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Dave Schuler's avatar

I wanted to add a comment to your story.

For thousands of years obsidian was traded over long distances. It was in many ways to human being prior to 5,000 BCE what oil is to us now.

There was a crisis around 5,000 BCE. Readily available sources of obsidian had become depleted. Obsidian became scarce and, consequently, expensive.

Humanity did not become extinct. Tools made of copper were used as a substitute for those made of obsidian, Then bronze. Then iron. Then steel. We haven't looked back.

The moral of this story is that we should worry less about depleting resources on which we depend and considerably more about discouraging or outright preventing the innovation that encourages substituting depleted resources with those we still have.

Julia D.'s avatar
6hEdited

There are so many natural systems that we barely understand, especially in the field of health and medicine. And there are so many incentives to flatten the models we do have and oversimplify how we intervene in these systems, often causing harm.

For example, we only just confirmed a decade ago that Pitocin, the synthetic hormone that hospitals give almost all birthing mothers to prevent or treat hemorrhage or in higher doses to induce or intensify labor, obstructs mother-baby bonding, causing postpartum depression. Oops!

Evolution spent all this time figuring out how to make the birth process jumpstart maternal instincts and motivation, especially for mammals, and especially for comparatively premature human infants. And then we go and mess up those hormones and make motherhood harder and less fulfilling. Then we wonder why people don't have more kids.

And hospitals probably won't change those protocols, because the non-pharmaceutical ways of boosting the brain's endogenous oxytocin that drives labor, prevents hemorrhage, and causes bonding are expensive or impossible to implement in hospitals. They basically amount to making sure the laboring mother feels at home and constantly supported in person by safe, snuggly, and familiar people, not bothered by unfamiliar places or people, lights, noises, paperwork, or hostility. Those things are what make hospitals operate efficiently, but they're what tank endogenous oxytocin production and labor progress and safety. That's why, in developed countries, and for low-risk mothers, home birth with a licensed midwife is safer than hospital birth. Regulatory capture is why home birth midwifery is not more common in the US.

Of course I appreciate the field of medicine in general, including prenatal ultrasounds, screening tests, Pitocin used to stop hemorrhage when it does occur, etc., all of which home birth midwives also do as a matter of course. High-risk interventions like Pitocin or C-sections are sometimes the best solution, they're just used more often than ideal because we're sabotaging labor earlier in the process.

My point is that some complex natural processes, like labor, are poorly understood, poorly taught (unlike midwives, OBs are surgeons foremost and have typically never witnessed an entire labor without drugs), and very inconvenient to scale for financial efficiency. Birth is my area of expertise, but I'm going to remember Gell-Mann and infer that there are many other such systems that we could inadvertently mess up.

Evolution has figured out some things that we haven't. We can certainly make some improvements - maternal and infant mortality is lower now than it was 10,000 years ago - but we need to always refer back to nature to make sure we're preserving the good as well as we can while preventing the bad. That requires ongoing scientific inquiry and a foundational respect for nature.

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