Vaping can benefit public health

Here we are, with summer coming to a close, and I am more than a little surprised to find that I have devoted most of my working time during 2021 to a single topic--electronic cigarettes. I’ve never been a smoker or a vaper, and paid no attention to e-cigarettes until late last year, when I began reporting a story about Bloomberg Philanthropies and the Campaign for Tobacco-Free Kids for the Chronicle of Philanthropy.

The more I learned, the more I came to believe that the topic meets the three criteria that I try to apply when deciding what stories to report. (1) Is it important? (2) Is it being covered well by others, i.e., do I have something to contribute? (3) Can my coverage in some way, big or small, make a difference?

(Those of you familiar with Effective Altruism will recognize those criteria as the framework of importance, neglectedness and tractability used by EA-influenced organizations such as the Open Philanthropy Project when deciding where to allocate resources to solve a problem.)

Yesterday, I posted a story with the headline “Vaping can benefit public health.” That’s not my opinion. It’s the conclusion of 15 former presidents of the Society for Research on Nicotine and Tobacco, who argue in a new paper that a growing body of evidence suggests that vaping, which is safer than smoking, can be an effective way of helping today’s smokers quit. “The potential lifesaving benefits of e-cigarettes for adult smokers deserve attention equal to the risks to youths,” these scientists write. “Millions of middle-aged and older smokers are at high risk of near-future disease and death.”

This is rebuke to, among others, government health authorities in the US and elsewhere, Bloomberg and Tobacco-Free Kids, all of which are pushing to restrict access to vapes. You can read my story here.

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Advocacy, Foundations, Nonprofits, Tobacco Marc Gunther Advocacy, Foundations, Nonprofits, Tobacco Marc Gunther

A crusade against vaping, with unintended consequences

The philanthropy of the very rich is an exercise of power, says Stanford professor Rob Reich. As such, billionaire philanthropy deserves scrutiny and not automatic gratitude.

With that in mind, I began a deep dive three months ago into a campaign against electronic cigarettes funded largely by a $160-million, three-year grant from Bloomberg Philanthropies. Much of that went to the Campaign for Tobacco-Free Kids, the US's most powerful anti-tobacco nonprofit. Meantime, Michael Bloomberg, the patron of Bloomberg Philanthropies, billionaire founder of the Bloomberg media empire and former New York City mayor, spent millions of dollars of his own money fund political anti-vaping efforts, notably two ballot measures in San Francisco that led to ban on e-cigarettes in the city. A city where, not incidentally, you can still buy combustible cigarettes -- which are much more dangerous than e-cigs -- and marijuana. That makes no sense if what you care about is public health.

My research and reporting, which included 30 interviews, led to a story published today by The Chronicle of Philanthropy. The tobacco control movement is "neck-deep in intractable, internecine warfare" over vaping, Cliff Douglas, formerly of the American Cancer Society told me. Bloomberg, Tobacco-Free Kids and the major lung, cancer, and heart charities are on one side, opposing vaping, and pointing to its impact on kids and teens. Public health experts, by contrast, argue that e-cigarettes are a disruptive and potentially valuable technology that can and do help people quit smoking.

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Advocacy, Nonprofits, Philanthropy, Psychedelics Marc Gunther Advocacy, Nonprofits, Philanthropy, Psychedelics Marc Gunther

The psychedelic revolution in mental health

Little-known outside the world of psychedelics and drug policy, Rick Doblin is one of the most effective nonprofit leaders in America. Doblin is the founder and executive director of the Multidisciplinary Association for Psychedelic Studies, better known as MAPS, which for 35 years has been trying to develop psychedelic medicines and advocating for the responsible use of psychedelic drugs.

Doblin, in my view, is a brilliant strategist who has done more to change the narrative around psychedelics than anyone, with the possible exception of the writer Michael Pollan. He has built political alliances on the right and left, worked closely with medical researchers and, as best as I can tell, made few enemies along the way. MAPS is on the verge of a major breakthrough by securing FDA approval for the use of MDMA, along with talk therapy, as a prescription medicine to treat PTSD.

I tell the remarkable story of Doblin and MAPS at some length in the new issue of the Stanford Social Innovation Review. The story is ordinarily paywalled but it is available for free until April 1. Here's a link.

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The fall of an animal-rights pioneer

This should be a moment of opportunity for the animal rights movement. The case against eating animals — for ethical, environmental and health reasons — has never been stronger. Covid-19 may have begun at a live animal market in Wuhan and, so far, the virus has infected more than 41,000 workers at US meat and poultry slaughterhouses, according to the Food and Environmental Reporting Network,

All of that and more could have been fodder for this year’s Animal Rights National Conference, which was going to be held, virtually, in July.

Then it was cancelled — largely because of the behavior of Alex Hershaft, who started the event nearly four decades ago.

Hershaft, who is 86, is a survivor of the Warsaw Ghetto and a pioneer of the animal rights movement. He has a powerful personal story to tell. The Farm Animal Rights Movement (FARM), which he started in 1976, says it is the US’s first organization dedicated to protecting animals raised, abused and killed for food. When VegNews imagined a vegan Mount Rushmore, Hershaft’s face was carved into rock. This summer, Hershaft created his own Animal Rights Hall of Fame and installed himself as a member. Humble, he is not.

Unhappily, Hershaft failed to adapt to the times or listen to multiple warnings about his behavior. He ran FARM out of his home, repeatedly exposing staff members to pornography (and occasionally to his half-clothed torso). He has been hostile to feminists and supported men credibly accused of sexual harassment. He was slow to showcase women and people of color at the conference, and to respond to allegations of sexual harassment at the event.

You can read the rest of this story on Medium.

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The NoVo Foundation, Peter Buffett, and the city that wants to fix capitalism.

Every October, Kingston, N.Y., a city of 23,000 people in the Hudson Valley, attracts throngs of visitors to the O + Festival, a weekend celebration of art, music and wellness.

The O + Festival — it’s pronounced O Positive — is no ordinary civic gathering. It is, improbably, an alternative to America’s profit-driven health care system: The artists and musicians who participate can barter their work for medical or dental care. Help paint a mural, get a cavity filled.

In a story about Kingston headlined The US city preparing itself for the collapse of capitalism, The Guardian last fall called O + Festival an “anti-capitalist, anti-establishment healthcare network” and an “example of a model that could supplant corporate America.” The story explains:

Locals have launched a non-commercial radio station, Radio Kingston WKNY, with widely representative, hyper-local programming that broadcasts via power generators if the grid goes dark. A regional micro-currency called the Hudson Valley Current now exists to, according to co-founder David McCarthy, “create an ecosystem that includes everyone.”

What the story neglects to say is that all these organizations — the O + festival, the radio station, the farm hub, the local currency project and Rise Up — share a powerful patron: The NoVo Foundation, led by Peter Buffet, the youngest son of legendary investor Warren Buffett, and Peter’s wife Jennifer. In 2010, Peter and Jennifer Buffett bought a 19th century farmhouse for $1.2 million in Kingston, a historic city perched on the west bank of the Hudson River, about 100 miles north of Manhattan.

“What started as a weekend getaway,” Buffett says, “became a core piece of what we’re doing at the foundation.”

You can read the rest of this story on Medium.

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My charitable donations in 2019

My wife Karen Schneider and I gave away about nine percent of our pretax income in 2019. Like most people, I delayed my charitable giving until the end of the year--a bad practice, because nonprofits have needs all year--so I’m just now writing my annual blogpost about where the money went. The Life You Can Save, a nonprofit inspired by the moral philosopher Peter Singer, has a calculator that recommends the percentage of your income that you should give, as well as an excellent list of top charities.*

My biggest gift went to GiveDirectly, which makes unconditional cash grants to people living in extreme poverty. Give Directly is my favorite charity. In 2018, I traveled to Rwanda to see how the organization operates and talk to recipients of its grants. I could say a lot about GiveDirectly but my biggest takeaway from the trip was this: The money that well-to-do Americans spend on a few restaurant meals, or for a single night in a nice hotel, is enough to make a meaningful difference to the life of a poor person in Africa. If you care about inequality--and it seems that more and more people do--there’s no better charity than GiveDirectly.

Next on the list is GiveWell, a donation platform that identifies and analyzes effective charities in depth. If you want to do the most good you can for each dollar that you spend on charity, GiveWell is essential. Most of the money it raises flows to charity that improve global health, in particular by helping poor people protect themselves against malaria.

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