towns by 2100

Adam Schrader – January 14, 2024

UPI
A man wears a protective face mask crossing a quiet West Side Highway in Manhattan during rush hour amid the onset of the coronavirus pandemic in April 2020. File Photo by John Angelillo/UPI

Jan. 14 (UPI) — Many cities across the United States could become ghost towns by 2100, according to new research published Thursday.

“Close to half of the nearly 30,000 cities in the United States will face some sort of population decline,” researchers from the University of Chicago in Illinois wrote in a journal article published in Nature Cities.

Major cities in the Northeast and Midwest are already slowly losing population. While cities in the South and West regions are experiencing a population increase, some major cities in Alabama, Georgia and Tennessee are slowly depopulating, the researchers found.

Cleveland, Buffalo, and Pittsburgh could see depopulation of 12 to 23 percent by 2100 while cities like Louisville, New Haven and Syracuse — not currently showing declines – likely could soon.

“You might see a lot of growth in Texas right now, but if you had looked at Michigan 100 years ago, you probably would have thought that Detroit would be the largest city in the U.S. now,” Sybil Derrible, one of the researchers, told Scientific American.

The study briefly looked at possible causes for these population changes, from the effects of an aging population to changes in the economy, wages and access to transportation — as well as things like climate change and similar factors.

“In the Northeast and Midwest, urban cities with lower median household income are more likely to experience depopulation over time,” the study authors wrote.

“Such trends could exacerbate socioeconomic challenges experienced by lower-income households in these regions, given that population decline can create affordability concerns with infrastructure services.”

Meanwhile, the research showed that urban cities with increasing populations in the South and West tend to have a higher reliance on vehicles. The study was conducted by a team originally commissioned by the Illinois Department of Transportation to analyze the challenges in the state over time.

“In the Midwest, urban cities with both low and high vehicle ownership, defined as percent population with two or more vehicles per household, are likely to gain population along with some suburban and periurban cities with low vehicle ownership,” the study authors wrote.

The study also looked at the effects of migration possibly curbing urban population decline in some area. Smaller cities like those on Long Island in New York and around Chicago currently experiencing population loss may still grow thanks to immigration.

“The number of depopulating cities in the Northeast and Midwest will be higher than in the South and West regions (although many cities in the North and Midwest will still grow),” the study reads. “In California, the southern coast may lose population, while the northern coast may gain population.”