Pete Hegseth announced Wednesday that the Department of Defense will offer testosterone deficiency screening for soldiers 30 and older.
The US defense secretary unveiled plans for a new screening program for testosterone deficiency among troops that will work to ensure service members have the “right testosterone levels” to perform at their optimal conditions in a video posted to X.
“I’m authorizing a new screening program for testosterone deficiency for our service members, ensuring you have the right testosterone levels to operate at your absolute best…As we know, the modern battlefield is brutal and unrelenting. It requires and demands maximum psychological and mental readiness, and by addressing these health markers early, we’re keeping you on the leading edge of lethality, and giving you the same level of support that you give this nation – the absolute best.”
I asked my research partner Claude Opus 4.8 to evaluate this proposed policy:
The Endocrine Society and the American Urological Association both explicitly recommend against population screening for testosterone deficiency in asymptomatic men. That’s not a fringe position — it’s the settled guidance, and it exists because of specifics that apply with unusual force to this population.
Testosterone is a noisy measurement. It’s diurnal, pulsatile, and assay-variable. Diagnosis requires two separate early-morning fasting draws, and a meaningful fraction of men with one low value are normal on retest. A “periodic health assessment” is not where careful morning-fasted serial testing happens.
Levels are suppressed by exactly the things military service consists of: sleep restriction, caloric deficit, heavy training load, psychological stress, acute illness. A soldier coming off a field problem with a low reading doesn’t have a disease; he has a normal adaptive response to being a soldier. Screening a population under chronic physiological load will manufacture a large number of “cases” whose correct treatment is sleep and food….
“Leading edge of lethality” is doing work that testosterone can’t do….Nothing in that literature touches marksmanship, judgment under fire, fire discipline, or unit cohesion. And “psychological and mental readiness” is a particularly awkward pitch, since the mood benefits of TRT are small…
TRT [testosterone replacement therapy] suppresses spermatogenesis — often reversibly, sometimes not, and this is a population in its reproductive years. It causes erythrocytosis requiring monitoring. TRAVERSE (2023) established cardiovascular non-inferiority in symptomatic hypogonadal men, which was reassuring, but flagged excess atrial fibrillation, pulmonary embolism, and acute kidney injury. And it’s typically lifelong — you’re enrolling people into permanent therapy and permanent monitoring, often starting from a false-positive lab.
Treatment being voluntary matters and is the right call. But voluntariness under a banner reading “The High-T Department of War,” in an institution built on conformity and hierarchy, is thinner than it looks on paper. If low T is publicly coded as a deficit in warrior-ness, declining treatment carries a cost the consent form doesn’t capture.
The screening design is at odds with the relevant clinical guidelines in ways that are hard to defend on medical grounds; the stated performance rationale isn’t supported by the endocrine literature; and there’s a genuinely good policy — targeted case-finding in TBI and chronic-opioid populations — sitting adjacent to it that this doesn’t do.
It would have been enough if Burt Bacharach and Hal David, writers of dozens of hits for dozens of performers, had just created this simple and powerful message.
It was more that Jackie DeShannon, a gifted songwriter and singer, recorded it as a gift to us.
Songs can be medicine for what ails us. Think about taking this daily.
What the world needs now is love, sweet love It’s the only thing that there’s just too little of What the world needs now is love, sweet love No not just for some but for everyone
Lord, we don’t need another mountain There are mountains and hillsides enough to climb There are oceans and rivers enough to cross Enough to last till the end of time
What the world needs now is love, sweet love It’s the only thing that there’s just too little of What the world needs now is love, sweet love No, not just for some but for everyone
Lord, we don’t need another meadow There are cornfields and wheat fields enough to grow There are sunbeams and moonbeams enough to shine Oh listen, Lord, if you want to know
What the world needs now is love, sweet love It’s the only thing that there’s just too little of What the world needs now is love, sweet love No, not just for some but for everyone No, not just for some, oh, but just for everyone
The Poetry Foundation offers a lengthy summary of critical views about Brautigan, including:
Certainly Brautigan’s work, perhaps due in part to his association with West Coast youth movements, generated a multitude of critical comment. Robert Novak wrote in Dictionary of Literary Biography that “Brautigan is commonly seen as the bridge between the Beat Movement of the 1950s and the youth revolution of the 1960s.” A so-called guru of the sixties counterculture, Brautigan wrote of nature, life, and emotion; his unique imagination provided the unusual settings for his themes. Critics frequently compared his work to that of such writers as Thoreau, Hemingway, Barthelme, and Twain.
If you’re one who doesn’t need to hear what others think, just try these books. But you might want to know how the Brautigan story ends:
Brautigan’s critical and commercial success peaked with Trout Fishing in America and began to decline following the 1971 publication of The Abortion: An Historical Romance 1966. Brautigan’s close friend novelist Tom McGuane succinctly summarized the collapse of Brautigan’s career with the observation that “when the 1960’s ended, he was the baby thrown out with the bath water.” Brautigan continued writing throughout the 1970’s, producing such books as Sombrero Fallout and Dreaming of Babylon: A Private Eye Novel 1942, but friends of the author reported he had grown increasingly withdrawn and depressed over his fading career. He apparently committed suicide in September of 1984, but his body was not discovered until October 25th of that year.
There’s a kind of serious creative playfulness that is gravity and yet is anti-gravity. This is that.
The Galilee Hitch-Hiker Part 1
Baudelaire was driving a Model A across Galilee. He picked up a hitch-hiker named Jesus who had been standing among a school of fish, feeding them pieces of bread. “Where are you going?” asked Jesus, getting into the front seat. “Anywhere, anywhere out of this world!” shouted Baudelaire. “I’ll go with you as far as Golgotha,” said Jesus. “I have a concession at the carnival there, and I must not be late.”
The American Hotel Part 2
Baudelaire was sitting in a doorway with a wino on San Francisco’s skidrow. The wino was a million years old and could remember dinosaurs. Baudelaire and the wino were drinking Petri Muscatel. “One must always be drunk,” said Baudelaire. “I live in the American Hotel,” said the wino. “And I can remember dinosaurs.” “Be you drunken ceaselessly,” said Baudelaire.
1939 Part 3
Baudelaire used to come to our house and watch me grind coffee. That was in 1939 and we lived in the slums of Tacoma. My mother would put the coffee beans in the grinder. I was a child and would turn the handle, pretending that it was a hurdy-gurdy, and Baudelaire would pretend that he was a monkey, hopping up and down and holding out a tin cup.
The Flowerburgers Part 4
Baudelaire opened up a hamburger stand in San Francisco, but he put flowers between the buns. People would come in and say, “Give me a hamburger with plenty of onions on it.” Baudelaire would give them a flowerburger instead and the people would say, “What kind of a hamburger stand is this?”
The Hour of Eternity Part 5
“The Chinese read the time in the eyes of cats,” said Baudelaire and went into a jewelry store on Market Street. He came out a few moments later carrying a twenty-one jewel Siamese cat that he wore on the end of a golden chain.
Salvador Dali Part 6
“Are you or aren’t you going to eat your soup, you bloody old cloud merchant?” Jeanne Duval shouted, hitting Baudelaire on the back as he sat daydreaming out the window. Baudelaire was startled. Then he laughed like hell, waving his spoon in the air like a wand changing the room into a painting by Salvador Dali, changing the room into a painting by Van Gogh.
A Baseball Game Part 7
Baudelaire went to a baseball game and bought a hot dog and lit up a pipe of opium. The New York Yankees were playing the Detroit Tigers. In the fourth inning an angel committed suicide by jumping off a low cloud. The angel landed on second base, causing the whole infield to crack like a huge mirror. The game was called on account of fear.
Like many Americans across the country Monday, August 17, 2017, President Trump gazed at the first solar eclipse in a century to cross the continental United States, coast to coast.
Emerging with first lady Melania and son Barron on the Blue Room Balcony of the White House shortly before the eclipse reached its apex, Trump waved at the crowd and responded to a reporter’s question — “How’s the view?” — with a thumbs up, according to the White House pool.
Then he tilted his head upward and pointed up, prompting a White House aide standing beneath the balcony to shout “don’t look,” according to the White House press pool.
One is to add better thoughts in addition to the ones already in mind.
One is to reduce the thoughts in mind first, then add better ones.
One is to practice no thoughts, first removing all that is already there, then carefully adding some essential ones that ultimately can lead to no thoughts at all.
Imagine the places we live.
Some get a bigger place to fit the things they already have and the things they add.
Some keep the place they have and reduce the number of things in it.
Some remove everything so they can see the place for itself, as it originally was when they first saw it, as it originally was when built, just walls, floors, ceilings, windows, and doors. Then maybe the walls, floors, ceilings, windows, and doors disappear too.
Beyond thinking is ultimately not a thought. It is an experience.
Over the course of decades, Bernie Madoff ran the largest Ponzi scheme in history, defrauding investors of an estimated $65 billion. He was caught in 2008 and died in prison in 2021. A stunningly talented man.
Maybe we are looking for the wrong things in our leaders. We keep a list of virtues that we think a leader should have. Maybe that is old-fashioned thinking. Maybe we are naïve. Maybe there are important qualities beyond those virtues.
We missed our chance to elect Bernie Madoff. But plenty of opportunities to elect other great con men—or women—may present themselves. If we are intent on electing a con man, why not the best?
Things have changed since the post below and the picture above.
The Benedictine Monastery was the most valuable asset of an aging order, so it was no surprise that it was sold. Houses of worship have been sold and repurposed everywhere for a variety of uses.
This space and land were used to construct luxury apartments, The Benedictine:
and a music venue, La Rosa:
This is not a criticism, just an observation. A small number of people still visited the church regularly, and a number more, like me, walked in any time, sitting in the quiet, or walked around outside, checking out the butterflies. The central structure is still standing, though surrounded by apartments. The butterflies may still be there, though I haven’t visited in a while.
The point below still holds. You don’t have to be religious, you don’t have to follow the motives or spirit that inspired these gifts on the street. It is enough that they are there.
Note: People do need places to live and do need music. Neither the Benedictine apartments nor La Rosa venue acknowledges on their sites the origin of the place. Not a criticism, just a missed opportunity.
We often see houses of worship on our streets, from modest buildings to grand cathedrals. Some people have mixed feelings when they do.
A growing number think that organized religion is a negative or even destructive force. Some people are happy to see their own brand of churches, synagogues and mosques on display, but are not so sure about other kinds. Some are irked by the costly beauty and splendor, no matter how pleasant the view, when other needs are so great.
These are all legitimate concerns. Yet walking past houses of worship is also a reminder, no matter how sectarian those buildings, of something greater and deeper—a reminder that may be missing from everyday lives. You don’t have to believe or participate in a particular tradition, or in any tradition, to know that things are out of balance. You may think that some expressions of faith actually contribute to that imbalance, and some assuredly do. But seeing the best of spirit embodied in our streetscape can also be a good reminder of who we can be.
From Thomas Merton, The Street Is for Celebration in Love and Living:
A city is something you do with space.
A street is a space. A building is an enclosed space. A room is a small enclosed space.
A city is made up of rooms, buildings, streets. It is a crowd of occupied spaces. Occupied or inhabited? Filled or lived in?
The quality of a city depends on whether these spaces are “inhabited” or just “occupied.” The character of the city is set by the way the rooms are lived in. The way the buildings are lived in. And what goes on in the streets.
How beauteous mankind is! O brave new world That has such people in’t! William Shakespeare, The Tempest (Act 5, Scene 1)
Those are famous lines from Shakespeare made more modernly famous by Aldous Huxley in his dystopian novel Brave New World.
In the play, Miranda has been isolated on an island with her father Prospero, and this is her exclamation as she gets her first excited view of beautiful and wondrous men. (Prospero, who is experienced and has seen a thing or two, warns her about the seeming novelty: “Tis new to thee.”)
“Brave new world” has come to mean progress in things and processes, whether for good or ill. But the Shakespeare quote suggests a more essential point. A new world is about new people, not new things.
Our difficulty is that it is easier to make new things than it is to make or be new people.
The supply of new things appears endless. But as for new and better people, at least in some highly visible and powerful segments, we seem to be moving backwards. Some of that regressing comes from people who piously and hypocritically claim that they are all about being new and better people.
If we want to consider new things the markers of a beautiful and wondrous new world—and some of them are— we should at least balance that with aspiring towards beautiful and wondrous and better people. New things make it easy to forget this, and the newer and more plentiful the things, the easier to forget.
A breeze came and lifted Ole and Trufa in the air, and they soared with the bliss known only by those who have freed themselves and have joined with eternity.
Ole & Trufa: A Story of Two Leaves can be read in Stories for Children by Isaac Bashevis Singer. This Nobel Prize winning author is mostly known for stories and novels for adults. All the stories “for children” can be enjoyed by anyone.
Ole & Trufa is particularly a story for anyone since it is a short and simple tale about death. It is the work of a master storyteller to make the life together of two leaves so moving and their deaths so uplifting, “with the bliss known only by those who have freed themselves and have joined with eternity.”
Ole & Trufa: A Story of Two Leaves by Isaac Bashevis Singer
The forest was large and thickly overgrown with all kinds of leaf-bearing trees. It was in the month of November. Usually it’s cold this time of year and it even happens that it snows, but this November was relatively warm. The nights were cool and windy, but as soon as the sun came out in the mornings, it turned warm. You might have thought it was summer except that the whole forest was strewn with fallen leaves—some yellow as saffron, some red as wine, some the color of gold, and some of mixed color. The leaves had been torn down by the rain, by the wind, some by day, some at night, and they now formed a deep carpet over the forest floor. Although their juices had run dry, the leaves still exuded a pleasant aroma. The sun shone down on them through the living branches, and worms and flies which had somehow survived the autumn storms crawled over them. The space beneath the leaves provided hiding places for crickets, field mice, and many other creatures who sought protection in the earth. The birds that don’t migrate to warmer climates in the winter but stay behind perched on the bare tree limbs. Among them were sparrows—tiny birds, but endowed with much courage and the experience accumulated through thousands of generations. They hopped, twittered, and searched for the food the forest offered this time of year. Many, many insects and worms had perished in recent weeks, but no one mourned their loss. God’s creatures know that death is merely a phase of life. With the coming of spring, the forest would again fill with grasses, green leaves, blossoms, and flowers. The migrating birds would return from far-off lands and locate their abandoned nests. Even if the wind or the rain had disturbed a nest, it could be easily repaired.
On the tip of a tree which had lost all its other leaves, two still remained. One leaf was named Ole and the other, Trufa. Ole and Trufa both hung from one twig. Since they were at the very tip of the tree they received lots of sunlight. For some reason unknown to Ole or Trufa, they had survived all the rains, all the cold nights and winds, and still clung to the tip of the twig. Who knows the reason one leaf falls and another remains? But Ole and Trufa believed the answer lay in the great love they bore each other. Ole was slightly bigger than Trufa and a few days older, but Trufa was prettier and more delicate. One leaf can do little for another when the wind blows, the rain pours, or the hail begins to fall. It even happens in summer that a leaf is torn loose—come autumn and winter nothing can be done. Still, Ole encouraged Trufa at every opportunity. During the worst storms, when the thunder clapped, the lightning flashed, and the wind tore off not only leaves but even whole branches, Ole pleaded with Trufa, “Hang on, Trufa! Hang on with all your might!”
At times during cold and stormy nights, Trufa would complain, “My time has come, Ole, but you hang on!”
“What for?” Ole asked. “Without you, my life is senseless. If you fall, I’ll fall with you.”
“No, Ole, don’t do it! So long as a leaf can stay up it mustn’t let go …”
“It all depends if you stay with me,” Ole replied. “By day I look at you and admire your beauty. At night I sense your fragrance. Be the only leaf on a tree? No, never!”
“Ole, your words are so sweet but they’re not true,” Trufa said. “You know very well that I’m no longer pretty. Look how wrinkled I am! All my juices have dried out and I’m ashamed before the birds. They look at me with such pity. At times it seems to me they’re laughing at how shriveled I’ve become. I’ve lost everything, but one thing is still left me—my love for you.”
“Isn’t that enough? Of all our powers love is the highest, the finest,” Ole said. “So long as we love each other we remain here, and no wind, rain, or storm can destroy us. I’ll tell you something, Trufa—I never loved you as much as I love you now.”
“Why, Ole? Why? I’m all yellow.”
“Who says green is pretty and yellow is not? All colors are equally handsome.”
And just as Ole spoke these words, that which Trufa had feared all these months happened—a wind came up and tore Ole loose from the twig. Trufa began to tremble and flutter until it seemed that she, too, would soon be torn away, but she held fast. She saw Ole fall and sway in the air, and she called to him in leafy language, “Ole! Come back! Ole! Ole!”
But before she could even finish Ole vanished from sight. He blended in with the other leaves on the ground and Trufa was left all alone on the tree.
So long as it was still day, Trufa managed somehow to endure her grief. But when it grew dark and cold and a piercing rain began to fall, she sank into despair. Somehow she felt that the blame for all the leafy misfortunes lay with the tree, the trunk with all its mighty limbs. Leaves fell but the trunk stood tall, thick, and firmly rooted in the ground. No wind, rain, or hail could upset it. What did it matter to a tree which probably lived forever what became of a leaf? To Trufa, the trunk was a kind of God. It covered itself with leaves for a few months, then it shook them off. It nourished them with its sap for as long as it pleased, then it let them die of thirst. Trufa pleaded with the tree to give her back her Ole and to make it summer again, but the tree didn’t heed, or refused to heed, her prayers …
Trufa didn’t think a night could be so long as this one—so dark, so frosty. She spoke to Ole and hoped for an answer, but Ole was silent and gave no sign of his presence.
Trufa said to the tree, “Since you’ve taken Ole from me, take me, too.”
But the tree didn’t acknowledge even this prayer.
After a while, Trufa dozed off. This wasn’t sleep but a strange languor. Trufa awoke and to her amazement found that she was no longer hanging on the tree. The wind had blown her down while she was asleep. This was different from the way she used to feel when she awoke on the tree with the sunrise. All her fears and anxieties had now vanished. The awakening also brought with it an awareness she had never felt before. She knew now that she wasn’t just a leaf that depended on every whim of the wind, but that she was a part of the universe. She no longer was small or weak or transient, but a part of eternity. Through some mysterious force, Trufa understood the miracle of her molecules, atoms, protons, and electrons—the enormous energy she represented and the divine plan of which she was a part. Next to her lay Ole and they greeted each other with a love they hadn’t been aware of before. This wasn’t a love that depended on chance or caprice, but a love as mighty and eternal as the universe itself. That which they had feared all the days and nights between April and November turned out to be not death but redemption. A breeze came and lifted Ole and Trufa in the air, and they soared with the bliss known only by those who have freed themselves and have joined with eternity.