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“Outrageously” priced weight-loss drugs could bankrupt US health care

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Packaging for Wegovy, manufactured by Novo Nordisk, is seen in this illustration photo.

Enlarge / Packaging for Wegovy, manufactured by Novo Nordisk, is seen in this illustration photo. (credit: Getty | Jakub Porzycki)

With the debut of remarkably effective weight-loss drugs, America's high obesity rate and its uniquely astronomical prescription drug pricing appear to be set on a catastrophic collision course—one that threatens to "bankrupt our entire health care system," according to a new Senate report that modeled the economic impact of the drugs in different uptake scenarios.

If just half of the adults in the US with obesity start taking a new weight-loss drug, such as Wegovy, the collective cost would total an estimated $411 billion per year, the analysis found. That's more than the $406 billion Americans spent in 2022 on all prescription drugs combined.

While the bulk of the spending on weight-loss drugs will occur in the commercial market—which could easily lead to spikes in health insurance premiums—taxpayer-funded Medicare and Medicaid programs will also see an extraordinary financial burden. In the scenario that half of adults with obesity go on the drug, the cost to those federal programs would total $166 billion per year, rivaling the programs' total 2022 drug costs of $175 billion.

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sarcozona
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We could build a lot of sidewalks, bike lanes, and community cafeterias for $400 billion/year
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ChatGPT can talk, but OpenAI employees sure can’t

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Altman and Sutskever sitting in chairs.
Sam Altman (left), CEO of artificial intelligence company OpenAI, and the company’s co-founder and then-chief scientist Ilya Sutskever, speak together at Tel Aviv University in Tel Aviv on June 5, 2023. | Jack Guez/AFP via Getty Images

Why is OpenAI’s superalignment team imploding?

Editor’s note, May 17, 2024, 11:20 pm ET: This story has been updated to include a post-publication statement from OpenAI.

On Monday, OpenAI announced exciting new product news: ChatGPT can now talk like a human.

It has a cheery, slightly ingratiating feminine voice that sounds impressively non-robotic, and a bit familiar if you’ve seen a certain 2013 Spike Jonze film. “Her,” tweeted OpenAI CEO Sam Altman, referencing the movie in which a man falls in love with an AI assistant voiced by Scarlett Johansson.

But the product release of ChatGPT 4o was quickly overshadowed by much bigger news out of OpenAI: the resignation of the company’s co-founder and chief scientist, Ilya Sutskever, who also led its superalignment team, as well as that of his co-team leader Jan Leike (who we put on the Future Perfect 50 list last year).

The resignations didn’t come as a total surprise. Sutskever had been involved in the boardroom revolt that led to Altman’s temporary firing last year, before the CEO quickly returned to his perch. Sutskever publicly regretted his actions and backed Altman’s return, but he’s been mostly absent from the company since, even as other members of OpenAI’s policy, alignment, and safety teams have departed.

But what has really stirred speculation was the radio silence from former employees. Sutskever posted a pretty typical resignation message, saying “I’m confident that OpenAI will build AGI that is both safe and beneficial…I am excited for what comes next.”

Leike ... didn’t. His resignation message was simply: “I resigned.” After several days of fervent speculation, he expanded on this on Friday morning, explaining that he was worried OpenAI had shifted away from a safety-focused culture.

Questions arose immediately: Were they forced out? Is this delayed fallout of Altman’s brief firing last fall? Are they resigning in protest of some secret and dangerous new OpenAI project? Speculation filled the void because no one who had once worked at OpenAI was talking.

It turns out there’s a very clear reason for that. I have seen the extremely restrictive off-boarding agreement that contains nondisclosure and non-disparagement provisions former OpenAI employees are subject to. It forbids them, for the rest of their lives, from criticizing their former employer. Even acknowledging that the NDA exists is a violation of it.

If a departing employee declines to sign the document, or if they violate it, they can lose all vested equity they earned during their time at the company, which is likely worth millions of dollars. One former employee, Daniel Kokotajlo, who posted that he quit OpenAI “due to losing confidence that it would behave responsibly around the time of AGI,” has confirmed publicly that he had to surrender what would have likely turned out to be a huge sum of money in order to quit without signing the document.

While nondisclosure agreements aren’t unusual in highly competitive Silicon Valley, putting an employee’s already-vested equity at risk for declining or violating one is. For workers at startups like OpenAI, equity is a vital form of compensation, one that can dwarf the salary they make. Threatening that potentially life-changing money is a very effective way to keep former employees quiet.

OpenAI did not respond to a request for comment in time for initial publication. After publication, an OpenAI spokesperson sent me this statement: “We have never canceled any current or former employee’s vested equity nor will we if people do not sign a release or nondisparagement agreement when they exit.”

Sources close to the company I spoke to told me that this represented a change in policy as they understood it. When I asked the OpenAI spokesperson if that statement represented a change, they replied, “This statement reflects reality.”

All of this is highly ironic for a company that initially advertised itself as OpenAI — that is, as committed in its mission statements to building powerful systems in a transparent and accountable manner.

OpenAI long ago abandoned the idea of open-sourcing its models, citing safety concerns. But now it has shed the most senior and respected members of its safety team, which should inspire some skepticism about whether safety is really the reason why OpenAI has become so closed.

The tech company to end all tech companies

OpenAI has spent a long time occupying an unusual position in tech and policy circles. Their releases, from DALL-E to ChatGPT, are often very cool, but by themselves they would hardly attract the near-religious fervor with which the company is often discussed.

What sets OpenAI apart is the ambition of its mission: “to ensure that artificial general intelligence — AI systems that are generally smarter than humans — benefits all of humanity.” Many of its employees believe that this aim is within reach; that with perhaps one more decade (or even less) — and a few trillion dollars — the company will succeed at developing AI systems that make most human labor obsolete.

Which, as the company itself has long said, is as risky as it is exciting.

“Superintelligence will be the most impactful technology humanity has ever invented, and could help us solve many of the world’s most important problems,” a recruitment page for Leike and Sutskever’s team at OpenAI states. “But the vast power of superintelligence could also be very dangerous, and could lead to the disempowerment of humanity or even human extinction. While superintelligence seems far off now, we believe it could arrive this decade.”

Naturally, if artificial superintelligence in our lifetimes is possible (and experts are divided), it would have enormous implications for humanity. OpenAI has historically positioned itself as a responsible actor trying to transcend mere commercial incentives and bring AGI about for the benefit of all. And they’ve said they are willing to do that even if that requires slowing down development, missing out on profit opportunities, or allowing external oversight.

“We don’t think that AGI should be just a Silicon Valley thing,” OpenAI co-founder Greg Brockman told me in 2019, in the much calmer pre-ChatGPT days. “We’re talking about world-altering technology. And so how do you get the right representation and governance in there? This is actually a really important focus for us and something we really want broad input on.”

OpenAI’s unique corporate structure — a capped-profit company ultimately controlled by a nonprofit — was supposed to increase accountability. “No one person should be trusted here. I don’t have super-voting shares. I don’t want them,” Altman assured Bloomberg’s Emily Chang in 2023. “The board can fire me. I think that’s important.” (As the board found out last November, it could fire Altman, but it couldn’t make the move stick. After his firing, Altman made a deal to effectively take the company to Microsoft, before being ultimately reinstated with most of the board resigning.)

But there was no stronger sign of OpenAI’s commitment to its mission than the prominent roles of people like Sutskever and Leike, technologists with a long history of commitment to safety and an apparently genuine willingness to ask OpenAI to change course if needed. When I said to Brockman in that 2019 interview, “You guys are saying, ‘We’re going to build a general artificial intelligence,’” Sutskever cut in. “We’re going to do everything that can be done in that direction while also making sure that we do it in a way that’s safe,” he told me.

Their departure doesn’t herald a change in OpenAI’s mission of building artificial general intelligence — that remains the goal. But it almost certainly heralds a change in OpenAI’s interest in safety work; the company hasn’t announced who, if anyone, will lead the superalignment team.

And it makes it clear that OpenAI’s concern with external oversight and transparency couldn’t have run all that deep. If you want external oversight and opportunities for the rest of the world to play a role in what you’re doing, making former employees sign extremely restrictive NDAs doesn’t exactly follow.

Changing the world behind closed doors

This contradiction is at the heart of what makes OpenAI profoundly frustrating for those of us who care deeply about ensuring that AI really does go well and benefits humanity. Is OpenAI a buzzy, if midsize tech company that makes a chatty personal assistant, or a trillion-dollar effort to create an AI god?

The company’s leadership says they want to transform the world, that they want to be accountable when they do so, and that they welcome the world’s input into how to do it justly and wisely.

But when there’s real money at stake — and there are astounding sums of real money at stake in the race to dominate AI — it becomes clear that they probably never intended for the world to get all that much input. Their process ensures former employees — those who know the most about what’s happening inside OpenAI — can’t tell the rest of the world what’s going on.

The website may have high-minded ideals, but their termination agreements are full of hard-nosed legalese. It’s hard to exercise accountability over a company whose former employees are restricted to saying “I resigned.”

ChatGPT’s new cute voice may be charming, but I’m not feeling especially enamored.

A version of this story originally appeared in the Future Perfect newsletter. Sign up here!

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sarcozona
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acdha
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Economic damage from climate change six times worse than thought – report

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A 1C increase in global temperature leads to a 12% decline in world gross domestic product, researchers have found

The economic damage wrought by climate change is six times worse than previously thought, with global heating set to shrink wealth at a rate consistent with the level of financial losses of a continuing permanent war, research has found.

A 1C increase in global temperature leads to a 12% decline in world gross domestic product (GDP), the researchers found, a far higher estimate than that of previous analyses. The world has already warmed by more than 1C (1.8F) since pre-industrial times and many climate scientists predict a 3C (5.4F) rise will occur by the end of this century due to the ongoing burning of fossil fuels, a scenario that the new working paper, yet to be peer-reviewed, states will come with an enormous economic cost.

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sarcozona
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“Unprecedented” Google Cloud event wipes out customer account and its backups

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“Unprecedented” Google Cloud event wipes out customer account and its backups

Enlarge (credit: Bloomberg via Getty Images)

Buried under the news from Google I/O this week is one of Google Cloud's biggest blunders ever: Google's Amazon Web Services competitor accidentally deleted a giant customer account for no reason. UniSuper, an Australian pension fund that manages $135 billion worth of funds and has 647,000 members, had its entire account wiped out at Google Cloud, including all its backups that were stored on the service. UniSuper thankfully had some backups with a different provider and was able to recover its data, but according to UniSuper's incident log, downtime started May 2, and a full restoration of services didn't happen until May 15.

UniSuper's website is now full of must-read admin nightmare fuel about how this all happened. First is a wild page posted on May 8 titled "A joint statement from UniSuper CEO Peter Chun, and Google Cloud CEO, Thomas Kurian." This statement reads, "Google Cloud CEO, Thomas Kurian has confirmed that the disruption arose from an unprecedented sequence of events whereby an inadvertent misconfiguration during provisioning of UniSuper’s Private Cloud services ultimately resulted in the deletion of UniSuper’s Private Cloud subscription. This is an isolated, ‘one-of-a-kind occurrence’ that has never before occurred with any of Google Cloud’s clients globally. This should not have happened. Google Cloud has identified the events that led to this disruption and taken measures to ensure this does not happen again."

In the next section, titled "Why did the outage last so long?" the joint statement says, "UniSuper had duplication in two geographies as a protection against outages and loss. However, when the deletion of UniSuper’s Private Cloud subscription occurred, it caused deletion across both of these geographies." Every cloud service keeps full backups, which you would presume are meant for worst-case scenarios. Imagine some hacker takes over your server or the building your data is inside of collapses, or something like that. But no, the actual worst-case scenario is "Google deletes your account," which means all those backups are gone, too. Google Cloud is supposed to have safeguards that don't allow account deletion, but none of them worked apparently, and the only option was a restore from a separate cloud provider (shoutout to the hero at UniSuper who chose a multi-cloud solution).

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sarcozona
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Is there bird flu in California's wastewater? - Los Angeles Times

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An unusual surge in flu viruses detected at wastewater treatment plants in California and other parts of the country is raising concerns among some experts that H5N1 bird flu may be spreading farther and faster than health officers initially thought.

In the last several weeks, wastewater surveillance at 59 of 190 U.S. municipal and regional sewage plants has revealed an out-of-season spike in influenza A flu viruses — a category that also includes H5N1.

The testing — which is intended to monitor the prevalence of “normal” flu viruses that affect humans — has also shown a moderate to high upward trend at 40 sites across California, including San Francisco, Oakland and San Diego. Almost every city tested in the Bay Area shows moderate to high increases of type A viruses.

Alexandria Boehm, professor of civil and environmental engineering at Stanford University and principal investigator and program director for WastewaterSCAN — an infectious disease monitoring network run by researchers at labs at Stanford, Emory University and Verily, Alphabet Inc.’s life sciences research organization — was careful to note that an increase in human influenza A virus in wastewater does not necessarily mean that bird flu is present. However, it does raise that question.

Some experts fear that H5N1 is essentially flying under the radar, spreading undetected among birds, livestock and possibly humans, and say the increase in positive test results at sewage plants could be an indication of this. They worry that if the virus continues to spread among livestock, there is a greater risk that the virus will mutate in a way that makes it more of a threat to humans.

“There seems to be an outbreak throughout California, and, as far as I know, they haven’t reported any infected cows in that state yet,” said Marc Johnson, a professor of molecular microbiology and immunology at the University of Missouri, referring to the cluster of yellow and orange dots on the WastewaterSCAN map.

Johnson is among a number of experts urging the U.S. Centers for Disease Control and Prevention to test specifically for H5N1 and to make those results public.

Avian flu has been positively identified in 42 cattle herds across nine states, suggesting its spread has been somewhat limited. However, the wastewater surveillance testing shows a surge in flu viruses in 23 states, including some that have seen outbreaks at dairy farms.

Boehm said they have testing in 41 states; not all states participate in the WastewaterSCAN academic program.

So far, there have been no reported herds infected in California, which is the nation’s largest milk producer. The state supplies roughly 20% of the nation’s milk, is home to about 1,300 dairy farms and has an estimated 1.7 million dairy cows.

Most human influenza viruses are seasonal, arriving in the fall and disappearing by early spring. Therefore, finding the virus in wastewater during these periods is “what we’d expect when you have more influenza cases in hospitals, more hospitalizations, more emergency department visits,” said Boehm, the Stanford professor.

“What we’ve noticed this year is that after influenza season, there was a fraction of the wastewater treatment plants we survey, that when we looked closely at them at the end of April, there were increases,” she said, including some really “obvious” ones such as two in Amarillo, Texas, where they knew H5N1 had been detected in dairy cattle nearby.

The team contacted the local public health department and got permission to test for bird flu virus. It was a match. So, too, was the wastewater from a Dallas plant.

Boehm said the finding suggests that the increases they are observing at these other sites — 59 of the 190 that they track — might also be avian flu.

She said the sites they are looking at deal with municipal, not agricultural, wastewater, “so they’re not getting farm runoff.”

Instead, at least in the case of Amarillo, it’s probably from permitted dairy processing centers — “places that were making cheese or yogurt ... that had a permit to discharge into the waste stream.”

What’s causing the upward trend at other sites is not clear. But if the uptick is the result of bird-flu infected dairy getting into the municipal waste stream — and since milk is generally trucked from dairies to processing centers — the source of infection is probably not too far away. These positive sites provide a geographical flag for public health officials to take a closer look. (The CDC has said that pasteurization of milk kills the virus.)

Johnson, who developed an H5N1 assay to test wastewater in Missouri, was asked by federal officials to withhold using the test for fear it could “add to the confusion.”

“This is the perfect example of why it makes sense,” to test specifically for H5N1 in wastewater, he said. “Because then you would know whether this is really H5, because no matter where it’s coming from, if it’s showing up in California, that’s saying something.”

Johnson said if the tests show it’s H5N1, there could be infected cows in California.

The CDC monitors roughly 600 sites, and “what we are seeing is very localized increases that are out of season for seasonal flu,” said Amy Kirby, senior service fellow in the Waterborne Disease Prevention Branch at the CDC.

She said that when they see those increases, they go in for a deeper look.

In an interview on Friday, she said she was unable to provide more information, because the agency was “finalizing that data and checking it to make sure it’s correct.”

Tom Skinner, a CDC spokesman, said that data will be available on the agency’s avian flu dashboard Tuesday. He said in an email that some of the sites they’ve looked at are in California, but declined to add more information until after the agency has posted its own dashboard.

To some researchers, the spike in viruses found in wastewater is a call to action.

“I think we have a good opportunity here to kind of prepare in case of the worst case scenario,” said John Dennehy, a virologist at the City University of New York’s Graduate Center. “Now, we know it’s there. We know it hasn’t jumped into humans yet, but can we muster the public health infrastructure to prepare in advance if this should jump over from cows into humans? Whether it is coming from milk? Or some other means?”

It was in Dennehy’s laboratory that New York City’s coronavirus wastewater test was developed.

Dennehy and his colleague, Denis Nash — distinguished professor of epidemiology and executive director of City University of New York’s Institute for Implementation Science in Population Health — said it’s only been since about 2020 that researchers have been using wastewater surveillance to monitor public health.

It’s now seen as a “first line” method of surveillance — gathering information about outbreaks of flu, polio, rhinoviruses and other diseases. But it’s largely been driven by academics and local agencies.

In the case of bird flu, a more centralized, or organized, system of monitoring and messaging is required, they said.

“I think the important thing here is that CDC should be describing what’s going on with influenza A in wastewater,” said Nash. “It’s great that academics are doing it. We all are stepping in because it often seems like the government is a little bit delayed or just not engaged. But really, the CDC should be leading this.”

Calls to wastewater treatment centers in Santa Cruz and Oakland went unreturned. A query to an official at UC Davis’ wastewater treatment center, which shows an uptick, also went unanswered.

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sarcozona
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The great Canadian climate divide | Canada's National Observer: Climate News

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Our nation’s next climate target, pledged under the global Paris Agreement, is coming up fast in 2030. It works out to 25 per cent below our 1990 level. Many eastern provinces will have to work hard to meet this one. But two of them are already down there, and the rest are at least in the right ballpark. Western provinces, however, remain recklessly far away, high up the crumbling climate cliff.

To provide some international comparisons, I’ve added our peers from the Group of Seven (G7) nations to the chart.

Collectively, these wealthy industrialized nations emit one-third of global climate pollution and produce half the world's GDP. If the world is going to have any shot at preventing a full-blown climate crisis, this group with much of the world's financial resources, capabilities and talent must lead the way.

As this second chart shows, Canada is the only G7 nation still emitting more than it did in 1990.And you can easily see why. Canada is being dragged away from its G7 peers by the ongoing failure of all our western provinces to rein in their climate pollution.In contrast, all our eastern provinces are down with the G7 pack.

Quebec, for example, has reduced emissions by roughly the same percentage as the United States; Ontario has cut back to the same level as Japan; and New Brunswick and Nova Scotia are on par with Italy and France.

So far, no Canadian province has put in the effort needed to keep pace with global leaders like Germany and the United Kingdom (U.K.). Both of these top-10 global economies have cut their emissions in half.

The best option we have left is to start now. We should adopt key policies that work for our peers, like the U.K.'s successful Carbon Budget Act of 2008.

What’s going on with Western Canada?

The obvious question posed by Canada’s huge West versus East divide is: What's causing it?

Is there some big regional factor? If so, what’s the fix?

In the second half of this article, I dig through the data looking for the answer.

For those readers who want to skip the nitty-gritty details, the short answer is that I couldn’t find a simple answer. I had hoped to find a single factor that explained the divide. But what I found is that each province seems to be dancing to its own drummer. So, maybe the fact that all our climate-failing provinces are in the West is more random than regional.

For readers who want to see details of what I found and then draw their own conclusions, read on.

The role of the oil and gas sector?

The first thing I looked into was whether the oil and gas sector was driving the West versus East divide.

As most readers know, expansion by the oil and gas industry has caused the largest increase in Canadian emissions, and it is concentrated more in the West. So, is this sector responsible for the West's lack of climate progress?

Apparently not.

My next chart lets you compare provincial emission changes with, and without, the oil and gas industry.

The light bars include emissions from all sectors. This is the change we focused on in the first half of the article. For example, B.C.’s emissions overall are 26 per cent higher than in 1990.The darker bars exclude the oil and gas sector. They show you what each province has done with their emissions outside the oil and gas sector. For example, B.C. has increased emissions in all the rest of its economy outside the oil and gas sector by 15 per cent since 1990.

As the chart clearly shows, the West versus East divide is not driven solely by the oil and gas industry. All the western provinces have increased emissions outside their oil and gas sector. And all the eastern provinces decreased their emissions outside their oil and gas industry.

To be honest, I was surprised by how remarkably similar the pattern is with and without the oil and gas sector. The only province showing a dramatic difference seems to be Alberta. This makes sense given that Alberta hosts the oilsands industry, whose emissions have exploded since 1990.

The role of electricity generation?

The second factor I looked at is the electricity sector.

Nearly all emissions reductions in Canada, so far, have come from cleaning up electricity generation. And these reductions have been unevenly distributed across the provinces. Could this sector explain our West versus East climate divide?

Again, the answer seems to be no.Here’s the same chart as above, but this time I’ve excluded the electricity sector.Comparing the light and dark bars shows that the West versus East divide is just as dramatic without the electricity sector.

Nearly every province is doing worse with their emissions outside the electricity sector than with it. But for some provinces, the difference is especially startling. For example, look at how high Alberta’s emissions have risen outside the electricity sector (dark bar) — up 80 per cent since 1990. And in Ontario, emissions progress since 1990 disappears outside the province's electricity sector.

The role of population shifting West?

The last single factor I looked at was population changes.

Overall, Western Canada has seen greater population growth than Eastern Canada. So, to adjust for different population growth rates in the provinces, I got population data from Statistics Canada and calculated provincial emissions per person. My third chart shows how emissions per capita have changed for each province.

Once again, the West versus East divide shows up.All western provinces have done less to clean up their emissions per capita than all the eastern provinces have.You may have noticed that there is one exception in this case: Newfoundland and Labrador. That’s maybe not so surprising given its unique position as the only province having lost population since 1990.

Before leaving this chart, I think it’s worth noting the huge range in Canada on this measure of climate progress. At one extreme is Saskatchewan, which managed to increase emissions per person by 30 per cent. At the other extreme is Ontario, which has reduced emissions per person by 40 per cent.

The big geeky chart

Failing to find any single factor to explain our West versus East divide, I did what any data geek would do — I got a lot more data. The result is this big geeky chart below.

The dots on this chart show the overall provincial change we’ve been looking at in the earlier charts. For example, B.C.’s dot shows it has increased emissions 26 per cent since 1990.All those coloured bars show sector changes within each province.For example, B.C.’s largest bar is orange (transport). That tells us that transportation has had the biggest impact on this province’s emissions. The bar is 16 percentage points high. That tells us that transport has increased B.C.’s emissions by 16 per cent since 1990.

As we will see in more detail below, there isn't a strong pattern as to which specific sectors have the greatest impact across the provinces.

Instead, the strongest pattern I found on this chart concerns the number of sectors that are increasing versus decreasing emissions.

All western provinces have increased emissions. And in all of them, the majority of their sectors have also increased emissions.

All eastern provinces have decreased emissions. And in all of them, at least half their sectors have also decreased emissions.

This correlation holds up in the extremes, too. The provinces with the biggest emissions change, up or down, have the most sectors pointing in the same direction.

Everyone is dancing to their own drummer

As noted above, there isn’t a strong pattern concerning which sectors have the biggest emissions impact across the provinces. Instead, it seems that each province is dancing to its own drummer.

At least, that’s my takeaway after I walked through the top two sectors in each province. Below is a quick summary of these top two from coast to coast. Take a look at how extremely varied the mix is and see what you think.

On the chart, I’ve highlighted the top two sectors while fading out the rest.And here’s a written cheat sheet that lists the top two in order. Bold shows increased emissions, italics show decreased emissions.

BC: transport, fossil fuels.


AB: fossil fuels, electricity.
SK: fossil fuels, agriculture.
MB: agriculture, transport.
ON: electricity, industry.
QC: industry, transport.
NB: electricity, fossil fuels.
NS: fossil fuels, electricity.
PEI: buildings, transport.
NL: transport, electricity.

Amazingly, the one-two pairing is unique in each province.

I admit that I was both surprised and disappointed by this. Simple answers feel easier to deal with.

But I also know the classic climate mantra that there isn’t any silver bullet for solving the climate crisis — we need “silver buckshot” instead. And at the end of the day, all sectors in all provinces must reduce all emissions all the way down to net zero. That net-zero day is barrelling towards us quickly.

Fortunately, we have examples of peer nations that are successfully reducing emissions across all sectors, like Germany and the U.K. We can adopt the policies that have driven down emissions so successfully for them.

So, we know what to do. And we've known it for a long time now. We just aren’t doing it ... yet.

That holds especially true for our western provinces. Whether their collective climate failure is driven by some mix of regional forces or is just a random cluster of foot-draggers, it is long past time they stop dragging the rest of Canada back with them and finally join the race for a safe and sane future.

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sarcozona
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