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After America - Mark Steyn [12]

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farther into the future. After all, if this is what an ordinary American home looks like in 1950, imagine the wonders he will see if he pushes on another six decades!

So on he gets, and sets the dial for our own time.

And when he dismounts he wonders if he’s made a mistake. Because, aside from a few design adjustments, everything looks pretty much as it did in 1950: the layout of the kitchen, the washer, the telephone.... Oh, wait. It’s got buttons instead of a dial. And the station wagon in the front yard has dropped the woody look and seems boxier than it did. And the folks getting out seem ... larger, and dressed like overgrown children.

And the refrigerator has a magnet on it holding up an endless list from a municipal agency detailing what trash you have to put in which colored boxes on what collection days.

But other than that, and a few cosmetic changes, he might as well have stayed in 1950.

Let’s pause and acknowledge the one exception to the above scenario: the computer. Instead of having to watch Milton Berle on that commode-like thing in the corner, as one would in 1950, you can now watch Uncle Miltie on YouTube clips from your iPhone. But be honest, aside from that, what’s new? Your horseless carriage operates on the same principles it did a century ago. It’s added a CD player and a few cup holders, but you can’t go any faster than you could fifty years back. As for that great metal bird in the sky, commercial flight hasn’t advanced since the introduction of the 707 in the 1950s. Air travel went from Wilbur and Orville to bi-planes to flying boats to jetliners in its first half-century, and then for the next half-century it just sat there, like a commuter twin-prop parked at Gate 27B at LaGuardia waiting for the mysteriously absent gate agent to turn up and unlock the jetway.

Other arenas aren’t quite as static as the modern American airport, but nor do they move at the same clip they used to. When was the last big medical breakthrough? I mean “big” in the sense of something that takes a crippling worldwide disease man has accepted as a cruel fact of life and so clobbers it that a generation on nobody gives it a thought. That’s what the polio vaccine did in 1955. Why haven’t we done that for Alzheimer’s? Today, we have endless “races for the cure,” and colored ribbons advertising one’s support for said races for the cure, and yet fewer cures. It’s not just pink ribbons for breast cancer, and gray ribbons for brain cancer, and white for bone cancer, but also yellow ribbons for adenosarcoma, light blue for Addison’s Disease, teal for agoraphobia, periwinkle for acid reflux, pink and blue ribbons for amniotic fluid embolisms, and pinstripe ribbons for amyotrophic lateral sclerosis. We have had phenomenal breakthroughs in hues of awareness-raising ribbons. Yet for all the raised awareness, very few people seem aware of how the whole disease-curing business has ground to a halt.

Compare the Twenties to the Nineties: in the former, the discovery of insulin and penicillin, plus the first vaccines for tuberculosis, diphtheria, tetanus, whooping cough, on and on. In the last decade of the twentieth century, what? A vaccine for Hepatitis A, and Viagra. Good for erectile dysfunction, but what about inventile dysfunction? In October 1920, a doctor in London, Ontario, Frederick Banting, had an idea as to how insulin might be isolated and purified and used to treat diabetes, which in those days killed you.1 By August 1922, Elizabeth Hughes, the daughter of America’s Secretary of State and a diabetic near death, was being given an experimental course of the new treatment. By January 1923, Eli Lilly & Company were selling insulin to American druggists. That’s it: a little over two years from concept to patient. Not today: the U.S. Food and Drug Administration now adds half a decade to the process by which a treatment makes it to market, and they’re getting slower. Between 1996 and 1999, the FDA approved 157 new drugs. Between 2006 and 2009, the approvals fell by half—to 74.2 What happens during that half-decade? People

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