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“At the very heart of democracy is a contradiction that cannot be resolved, one that has affected free societies from ancient Greece to contemporary America,” write Zac Gershberg and Sean Illing in their new book, “The Paradox of Democracy.” In order to live up to its name, democracy must be open to free communication and expression; yet that very feature opens democracies up to the forces of chaos, fragmentation and demagoguery that undermine them. Historically, this paradox becomes particularly profound during transitions between different communication technologies. “We see this time and again,” Gershberg and Illing write, “media continually evolve faster than politics, resulting in recurring patterns of democratic instability.”For that reason, Gershberg and Illing refer to media ecology — a field dedicated to studying the complex interplay between media, humans and their broader social environments — as “the master political science.” You can’t understand a society’s politics without understanding the mediums through which its people communicate. Radio and TV and Twitter and TikTok each profoundly shape the way we think, the qualities we look for in our politicians, the way we absorb news, the kind of political discourse we engage in and so much more.Illing’s career, in many ways, represents the intersection of these two worlds: He’s trained as a political theorist but eventually switched careers to become a journalist; he’s currently the interviews writer at Vox, where he hosts the podcast “Vox Conversations” and often writes about the nexus of media and politics. So I invited Illing on the show to talk about his new book alongside some of his other work. We discuss: Why mid-century media theorists like Marshall McLuhan and Neil Postman are essential for understanding our current political momentHow the mediums through which we communicate — TV, social media, print news — shape us even more deeply than the content we absorb from themThe surprising dangers of “Sesame Street”Why Abraham Lincoln probably never would have won the presidency in the TV eraHow revolutions in media technology from the printing press to Facebook have destabilized political systemsHow Twitter reshapes the thinking of those who use itWhy Illing believes that democracy is fundamentally a “communicative culture” and not a set of rules and institutionsWhat Donald Trump understood about our media age that the media itself didn’tWhy Steve Bannon’s “flood the zone” media strategy has been so successfulWhether it’s possible to achieve a healthier version of political discourse given our current technologiesAnd much moreThis episode contains strong language.Mentioned:“‘Flood the zone with shit’: How misinformation overwhelmed our democracy” by Sean Illing“Quantifying partisan news diets in Web and TV audiences” by Daniel Muise, Homa Hosseinmardi, Baird Howland, Markus Mobius, David Rothschild and Duncan J. WattsBook Recommendations:Amusing Ourselves to Death by Neil PostmanPublic Opinion by Walter LippmannMediated by Thomas de ZengotitaThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.“The Ezra Klein Show” is produced by Annie Galvin and Rogé Karma; fact-checking by Michelle Harris, Rollin Hu, Mary Marge Locker and Kate Sinclair; original music by Isaac Jones; mixing by Sonia Herrero, Carole Sabouraud and Isaac Jones; audience strategy by Shannon Busta. Special thanks to Kristin Lin and Kristina Samulewski. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

There’s a paradox that sits at the center of our mental health conversation in America. On the one hand, our treatments for mental illness have gotten better and better in recent decades. Psychopharmaceuticals have improved considerably; new, more effective methods of psychotherapy have been developed; and we’ve reached a better understanding of what kinds of social support are most helpful for those experiencing mental health crises.But at the same time, mental health outcomes have moved in exactly the wrong direction. In the United States, there is a death by suicide about every 11 minutes, and about half of those who die by that method have not received mental health care. Rates of anxiety, depression and eating disorders have skyrocketed among young people in recent years. From 2009 to 2015, rates of emergency room visits for self-harm more than doubled for girls ages 10 to 14.Thomas Insel understands the contours of this disconnect as well as anyone. A psychiatrist and researcher, he was the director of the National Institute of Mental Health for 13 years, and has served as a special adviser on mental health care to California’s governor, Gavin Newsom. But in his new book, “Healing: Our Path from Mental Illness to Mental Health,” he admits that even the herculean efforts made by the mental health community have fallen short. The book explores how badly we’re failing at mental health care, and how much more we could do with what we have already discovered, and what we already know. “Put simply, the mental health problem is medical,” he writes, “but the solutions are not just medical — they are social, environmental, and political.”In this conversation, we discuss why our current medical system is so inadequate at helping people with mental illnesses of all stripes, why psychiatric research and patient outcomes are so wildly out of step, the story of how the U.S. government systematically divested from mental health care in the 1980s, and the fragmented system of care that those decisions created. We also touch on why it’s so difficult to find the right therapist; which treatments we know work really well — and why we so often fail to implement them; why mental health is not just a medical problem, but also an economic and social one; what public policy can, and importantly can’t, do to solve our mental health crisis; the relationship between loneliness and mental illness; how the loosening of family and social ties is impacting our collective mental health and more.Mentions:“Wealth-Care Reform” by Ezra Klein“Together” by Vivek Murthy“Vivek Murthy on America’s Loneliness Epidemic” episode from Vox ConversationsBook Recommendations:Nobody’s Normal by Roy Richard GrinkerAmerican Psychosis by E. Fuller TorreyCrazy by Pete EarleyThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.“The Ezra Klein Show” is produced by Annie Galvin and Rogé Karma; fact-checking by Michelle Harris, Mary Marge Locker and Kate Sinclair; mixing by Sonia Herrero, Carole Sabouraud and Isaac Jones; original music by Isaac Jones; audience strategy by Shannon Busta. Special thanks to Kristin Lin and Kristina Samulewski. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

America is experiencing a housing crisis — or, more accurately, multiple housing crises. A massive housing shortage in major cities has resulted in skyrocketing rents. Low- and middle-income individuals find themselves priced out of the places with the most opportunity. Homelessness is rampant in cities across the country. Developers often face the steepest obstacles to building in the places where new housing is needed most. And young people are increasingly viewing homeownership, once a vital part of the American dream, as hopelessly out of reach.These outcomes weren’t inevitable. Plenty of other countries supply their populations with high-quality housing at lower prices. And the solutions here are incredibly simple: Build more housing in places where it’s needed, build cheaper forms of housing, build housing alongside public transit, provide more housing vouchers. So why don’t we act on them?Jenny Schuetz is a senior fellow at the Brookings Institution and the author of the new book “Fixer Upper: How to Repair America’s Broken Housing Systems,” which is perhaps the best, clearest overview of America’s housing problems to date. We discuss why the states with the highest homelessness rates are all governed by Democrats, the roots of America’s homelessness crisis, why economists believe the U.S. gross domestic product could be over a third — a third! — higher today if American cities had built more housing, why it’s so hard to build housing where it’s needed most, the actual (and often misunderstood) causes of gentrification, why public housing has such a bad reputation in the U.S.; how progressives’ commitment to local democracy and community voice surprisingly lies at the heart of America’s housing crises, why homeownership is still the primary vehicle of wealth accumulation in America (and the toxic impact that has on our politics), what the U.S. can learn from the housing policies of countries like Germany and France, what it would take to build a better politics of housing and much more.Mentioned:“The Left-NIMBY canon” by Noah SmithThe Homevoter Hypothesis by William A. FischelThe Paradox of Democracy by Zac Gershberg and Sean IllingRecommendations:Crabgrass Frontier by Kenneth T. JacksonNeighborhood Defenders by Katherine Levine Einstein, David M. Glick and Maxwell PalmerMaid (Netflix series)Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.“The Ezra Klein Show” is produced by Annie Galvin and Rogé Karma; fact-checking by Michelle Harris, Mary Marge Locker, Kate Sinclair and Rollin Hu; mixing by Sonia Herrero and Isaac Jones; original music by Isaac Jones; audience strategy by Shannon Busta. Special thanks to Kristin Lin and Kristina Samulewski. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.