may 2003

Two weeks ago, I staged a reluctant intervention via Instagram direct message. The subject was a longtime friend, Josh, who had been sharing photos of himself and his fiancé occasionally dining indoors at restaurants since New York City, where we both live, had reopened them in late September. At first, I hadn’t said anything. Preliminary research suggests that when people congregate indoors, an infected person is almost 20 times more likely to transmit the virus than if they were outside. But restaurants are open legally in New York, and I am not the COVID police. Josh and I had chatted several times in the early months of the pandemic about safety, and I felt sure that he was making an informed decision, even if it weren’t the one I’d make.

“Everyone in this world is one of three kinds,” declares Mamaw (played by Glenn Close), the wise grand-matriarch of Ron Howard’s new film, Hillbilly Elegy. “A good Terminator, a bad Terminator, and neutral.” I hate to correct Mamaw, who is trying to encourage her impressionable grandson, J. D. Vance (Gabriel Basso), to follow a righteous path by invoking Arnold Schwarzenegger’s beloved action franchise. But there is no such thing as a “neutral” Terminator; those cyborg heroes exist to either protect or destroy. I cannot imagine what a neutral Terminator would do, save sit in a chair and remain forever shiny and inactive.

Mamaw is entitled to her bad movie opinions, of course. But this monologue is the kind of speechifying that rings hollow throughout Hillbilly Elegy, an adaptation of Vance’s best-selling 2016 memoir that debuts on Netflix tomorrow. When it first arrived on bookshelves, Vance’s story was celebrated as a glimpse into an oft-ignored pocket of America: the white working class of Appalachia and the Rust Belt who swung to Donald Trump in the 2016 election. Hailed as an “anger translator” and cited by Oprah Winfrey and Hillary Clinton, Vance wrote about growing up poor, living with a heroin-addicted mother, and clawing his way into Yale Law School. The book arrived at a seemingly serendipitous moment, offering a bleak but candid view of communities gutted by drug abuse and poverty.

Three weeks after the conclusion of the 2020 presidential election, many Republican members of Congress find themselves boxed in. Some have privately congratulated Joe Biden and Kamala Harris for their historic win. But publicly, most Republicans have remained silent, while others have actively encouraged President Donald Trump’s baseless accusations of mass voter fraud.

The situation these Republicans face is one that many southern members of Congress would have recognized during the aftermath of the 1860 election. Southern congressmen had spent years stirring up anger and promoting fear of their opponents, and were so successful that by 1860 they had lost control of their message. Abraham Lincoln’s election caused a mass movement among white southerners to leave the Union. Even though they knew that the claims being embraced by their constituents were conspiratorial and overblown, many southern members of Congress felt they had to get on board or be left behind.

Perhaps no hospital in the United States was better prepared for a pandemic than the University of Nebraska Medical Center in Omaha.

After the SARS outbreak of 2003, its staff began specifically preparing for emerging infections. The center has the nation’s only federal quarantine facility and its largest biocontainment unit, which cared for airlifted Ebola patients in 2014. The people on staff had detailed pandemic plans. They ran drills. Ron Klain, who was President Barack Obama’s “Ebola czar” and will be Joe Biden’s chief of staff in the White House, once told me that UNMC is “arguably the best in the country” at handling dangerous and unusual diseases. There’s a reason many of the Americans who were airlifted from the Diamond Princess cruise ship in February were sent to UNMC.

By now, the pandemic has disrupted Americans’ daily lives for nearly as long as a baby typically spends in the womb. This means that many children conceived in mid-March are weeks away from joining us in this disorienting new world, but just as notable are the children who won’t be joining us—the babies who would have been born were it not for the ongoing economic and public-health crises. These missing births, which could end up numbering in the hundreds of thousands in the U.S., will make up what’s been called the “COVID baby bust.”

One would think that a baby bust would take at least nine months to reveal itself, but traces of one seem to have already appeared. As Philip Cohen, a sociologist at the University of Maryland, has noted, births started to decline in California and Florida during the summer. That’d be too soon, though, to reflect a drop in conceptions during the pandemic, or a rise in abortions or miscarriages (which tend to happen earlier on in pregnancy). Three possible explanations, Cohen told me, are errors or lags in states’ data on births, large numbers of pregnant people moving during the pandemic and giving birth in another state, or a large, unexpected drop-off in births that was already going to happen regardless of the pandemic.