John's Annual Psychophysical Decline
2025-11-11 · letter vlog · John · 4:49 · watch on YouTube
Topic: Global development (also: Projects, Personal life, Philosophy & meaning) · mode: Personal essay · tags: fundraising ask, self promotion
Sick, tired and low in his annual November slump, John tells Hank that hope remains the correct response and that there is work to do: he recalls the completed Maternal Center of Excellence in Sierra Leone as his proudest YouTube moment, urges donations to Partners In Health, notes TB deaths are curable for under $300, and plugs Good Store's holiday bundles.
What is said
The parts of the video and what is said in each (★ — how much it matters to the video).
00:00:00 — November, ill health, sadness and anxiety, non-stop travel: John's annual psychophysical decline
- ★★ John says it's November with snow on the ground, which means it is time for his annual psychophysical decline. (playful) — 00:00:00
- ★ John says, as Hank always reminds him, he is just 30 trillion cells trying to maintain homeostasis, which is hard work, so things will go wrong all the time. (playful) — 00:00:00 · Hank Green
- ★★★ John says he has been battling some ill health alongside the feeling he gets every November: if he is not sad, it is only because he is so anxious. — 00:00:00
- ★★ John says his travel has been non-stop; he feels fortunate to preach that the world's deadliest infectious disease is curable and preventable, but he is tired. — 00:00:00 · tuberculosis
00:00:29 — Hope as the correct response to consciousness; despair is a lie; work as a path to wellness
-
★★★ John says he knows this experience is temporary, that hope remains the correct response to consciousness, and that despair is a lie, even if a very convincing one. — 00:00:29 · hope
“Despair is a lie, even if a very convincing one.”
-
★★ John says getting up, doing work and engaging in relationships is a path to wellness, even if it feels like an obstacle to wellness. — 00:00:29
00:00:58 — Doing good despite it all: the completed Maternal Center of Excellence and the community's role
- ★★ John says a world where nothing matters and helping cannot improve anything would be depressing but convenient, since he could stay in bed; instead there is work to do. (playful) — 00:00:58
- ★★★ John reminds himself that, as Hank noted last week (week of 3 November 2025), the ribbon has been cut on the completed Maternal Center of Excellence in Sierra Leone. — 00:00:58 · Hank Green, Maternal Center of Excellence, Sierra Leone
- ★★★ John says the MCOE brings Sierra Leone its first NICU, over a hundred new maternal beds, safe operating suites for emergency C-sections and a blood bank, all owned by Sierra Leoneans through their government. — 00:01:37 · Maternal Center of Excellence, Sierra Leone
- ★★★ John calls the MCOE a statement of intent: the long-term, open-ended problems of maternal and child mortality in Kono are being met by long-term, open-ended support from the community. — 00:01:37 · Maternal Center of Excellence, maternal death, child mortality, Nerdfighteria
- ★★ John says the MCOE took six years of fundraising and four years of construction. — 00:01:37 · Maternal Center of Excellence
00:02:06 — Best ways to support Partners In Health; TB deaths and a sub-$300 cure
- ★★★ John calls it his proudest moment in 19 years of YouTube videos that their corner of the internet made the MCOE possible: helped by many others, but he doesn't think it would have happened without them. — 00:02:06 · YouTube, Nerdfighteria
- ★★★ Asked how best to support Partners In Health, John says by far the best way is a monthly or one-time donation at pih.org, or pih.org/hankandjohn for the MCOE specifically. — 00:02:35 · Partners In Health, Maternal Center of Excellence, health equity
- ★★ John says it is also valuable to talk to friends and family about Partners In Health or about global health inequity more broadly. — 00:02:35 · Partners In Health, health equity
- ★★★ John says over a million people die every year from tuberculosis, though almost all could be saved by a drug regimen costing less than $300, which he calls bonkers. — 00:02:35 · tuberculosis
- ★★★ John says providing the right TB regimen is not always simple, since it takes space, staff, stuff and systems to diagnose, treat and prevent it: not simple, but possible. — 00:02:35 · tuberculosis
00:03:04 — Good Store holiday gift bundles, their charities, and EcoGeek's dishwasher powder with Alec from Technology Connections
- ★★★ John says Good Store, another way to support Partners In Health and the Coral Reef Alliance, raised about $10 million over the last five years to fight maternal and child mortality in Sierra Leone. — 00:03:04 · Good Store, Partners In Health, maternal death, child mortality, Sierra Leone
- ★★ John explains that Good Store finds the world's best stuff, sells it rather than giving it away, and donates 100% of its profit to charity. (playful) — 00:03:04 · Good Store
- ★★★ John presents Good Store's holiday bundles in three categories: socks and Sun Basin soap, candles and bath bombs fund the MCOE; coffee and tea fight TB; EcoGeek products fund the Coral Reef Alliance. — 00:03:34 · Good Store, Maternal Center of Excellence, Sun Basin Soap, tuberculosis, EcoGeek
- ★★ John says EcoGeek sells dish soap, laundry sheets and a new dishwasher powder designed in part by Alec from Technology Connections. — 00:04:03 · EcoGeek
- ★★ John calls Alec his current favorite YouTuber, a self-made dishwasher expert who serves as an unpaid intern for EcoGeek and their sock company because he is kind of an angel. (playful) — 00:04:03 · EcoGeek, YouTube
- ★★ John asks viewers to get Good Store for the holidays. — 00:04:03 · Good Store
00:04:32 — Still sad but cheered up; back to bed; sign-off
- ★★ John says he started the video sad and frustrated and still is, but feels a hint of something else because talking to Hank cheered him up; he calls it a win before getting back in bed. — 00:04:32
In the description and comments
- ★★ The description and John's channel comment point viewers to good.store, or to donate to the Maternal Center of Excellence directly at pih.org/hankandjohn. — video description · Good Store, Maternal Center of Excellence
Threads in this video
- first use · John's annual November psychophysical decline (2025) — John says it's November with snow on the ground, which means it is time for his annual psychophysical decline. (00:00:00)
- restate · Is it reasonable to be hopeful about the future? — John says he knows this experience is temporary, that hope remains the correct response to consciousness, and that despair is a lie, even if a very convincing one. (00:00:29)
- restate · Does human life have real meaning, given oblivion, cosmic scale and an indifferent universe? — John says a world where nothing matters and helping cannot improve anything would be depressing but convenient, since he could stay in bed; instead there is work to do. (00:00:58)
- looked back · Maternal Center of Excellence: the brothers' Partners In Health project in Sierra Leone (2019) — John reminds himself that, as Hank noted last week (week of 3 November 2025), the ribbon has been cut on the completed Maternal Center of Excellence in Sierra Leone. (00:00:58) → refers to We Did It…
- restate · Do big problems have simple solutions? — John calls the MCOE a statement of intent: the long-term, open-ended problems of maternal and child mortality in Kono are being met by long-term, open-ended support from the community. (00:01:37)
- restate · Do people achieve more together than as individuals? — John calls it his proudest moment in 19 years of YouTube videos that their corner of the internet made the MCOE possible: helped by many others, but he doesn't think it would have happened without them. (00:02:06)
- reminder · John asks viewers to donate to Partners In Health at pih.org/hankandjohn (2019) — Asked how best to support Partners In Health, John says by far the best way is a monthly or one-time donation at pih.org, or pih.org/hankandjohn for the MCOE specifically. (00:02:35)
- restate · Is it acceptable that how long people live depends on where they live? — John says over a million people die every year from tuberculosis, though almost all could be saved by a drug regimen costing less than $300, which he calls bonkers. (00:02:35)
- milestone · Good Store: the brothers' store and subscription box at good.store giving all profit to charity (2023) — John says Good Store, another way to support Partners In Health and the Coral Reef Alliance, raised about $10 million over the last five years to fight maternal and child mortality in Sierra Leone. (00:03:04)
- restate · What is work for, and how much should people work? — John says getting up, doing work and engaging in relationships is a path to wellness, even if it feels like an obstacle to wellness. (00:00:29)
- restate · Can business do good, or does business have to suck? — John explains that Good Store finds the world's best stuff, sells it rather than giving it away, and donates 100% of its profit to charity. (00:03:04)
- reminder · John asks viewers to buy Sun Basin Soap, whose profit goes to charity (2023) — John presents Good Store's holiday bundles in three categories: socks and Sun Basin soap, candles and bath bombs fund the MCOE; coffee and tea fight TB; EcoGeek products fund the Coral Reef Alliance. (00:03:34)
- milestone · Sun Basin Soap: the brothers' charity soap subscription made with Botanie (2023) — John presents Good Store's holiday bundles in three categories: socks and Sun Basin soap, candles and bath bombs fund the MCOE; coffee and tea fight TB; EcoGeek products fund the Coral Reef Alliance. (00:03:34)
- milestone · Partners In Health's comprehensive TB care project in Lesotho (search, treat, prevent), backed by Keats & Co. (2024) — John presents Good Store's holiday bundles in three categories: socks and Sun Basin soap, candles and bath bombs fund the MCOE; coffee and tea fight TB; EcoGeek products fund the Coral Reef Alliance. (00:03:34)
- partly came true · John: the Maternal Center of Excellence will complete construction in October 2025 and begin opening to patients in January 2026 (2025) — John reminds himself that, as Hank noted last week (week of 3 November 2025), the ribbon has been cut on the completed Maternal Center of Excellence in Sierra Leone. (00:00:58)
- milestone · EcoGeek relaunch: Hank and DFTBA's eco-conscious cleaning-supply subscription, profits to the Coral Reef Alliance (2025) — John says EcoGeek sells dish soap, laundry sheets and a new dishwasher powder designed in part by Alec from Technology Connections. (00:04:03)
Where the stories that moved here went next
- John: the Maternal Center of Excellence will complete construction in October 2025 and begin opening to patients in January 2026 (2025) — came true
- EcoGeek relaunch: Hank and DFTBA's eco-conscious cleaning-supply subscription, profits to the Coral Reef Alliance (2025) — running; last: milestone, 2025-11-24
- Partners In Health's comprehensive TB care project in Lesotho (search, treat, prevent), backed by Keats & Co. (2024) — running; last: milestone, 2026-03-24
- Good Store: the brothers' store and subscription box at good.store giving all profit to charity (2023) — running; last: milestone, 2026-04-14
- Sun Basin Soap: the brothers' charity soap subscription made with Botanie (2023) — running; last: milestone, 2026-09-04
Mentioned
Central: Good Store · Maternal Center of Excellence · tuberculosis
Also: Projects: EcoGeek · Sun Basin Soap
Organizations: Coral Reef Alliance · Partners In Health · YouTube
Concepts: Caesarean section · child mortality · despair · health equity · homeostasis · hope · maternal death · neonatal intensive care unit · nihilism
Places: Kono District · Sierra Leone
Only in the description or credits: Alec Watson · Technology Connections
Replies to
- continues · We Did It… — “Hank, as you noted last week, the ribbon has been cut on the completed Maternal Center of Excellence in Sierra Leone.”
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