This is not to say that you should start smoking. Cigarettes have tars that are definitely bad, cancer causing. Still, perhaps one needn’t be as anti smoking or vaping as the public has gotten. It’s also a starting point for research.
It seems that there are two things in cigarettes that protect against Parkinson’s. The first appears to be nicotine. We know this because chewing tobacco is shown to be protective at a rate similar to smoking. Another protective component appears to be carbon monoxide. Here is a study showing that low concentration carbon monoxide protects against Parkinson’s. The Michael J foundation is funding further studies on CO because low level CO seems promising as a treatment. There are also drugs that release compounds similar to CO that might treat, or prevent Parkinson’s.
Reduced rates of smoking has been cited as an explanation for the increasing PD rates world-wide. Similar to coffee and smoking, there are also health benefits for small amounts of radiation, sunlight, and chocolate. What is a healthy food has never been settled science; the data is entirely contradictory. All this is to say, that wide bans on big sodas, smoked meats, chewing tobacco, or e-cigarettes probably are misguided. For all we know they may be good for public health, and certainly aren’t sot bad as to justify wide bansand condemnations.
Robert Kennedy Jr. recently started the process to add a warning to the labels of acetaminophen products, including Tylenol, noting a correlation between its use during pregnancy and autism and ADHD in children. The advisability of this is controversial. Experts at Scientific American say “the evidence against Tylenol is thin,” The British Journal, Nature, went further: “It’s Dangerous to Avoid Tylenol While Pregnant”, reversing its call for caution. Similarly, Barak Obama: “Trump’s announcement is violence against the truth.” Nature’s current logic is that any risk of Autism and ADHD is smaller than the risk if pregnant women do not take fever medication. Given the confusion and politicalization of the topic, I thought I’d write about the magnitude of the risk, and the logic to think Tylenol causes autism and ADHD.
The evidence that there is some, large risk agent is the tremendous rise in the prevalence of autism and ADHD over the last 50 years, see chart above. The rise t matches the rise in the use of Tylenol as opposed to older medications, like aspirin. Correcting for other changes (confounders), this Oxford study finds 95% certainty association of acetaminophen with ADHD; care being taken to remove confounders.
In terms of the magnitude of the Tylenol effect, this study from Johns Hopkins, compared fetal blood levels of acetaminophen enzymes (measured in the umbilical cord) to the risk of autism and ADHD. As shown below, there is roughly a three-times increase in risk for both in every sub-group of child: male and female, black and white, pre-term and full term, drug user or not, breast fed or not, fevered mother or not. Children with higher blood-acetaminophen levels (2nd, 3rd tercile) always have a higher chance of ADHD and ASD — about 3 times higher– than children in the lower tercile.
The higher cohorts of blood Tylenol is associated with higher risk of ASD and ADHD for every subgroup.
This European study found a similar association, but measured Tylenol use based on interviews. Between these studies, I find it reasonable to advise caution. This is the sort of evidence that caused us to put cancer warnings on cigarettes, caused us to caution against alcohol during pregnancy, and caused the mandate for seatbelts. This is usually what scientists use, it’s the best approach we have. I do not suggest dropping all fever medication, but suggest switching to older medications, like aspirin, or cool showers, or following the Harvard medical journal advice to take Tylenol in the minimum dose.
An upside to the political divide is that we’re likely to have better evidence in coming years. in Republican-leaning states, doctors have mostly favored the advisory. Meanwhile,in D-leaning states women are ignoring the advisory, some even filming themselves taking extra Tylenol, in distain for Trump. These two groups provide a controlled study, so that we should have have better data regarding Tylenol safety in 2-3 years.
Added Oct. 20,2025: A cynical counter argument to the above, suggested by me ten years ago and others, is that there is no spike in ADHD, that it’s a scam perpetrated by teachers who prefer drugged students to antsy ones. If so, one could argue that the same genetics that make students antsy (ADHD and semi autistic) also affect Tylenol metabolism and use: Parents of such children take more Tylenol. Here is a good Swedish study that supports this view. If this proves to be true, the real scandal is how many normal students, mostly boys, have been drugged up and mis-educated.
Cardiac death rates vary by a factor of six or more across regions of the US, from very low rates in Arizona, Utah, Washington, about 1/1000/year, to well over 6/1000/year in the US southeast. This is shown in the map below based on CDC data from 2013, mapped by Dr. Robert-J using ArcGIS Pro in 2015, Source here.
The author of this graph humorously(?) overlayed the cardiac death data with yellow dots showing the location of all US waffle houses. I infer from this something that Dr. J. denies: that waffle houses, or waffle eating is a significant contributor to these cardiac deaths. Other possibilities (my own list) include opioids, pollution, low exercise, depression, and poor healthcare. Still, I can’t help thinking that diet is a big contributor.
Here is a more up-to-date map, by county, showing that cardiac deaths still concentrate in the southeast, but now they are joined by Nevada and eastern California. I downloaded this map directly from the CDC, but this time, the map is in terms of Age Adjusted Mortality Rates, that is lives lost per 100,000 persons, relative to some ideal, people living in Minnesota, Colorado, and Massachusetts, I suppose. As before, the red areas are those with a higher cardiac death rates. Why are West Californians healthier and folks in Minnesota and Colorado, perhaps because they exercise more, and exercise is a good thing, but these could also be areas with better healthcare, or fewer opioids. Some cities are healthier, some are worse. Why?.
Things have been getting worse in recent years. From 2019 to 2022, the national Cardio-vascular disease caused AAMR increased by 9.3%. Some of this may be COVID or the COVID vaccine, I suppose, or depression. Men seem to be hit harder than women, with the same regional differences. As shown in the map at right, southeast rural men have a lifespan more than 4 years shorter than the national average, or about 7 years shorter than that for women. And this is on top of their already significantly shorter lifespan compared to other developed countries. There’s no obvious reason.
As a marketing thought, assuming that the cause of cardiac death is that people eat high-carb, high fat meals, then the owners of Waffle House might have noticed, and chosen to build there. If so this would be a case where apparent causation is reversed: the relationship between Waffle houses and death is that Waffle houses were built where people were dying of heart disease. It’s a scary thought, but not unlikely. I’d expect new Waffle houses would appear in mid-Michigan, mid Georgia, northern New Jersey, and NW Indiana. These are places where people will likely like the food and ambiance. I’ve taken a light hearted view here because the alternative is too depressing. These rates are dramatic and horrible. I hope RFK Jr. will help increase US lifespans, but have no great faith in him. Trump gave him two years to show significant improvements.
Four years ago, when the average lifespan of American men was 3.1 years longer than today, the American Heart Association and the American College of Cardiology dropped the standard for normal- acceptable blood pressure for 50+ years olds from 140/90 to 120/80. The new standard of normal was for everyone regardless or age or gender despite the fact that virtually no one over 50 now reached it. Normal is now quite un-common.
By the new definition, virtually everyone over 50 now is diagnosed with high blood pressure or hypertension. Almost all require one or two medications — no more baby aspirin. Though the evidence for aspirin’s benefit is strong, it doesn’t lower blood pressure. AHA guidance is to lower a patients blood pressure to <140/90 mmHg or at least treat him/her with 2–3 antihypertensive medications.4
Average systolic blood pressures for long-lived populations of men and women without drugs.
The graphs shows the average blood pressures, without drugs in a 2008 study of the longest-lived, Scandinavian populations. These were the source of the previous targets: the natural pressures for the healthiest populations at the time, based on the study of 1304 men (50-79 years old) and 1246 women (38-79 years old) observed for up to 12 years. In this healthy population, the average untreated systolic pressure is seen till age 70, reaching 154 for men, and over 160 for women. By the new standards, these individuals would be considered highly unhealthy, though they live a lot longer than we do. The most common blood-pressure drug prescribed in the US today is atenolol, a beta blocker. See my essay on Atenolol. It’s good at lowering blood pressure, but does not decrease mortality.
The plot at left shows the relationship between systolic blood pressure and death. There is a relationship, but it is not clear that the one is the cause of the other, especially for individuals with systolic pressure below 160. Those with pressures of 170 and above have significantly higher mortality, and perhaps should take atenolol, but even here it might be that high cholesterol, or something else, is causing both the high blood pressure and the elevated death risk.
The death-risk difference between 160 and 100 mmHg is small and likely insignificant. The minimum at 110 is rather suspect too. I suspect it’s an artifact of a plot that ignores age. Only young people have this low number, and young people have fewer heart attacks. Artificially lowering a person’s blood pressure, even to this level does not make him young, [2][3] and brings some problems. Among the older-old, 85 and above, a systolic blood pressure of 180 mmHg is associated with resilience to physical and cognitive decline, though it is also associated with higher death rate.
The AHA used a smoothed version of the life risk graph above to justify their new standards, see below. In this version, any blood pressure looks like it’s bad. The ideal systolic pressure seems to be 100 or below. This is vastly too low a target, especially for a 60 year old. Based on the original graph, I would think that anything below 155 is OK.
smoothed chart of deaths per 1000 vs blood pressure. According to this chart, any blood pressure is bad. There is no optimum.
I suspect that the Scandinavians live longer because they drink mildly, exercise mildly, have good healthcare (but not too good), and have a low crime rate. They seem to have dodged the COVID problem too, even Sweden that did next to nothing. it’s postulated that the problem is over medication, including heart medication.
Robert Buxbaum, January 4, 2023. The low US lifespan is startling. Despite spending more than any other developed countries on heath treatments, we have horribly lower lifespans, and it’s falling fast. A black man in the US has the same expected lifespan as in Rwanda. Causes include heart attacks and strokes, accidents, suicide, drugs, and disease. Opioids too, especially since the COVID lockdowns.
Eliquis (apixaban) is blood thinner shown to prevent stroke with fewer side effects than Warfarin (Coumadin). Aspirin does the same, but not as effectively for people over 75. My problem with eliquis is that it’s over-prescribed. The studies favoring it over aspirin found benefits for those over 75, and for those with A-Fib. And even in this cohort the advantage over aspirin is small or non-existent because eliquis has far more serious side effects; hemorrhage, or internal bleeding.
Statistically, the AVERROES study (Apixaban Versus Acetylsalicylic Acid to Prevent Stroke in AF Patients Who Have Failed or Are Unsuitable for Vitamin K Antagonist Treatment) found that apixaban is substantially better than aspirin at preventing stroke in atrial fibrillation patients, but worse at preventing heart attack.
Taking 50 mg of Eliquis twice a day, reduces the risk of stroke in people with A-Fib by more than 50% and reduces the rate of heart attack by about 15%. By comparison, taking 1/2 tablet of aspirin, 178 mg, reduces the risk of stroke by 17% and of heart attack by 42%. The benefits were higher in the elderly, those over 75, and non existent in those with A-Fib under 75, see here, and figure. Despite this, doctors prescribe Eliquis over aspirin, even to those without A-Fib and those under 75. I suspect the reason is advertising by the drug companies, as I’ve claimed earlier with Atenolol.
The major deadly side-effect is hemorrhage, brain hemorrhage and GI (stomach) hemorrhage. Here apixaban is far worse than with aspirin (but better than Warfarin). The net result is that in the AVERROES random-double blind study there was no difference in all-cause mortality between apixaban and aspirin for those with A-fib who were under 75, see here. Or here.
To reduce your chance of GI hemorrhage with Eliquis, it is a very good idea to take a stomach proton pump drug like Pantoprazole. If you have A-Fib, the combination of Eliquis and pantoprazole seems better than aspirin alone, even for those under 75. If you have no A-Fib and are under 75, I see no benefit to Eliquis, especially if you find you have headaches, stomach aches, back pain, or other signs of internal bleeding, you might switch to aspirin or choose a reduced dose.
A Japanese study found that half the normal dose of Eliquis, was approximately as effective as the full dose, 50 mg twice a day. I was prescribed Eliquis, full dose twice a day, but I’m under 70 and I have no A-Fib since my ablation.
Life expectancy has dropped in the US to undeveloped world levels. Biden blames COVID and racism. I think it’s too much drugs, and too few opportunities.
I’m struck by the fact that US life expectancy is uncommonly low, lower than in most developed countries. Lower too than in many semi-developed countries, and our life expectancy is decreasing while other countries are not seeing the same. It dropped by about 3 years over the last 2 years as shown. I wonder why the US has suffered more than other countries, and suspect we are over-prescribed. Too much of a good thing, typically isn’t good.
At the 1999 Copenhagen Climate Change Summit, Al Gore announced an inconvenient truth: “There is a 75 per cent chance that the entire north polar ice cap, during the summer months, could be completely ice-free within five to seven years.” It was a bold prediction, part of a campaign that got Mr Gore a Nobel Prize and motivated the US to devote billions to stopping global warming. Supposedly 98% of scientists agreed with Mr. Gore and his remedies. Prince Charles and Bill Gates too. Twenty three years later there is still arctic ice, 98.5% as much as in 1999. Two questions arise: 1. Is the ice loss bad? and 2. Why were those 98% of scientists so wrong?
Arctic sea ice extent when Al Gore spoke (1999) and since. Not much change, nor clearly for the worse
The second question is far easier than the first: the 98% number was bogus, a lie, like many other climate lies that followed. it was effective at stopping argument, and could not be checked immediately. It bullied scientists who argued that global warming wasn’t bad, or wasn’t man-made, and it gave do-gooders the ability to label their opponents “liars” and “science deniers”. The claim of 98% was used to silence scientists with long, prominent careers. Deniers lost their funding and were no longer published. Other scientists learned to keep quiet. Twenty years later, when the arctic ice wasn’t gone and antarctic ice hit a record extent, the deniers’ careers largely were gone.
Scientists are not stupid, nor independently rich, for the most part. They are dependent on government funding and their employers, the universities are too. As a group they (we) are incapable of stemming the tide of public opinion. This week Biden signed a nearly 1 trillion dollar bill to stop climate change. Every scientist with a chance to get the money will go for it. Whether or not they think a colder earth is good, they will claim it is in their proposals, and imply that their work can stop the natural chaos that is climate. They will ask for their share of the $1T to study the appropriate things: solar cells, corn-based power, and wind turbines. The proposals will not mention the huge costs in mining or land use. Scientists already know they can not get funded for nuclear power, though it works and produces no CO2, nor should can scientists benefit by criticizing China, as the largest source of CO2. That is seen as undermine the green effort at home. When we stop manufacturing at home, BTW, we end up buying the same materials manufactured in China, where they really generate lots of pollution. When asked about this, Biden’s climate chief said not to worry about it, we had to do our part, and Biden would speak to the Chinese. The result is the biggest buildup in coal-fired power plants in the world, with more coming on line.
This second question is at least as important as the first one: is less arctic ice bad? Or, asking more generally, is a warm earth bad? It’s an opinion question; it’s in no way science, impossible to answer definitively. Cold weather is bad for food production, and that’s bad for people, in general. Most people prefer to live where it’s warm, I find. Supposedly polar bears prefer it cold, but I don’t know for sure. I’m not keen to go back to the climate of the ice ages, 10,000- 100,000 years ago when ice covered Canada and you could walk from France to England. I’m not convinced that life was better when the world was 1°C colder. The sea was lower in 1900, but had been higher in the year zero. Less arctic ice means easier shipping. For all I know we may want to make a Northwest Passage. More food and a easier shipping are the convenient truths about global warming.
Robert Buxbaum, August 19, 2022. If you believe any of what I said about Gore/Biden’s green energy, you may like a movie by Michael Moore, Planet of the Humans, see it here. The political greens are not saving energy or cooling the planet, and they know it. It’s a money maker.
Atenolol and related beta blockers have been found to be effective reducing blood pressure and heart rate. Since high blood pressure is a warning sign for heart problems, doctors have been prescribing atenolol and related beta blockers for all sorts of heart problems, even problems that are not caused by high blood pressure. I was prescribed metoprolol and then atenolol for Atrial Fibrillation, A-Fib, beginning 2 yeas ago, even though I have low-moderate blood pressure. For someone like me, it might have been deadly. Even for patients with moderately high blood pressure (hypertension) studies suggest there is no heart benefit to atenolol and related ß-blockers, and only minimal stroke and renal benefit. As early as 1985 (37 years ago) the Medical Research Council trial found that “ß blockers are relatively ineffective for primary treatment of hypertensive outcomes.”
End point. Relative risk. 95% CI. All-cause mortality Cardiovascular mortality MI Stroke Carlberg B et al. Lancet 2004; 364:1684–1689.
There lots of adverse side-effects to atenolol, as listed at the end of this post. More recent studies (e.g. Carlsberg et al., at right) continue to find no positive effects on the heart, but lots of negatives. A review in Lancet (2004) 364,1684–9 was titled, “Review: atenolol may be ineffective for reducing cardiovascular morbidity or all cause mortality in hypertension” (link here). “In patients with essential hypertension, atenolol is not better than placebo or no treatment for reducing cardiovascular morbidity or all cause mortality.” It further concluded that, “compared to other antihypertensive drugs, it [atenolol] may increase the risk of stroke or death.” I showed this and related studies to my doctor, and pointed out that I have averaged to low blood pressure, but he persisted in pushing this drug, something that seems common among medical men. My guess is that the advertising or doctor subsidies are spectacular. By contrast, aspirin has long been known to be effective for heart problems; my doctor said to go off aspirin.
The graph at right is from “Trial of Secondary Prevention with Atenolol after transient Ischemic Attack or Nondisabling Ischemic Stroke”, published in Stroke, 24 4 (1993), (see link here). a Thje study involved 1473 at-risk patients, randomly prescribed atenolol or placebo. It found no outcome benefit from atenolol, and several negatives. After 3 years, in two equal-size randomized groups, there were 64 deaths among the atenolol group, 58 among the placebo group; there were 11 fatal strokes with atenolol, versus 8 with placebo. There were somewhat fewer non-fatal strokes with atenolol, but the sum-total of fatal and non-fatal strokes was equal; there were 81 in each group.
“Trial of Secondary Prevention with Atenolol after transient Ischemic Attack or Nondisabling Ischemic Stroke”, published in Stroke, 24 4 (1993).
Newer beta blockers seem marginally better, as in “Effect of nebivolol or atenolol vs. placebo on cardiovascular health in subjects with borderline blood pressure: the EVIDENCE study.” “Nebivolol (NEB) in contrast to atenolol (ATE) may have a beneficial effect on endothelial function …. there was no significant change in the ATE and PLAC groups.” My question: why not use one of these, or better yet aspirin. Aspirin is shown to be beneficial, and relatively side-effect free. If you tolerate aspirin, and most people do, beneficial has to be better than maybe beneficial.
Among atenolol’s ugly side effects, as listed by the Mayo Clinic, there are: tiredness, sweating, shortness of breath, confusion, loss of sex drive, cold fingers and toes, diarrhea, nausea, and general confusion. I had some of these. There was no increase in heart stability (decrease in A-fib). My heart rate went as low at 32 bpm at night. My doctor was unconcerned, but I was. I suspected the low heart rate put me at extreme risk. Eventually, the same doctor gave me ablation therapy, and that seemed to cure the A-Fib.
Following my ablation, I was told I could get off atenolol. I then discovered another negative effect of atenolol: you have to ease off it or your heart will race. If you have A-fib, or modest hypertension, consider aspirin, eliquis, ablation, or exercise. If you are prescribed atenolol for heart issues and don’t have symptoms of very-high blood pressure, consider other options and/or changing doctors.
With the sun setting earlier, and the threat of new COVID lockdowns, there is a real threat of a depression, seasonal and isolation. A partial remedy is exercise; it helps fight depression whether you take other measures not. An article published last month in the Journal of Affective Disorders reviewed 22 studies of the efficacy of exercise, particularly as an add-on to drugs and therapy. Almost every study showed that exercise helped, and in some studies it helped a lot. See table below. All of the authors are from the University of British Columbia. You can read the article here.
From “Efficacy of exercise combined with standard treatment for depression compared to standard treatment alone: A systematic review and meta-analysis of randomized controlled trials.” by JacquelineLee1 et al.In virtually every study, exercise helps fight depression.
For those who are willing to exercise, there are benefits aside from mental health. Even a daily walk around the block helps with bone strength, weight control, heart disease, plus the above mentioned improvement in mood. More exercise does more. If you bicycle without a helmet, you’re likely to live longer than if you drive.
For those who can’t stand exercise, or if exercise isn’t quite enough to send away the blues, you can try therapy, medication, and/or diet. There is some evidence that food that are high in lithium help fight depression. These food include nuts, beans, tomatoes, some mineral waters, e.g. from Lithia springs, GA. The does is about 1/100 the dose given as a bipolar treatment, but there is evidence that even such small doses help. Lithium was one of the seven ingredients in seven up — it was the one that was supposed to cheer you up. See some research here.
The toll of COVID-19 has been terrible: 660,000 dead by my count, based on excess deaths, graph below, or 620,000 according to the CDC based on hospital records. Death rates appear to have returned to pre-pandemic levels, more or less*, but folks are still getting very sick and going to the hospital, mostly for “the delta variant.”
Weekly US death rates since October 2015.
As the following chart shows, severe symptoms of COVID are now almost entirely in the old, and unvaccinated. The risk to the young and middle aged is low, but even there, vaccination helps. According to the CDC, 72.2% of the adult US population is vaccinated with at least one shot. The vaccination, doesn’t prevent you from getting the delta variant nor from spreading it; it just protects from the most serious consequences of the disease. It seems a previous infection has the same effect, though less so.
Vaccination helps prevent hospitalization – at all ages (Israeli data)
If you’re over 60 and unvaccinated, I recommend getting vaccinated with at least one shot; the inconvenience and side-effects are few, and the benefit is large. The second shot seemswothshile too, and for all I know a third will too. Sooner or later there is a diminishing return. The benefit of masks seems is smaller, as I judge things. I notice that the disease is spreading at about the same rate in masked and unmasked states, and that the death numbers are as high, or higher in heavily masked, blue states as in red. New York and NJ are the top COVID death states, with Michigan not far behind. Masks seem to help, just not very much.
If you wish to check my analysis, go here to get the raw data: https://gis.cdc.gov/grasp/fluview/mortality.html. Then, to calculate the COVID effect, I subtracted the weekly death rates in 2020 and 2021 from the corresponding week rates in 2019, correcting the deaths by 1%/year for population growth and aging. *I find that there are about 500 excess deaths per week, and I assume those are among the unvaccinated. If you are vaccinated, I’d worry about something else besides COVID-delta: heart attack, cancer, suicide, or Afghanistan.
Rents in New York and San Francisco are far less expensive than before the pandemic. It’s been a boon for the suburbs, the south and the midwest, one that’s likely to continue unless Biden steps in. Before the pandemic, rent in San Francisco for a one bedroom apartment averaged over $3700 per month. New York rent was similar. People paid it because these cities offered robust business and entertainment, the best restaurants and bars, the best salons and clubs, the best music, museums, universities, and theater. New York was Wall Street, Madison Avenue and Broadway; San Francisco was Silicon valley and Hollywood. These cities were the place to be, and then the pandemic hit.
Post COVID-19, the benefits of big city life are gone, and replaced by negatives. The great restaurants are mostly gone; the museums, theaters, and salons, shut along with Hollywood. Wall Street and Madison Ave have gone on-line, as have the universities. If you can work and study from anywhere, why do it from an expensive hotbed of Corona.
People of means left the big cities with the first lockdowns. Wall Street moved on line, with offices in New Jersey, and many followed, along with college students, and hotel and restaurant workers. New York’s unemployment rate increased from 4-5% to over 9.5% today, among the highest rates in the nation, 9.5%. It would be higher if not for the departures. Crime spiked; the murder rate doubled. To keep people from leaving, landlords have lowered rents and many will now forgive a month or two of rent to keep apartments full with some rent coming in and an illusion of exclusivity. This is good for tenants, but tough on landlords.
Detroit rent history, 2014 to January 2021. Rents fell a lot on election day, maybe because of Biden, or because we think the pandemic is over.
As things stand, the suburbs and smaller cities are the beneficiaries of the exodus. Among the cities benefiting the most are cities in the south and mid-west: states that are more open and are relatively low cost: Phoenix, Oakland, Cleveland, St. Petersburg, and even Detroit. Detroit’s rents were already moving up as auto manufacturing returned from Mexico, see chart. Between early 2017 and October 2020, they went from $500/month to $1250/month for a 1 bedroom apartment, according to Zumper. Detroit rents fell after election day, but are still up 20% on the year. The influx of wealthier working folk to Detroit is welcome to some, unwelcome to tenants who find their rents are raised. I think it’s is a sign of a healthy economy that people follow life-quality, and that rents follow people. Our landlords are happy, but there are a lot of Detroit renters who are not
Joe Biden has promised to step in to make things right for everyone. He promised to have the government pay people’s rent so they don’t get evicted. I presume that means paying about double to people in NY and SF as to those in Detroit. He claims he will shutter smokestack industries too, and create the good jobs of the future in computers and high tech. It’s a nice claim. I suspect it’s a bailout of big city landlords, but what would I know. I suspect that the US would be better off if Joe just sat back and let New York rents fall, while allowing Detroit to gentrify. Detroiters need not worry about rents getting too pricy here. We’ve1500 shootings per year, that 15 times more than NYC, per capita. Unless that ratio changes, Detroit will continue to be the lower rent city.
