The Dictatorship
Florence Pugh’s surprise diagnosis highlights the downsides of a patriarchal health system
A recent account from Oscar-winning actress Florence Pugh is a sober reminder that even with exceptional levels of fame and resources, women overwhelmingly lack basic tools to understand our own bodies, and overall health.
After experiencing some difficult to place symptoms, Pugh visited a doctor, who suggested she undergo an egg count test — an unusual recommendation for someone who is only 27. The test ultimately led to a diagnosis of both polycystic ovary syndrome (PCOS) and endometriosis. Pugh reportedly was shocked, but also relieved — it finally made sense, she told her physician Dr. Thaïs Aliabadi on the “SHE MD” podcast that Aliabadi hosts with Mary Alice Haney. For years, Pugh had dealt with symptoms like unusual hair growth and acne, which she had attributed to “being a woman” with a “slightly stressful life.” As it turned out, it wasn’t all in her head.
Suddenly, she was forced to think about her future and her fertility, something she had assumed she had nearly a decade to consider.
In the same podcast episode, Pugh described the diagnosis as a “mind-boggling realization.” Suddenly, she was forced to think about her future and her fertility, something she had assumed she had nearly a decade to consider. Advised to freeze her eggs, she followed through and is now sharing her story to encourage other women to take charge of their reproductive health and lives.
When I froze my eggs and documented the process for Armchair Expert’s “Race to 35,” I was struck by how difficult it was to get clear answers about my own body and how much of the responsibility fell on me to figure it all out. I was sent home with a collection of hormones and needles and expected to adhere to a rigorous regimen and mixing schedule, with the warning that a mistake could ruin the entire process. The mental strain of the entire ordeal felt more taxing than the physical toll it was taking to inject myself everyday and get blood tests and transvaginal ultrasounds every 72 hours.
I remember thinking that if men had to freeze their eggs, the service would include a personal nurse, a therapist, a chef, a driver, and probably a life coach. The potential for errors, and the high stakes attached, was staggering, especially given the often prohibitive cost of the procedure. Why are women expected to know so much with so little support?
Part of it is social conditioning. Women are so often seen as caretakers, not the ones who need to be cared for. The data reflects this patriarchal misconception. Women are more likely to be misdiagnosed than menand their ailments receive less research funding. Endometriosis, the condition affecting Pugh and an estimated 1 in 10 women globallyis a stark example of gender disparities in medical research. A McKinsey report found that erectile dysfunction, despite being far less common, receives six times more research funding than endometriosis. From 2019 to 2023, erectile dysfunction was allocated $1.24 billion, while endometriosis received $44 million. It’s infuriating given that endometriosis has far more life-threatening impacts (it can cause ectopic pregnancies, bowel obstruction and even cancer) and that it impacts a larger portion of the population. Simply put, our priorities don’t reflect our needs.
And let’s be clear — the issue isn’t men; it’s the patriarchy. Women’s symptoms are disproportionately dismissed as psychosomatic, leading to a systemic lack of belief and trust in their own accounts of their health. This bias isn’t confined to male doctors; female doctors can also perpetuate it. Pugh, for instance, said she faced dismissal from a female doctor in the U.K. when she brought up her diagnosis. While studies show women are less likely to die under the care of female doctorsthe reality is that even women in medicine can underestimate or overlook female painreflecting the broader cultural tendency to belittle it. And this is far worse for women of colorwhose pain is ignored at even greater rates and can lead to far graver consequences for them.
So how do we solve this?
According to Dr. Elizabeth Comen, an Associate Professor of Medicine at NYU Langone and author of the book “All in Her Head: The Truth and Lies Early Medicine Taught Us About Women’s Bodies and Why It Matters Today,” the most important step women can take is to find a buddy. “I don’t care if you’re Einstein; you need to have somebody with you to advocate for you,” she told me over the phone. “When you’re worried and anxious, you need that support to help filter the information in context.”
Dr. Comen also emphasized the need to shed the specific, yet universal, shame women often feel about not knowing how to advocate for themselves, despite often being so skilled at advocating for others. “Whether it’s homeless women, royalty, or the heads of hedge funds, every woman has that story. Women can find sisterhood in that shared experience,” she said. “This work cannot happen alone.”
If it happened to Florence Pugh, it can happen to anyone. As we wait for our culture and medical establishment to catch up, women leaning on each other isn’t just support; it’s a quiet revolution.
The Dictatorship
Azerbaijan Airlines flight carrying 67 people crashes in Kazakhstan
-
Now Playing
-
UP NEXT
‘Not for sale’: Denmark hits back at Trump renewing wish to control Greenland
11:50
-
Tips to avoid holiday travel woes
04:55
-
Bill Clinton discharged from the hospital after being treated for the flu
01:41
-
Trump resurrects idea of purchasing Greenland and obtaining control of the Panama Canal
01:51
-
Unpacking grief and loss during the holiday season
06:08
-
Gaetz ‘playing victim’ by saying people are out to get him as report is released: Buck
06:45
-
What comes next for Mangione case? Murder suspect pleads not guilty to state charges
04:41
-
Congress can ‘thread the needle’ on shutdown but can’t ‘listen to people outside’: Rep. Quigley
05:16
-
U.S. delegation to Syria is ‘ambitious’ but key to prevent ‘vacuum of authority’: Richard Haass
07:14
-
‘There’s a deal to be made’ if GOP spending bill has no surprise ‘poison pills’: Sen. Merkley
05:00
-
Shutdown creates ‘unnecessary chaos’, we need ‘bipartisan support’: Rep. Lawler
07:46
-
Sen. Cardin: ‘I have serious concerns’ over Trump’s national security picks
06:50
-
Basic functions of government ‘very much in jeopardy’ due to Musk intervention: Sen. Welch
04:48
-
What is next for Syria’s government? U.S. should be ‘cautious’ with involvement
02:36
-
Mayorkas on Trump assassination attempts: ‘No question’ there were Secret Service failures
08:47
-
Mayorkas on Chinese hackers breaching American data: ‘Very, very serious matter’
07:40
-
‘A lot of verification’ that he’s alive: Mother of missing journalist Austin Tice speaks out
07:58
-
Ukraine trying to ‘shake up’ political dynamic around war with killing of top Russian general
08:35
-
Senators are voting on RFK Jr.’s views not Trump’s: Rucker
04:13
-
Now Playing
Azerbaijan Airlines flight carrying 67 people crashes in Kazakhstan
02:30
-
UP NEXT
‘Not for sale’: Denmark hits back at Trump renewing wish to control Greenland
11:50
-
Tips to avoid holiday travel woes
04:55
-
Bill Clinton discharged from the hospital after being treated for the flu
01:41
-
Trump resurrects idea of purchasing Greenland and obtaining control of the Panama Canal
01:51
-
Unpacking grief and loss during the holiday season
06:08
The Dictatorship
I was twelfth on Nixon’s enemies list. I wouldn’t wish being a sitting president’s enemy on anyone.
With talk of President-elect Donald Trump and his pick for FBI director Kash Patel reportedly assembling an “enemies list” of people to target in their incoming administration, I can’t help reflecting on my own experience being named and targeted in a similar scenario, back in the 1970s.
After serving as administrative assistant to New York City Mayor John Lindsay, I decided to switch lanes. I left City Hall and opened a restaurant called Jimmy’s on 52nd Street with Dick Aurelio, who served alongside me in the Lindsay administration as first deputy mayor. (Journalist Jimmy Breslin was going to invest with us, but he had a television contract at one of the local networks and they didn’t want his name being associated with a gin joint — but we kept the name anyway.)
Suddenly everyone at the bar starts yelling at me, “Sid! They’re talking about you on the TV!”
Located next to the 21 Club, Jimmy’s had a thriving scene with a politically connected crowd. Local elected officials were always in and out the place, including Tip O’Neill, Sen. Jacob Javits and Mario Cuomo, the future governor. Other famous personalities would hang around the bar when they were in town, including political commentator William Buckley. The televisions at the bar were always turned on, and we even had an Associated Press ticker near the door.
In June 1973, the Watergate hearings were being broadcast live. One day, suddenly everyone at the bar starts yelling at me, “Sid! They’re talking about you on the TV!” Then-White House Counsel John Dean had just testified that President Richard Nixon kept an enemies list, and I was No. 12 on that list.
The phones quickly lit up. Every reporter in town was calling the restaurant trying to get ahold of me for an interview. Every TV reporter in New York and beyond, and also my mother.
Breslin gets through to me first. Tells me he wants the exclusive. That I had just become a “national figure.” I worked out some of the details, promised I’d talk to him first, then called back my mother, who was in Florida and immediately asks, “What did you do?! Everyone is calling me saying the president doesn’t like you!” I calmed her down and went back to try to figure out what the hell was going on.
Keep in mind, I am 32 years old at the time, the son of a candy store owner from Queens. And here I am on the enemies list of the president of the United States. It was surreal.
At first, we had a blast with it. That Saturday night we hosted an “enemies’ ball” on the downstairs floor of the restaurant that included those of us who opposed the president. But after some time, it all began to take a turn. Suddenly, the IRS starts investigating me, claiming I owed hundreds of thousands of dollars in taxes in FICA for employee fees. Tack on some late fees and penalties and before you knew it, they were claiming I owed close to a million dollars. The state of New York also came after me. I was accused of embezzling funds by state Attorney General Louis Lefkowitz, who worked closely alongside Republican Gov. Nelson Rockefeller. My friends in the attorney general’s office told me they had no choice. Federal agents showed up at the apartment building of the young woman I was dating at the time. They questioned her doormen and wanted to know about my comings and goings.
Although in many ways it remains my proudest moment, the fallout was difficult to deal with. I became a target of the national government virtually overnight. The force of government coming after an individual like that is not a fun place to be.
Throughout my life I have kept asking myself, how did this all come about? Why me? In a nation of more than 200 million people at the time, why did Nixon see me and Lindsay as a such a threat? For whatever reason they couldn’t get to Lindsay, so they got to me. The next best thing, I suppose.
In the notations I was described on the enemies list as “Lindsay’s top personal aide: a first class S.O.B., wheeler-dealer and suspected bagman. Positive results would really shake the Lindsay camp, and Lindsay’s plan to capture the youth vote. Davidoff in charge.”
It was a bit of a merit of honor for me in the long term, but, man, that period was rough. Eventually, a judge threw out the indictment. I’ve since gone on to live a very full and positive life, and I wouldn’t trade any of it for anything. I think it should absolutely be carved into my gravestone: “He was lucky enough to be on Nixon’s enemies list.”
Still, I wouldn’t wish that kind of trouble on anybody. And I’m not sure anyone who finds themselves on Trump’s list will feel as lucky as I do, this many years on.
Sid Davidoff
Sid Davidoff is the founding partner of Davidoff Hutcher & Citron LLP, chair of their government relations practice and a member of the Economic Development & Tax Incentives law practice. Previously he serving as administrative assistant to New York City Mayor John Lindsay and has represented former New York City Mayor Bill de Blasio as an ex-officio trustee on the Board of Trustees of the Wildlife Conservation Society.
The Dictatorship
The new Bob Dylan biopic isn’t a history lesson. That’s OK.
After a seemingly endlessthough occasionally hilariouspre-release media campaign, “A Complete Unknown,” the Bob Dylan biopic starring Timothée Chalamet, is now in theaters. As with any biopic, there are questions about its historical accuracy — both from sincerely curious fans and from nitpicking diehards.
Pay the armchair historians no mind. Yes, the film gets whole swaths of the known story of Dylan’s early days in Greenwich Village wrong, but those gripes are largely irrelevant. Hollywood has long taken artistic license in portrayals of real-life characters; what matters is how a film does it. Director and co-writer James Mangold and his co-writer Jay Cocks may not always stay true to the literal facts, but they nail the look, feel and emotional and artistic arc of Dylan’s life in the early 1960s.
As the film mentions more than once, Dylan himself began his career by creating a biography from whole cloth.
Besides, when I interviewed Dylan in 2022, and asked him how he imagined a young artist might approach weeding through the infinite choices Spotify offers, he told me, “You’d have to limit yourself and create a framework.” With so much information, so many characters and so many diverging stories making up the early days of Dylan’s professional life, Mangold took essentially the same approach, to great effect. While some may quibble, it is, after all, just a movie, not a history lesson.
Elijah Wald, author of “Dylan Goes Electric!,” on which “A Complete Unknown” is based, says he’s untroubled with the artistic license that Mangold took with his work. “The book was optioned almost a decade ago, and was going to start production just as the pandemic kicked in,” Wald says, “but I think it really benefitted from that delay. It would have been a different film. The script would have been different. And Timothee wouldn’t have had those years of absorbing himself in Dylan’s music; of learning to play the guitar and harmonica. It would have been more an imitation, because he wouldn’t have been able to go so deep. All those things add up to a very different film.”
As the film mentions more than once, Dylan himself began his career by creating a biography from whole cloth, and he has continued to fast and loose with his life’s story throughout his career. For writers covering him, parsing fact from fiction has been a fun, if sometimes frustrating task. But thanks to the dogged work of numerous writers, historians and documentarians, the story of Dylan’s early years are pretty well known, including the film’s moment at 1965’s Newport Folk Festival when Dylan strapped on an electric guitar, simultaneously decimating the cultural importance of that gathering of folk purists and essentially inventing the modern rock star.
So why let the facts get in the way of great storytelling, especially if Mangold, Cocks, Chalamet and company capture the feel and the significance of the period so well?
“There were many people who were pivotal people in the Greenwich Village scene who are not there at all; important people like Phil Ochs, Glen Chandler and Tom Paxton, which I found really irritating,” says author David Browne, author of a new history of Greenwich Village’s bohemian music scene. “But wrapping the film up in an almost completely imagined relationship between Dylan and Pete Seeger — because it was easy to make Dylan a disrupter to the Pete Seegers of the world, even though he was just as disruptive to his contemporaries — as well as a love triangle, makes storytelling sense, and I wound up really liking the film.”
Where do you start if you want to know what really happened to Bob Dylan and his fellow folkies — almost all of whom are barely even mentioned in the film — and what led him to abandon the scene that had nurtured him so unceremoniously?
Why let the facts get in the way of great storytelling?
Wald’s own “Dylan Goes Electric!” is an obvious must-read. The narrative at the book’s heart, chronicling the parallel lives of Dylan and Pete Seeger, allowed Mangold to streamline the film’s narrative, dispensing with many of the Greenwich Village characters Dylan befriended (and often exploited) in favor of Seeger as Dylan’s mentor, foil and unwitting nemesis.
And while Dylan’s own 2004 memoir “Chronicles, Volume One” is replete with half-truths, quarter-truths and not-truths, his recollections of his days in Greenwich Village are gripping, detailed and full of characters and anecdotes that capture the time and place perhaps even better than “A Complete Unknown.”
A fantastic complimentary memoir to Dylan’s is artist Suze Rotolo’s “A Freewheelin’ Time: A Memoir of Greenwich Village in the Sixties.” Rotolo was the model for the film’s Sylvie Russo — whose name and character were reportedly fictionalized at Dylan’s own request — but her relationship with Dylan was only a small part of a long and fascinating life. And while her book doesn’t ultimately paint the real-life Dylan in the most positive light, it gives amazing insight into his origin story.
As for the broader background from which Dylan sprung, the core of Browne’s book, “Talkin’ Greenwich Village,” revolves roughly around the period when Judy Collins, Peter, Paul and Mary and eventually Dylan put the neighborhood on the map for young, aspiring East Coast musicians. Quite literally everyone who has been excised from Dylan’s story as told in “A Complete Unknown” — from artists like Dave Van Ronk and Phil Ochs to Dylan’s early patrons and managers like Carolyn Hester and Terri Thal — are present. And even those who do appear in one form or another in the film become fully realized figures in Browne’s book.
Finally, “Bob Dylan in America” by Sean Wilentz is a great choice for anyone looking for something meaty that places Dylan in the wider context of the culture and the times. Wilentz, who is both an esteemed historian and a true fan of Dylan, also digs deep into the artist’s early inspirations, from the Popular Front to the Beats, which are barely even hinted at in Mangold’s film.
Yes, “A Complete Unknown” may not be completely accurate. Like so many rock ’n’ roll biopics, though, its goal was not historical fidelity, but entertainment and the introduction of an important artist to a new generation. So break out the popcorn, damn the facts, and ask your local cinema to turn up the volume.
Jeff Slate is a New York City-based songwriter and journalist. His writing can be found at The New Yorker, Esquire, The Wall Street Journal and Rolling Stone, among others. He tweets at @jeffslate.
-
Economy2 months ago
Fed moves to protect weakening job market with bold rate cut
-
The Josh Fourrier Show2 months ago
DOOMSDAY: Trump won, now what?
-
Economy2 months ago
Harris dismisses Trump as ‘not serious’ on the economy in BLN interview
-
Congress2 months ago
Trump’s border czar promises ‘hell of a lot more’ deportations than first term
-
Health Care2 months agoAnti-abortion forces broke the left’s post-Roe winning streak, but 7 more states enacted protections
-
Economy2 months ago
It’s still the economy: What TV ads tell us about each campaign’s closing message
-
Economy2 months ago
Biden touts economic gains, acknowledges a long way to go
-
Health Care2 months ago
More abortion ballot measures are set to pass. Then state courts will have their say.