Well, I’m back to writing on the smartphone today, with mixed feelings.  One of these feelings is the residual soreness in my thumbs, of course, but the day-long break did seem to help a little bit.  Mind you, some of that is probably in my head, for I don’t write on my smartphone on Sundays, and I also don’t write on non-working Saturdays.  So, if resting is enough, I should feel least sore on Mondays following one of my two-day weekends.  If that is the case‒if I am least sore in those instances‒I certainly haven’t noticed.

Actually, if it isn’t the case, I haven’t noticed either, but at least there it would make sense, since there is nothing to notice.  It can be much harder to notice things that are not so than to notice things that are so.  That’s part of why people don’t give credit to vaccination, for instance:  they can’t see the sickness and death that are prevented.  There’s no It’s A Wonderful Life revelation about all the lives that have been saved and‒perhaps more important*‒all the suffering that has been prevented.

There’s a similar, lesser-known preventative effect of proton pump inhibitors (e.g., omeprazole).  These medicines (and their somewhat weaker predecessors, the H2 blockers**) have prevented untold suffering and death related to gastritis and peptic ulcer disease and esophageal cancers, all of which used to be major contributors to premature death, especially in young men (if memory serves).  So, using these medicines is not necessarily an overindulgence in avoiding transient discomfort.  They are very real and powerful preventative interventions‒though, as with all such things, they do have some long term side-effects, and these must always be weighed against the benefits of taking them.

This is one of the reasons that educating people about history is so important.  If one is not aware of just how horrifying and heartbreaking the effects of smallpox were (for instance), one might think that the smallpox vaccine***** was just a sort of convenience, not a response to a low-flying, slow-moving, global catastrophe.

I suppose it was easier for Ben Franklin to recognize that “an ounce of prevention is worth a pound of cure” because there were far fewer preventable ailments and fewer avoidable disasters back in his day.  Still, he was a very smart person; he might have recognized the nature of such things even if he had lived in our more comfortable times.

It is useful, and it may be more than just useful, for people to learn how things were before the arrival of so many powerful technologies and knowledge and social and biological insights.  For 300,000 years, humans existed without (for instance) the internet, and then, starting around 30 years ago, it was here (and widely available).

But that’s a full generation of people who have never known a world without the internet, despite the fact that by default the world has no internet.  It can be immensely useful for those people to learn about what things were like pre-internet, not only so they can truly appreciate this remarkable phenomenon, but also so they can recognize some of its detriments.

Likewise for planes and cars and televisions and even books and agriculture.  What was life like before these things?  What would life be like if they disappeared?  Are their benefits worth their costs?  How can those costs be mitigated, even if they are bearable (for why not make things as net-beneficial as possible?)?

I encourage everyone, myself included, to take these notions seriously, to think about the contrafactual cases, not to accept that things simply are the way they are, because for the most part, historically, they were not that way.  Even humanity itself is a latecomer.

I don’t know how I got onto those subjects, but I guess I’m thinking of health (and particularly of gastric health) more than typically in recent days.  I still don’t feel too well, but that’s nothing unusual for me.  It’s just annoying because it’s a new, or at least atypical, discomfort.

Oh, well.  This brings us back to my point that decreasing/preventing suffering is more important than “saving lives”, since all such saved lives are merely saved for later, if you will.  Death (it seems) cannot be forever avoided, but suffering, in principle, can be eased and even sometimes prevented.  Though, sometimes, the only practical way to stop certain kinds of suffering is to hasten the inevitable other phenomenon.

In any case, I’ll draw at least one instance of your suffering to an end now, by finishing this blog post.  I hope you have a very good day, by any reasonable measure of goodness that you might choose.

*Because death is, as far as anyone can tell, completely inevitable‒it’s a matter of when, not if‒whereas suffering is variable, and boy can it vary, from person to person, from moment to moment, from culture to culture, and so on.

**No, they don’t block molecular hydrogen***, though if one thought that, one could certainly be excused.  Rather, they block the so-called type 2 histamine receptor, the one that responds to stimulus (histamine) by making the stomach secrete more acid.

***Interestingly enough, the proton pump inhibitors do block hydrogen, but it’s not molecular hydrogen, it atomic hydrogen‒or well actually, it’s ionic (cationic, specifically) hydrogen, which is a naked proton, since a hydrogen nucleus is just a proton****, and is the key effective part of essentially all acids, at least regarding their acidity.

****Sorry about all the footnotes within footnotes, but it just occurred to me to wonder what it would be like to make a sample of an acid but with all the ordinary hydrogen atoms replaced with deuterium, so-called heavy hydrogen, which has a neutron in its nucleus as well as a proton.  How would this affect the properties of such an acid?  Of course those properties are almost entirely related to the valence electron or the lack thereof, but when a positive ion of a substance is just a naked nucleus, one cannot completely dismiss the impact of that nucleus’s structure.  So, I would love to see an entirely deuteric acid being put through its paces.  An acid made entirely with tritium (one proton, two neutrons) would be interesting as well, but even in my imagination, that’s asking for a lot of the very tiny amount of tritium in the world.

*****This is the original source of the word “vaccination” since being exposed to Vaccinia (related to cowpox) provided resistance to Variola (smallpox).