The KHIT Blog: Michael Pollan

Showing posts with label Michael Pollan. Show all posts

Wednesday, May 27, 2026

How to Change Your Mind

Been thinking a lot today in the wake of finishing Theo Baker's exhilarating book. Ran into this Michael Pollan series on NetFlix tonight. apropos, see "Untying the knot of self."

As I've alluded to before, I arrived in the SF Bay Area at the age of 21, settling in in North Beach (Broadway & Columbus). Took my first acid trip in early 1968 in Chinatown at night ("Window Pane"). It was like being in the "Roger Rabbit" movie.

While the music played, you worked by candlelight
Those San Francisco nights
You were the best in town
Just by chance you crossed the diamond with the pearl
You turned it on the world
That's when you turned the world around
Did you realize
That you were a champion in their eyes?

On the hill the stuff was laced with kerosene
But yours was kitchen-clean
Everyone stopped to stare at your technicolor motor home
Every A-Frame had your number on the wall
You must have had it all
You'd go to L.A. on a dare and you'd go it alone
Could you see the day?
Could you feel your whole world fall apart and fade away?

Get along, get along, Kid Charlemagne
Get along, Kid Charlemagne

Now your patrons have all left you in the red
Your low-rent friends are dead
This life can be very strange
All those Day-Glo freaks who used to paint the face
They've joined the human race
Some things will never change
You are obsolete
Look at all the white men on the street

Get along, get along, Kid Charlemagne
Get along, Kid Charlemagne

Clean this mess up else we'll all end up in jail
Those test tubes and the scale
Just get it all out of here
Is there gas in the car?
Yes, there's gas in the car
I think the people down the hall know who you are
'Cause the man is wise
You are still an outlaw in their eyes

Get along (get along), get along, Kid Charlemagne (get along)
Get along, Kid Charlemagne...

"Is there gas in the car?"

More shortly. Just finished Josh Tyrangiel's new book AI for Good. Lots to mull over.

Thursday, January 29, 2026

Untying the knot of Self

Patience, grasshoppers...

Anyone who thinks the contemplative life amounts to a form of quietism or a retreat from the world’s suffering should spend some time shadowing Joan Halifax, the Zen priest and anthropologist. I’d been curious about Halifax for years, ever since I heard about an annual trek that she leads through the mountains of Nepal, bringing a cadre of doctors and dentists to remote mountain villages with little access to health care.

Each summer over the course of two weeks or so, this Nomads Clinic covers more than 100 miles on foot and horseback, at altitudes of nearly 18,000 feet. These “medical mountaineers,” as they’ve been called, all volunteers, sleep in tents, often in freezing temperatures. But after some 40 annual trips to Nepal—Halifax is normally based in Santa Fe—she recently decided it was time to hang it up. She had just turned 80.

In addition to bringing medical care to remote mountain villages half a world away, Halifax has ministered to the dying in hospice, worked with the homeless in New Mexico, cared for prisoners on death row, and led countless protests for peace. I don’t know if Halifax has shed the last remnants of her ego—she would say she hasn’t—but the selflessness she manifests in the conduct of her life is something to behold, a reminder of what the exploration of human consciousness can lead a person to do and be. This, too, is a Buddhist principle—that overcoming one’s own small self should lead to greater compassion for others, and that the suffering alleviated when we transcend the ego is not only our own.

For more than 30 years, Halifax has been the abbot at Upaya Zen Center, the retreat she founded in Santa Fe in 1990. I’ve had the chance to meet her a couple of times; once, we appeared together on a panel to talk about psychedelics. Halifax was married to the pioneering Czech psychiatrist Stanislav Grof for several years in the 1970s. Working together, they gave transformative doses of LSD to the dying. For a period of time, Halifax regularly took large doses of LSD herself. Her first psychedelic trip, while wandering the streets of Paris in 1968, showed her “that there was beauty behind the beauty I perceived, and that mind was both in here and out there. I was dumbstruck.”

I could relate. After years of curiosity about psychoactive plants, my own experimentation with mushrooms and LSD in recent years fundamentally changed the way I understand the mysteries of consciousness and the self. So in 2024, I emailed Halifax to see if I might pay a visit to Upaya. My idea was to spend a week or so in residence, meditating with the aspiring monks, performing monkish chores, interviewing Halifax, and seeing if I could make a little more progress untying the knot of self… [Michael Pollan]

From Michael's forthcoming book (below, left).

On the right, above; his prior book. Tangentially apropos topic.

I would also recommend this awesome book for a bit of context.

yaje...

It is a winter’s night in Rio de Janeiro, 1987. It is raining and the boulevard in front of the Copacabana Hotel is deserted. The road is slick and shining in the light of the street-lamps. My wife, Trudie, and I are sheltering beneath an umbrella, while high above our heads two seagulls wheel recklessly in the wind; and the sea is a roaring threat in the darkness. A small car pulls up to the curbside. There are two figures silhouetted in the front seat, and an opened rear door beckons us inside.

A series of discreet phone calls have secured us an invitation to a religious ceremony in a church somewhere in the jungles that surround the great city. Our drivers, a man and a woman, tell us only that the church is located about an hour and a half from the Copacabana, that we will be looked after, and we shouldn’t worry. The church, while nominally Christian, is the home of a syncretic religious group that uses as its core sacrament an ancient medicine derived from plant materials known as ayahuasca, and it is said to induce extraordinary and profound visions…

(Musician) Sting. Broken Music: A Memoir (pp. 1-2). (Function). Kindle Edition.

More to come...

Brave New Health

Commonwell Health Alliance

Another important read (pdf)

I love this kind of stuff. It sustains and humbles me. "As politicians, advertisers, salesmen, and propagandists for various political, economic, moral, religious, psychic, environmental, dietary, and artistic doctrinaire positions know only too well, fallible human minds are easily tricked, by clever verbiage... Common language—or at least, the English language—has an almost universal tendency to disguise epistemological statements by putting them into a grammatical form which suggests to the unwary an ontological statement. A major source of error in current probability theory arises from an unthinking failure to perceive this."

Quotes

"An economist is a person who sees something that works in practice and tries to figure out whether it will work in theory."

- J.D. Kleinke, medical economist
___

"The only person who enjoys change is a baby with a wet diaper."

"Every misspent dollar in our health care system is part of somebody's paycheck.

- Brent James, M.D., M.Stat

“We could do healthcare, at markedly higher quality, for everyone in this country, without rationing or denying anybody the care that they need, without having the government dictate how doctors practice or whether hospitals could expand, at half the cost we do it now.”

- Health Care Futurist Joe Flower

Most of the sciences, unlike parts of medical science, are not concerned with the impossible. There is not complementary and alternative physics, or chemistry, or biochemistry, or engineering. These disciplines compare their ideas against reality, and, if the ideas are found wanting, abandoned."

- Mark A. Crislip, MD

"Q: How much alcohol is too much?
A: More than your doctor drinks."

- a physician I once heard speak during a CME presentation

“Just because science doesn’t know everything, doesn’t mean you get to fill in the gaps with whatever fairy tale most appeals to you.”

- Dara O’Briain

'[I]t is one small step from using the computer for "helping" doctors to monitoring them, judging them, dictating to them what to do, and withdrawing payment for computer non-compliance. The use of computer data is a multi-edged sword. It can be used for the "good," facilitating diagnosis and treatment and making it more accurate and up-to-date, and for “evil,” invading privacy, inviting security breechs, and making decisions based on the opinions of remote authorities rather than those present at the patient-doctor encounter.'

- Richard Reece, MD

“[T]here ARE statistics which are non-political. Just because The Washington Post/Fox News reports the temperature is 75 degrees doesn’t mean it’s really snowing and sunscreen is a liberal/conservative plot. Even if you earn a living being ideological.”

- Michael L. Millenson

"It is a generally a fairly convincing argument that people shouldn’t have to be subsidized to undertake a change which is in their best interest.

The reconciliation seems to be that EHR is not supposed to make a doctor’s practice more efficient and higher quality. It is supposed to make the system of care more efficient and higher quality, which is not the same thing. Those of you who took calc recall that maximizing the total of variables is not achieved by maximizing any one variable and this is a perfect example of that.

Those of you have served in combat certainly noticed that too — if everyone works as a team the unit takes fewer casualties. If you try to save your own hide, you might, but at the expense of more casualties overall."

- Al Lewis

"There are two ideas to keep in mind about Bayesian reasoning and how we tend to mess it up. The first is that base rates matter, even in the presence of evidence about the case at hand. This is often not intuitively obvious. The second is that intuitive impressions of the diagnosticity of evidence are often exaggerated."

- Daniel Kahneman, "Thinking, Fast and Slow"

"Physicians apply advanced scientific knowledge, but they must do so without the favorable conditions that experimental scientists create for themselves. Multitasking is forced on physicians, often in chaotic environments and under severe time and resource constraints."

- Lawrence and Lincoln Weed, "Medicine in Denial"

"It’s time to stop the whining about Obama care and acknowledge we already have universal health care. We just pay for it in the stupidest way possible that ensures problems are that much more disastrous and complicated when they’re finally treated."

- Mark Hoofnagle, MD, PhD

"Every act of conscious learning requires the willingness to suffer an injury to one's self-esteem. That is why young children, before they are aware of their own self-importance, learn so easily."

- Thomas Szasz, MD
___

"Of course, one reason that process metrics* are so popular is that processes are much easier to define and measure than outcomes."

- The Skeptical Scalpel
___

"There is an “illusion of validity” for any random data point, a seductive sense that is colored by what we hope will be true. Mountains of pharmaceutical claims are often made from mere molehills of data."

- Danielle Ofri, MD
___

"Joy empowers people. It is a source of energy that enables people to hope and plan and change their lives for the better. Spend some time around someone who is relentlessly negative and how do you feel–drained, right? More and more research shows that joy is not something that just happens to you, like a bolt of lightening out of the blue. Joy is, instead, a habit to cultivate. Negative thinking and despair are the crabgrass of our souls–weeds that take root and spread, sometimes to all areas of life. Joy, in contrast, is a soul’s rose–hardy when cared for, able to put down roots over time and withstand disease and extremes. Like a rose, however, your joy can become blighted from neglect or harsh conditions. We all need to tend to our joy–to prune away the badness, and to know that, even though it may look like a prickly bare root, if you invest time in a joyous outlook, gorgeous things will bloom, even in the harshest conditions."

- Dr. Jan Gurley
___

"'Solutions' exist only in mathematics."

- Karen Martin
___

"The issue of how to regulate clinical software is, in the long run, indistinguishable from the issue of how to regulate medicine. The only difference is that medicine is practiced in the open, without secrecy, subject to peer review, and under a merit-based state license."

- Adrian Gropper, MD
___

"Economist, rope, tree: some assembly required."

- Source unknown

DISCLAIMER:

I write this blog wholly on my own time and my own dime. The views proffered are expressly my own as a concerned and active citizen/taxpayer (in addition to being the result of my substantive experience in the various IT fields), and in no way reflect any policy views of my former employer, notwithstanding that some of the thinking has indeed obviously been spurred by the implications of the work with which I have been doing for them.

FAIR USE POLICY
I cite a ton of news and web sources spanning the breadth of relevant technical and policy domains, sometimes at substantial length. I believe I remain well within the bounds of "Fair Use," as [1] I am not doing any of this for profit, [2] I always provide attribution and links -- which, [3] far from negatively impacting any copyright holders' commercial interests, might actually increase traffic to and interest in their offerings.

Nonetheless, should I post anything of yours regarding which you have any objection, just let me know and I will remove it forthwith.

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Wednesday, May 27, 2026

How to Change Your Mind

Thursday, January 29, 2026

Untying the knot of Self