Monthly Archives: February 2017

David Haye hits back at ‘jealous’ Tony Bellew as he eyes longevity – ESPN

Posted: February 23, 2017 at 12:47 pm

David Haye has defended his sun-drenched preparations for his fight against Tony Bellew on March 4 and claims he still has a "whole career" ahead of him.

Former heavyweight world titleholder Haye, 36, has fought just twice since July 2012, and he has raised a few eyebrows by spending time on a boat in Miami while his British opponent trained at a gym in Rotherham.

David Haye might have been training on a luxury yacht in Miami, but make no mistake, he will be ready for his fight with Tony Bellew on March 4.

Tony Bellew says he's 'got plans' for David Haye on Monday as the two heavyweights square off at a news conference ahead of their fight on March 4.

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"I've had a lot of time to reflect on my career, and that's culminated in me standing right here, knowing exactly what needs to be done in training to get the best out of myself," Haye told Sky Sports.

"Although I haven't fought in competitive fights for five years, I'm fresh. I haven't taken any big punches, my body is in good condition and I'm ready to go. I feel like I've got a whole career ahead of me."

Bellew has questioned Haye's regimen, but Haye claimed it would bring success against the best in the world.

"He [Bellew] is just jealous because he doesn't get invites to anything, because he's just a real dull character. A moaning, negative, dark-clouds-around-him guy," Haye said

"If I was fighting Anthony Joshua, I would be doing exactly the same training, because I believe this works for me. The training of old doesn't work for me anymore. My body breaks down.

"This type of training, where you incorporate fun, happiness, sunrises, sunbathing -- this works for me. And you'll see come fight night the difference between a happy athlete and an angry athlete."

On Wednesday, Haye suggested a barrier to keep the two fighters apart during their pre-fight news conference after Bellew claimed he was prepared to "smack" his opponent if provoked.

"There needs to be protection. A human being isn't enough," Haye told reporters. "Whatever it is, glass or whatever."

He added: "I'm going to make sure he is not in striking distance. I'd love to have confidence that he will keep his hands to himself, but I don't have any confidence in him, in his mental state.

"Hopefully there will be some sort of precautions put in place."

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Blogger’s Eczema Post Reminds Us Social Media Shows Off ‘The … – Huffington Post Canada

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We all fall into the ugly habit of believing everything we see on social media is real life.

And for many of us, this means scrolling through images of clear skin, flawless makeup and bodies that appear perfect. But British-based fitness blogger Carys Gray wants to debunk this myth and prove not everything you see online is "the good."

"Slightly different #REALITYCHECK today! We all have good days and we all have bad days I have a skin condition called eczema and sometimes my skin is happy as Larry and sometimes it has flare ups," she wrote on Instagram.

"Social media/Instagram will show the good days. The good parts of people and their lives and that's ok!! That's what social media is for!," she continued.

"But here's a reminder that next time you see something on social media that you think is 'goals' that it's not the full story, it's not how that person will look or be alllllll the time."

In the pair of photos, one shows Gray wearing a full face of makeup, while the other is makeup-free. In the second picture, you can see Gray's eczema and red skin.

"When my eczema isn't under control, it's very blotchy, sore and I can't wear any make up," she wrote. "both me, both real and both totally acceptable."

She adds she is still struggling to accept the photo on the right, and it continues to be an insecurity for her.

"I'm learning to accept myself knowing that everyone has their own struggles and insecurities and that's what makes us unique and special."

Eczema appears in both childredn and adults, and can lead to itchy, inflamed and uncomfortable skin. While there is no quick-fix for the condition, there are precautions people can take.

Using calming creams, supplementing your diet and stepping away from the shower occasionally can help.

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Depression in Psoriasis Patients Ups Risk of Arthritis – PsychCentral.com

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Psoriasis is a lifelong inflammatory skin disease characterized by red, itchy, and scaly patches of skin. Those who suffer from this disease are also at increased risk for many major medical disorders, including psoriatic arthritis, a type of arthritis characterized by psoriasis plus inflammation of and around the joints.

Now a new Canadian study published in the Journal of Investigative Dermatology finds that psoriasis patients who develop depression have a 37 percent greater risk of subsequently developing psoriatic arthritis, compared with patients who do not develop depression.

For many years, the rheumatology and dermatology communities have been trying to understand which patients with psoriasis go on to develop psoriatic arthritis and how we might detect it earlier in the disease course, said lead researcher Cheryl Barnabe, M.D., M.Sc., of the McCaig Institute for Bone and Joint Health and the OBrien Institute for Public Health, Cumming School of Medicine, at the University of Calgary.

Depression is quite common among psoriasis patients. Based on recent laboratory findings showing that major depressive disorder is associated with increased systemic inflammation, the researchers hypothesized that psoriasis patients who develop depression may be at increased risk of developing psoriatic arthritis.

There is a tendency to think of depression as a purely psychological or emotional issue, but it also has physical effects and changes in inflammatory and immune markers have been reported in depressed people, commented Scott Patten, M.D., Ph.D., the OBrien Institute for Public Health, Hotchkiss Brain Institute and Mathison Centre for Mental Health Research and Education, Cumming School of Medicine.

Depression may be a risk factor for a variety of chronic conditions and this research is an example of how big data approaches can identify these associations.

The researchers evaluated data from primary care medical records in the United Kingdom to find over 70,000 patients with a new diagnosis of psoriasis. Then they identified the patients who subsequently developed depression and those who developed psoriatic arthritis. Patients were followed for up to 25 years or until they developed psoriatic arthritis.

Their findings show that patients with psoriasis who developed major depressive disorder were at 37 percent greater risk of subsequently developing psoriatic arthritis compared with patients who did not develop depression, even after accounting for numerous other factors such as age and use of alcohol.

The research emphasizes the need for physicians who treat patients with psoriasis to actively identify and address depression. This could include rapid, effective treatment of psoriasis and psychosocial management of the cosmetic burden of psoriasis.

The findings also draw into question the biological mechanisms by which depression increases the risk for psoriatic arthritis. These mechanisms may include altered systemic inflammation as a consequence of depression, or even the role of lifestyle behaviors such as physical activity or nutrition, which are typically worsened by depression, and which may place an individual at risk for psoriatic arthritis.

It is evident to physicians who treat patients with psoriasis, that there is a significant psychological and social burden associated with this disease, which is reflected in an increase in the rates of depression, said Laurie Parsons, M.D., of the Cumming School of Medicine.

This study brings us a little closer to understanding the role of chronic inflammation as a systemic player in both the physical and psychological manifestations of psoriasis and underscores the need for closer attention to symptoms of depression in this group of patients.

Source: Elsevier Health Sciences

APA Reference Pedersen, T. (2017). Depression in Psoriasis Patients Ups Risk of Arthritis. Psych Central. Retrieved on February 23, 2017, from https://psychcentral.com/news/2017/02/23/depression-in-psoriasis-patients-ups-risk-of-arthritis/116785.html

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Why Your Weight Matters If You Have Psoriasis – Health.com

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If you have psoriasis, you already know that smart lifestyle strategies(such as managing stress, not using harsh soaps, and avoiding certain foods)may help keep symptoms at bay. But one of the most important things you can do to keep the skin condition under control might be to shed extra pounds. Here, five reasons why it's so crucial for psoriasis patients to watch their weight.

Psoriasis is an autoimmune disease, which means the immune system attacks a part of the body (in this case, the skin). The result is raised red, white, or silvery patches on the skin, as well as other possible symptoms such as itching, nail disfigurement, or dry, cracked skin. Psoriasis is a chronic condition, meaning you have it for your entire lifebut weight loss may alleviate some of the symptoms.

"Studies show that diet and exercise canreduce symptoms of psoriasis," says Debra Jaliman, MD, a dermatologist based in New York City.In a recent Danish study published inAmerican Journal of Clinical Nutrition, obese psoriasis participants who lost 10% to 15% of their body weight showed significant improvement in symptoms. What's more, the improvement was long-lasting: a year after the study ended, the participants who lost at least 22 pounds from their start weightcontinued to experience improved quality of life.

RELATED: Kim Kardashian Says Her Psoriasis Is 'Part of Who I Am'

About 10% to 30% of psoriasis patients eventually develop psoriatic arthritis, an autoimmune disease that causes painful, swollen joints. But overweight or obese psoriasis patients may be particularly at risk.In a study published in the journalAnnals of the Rheumatic Diseases, researchersfound a link between obesityand increased chance of developing the condition. The study looked at data collectedovera 15-year period of more than 75,000 people in the UK, and found that psoriatic arthritis incidence rates increased along with BMI.

If you're a psoriasis patient who also has psoriatic arthritis, extraweight can strainyour joints, which may aggravate symptoms.Psoriatic arthritis can affect both smaller joints (think: fingers, toes, wrists) as well aslarge, weight-bearing ones like your kneesand added pounds can put unnecessary pressure on them, making symptoms worse.

"No matter what type of arthritis you have, weight is particularly bad for weight-bearing joints, the hips and knees in particular," says James R. ODell, MD, chief of rheumatology at the University of Nebraska Medical Center in Omaha.

Research appears to backthis up:In 2014, Canadian researchers found that obese psoriatic arthritis patients were less likely to achieve a state of remission than those with lower BMIs.

RELATED: 9 Things People With Psoriatic Arthritis Want You to Know

One reasonwhy obese psoriatic arthritis patients may be less likely to achieve remission? Overweight and obese people dont always respond as well to medications used to treat the disease, according to the Arthritis Foundation.

"You have this perfect storm," says Dr. ODell. "Youre more likely to have problems and to have less response to medication."

Losing weight may help medications work more effectively for both psoriatic arthritis and psoriasis.In a 2014 study of obesepsoriasispatients, researchers found that losing weight helped increase the efficacy of biologic drugtreatments.

RELATED: The 12 Best and Worst Foods for Psoriasis

As an added incentive to slim down, losing weight can also reduce your odds of heart disease, diabetes, and strokeconditions that both psoriasis and psoriatic arthritis patients have an elevated risk of developing.

Dr. ODell explains that he encourages all of his patients to get to (and maintain) a healthy body weight. But this isespecially true for those with conditions like psoriatic arthritis and psoriasis.

For them, "weight loss is doubly important," he says."I would say that to about anybody, [but] sometimes people need another reason or an over-and-above reason [to lose weight]."

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8 ways to manage psoriasis – Netdoctor

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Approximately 1.8 million people in the UK suffer with psoriasis, a chronic autoimmune skin disease. Psoriasis commonly presents in the mid 30s - but it can occur at any age.

Psoriasis is a common skin condition that causes red patches of inflamed skin with silvery-white scales, often on the elbows and knees but may occur anywhere on the body. It is often genetic and is not contagious.

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Skin turnover is accelerated in those suffering from psoriasis, which causes accumulation of cells on the skin surface and leads to scaling. Psoriasis triggers include: stress, cold, dry weather and lack of adequate sun exposure, recent infection such as strep throat and upper respiratory infections, dry skin and injury to the skin such as cuts, burns, and insect bites. Certain medications can induce a psoriasis flare including anti-malarials, beta-blockers, and lithium. Smoking and excessive alcohol consumption may also exacerbate the condition.

Psoriasis can have a significant impact on the quality of life - with confidence, self-esteem and mood often being affected.

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Whilst frustratingly there is currently no cure for psoriasis, there are a multitude of treatment options and lifestyle changes to help manage the condition to a certain degree.

We spoke to Dr Alexis Granite, Consultant Dermatologist at the Cadogan Clinic for her expert tips to help deal with psoriasis...

"The first step in managing psoriasis is to visit a dermatologist. Whilst psoriasis is not curable, there are a multitude of treatment options to help control the disease and improve symptoms. Topical steroids, UV therapy and the newer biologics such as Enbrel are examples of some of the therapies available."

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"Alcohol or acid-based ingredients (glycolic, salicylic and lactic acid) which can be found in soaps, moisturisers and deodorants, can cause irritation and inflammation."

Getty RUTH JENKINSON

"Keeping a daily diary can helpful in monitoring psoriasis flare-ups. Stress levels, diet, exercise, skin products, medications, exposure to sunlight, and sleep and hydration levels may all play a role. Reviewing a daily diary with your skin specialist may help you better understand and manage the condition."

"Stress is a common trigger for psoriasis. Meditating, yoga, acupuncture and exercise are all effective ways to help reduce stress. Also try to ensure you are getting adequate sleep."

"A well-rounded diet including fruits, vegetables, whole grains, fish and monounsaturated fats may help reduce psoriasis flare-ups. For some patients supplements containing omega 3 fatty acids such as fish oil and flaxseed may also be helpful, but it is advisable to speak with a medical professional before introducing nutritional supplements into your diet."

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5 hidden links between illnesses you should be aware of

"Both smoking and excessive drinking may make psoriasis significantly worse."

"Applying emollients regularly helps prevent new psoriatic plaques forming and may reduce reduce itching."

"UV exposure helps reduce psoriasis symptoms, but over-exposure can have a detrimental effect on the skin and increases the risk of skin cancer. Always use sun cream to protect your skin and talk to your healthcare professional about the possibility of in-office or home UV treatment."

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Neanderthal DNA contributes to human gene expression – Phys.Org

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February 23, 2017 This visual abstract depicts the findings of McCoy et al., who show genome-wide interrogation of the functional differences between modern human and Neanderthal alleles reveals that Neanderthal-inherited sequences are not silent remnants of ancient interbreeding but have a measurable impact on gene expression that may contribute to phenotypic variation in modern humans. Credit: McCoy et al./Cell 2017

The last Neanderthal died 40,000 years ago, but much of their genome lives on, in bits and pieces, through modern humans. The impact of Neanderthals' genetic contribution has been uncertain: Do these snippets affect our genome's function, or are they just silent passengers along for the ride? In Cell on February 23, researchers report evidence that Neanderthal DNA sequences still influence how genes are turned on or off in modern humans. Neanderthal genes' effects on gene expression likely contribute to traits such as height and susceptibility to schizophrenia or lupus, the researchers found.

"Even 50,000 years after the last human-Neanderthal mating, we can still see measurable impacts on gene expression," says geneticist and study co-author Joshua Akey of the University of Washington School of Medicine. "And those variations in gene expression contribute to human phenotypic variation and disease susceptibility."

Previous studies have found correlations between Neanderthal genes and traits such as fat metabolism, depression, and lupus risk. However, figuring out the mechanism behind the correlations has proved difficult. DNA can be extracted from fossils and sequenced, but RNA cannot. Without this source of information, scientists can't be sure exactly if Neanderthal genes functioned differently than their modern human counterparts. They can, however, look to gene expression in modern humans who possess Neanderthal ancestry.

In this study, researchers analyzed RNA sequences in a dataset called the Genotype-Tissue Expression (GTEx) Project, looking for people who carried both Neanderthal and modern human versions of any given geneone version from each parent. For each such gene, the investigators then compared expression of the two alleles head-to-head in 52 different tissues.

"We find that for about 25% of all those sites that we tested, we can detect a difference in expression between the Neanderthal allele and the modern human allele," says the study's first author, UW postdoctoral researcher Rajiv McCoy.

Expression of Neanderthal alleles tended to be especially low in the brain and the testes, suggesting that those tissues may have experienced more rapid evolution since we diverged from Neanderthals approximately 700,000 years ago. "We can infer that maybe the greatest differences in gene regulation exist in the brain and testes between modern humans and Neanderthals," says Akey.

One example uncovered by this study is a Neanderthal allele of a gene called ADAMTSL3 that decreases risk of schizophrenia, while also influencing height. "Previous work by others had already suggested that this allele affects alternative splicing. Our results support this molecular model, while also revealing that the causal mutation was inherited from Neanderthals," says McCoy. Alternative splicing refers to a process in which mRNAs are modified before they leave the cell's nucleus. When the Neanderthal mutation is present, the cell's machinery removes a segment of the mRNA that is expressed in the modern human version. The cell ends up making a modified protein because of a single mutation from a Neanderthal ancestor.

The connection between that modified protein, height, and schizophrenia still requires more investigation, but it's an example of how small differences between modern humans and Neanderthals can contribute to variation in people.

"Hybridization between modern humans and Neanderthals increased genomic complexity," explains Akey. "Hybridization wasn't just something that happened 50,000 years ago that we don't have to worry about anymore. Those little bits and pieces, our Neanderthal relics, are influencing gene expression in pervasive and important ways."

Next steps may include investigating whether Denisovansanother species of hominins that crossbred with modern humansare contributing to gene expression, as well as applying the side-by-side method of expression analysis more broadly. For this study, McCoy and his colleagues had to develop a new statistical approach to sift through the immense amount of RNA data, but the same technique could be used to compare gene expression differences between modern human alleles.

Explore further: Long ago humans and Neanderthals Interbred: What happened to Neanderthal genes?

More information: Cell, McCoy et al.: "Impacts of Neanderthal-introgressed sequences on the landscape of human gene expression" http://www.cell.com/cell/fulltext/S0092-8674(17)30128-9 , DOI: 10.1016/j.cell.2017.01.038

Journal reference: Cell

Provided by: Cell Press

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Many people with harmful genetic variants show no ill effects – Spectrum

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Crowd control: Nearly 4 percent of people carry at least one genetic variant tied to a serious medical condition.

brainmaster / Getty Images

Most adults with genetic variants tied to certain conditions, such as heart disease or cancer, go undiagnosed, according to a study of more than 50,000 people1.

The variants silence leaves these people unaware of their risk of developing the conditions later in life, says lead investigator David Carey, director of the Weis Center for Research at Geisinger Health System in Danville, Pennsylvania.

Careys team looked for genetic variants associated with 27 chronic conditions. The list of conditions does not include autism, but does include tuberous sclerosis complex. As many as half of all people with tuberous sclerosis complex have autism. Other teams are studying the same population to gauge the effects of variants linked to autism.

The value lies in the huge population, all captured within the same healthcare system. Its really fantastic, says Dan Arking, associate professor of genetic medicine at Johns Hopkins University in Baltimore, Maryland, who was not involved in the new work.

The variants in the study are clinically significant: Some increase the risk of the linked condition by up to 70 percent. But variants interact with many other genetic and environmental factors, and these interactions may cause the conditions features to be more or less severe or even absent.

People used to say anytime there is a [spontaneous] variant or something really rare, that it must cause disease, says Arking. The new study instead suggests that, on the contrary, some rare variants have weak ties to conditions such as autism, he says. The results appeared 23 December in Science2.

Carey and his team looked at data from the MyCode Community Health Initiative, launched in 2007 by Geisinger Health System in central Pennsylvania. MyCode researchers have collected DNA samples and up to 14 years worth of medical records from the participants.

The researchers probed the 50,726 participants genomes for inserted or deleted sequences, and for single nucleotide variants, called SNVs, in the code. Their analysis revealed that each individual harbors about 21,409 SNVs, consistent with findings from previous studies.

The researchers then narrowed their analysis to 76 genes known to contribute to life-threatening conditions such as cancer or cardiovascular disease. The list includes three genes tied to tumor growth and to autism: PTEN, TSC1 and TSC2. (Clinicians are obligated to counsel individuals with variants in any of these 76 genes.)

Nearly 4 percent of the general population carries variants in at least one of these genes, the researchers found. But more than one-third of these people show no symptoms and have no family history of the linked condition. For example, most of the individuals who carry a variant linked to an inherited condition that causes high cholesterol have normal cholesterol levels, according to a second study by Careys team in the same issue of Science.

The findings could mean the individual will develop the condition later in life or not, Carey says. Other variants in her genome might mitigate the risk, he says.

We generally look at one gene at a time, but we have about 20,000 genes and they all work in concert, Carey says. Were not sophisticated enough yet to be able to tease out all the genetic interactions, but we know that they exist.

Last year, another team of researchers used the MyCode data to show that genetic changes tied to autism also crop up in many people without the condition. At the 2016 American Society of Human Genetics annual meeting in Vancouver, Canada, last year, they presented results showing that about 2,000 of the MyCode participants carry large deletions or duplications of genetic material associated with autism, intellectual disability or schizophrenia. But less than 5 percent of this group has received treatment for any of the conditions.

The finding suggests that genetic variants can confer features so subtle that they go unrecognized well into adulthood. Researchers could study this group to understand the mildest end of the autism spectrum.

This cohort could help us describe the full picture of autism, the breadth of the phenotype, says Christa Lese Martin, director of the Autism and Developmental Medicine Institute at Geisinger Health System in Lewisburg, Pennsylvania. Martin was a lead investigator on the autism study but was not involved in the new work.

About 125,000 people have enrolled in MyCode so far. By early next year, researchers expect to have sequencing data for 90,000 of the individuals.

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Fibrocell Announces Dosing of First Patient in Phase I/II Clinical Trial of FCX-007 Gene Therapy for Treatment of … – P&T Community

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Fibrocell Announces Dosing of First Patient in Phase I/II Clinical Trial of FCX-007 Gene Therapy for Treatment of ...
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Fibrocell is an autologous cell and gene therapy company translating personalized biologics into medical breakthroughs for diseases affecting the skin and connective tissue. Fibrocell's most advanced product candidate, FCX-007, has begun a Phase I/II ...

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OCD-like behavior linked to genetic mutation – Science Daily

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OCD-like behavior linked to genetic mutation
Science Daily
"I believe our study, which found that a mouse with targeted mutations in these genes exhibited OCD-like behaviors, helps support the current genetic studies on neuropsychiatric and neurodevelopmental disorders in humans." The traits of OCD the mice in ...

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Bill Maher isn’t just politically incorrecthe’s politically irrelevant – A.V. Club

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Before Milo Yiannopoulos had even set foot in the studio to record his appearance on Real Time With Bill Maher, there was already a strong backlash against the comedian host for even having him on. Giving this trolling blogger the platform of an HBO show was only playing into his hands and boosting his agenda, the argument wentthough some held out for the possibility that Maher would be the one to hold Yiannopoulos feet to the fire and humiliate him in front of a large audience.

Such a comeuppance would have certainly made the whole thing worthwhile, but of course, it never happened. Instead, Maher let Yiannopoulos ramble mostly unchecked on his viewsthat transgender people are disproportionately involved in sex crimes; that Black Lives Matter is a terrorist groupand completely failed to press him on past comments about Jews and the myth of rape culture, letting that duty fall to guest Larry Wilmore. And in the end, he mocked his audience of liberals as fucking schoolgirls for taking the bait and allowing themselves to be riled. If people were mad at Bill Maher for being a shameless opportunist, now they openly despised him for being a willing conspirator.

While there is some catharsis in just straight-up calling Bill Maher a bigot, an asshole, or even a monster, its worth considering that his interview with Yiannopoulos is part of a long history of Maher inviting his ideological enemies to the table, no matter how scummy. I think youre colossally wrong on a number of things, Maher told him last Friday. But if I banned everyone from my show who I thought was colossally wrong, I would be talking to myself. In fact, that willingness to engage has been an essential part of our political dialogue. No matter how you feel about the 2017 version of Maher (for the record, Im not a fan), its hard to deny that hes done a lot to shape that discourse. And in many cases, he changed it for the better.

Mahers first show, Politically Incorrect With Bill Maher completely changed the TV version of political debate when it premiered in 1993. Before this, it was mostly left to dry shows like The McLaughlin Group, and Crossfire that only the most hardcore wonks would sit through. On Politically Incorrect, audiences could watch politicians and pundits mix it up with comics, rock stars, and other celebritiesand there was a decent chance the celebrity might win the argument. It created a conversation that was more vibrant, open-ended, and honest with the typical rules of decorum all but abandoned in favor of jokes and cutting digs. In the post-Daily Show age of John Oliver, Samantha Bee, and Stephen Colbert, politics as entertainment now seems entirely conventional, but Mahers early show was instrumental in making politics an essential part of pop culture.

These days, of course, a white man (particularly one as unapologetically smug as Maher) bragging about being politically incorrect just seems insufferable. But its worth noting that Maherwho believes above all else in the right to speak your mindchallenged the conservative concept of political correctness just as much as the liberal one. This was never more true than in Mahers infamous comments after 9/11, in which he argued that American troops firing missiles from a distance were far more cowardly than the hijackers. While perhaps not the best way to critique the American military-industrial complex, it nevertheless illustrated that Maher was an independent thinker, unbound by the rules of politeness or too soon. Naturally, he got fired for it.

After less than a year of unemployment, Maher rebounded at HBO with Real Time, a show thats currently entering its 15th season. At first, Real Time didnt have much of an identity, beyond the curiosity of seeing how Maher would recover from his 9/11 controversy. But soon he would zero in on the target that would define the second half of his career. Maher had always been critical of organized religion, but in the middle of the George W. Bush administration, his frustrations suddenly felt more relevant than ever. Conservative Christians dominated the political landscape, telling us we couldnt have gay marriage or stem cell research because those things made baby Jesus cry. Maher hammered them every week, and in doing so, he became one of the most prominent, popular atheist voices in the country.

Unfortunately, after a while the limits of atheism as a political stance became evident. Beyond Mahers choir-preaching documentary Religulous, there was the fact that, like so many other prominent atheists (Richard Dawkins, Christopher Hitchens, etc.), Maher never tied his atheism to any meaningful cause beyond rejection of its dogma. Yes, he was critical of religion being employed to justify sexism and homophobia, but he was more reluctant to attack either of those things head on, seeming to believe that simply going after the faithful would cover it. Like his frequent advocacy for drug reformwhich mostly centers on his own love of getting highhis atheism was often more about serving himself than arguing for any sort of social betterment.

There were other cracks in Mahers supposed progressivism, like his tendency to drop sexist remarks (Remember when he called Sarah Palin a stewardess?), and especiallyand more recentlyhis frequent attacks against Islam. Maher routinely argues that while yes, all religion is bad, Islam is the most bad, and Muslims are deserving of every bit of fear theyve been shown. In this, Maher could no longer claim that his atheism was protecting the little guynot if he was attacking the most marginalized religious group in America. Quite simply, Muslims have endured enough crap since 2001 without someone who self-identifies as a proud liberal saying its not only okay, but rational, to be afraid of them. (Adding fuel to the recent fire, its an issue that he and Yiannopoulos chummily agreed on.) And its caused many on the left to turn on Maher: In one of Real Times most charged episodes, panelist Ben Affleck called Maher and fellow panelist Sam Harris opinions on Muslims gross and racist.

Courting such controversy has long been Mahers M.O., and with the recent uproar over Yiannopoulos, its worth considering that hes never received this level of backlash for palling around with Ann Coulter. The equally outspoken, equally despicable conservative commentatorfond of saying things like Mexicos culture is obviously deficient, illegal immigrants are pederasts, and Barack Obama is a retardis a friend and frequent guest of Mahers whose comments are no better than Yiannopoulos, yet a few grumblings aside, shes never been the target of such mass outrage at being allowed to spew them on Real Time.

One could argue that disproportionate response has to do specifically with Yiannopoulos fans within the white supremacists hiding behind the term alt-right, whose increased visibility has attracted sometimes violent protests. But a more likely culprit may be that the culture has simply changedthat we are increasingly unwilling to humor overt racists, even in the supposed interest of debate. The time when Maher could bring someone like Coulter on to banter about her hateful ideas is rapidly passing, and it seems to be leaving him behind.

In 2017, Maher now feels like a man without a country. Given the ongoing fallout from his most recent episodenot to mention the swift reversal of fortune Yiannopoulos has experienced this weekhe could soon become a man without an audience. Liberals wont (and shouldnt) abide by his Islamophobia. Conservatives and libertarians might admire his free-speech defense of Yiannopoulos, but theyre also unlikely to see eye-to-eye with a man who routinely insults them as morons. And while Maher agrees with their eagerness to fight the policing of humor, he isnt willing to go to the dark places necessary to become part of the alt-right. Thats why the decision to book Yiannopolous felt mostly like an act of attention-grabbing desperation. In an effort to stay relevant, Maher went with the controversial flavor of the month, and it backfired in the worst way possible.

Maher still deserves praise for how his innovations changed the way we talk about politics. But as last weeks episode made clear, hes yet to evolve to meet the timesand his reputation has suffered for it. The decision to book one of the worlds most hated bigots and decline to challenge him seriously seems poised to damage him further. Sure, Maher will be back this Friday (and if HBO holds to its contract, for many more Fridays through 2018), and hell certainly find a way to laugh it off. But its increasingly unclear how many people will be left to laugh with him.

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Bill Maher isn't just politically incorrecthe's politically irrelevant - A.V. Club

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