
How would you live if you knew when you were going to die? I sat down with the former Republican senator Ben Sasse to hear how he is facing his own mortality after receiving a terminal cancer diagnosis. For Sasse, cancer brings pain, but also clarity, sharpening his focus on the state of our politics, his wife and three children, and the God he expects to shortly meet.
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Solana Pyne
President Trump just banned abortion access for veterans who get care through the va. Veterans fought for our freedoms.
Ben Sasse
Now we should fight for theirs.
Solana Pyne
Tell Congress to restore abortion care for veterans@nwlc.org Veterans
Ross Douthat
from New York Times opinion. I'm Ross Douthat and this is Interesting Times. How would you live if you knew when you were going to die? When Ben Sasse announced his diagnosis of stage 4 pancreatic cancer last December, he called it a death sentence. But he noted that he'd had one before the cancer, too. We all do. Sasse served the state of Nebraska in the U.S. senate for eight years as a hot and by his own account, sometimes ineffectual conservative. Then he quit politics to become president of the University of Florida, pursuing a different model of civic reform. Now he's facing mortality. For Sasse, the advance of his cancer has brought clarity, sharpening his focus on his wife and three children and the God whom he expects to shortly meet. At the same time, he's doing a lot of talking. He's running his own podcast entitled not Dead Yet. And he's doing interviews, like this one, about what life is like on the threshold of the undiscovered country. Ben Sasse, welcome to Interesting Times.
Ben Sasse
These are interesting times. Good to be with you, Russ.
Ross Douthat
I want to start with an important question, which is why are we here? And I don't mean why we're here in this physical location. We're taping this in Austin, Texas. And I also don't mean the cosmic question. I think we'll get to that at the end. But here, taping this conversation because people facing a terminal diagnosis have a lot of options. Travel the world, scratch items off the bucket list, seek out obscure therapies in western Tibet, just hunker down and spend time with their families. And this is not the first interview you've done. Let me put it this way. You've chosen to spend time with journalists and we're grateful, but I want to know why.
Ben Sasse
Well, you invited me, so I assume you had a cancellation. Let's be honest. I mean, the bar must be pretty low. I mean, I'm probably here for my looks.
Ross Douthat
We have actually clavicular, you know, the looksmaxer scheduled and he bailed.
Ben Sasse
I don't know that cloaca is a word I've been learning a lot lately, but I don't know this.
Ross Douthat
You don't know about clavicular, then that is actually one of the small mercies of your own life. And we'll let viewers figure out for themselves who clavicular is. But yeah, in all seriousness, you're doing a lot of talking. You've actually, you've become a podcaster yourself, right?
You have a podcast.
Ben Sasse
I'm a Monty Python fan and I've been looking to do IP theft on not dead yet for a long time. And now I kind of.
Ross Douthat
Now you have it.
Ben Sasse
I did not decide to die in public. I obviously ended up with a calling to die. Mid December, I got a three to four month life expectancy and I'm a day 99 or something since then. And I'm doing a heck of a lot better than I was doing at Christmas. But even at three to four months left to live, you got to redeem the time. And there's only so many bits of unsolicited advice I can give my children. So you journalists want to talk. And I'm like, well, if you don't have anybody better, I'm your, I'm your man. I'll be your huckleberry.
Ross Douthat
All right, all right. Well, we are, we are very grateful. Just tell me a little bit about the diagnosis and how you ended up where you are right now.
Ben Sasse
So I'm, I just turned 54. And so you get into your 30s, 40s and 50s, you're like, how do I stay fit? And so I used to do a lot of sprint triathlons. And this fall I'd been training for some short tries and I ended up with a ton of back pain. And I realized, oh, maybe it's stupid to be wearing the 45 pound weight vest on all the time. Not just when you're training for running events, but also on your bike, because it turns out that's not the right posture to be wearing a lot of weight. And so I ended up late October, Halloween, ish, with a lot of back and abdominal pain. And I thought I just pulled some ab muscles from stupid forms of training.
Ross Douthat
But you hadn't had any pain before this training?
Ben Sasse
Nothing until the last couple days of October. But over the course of November, I ended up in significant enough pain that I went to my executive doc at the University of Florida and I said, something not right here. And we did a bunch of tests, couldn't find anything. And they said, we're going to refer you to a GI specialist. We're going to figure out whether it's undiagnosed celiac or, you know, lactose intolerance or something. And I said, I'm, you know, farm kid by upbringing, not the toughest guy on earth, but I, I don't have a cheese Allergy. There's something really, really wrong in my back. And so they sent me for full body scans on the morning of December 13 or 14. And they called me back 45 minutes later. And you could just hear them hemming and ha and beating around the bush, like, give me a hard fact. And they start talking about, well, we don't want to. We don't want to be too premature. And there's been so many changes in oncology care. And like, dude, you have not told me I have cancer yet. And you're talking to me about how great oncology care is.
Ross Douthat
We've had so many changes in oncology care is never. That's not never a phrase you want
Ben Sasse
to hear a person who clearly is not shooting straight. And I said, would you give me a hard fact? And he said, are you sure? And I said, yeah. He said, I'm going to pull. He was driving too. He said, I'm going to pull over off the side of the road. And he said, here's a hard fact. Ben Sass's torso is chock full of tumors. I was like, okay, that you came in with the real stuff. So I. I have pancreatic cancer, stage four already metastasized. They told me right away on day one, this is not operable. You're way post surgical. They told me over the course of the next couple of days that I already have five forms of cancer. Lymphoma, vascular lung cancer, bad liver cancer, and pancreatic where it originated. So they, you know, it was pretty clear dealing with a short number of months left to live.
Ross Douthat
What did they tell you to do? What was their advice?
Ben Sasse
I said, I believe we're all on the clock. We're all dying. So this is not the scariest thing to me, I've always known that we're going to be pushing up daisies eventually. This is more finite. And I have two kids out of the house. Our daughters are 24 and 22. But our providential surprise, our boy's a decade younger. And I was immediately thinking about Melissa, my best friend of 33 years. And Augustine is our son. But that's theologically heavy for 14. It's hard to shout at a baseball or football game. So we call him Breck. So I was thinking about Breck and I said, how do I navigate this moment? I want the 101, you know, give me oncology navigation. They said three broad categories. There's radiation, there's surgery, and there's chemo. There's chemo writ small and chemo Writ large. Chemo writ large is, you know, carpet bombing your body's ability to produce cells. Chemo writ small is what does it look like to try to do a targeted therapy and get on a clinical trial. You have a definite death sentence, but there are some clinical trials that could extend life a little bit. And I said, teach me how that works. And they said, you want to figure out where there's a genetic mutation potentially. And so we did a bunch of procedures. We ended up with nine successful biopsies in the next couple days. We sent them off to labs all over the country, and we found two genetic mutations. And it turns out the two best places to do clinical trials around pancreat, our Memorial Sloan Kettering in Upper east side, or MD Anderson in Houston. My wife and I flew to both places for 48 hours in the next six days and met all the docs and pounded on doors and said, teach us what we got to do to get in this automobile. And two weeks later, we were admitted to a clinical trial at MD Anderson Houston. And we're delivering super poison to my tumors and trying to beat the hell out of them.
Ross Douthat
So we're having this conversation in Austin, Texas, where you were a long time ago at UT Austin. And so you're using this as a kind of family base when you're doing the treatments in Houston.
Ben Sasse
You got it.
Ross Douthat
So how intense are the treatments? How much time are you spending getting the tumors carpet bombed?
Ben Sasse
Yeah. So we had been living in Florida, Nebraska's emotional home, and except for Heaven eternal home, Austin is a community where we have a church and a lot of friends. And it's 2 hours and 40 minutes from MD Anderson Houston. And I am blessed that the targeted clinical trauma trial that I'm on only requires me to be in Houston a max of two days a week and sometimes a lot less than that. So we decamp from Houston to Austin most weeks. And so this week, I was in Houston on Monday, Tuesday, we're recording on a Thursday.
Ross Douthat
And how are you getting the treatment? Is it chemo into the vein? Is it like, what are you. What are you literally doing?
Ben Sasse
There's a company in Silicon Valley called Revolution Medicine, and they have a drug called Duraxon Race ab. And that's my drug. And I'm able to take it orally as of now, So I don't have a infusion port right now, so I take it orally. But it's. It's a nasty. It's a nasty drug. It causes crazy stuff like my body can't grow Skin. And so I bleed all out of a whole bunch of parts of me that shouldn't be bleeding.
Ross Douthat
Yeah. Yeah. You look terrible.
Ben Sasse
Thank you.
Ross Douthat
How do you feel?
Ben Sasse
I feel better than I deserve.
Ross Douthat
Okay, but how do you. How do you feel like in the moment, physically? Is it. Are you in pain all the time? Are you, like, do you feel the cancer in your body?
Ben Sasse
So I. I have a really good hospice doc. I'm not dying right now, but I'm, you know, well, in the category that you can be in those end of life months. And she's spectacular. She's just walking wisdom. And she. She said to me early on, when you're dying of an abdominal disease, you're really. You got an algorithm that's managing four variables. You have tumor driven pain, you have cancer, and treatment driven nausea. You're managing a diarrhea to constipation continuum, and you got energy and fatigue. She said, when you go talk to a doc, docs like to, especially those that don't have the greatest bedside manner, they like to talk about their specialty or they like to get you off the issue you're talking about so they can talk again. And she said, if you lead with any of.
Ross Douthat
I've never noticed that about our friends in the medical profession.
Ben Sasse
She said, if you lead with any of your four problems, there is a drug for that that we can manage. Medicine can manage any of those four problems. Energy, undercarriage, nausea, or pain. But the problem is the drug will probably mess up the other three variables. And so you got to figure out how you want to manage the. The variables. So I was in a ton of pain early on because I had some pancreatic tumors that were essentially pushing on my spinal column. And so liver and pancreas, rib cage in the front, and they're pushing out the back into my. Into my. Into my spine. And I was on 55 milligrams of morphine as soon as diagnosed. And that's your pie as a kite. And we drove down my pain a lot. But since then, the drug has shrunk the tumors so much that I could. I was willing to dial back up a little bit of pain to get a little bit of energy back and to be able to have a little more control of my nausea, etc. So I'm down to only about 30 milligrams a day of morphine. And I'd say my pain is, you know, 80% reduced from where I started. So I manage nausea a lot. There's a, you know, strong waves of desire to puke and when my face isn't bleeding, I'm actually pretty good with the puking. I mean, I like it, but you can throw up and you're through it. So anyway, enough, Enough whining.
Ross Douthat
But that's, but that's so on a. So the pain, let's say 0 to 10 scale right now, sitting here talking to me.
Ben Sasse
Oh, it's not bad.
Ross Douthat
It's not bad. Okay.
Ben Sasse
Yeah.
Ross Douthat
Okay. But it was up at like eight. Yeah, yeah, yeah, yeah. And how does your face and skin feel?
Ben Sasse
Nuclear.
Ross Douthat
Yeah, okay. Like burning, Bubbling.
Ben Sasse
Yeah, I was at a. I mean, I'm in a pharmacy every day, right? Like, I'm, I'm, I'm keeping a lot of that industry employed right now. You know, there's the drop off part and then there's the pickup part, but there's that little, like, weird curtain in the corner that says consult. I always figured that was just a place to talk about STDs. Like, I didn't know what it was, but I just figured they called you over there if there was like some, some such an unusual wart. Yeah, exactly. There's, there's something growing here that I don't know how to make sense of. I had a pharmacist call me over there the other day, and, and she pulls the curtain. I don't know what's going on. I'm like, do I got another problem I don't even know about? And she leans in and she said, did they do something electrical to you? I don't even know what that is, but either acid or electric shocks produce a face that looks this hideous.
Ross Douthat
Well, do you. And you told her that you'd gotten on the wrong side of, like, six different mafias and they'd all taken turns.
Ben Sasse
I said, listen, I was at the local Walmart and they're gonna have to get there, get a handle on all those kids with the bowls of acid running around in the aisles. I'm a victim.
Ross Douthat
So the tumors are smaller right now.
Ben Sasse
Crazy smaller. My tumors this week are down 76% from December 29th. Tumor volume in my torso is down 76%.
Ross Douthat
So if they can knock tumor volume down 76%, why can't they keep you alive for 20 years?
Ben Sasse
Great question. And I have to keep answering this one for my mama.
Ross Douthat
Yeah, no, I, I, I can imagine that some people closer to you than I am had that question.
Ben Sasse
The way it's been explained to me, and I'm. I don't know squat about biology, but the way it's been explained to me you could look out at your lawn and say, there are only six dandelions out there. I could weed those. And they say, yes, but look at your neighbors to the north and to the south, both of their yards are chock full of dandelions. Two or three or four mornings from now, that's your yard. You've already seated everything. And so even though my pancreas tumors, look on the scans like, let's get these before and after images blown up and put them on the wall. They've already seeded so many other kinds of cancer that it's probably just not something you can ever catch up on. There's too much whack. A mole.
Ross Douthat
Is there anyone who's gotten better from stage four?
Ben Sasse
No. I have an unbelievable team. Shubham Pont and Bob Wol, or two of my main lead oncologists at MD Anderson, and they're rock stars. And they describe their work as. They're up here with a little pickaxe on a giant Hoover Dam working on pancreatic cancer. And they get little cracks at the top and sometimes little bits of water splash over and there's somebody else doing it. 400 meters over, another 300 meters over, there's another team and there's somebody at Memorial Sloan Kettering working on it. And they said, someday these cracks are going to go big and they're going to run together and the dam will crash. But, you know, maybe 10 years.
Ross Douthat
Okay, but so you're not worried about a scenario where you do all these interviews and then you have to come back on this podcast in five years?
Ben Sasse
Oops.
Ross Douthat
I, like, explain. Explain why you're still alive.
Ben Sasse
That's not April Fools.
Ross Douthat
Okay. All right. Well, I'm still gonna. I'm still.
Ben Sasse
I think my kids might have that fear of frankly.
Ross Douthat
Right. They'll be like, not another podcast. Exactly. Yeah. All right. We're gonna come back to cancer and death and subjects like that.
Ben Sasse
I do wanna start to create some memes, though. Like when I'm at MD Anderson. Wouldn't it be fun. I have lung cancer too now. Right. Wouldn't it be fun to just start smoking cigarettes outside the front door of MD Anderson? Just have people post that.
Ross Douthat
Well, you have full on cigars. For listeners and viewers who don't know, there is a famous. I don't know if it's technically a meme, but there's a famous image of you when you were a senator sitting outside the Senate. Were you with Chuck Schumer?
Ben Sasse
What's crazy is that the photographer, who I later found out Was hiding behind a tree for like an hour.
Ross Douthat
This is what journalism, I want to
Ben Sasse
give this dude credit. Like, this is, this is the hunt. I'm not interesting, but he was on a hunt. And so I'm an early to bed. I mean, I sleep all the time now, but I used to be a 9 o' clock to bed guy. 4am Wake up. I had a bunch of writing, I did a, did a workout. But by about 8am I would call and be a part of family worship around the breakfast table back in Nebraska as they were waking up and getting going. And so people arriving in suits might think I'm slothful and just woke up. I've already got four hours in. But I would sit outside a staff and senator door entrance to the Russell Building where my office was, where I'd come out of the gym. And I look like a dude who just either woke up hungover, it looked
Ross Douthat
like you thought you were ready for a pickup basketball game or you had just lost a pickup basketball game.
Ben Sasse
And I was wearing Umbro shorts 30 years out of date, you know, but I was sitting there and a lot of my colleagues are coming in and we end up in a series of conversations where Schumer is standing there perennially, right.
Ross Douthat
In his full majority minority leader suit. Right.
Ben Sasse
So a lot of times he'd come in not having yet showered, but wearing the suit that he was going to wear for the day. But he's got full on, you know, bed head Chuck standing there. And I'm sitting on this marble rail and a series of people, Tom Cotton, John McCain. But Chuck and I are standing there, but Schumer talks with his hands like, you know, very Brooklyn. And his hands are waving around and there's this piece of, you know, metal that's off the Russell Building that looks like a giant joint. And because he keeps talking with his hands at different points, it looks like he's got, you know, a 13 inch reefer hanging out of his hand. And I'm talking there clearly just, you know, out high outside of a wedding. And McCain is buttoned up, Tom Cotton is buttoned up. It became a very fun meme and people still give me versions of it as like Christmas ornaments.
Ross Douthat
That's good. Well, we need to get someone to Photoshop just as you were gesturing there, a giant blunt into your hand. And this can be the equivalent of that. Was, was it Joe Rogan where Elon Musk was smoking up. Right. So interesting times. There's some high times, interesting times crossover we can do with this meme. We'll get our people to work on it. You've got other more pressing concerns before we talk more about human mortality and yours specifically. Now that you're dying, as far as we know, it's a natural time to ask you big important questions about American politics and your experience thereof. And you have special wisdom because you die, because you're dying.
Ben Sasse
You're 54, you become 94.
Ross Douthat
Years of war, you become 94. You're where Henry Kissinger was at 100. I'll let that thread drop. So let's talk about your political career and what you think about U.S. politics, what it taught you about U.S. politics. I was in a room, I don't know, like a week or 10 days ago with a bunch of very high minded academics, many of them sort of centrist and center right, a very small tribe. And for some reason the conversation turned to the future of the Republican Party. And one of these academics said in a kind of hopeful voice, I don't suppose there's any chance that we'll get a second act for Ben Sasse. And there was sort of this pause and then I had to be the one who said, well, probably not. It's a low, it's a low. I wouldn't go on, you know, Kalshee or Polymarket and bet on that number.
Ben Sasse
More morphine for the lot of you.
Ross Douthat
More morphine. This person had not heard about your cancer diagnosis, but I did think that moment was a good way of thinking about your own constituency in politics, which was there were people who loved Ben Sasse and they tended to be what you might call sort of civic minded, not super partisan conservative centrists and a few liberals, but also for a lot of those people, I think your career was kind of a case study in the limits of a sort of certain kind of civic minded politics in a more populist age. So just, first of all, just, just tell me why you ran for office in the first place. You had done health policy, you'd been president of a small college. Why did you decide to become a United States senator?
Ben Sasse
Well, I get drafted into it partly because I was president of a place called Midland University Lutheran Liberal Arts College in Nebraska. And we had a great team. I got too much credit as if I was Midas, but really I put together a good team and we did a turnaround of 130-year-old place that was in real financial trouble and then it was booming. And so the alumni of Midland Go warriors ended up kind of drafting me into the Senate race in 2013 when there was going to be a vacancy in 2014. Mike Johannes, a very successful US Secretary of Agriculture, two term governor, Nebraska new senator surprised people by retiring at the end of his first term. And there wasn't expected to be an open senate seat in Nebraska. I wasn't planning to run for anything. I've never run for anything before my life and I got drafted to run for that and I thought it'd be kind of fun to live on a campaign bus. My kids were 12, 10 and 2. I didn't know that I wanted to be a politician, but I thought it'd be fun to be a candidate for a while. Nebraska has 93 counties and we went and pounded it. We did, you know, public events in all 93 counties. And I don't say that to be self serving. I say it to mean that not having intended to be a politician and just having a real conversation with my neighbors. Nebraska is only 2 million people. It's a lot of area to cover, but only 2 million people. And I pretty much got to know everybody. So we had a great time as a family on the campaign trail. But I just want to acknowledge I wasn't a very good politician. I, I am way too idealistic about what I believe in America to be a very good deal maker. And if I had it to do over again, I would be a little more pragmatic realist about some of the deal making needs. But big picture, you said, what did I learn?
Ross Douthat
Well, just pause there. When you got into the Senate, every senator gives a maiden speech and you.
Ben Sasse
I waited a year because it was a tradition.
Ross Douthat
You waited a year. Right. Which was itself, I think an example of what the Ben Sasse brand was at that moment. Just, just tell listeners and viewers what you said in that speech. Roughly.
Ben Sasse
I said the voters hate us all, the people despise us all. And why is this? Because we're not doing our job. We're not doing the primary things that the people sent us here to do. We're not tackling the great national problems that worry our bosses at home. Home at the end of the day, this place, at that point, this is Thanksgiving of 2015.
Ross Douthat
Right.
Ben Sasse
The tribalism of, you know, 2020 or even 2017 wasn't as apparent in 2015, but it was bubbling up fast. And people involved in politics love to do nut picking about the crazy people at the other end of the continuum that aren't in their party. And there's a lot of truth to that, but it's a definite subordinate story in my mind to the Big things that are really happening. And so I, in that speech, I just kind of wanted to contrast the idea that the public approval numbers for Congress bounced around between 9 and 15%. When you ask people objectively, what do they think, they think everybody here is bad at the job. It isn't that Republicans are right, that Democrats stink, and Democrats are right that Republicans stink. It's that these institutions are not working very well at all. And so the historian in me says, 75 or 100 years from now, when you look back on our moment, we're not going to talk about politics at all. What we're going to talk about is the fact that we were living through a technological revolution that was creating economic and cultural upheaval, and we were living through institutional collapse. And way, way, way, way, way below that. There's a whole bunch of political institutions that are part of that institutional collapse. But what's really happening is these super devices in our pockets, the largest tools any median individuals ever had access to in all of human history, allow our consciousness to leave the time and place where we actually live, the places where we break bread, the people who are living next door to us, the people that you can physically touch and hug, the small platoons of real community. And we allow our consciousness to go really far away. And there are things that are awesome about the digital revolution. We're the richest people any time and place in all of human history. But there are also things that are horrific about this. And we don't yet know how to navigate the economic and cultural and familial disruptions that are coming from this technology. And politicians act like, because they work in politics, that politics are the center of this. Politics barely matters for what we're going through right now. And this institution is filled with blowhards. This is the Senate should be the world's greatest deliberative body was filled with blowhards that want to pretend whatever we're screaming about in a partisan, tribal way is really essential and central. And it's a really peripheral thing almost every single day. And I said we should actually start, start to tell the truth about what will look like to have institutional recovery in the Senate.
Ross Douthat
But what would it look like? Because what you've just described is a narrative that makes politicians seem pretty small. And I'm sympathetic to that narrative. But I also write about politics for a living. I at least pretend to give advice to politicians. You just said before that maybe you were too idealistic and needed to think more about the nitty gritty of deal making. But Is that the advice? What after eight years in the Senate, say you were meeting someone who was just elected U.S. senator from Nebraska and you were giving them a couple of pieces of advice. What would you say?
Ben Sasse
Well, I don't want to be parochial about this or self serving, but I'll go from my personal experience a tiny little bit. Again, Nebraska is only 2 million people. I don't mean it's generalizable and it would work as an electoral strategy in California, Texas, New York, but, but I got elected In November of 14 and again I was 93 and 0 across 93 counties in Nebraska in that general, which means as a Republican, I won Omaha. I should define myself at a policy level. I'm very conservative. At a dispositional and tonal level, I'm a moderate because I believe that American civics and the glories of being able to inherit a constitutional doctrine of anti majoritarianism and restraints and a belief in pluralism, that stuff is so glorious, it's so much more interesting and important than our policy differences. Differences about 1 versus 2. Cheers for this level of government intervention and economy or regulatory X, Y or Z. So the policy fighting is so subordinate in my mind to the civic transmission obligations that we have that I won the whole continuum in Nebraska from very far right to pretty center left in all four of my elections. Two primaries and two generals. And yet I was constantly condemned by my party. And it did start a little bit pre Trump because I got elected in 14, took office in 15, and by the end of 15 I was a little in trouble with my party at home for not hating Democrats enough. And I was like, but I don't like there are 330 million Americans.
Ross Douthat
What was just, what was a concrete example of that that like I did pissed about?
Ben Sasse
I didn't spend time going on the angriest tribal media channels to say that Obama, you know, wasn't born in the U.S. right. Like the, the conspiracy theory versions of stuff became a really important marker for people to say I really dis those other people. I was like, what I care about is the Ronald Reagan impulse to say freedom is never more than one generation away from extinction and you don't pass it along in the bloodstream. You pass it along because we teach it. And we haven't been teaching it since sometime between the late 60s and the early 80s. Like our civics experience is in collapse. And at this point I would talk about what was happening on college campuses much worse over the, in the decade since. But at that point there was some polling that showed just over 35% of American college kids thought the First Amendment was dangerous because you might use your freedom of speech to say something that hurts somebody else's feelings. The whole dang point of America, the point of America is that we lay down our weapons outside the tent and you go into the tent and you say, speech cannot be violence, and violence is not a form of speech. What we believe here is that everybody is created in the image of God. They have universal rights. Like, we need to celebrate the American civic tradition together. And we weren't doing any of that. That. But I was in trouble with some of my voters for not being angry enough about something Barack Obama had just done.
Ross Douthat
But to your point, but so is. Well, is the. Is the problem then that there's sort of this widespread collapse of interest in or understanding of American civic values, or is it primarily a problem where most people are still on board with those values? Hence, Ben Sasse can win liberal leaning Omaha while also winning deep Republican counties. But people who are sort of professionally, tribally engaged in politics are sort of tearing the country apart.
Ben Sasse
The weirdos are crowding everybody else out. Right. I think the professional political activists and consumer class, those who allow it to become a core community, are weird enough that almost all of our channels are narrow, but deep. Deep. New York Times obviously still has millions and millions.
Ross Douthat
You don't have to flatter. You don't have to flatter us.
Ben Sasse
But there are. There, there aren't.
Ross Douthat
We have, we have weird, you know, weird subscribers.
Ben Sasse
I think there's a ton of fan service that happens in the New York Times, but all of our outlets have an incentive to go narrow and deep because there isn't any 60% audience that's ever going to exist again post digital revolution. I. My analogous way of thinking about it as the son of a football coach is when we went from three channels to four channels in the 1980s 80s. Not Fox News, but Fox Local. When we went from three to four channels, it was pretty great because it meant on Saturday afternoon you got another football game. When we went from four channels to 500 channels, it seemed pretty great. When we go from 500 channels to 2,000 channels, it's pretty obvious that every individual can find something that they think they really want to watch. But it means tomorrow around the water cooler, you don't have anything in common that anybody else watched together. I Love Lucy wasn't important content, but it was shared content. And it meant that tomorrow morning you had a whole bunch of topics you could go to with your neighbor. Or your coworker that was just shared cultural data and we don't have any of that anymore. And so in a world where everybody is incented to go narrow but deep there, there's not a lot of need to call out BS and crazy on your old own end of the continuum. There's a ton of incentive for both political addicts on the right to find some nut job on the left who did or said something crazy. They're all going to grab our guns. Or there's some nut job on the left who wants. Everybody on the right wants to do this horrible thing to you because they found some idiot on Twitter or on a podcast who said that thing. And the, the problem with that kind of nut picking is it doesn't ever solve a problem. And it does create a delusional othering of the rest of your community. But it also takes the whole middle and said these freaks are not people you should really pay attention to.
Solana Pyne
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Ross Douthat
So this seems like though for, for politicians, for the, you know, the next, the next would be Ben Sasse, the next high minded, civic minded senator. This seems like a pretty pessimistic description. So is there some concrete response to this from politicians?
Ben Sasse
Well, I, I do think in Nebraska I think you could do a long term version of what I did for, you know, less than two terms. But, but two full election cycles, two primaries, two generals. Which is despite the fact that it looked like the most politically addicted people really, really disliked me. The voters did like me because I was a dad first. I was a husband, I was a Christian, I was a Husker sports addict. I was talking about the technological disruptions to the nature of their work. But I never pretended there was a piece of legisl legislation that the day after tomorrow apocalypticism or salvation is coming by legislative process. That's. And I would never lie to my people like that. And they know it's. And they don't want to be lied to. And so they're, they're like, why can't politics do a small number of important long term things, Tell the truth about the fisk, figure out what our national security priorities should be, do a small number of things, shut up and get off the stage. And I think, Normie, politicians have an opportunity at least, least in small enough electorates where people can get to know who you are as a person. Again, I don't, I don't know that this works if you got all the media markets of California, but I think it's possible. Big picture, 15 years, 25 years from now, does the Republic survive or not? I think it's an open question, but I think we do. But if we survive, one thing that I'm nearly certain of is we will figure out how to have discussions in spite of all of the noise of social media chaos of a lot of lying and a lot of screaming and just a whole lot of conspiracy stupid. All across the continuum, there's gonna be a lot more normies who show up and roll their eyes and say, yeah, grandma, I know you got a text that you know some terrible things gonna happen if you don't click this link by tomorrow. We've figured out how to deal with a lot of that kind of fraud on your digital devices. A lot of the so called content is also fraudulent nonsense to figure out how to tune out more of the fan service crazy that says only bad people are at the other end of the continuum. Now there's some crazy people everywhere, always have been.
Ross Douthat
But people do not just sort of the extreme. I mean, there is a horrible way in which people like that, like it's not just people. Dopamine hits, right? Well, it's dopamine hits, but also, you know, There's a famous C.S. lewis quote, right, about the man who reads the newspaper and learns that his enemies overseas have committed atrocities. And then he reads another story that says actually maybe there were fewer atrocities committed. Right? And there's part of him that sort of disappointed. It's disappointed, right? And there is some way in which people respond to the idea that their enemies are even worse than they imagined before, right? I mean, I've watched this happen just for, with the Jeffrey Epstein stuff where as a conservative, I lived for a long time with people on the right who were obsessed with Jeffrey Epstein. And I had my own, I have my own sort of moderate conspiracy theories about it. But then as soon as it became about Donald Trump, there was this flip that happened and suddenly I had all of these liberal friends for Whom it was like, this story was amazing. They'd never thought about it before, but now, now it was occupying all this brain space because it became a way to think that the other side was bad. And I feel like there's an element of that where it's just such a part of human nature that it's challenging to deal with. Why didn't you stick around? If you thought this model was workable, that you could have been reelected in spite of having the base of your party mad at you, why did you. You leave?
Ben Sasse
It's a little weird to say when you've just gotten an actual terminal diagnosis, but I will confess that I've always felt mortality heavy on my shoulders. I've always thought time was short. And the Senate is a very, very, very important institution. Has been in the past and it will be again in the future. I'm relatively confident. But it doesn't do anything right now. And so when you have. Have kids and you've watched two of the three of them graduate out and go 2/3 empty nester while you were commuting every week, and you still have another kid left with you, and you just think it's super unlikely that the Senate's going to tackle any real stuff this year or next year or the year after that or the year after that, like, why am I still doing this? And so I had been recruited for a few college presidencies, and none of them seemed like the right fit. And I was in the process of running for reelection, et cetera. But ultimately I left the Senate for the opportunity to help steer the University of Florida for a time.
Ross Douthat
And was it great to leave politics for a world of friendliness, ideological comedy? Everybody loves higher education. I mean, this must have been a big relief, right to go.
Ben Sasse
We are doing this interview we're recording in Austin, and I was on faculty at the University of Texas at Austin from 2004 to 2009. And I remember the old quote, it's attributed to dozens of people, but one of them is Kissinger. Academic politics are the most brutal because the stakes are so small. I remember when I was on faculty, I'm a historian by training, but I taught at the Lyndon Johnson School of Public affairs in the aughts. And we were going through a building renovation, and we had some faculty members basically chain themselves to the dean's desk because one of them was going to go from 16 and a half feet of window to 15ft of window, going to lose like 18 inches of window. And it was.
Ross Douthat
But their, their, I assume Their departmental rival was getting.
Ben Sasse
Exactly. If I was losing a foot, but you were losing two feet, fine, but not if I lose and you gain. Academia is a total mess, obviously. And yet we need institutions to help people go from being 15 to 17 to 19 to 21. You got to do home living, you got to do family formation, you got to do first job, you got to do a ton of habit and character formation stuff. And higher education could be a really, really useful transitional institution right now. It enables lots of endlessly deferred adolescent behaviors and not enough rigor and not enough clarity about either research or teaching or character formation. But we need to build new institutions in that space and that was appealing.
Ross Douthat
Tell me just a little bit about, about the part of your job at Florida that was sort of connected to this larger effort by conservatives to kind of perform some kind of transformation of more liberal academic institutions. You know, University of Florida started the Hamilton center, right, which is one of these sort of institutes civic thought, but that sort of double as places where people with moderate and right of center views can get high hired. Just tell me how you think or what you think about that project.
Ben Sasse
So lots of people deserve credit for the founding of the Hamilton center became Hamilton School will eventually be some form of Hamilton College. I think it's worth backing up one step to one of the inherent tensions in the American research university. The American research university is a hybrid of an English teaching college model, Oxbridge and a German research institute model. And there's a lot about that that's great. One of the things that's always a little under resolved is are our research universities for preparing people for life or preparing people for jobs? The right answer should be yes, both. We should be preparing the mind and the character for all of the various vocations and callings in life. And also to be prepared for the first job, but also for the third job in an industry that doesn't even exist yet and won't for 15 or 20 years and need a lot more rigor. We need a lot more both. And so many universities have had liberal arts colleges captured by ideological activists that really only want to speak to eight or 10 or 17 other ideological activists that liberal arts colleges, and I say this as a historian, I say this as somebody who loves the liberal arts, have so obviously abdicated any responsibility for preparing a next generation that we're now five consecutive decades into higher ed in America having students choose by major voting with their feet to move from liberal arts majors to more STEM majors. Five consecutive decades, students migrating from liberal Arts towards STEM disciplines, but the liberal arts, instead of then saying, well, let's use the core curriculum as a way to prepare people for the rest of life, not just the jobs that they may have, that may be in engineering or health professions or whatever, getting smaller and smaller and smaller and smaller. And their power, the power of those faculties are increasingly just to compel students to take their classes through the core curriculum. But the classes aren't very good. They aren't very big, they aren't very rigorous, but they aren't big in terms of grand questions. They're not trying to help people fall in love with the good, the true and the beautiful. The answer is not to hate on the liberal arts. The answer is to recover the liberal arts.
Ross Douthat
Right? Which is. And just. We'll talk about the left in a sec. But there is a conservative temptation, I think, think that you as a politician and academic, I'm sure have seen to look at that story and say, oh, we should just accelerate the process, right? The liberal arts are all just sort of socialist identity politics, deconstructionist rot, and let's just cut their budgets and just encourage people onto pure pre professional vocational tracks. I feel like you see that from a lot, from a certain kind of Republican politician.
Ben Sasse
Burn it all down is the impulse
Ross Douthat
of a lot, and just leave the business school standing. Correct, Right.
So how do you, how do you
persuade conservatives that they need to be invested in these institutions?
Ben Sasse
One of the ways is by building a better college of liberal arts, which is functionally what Hamilton is. And so you asked, what do I think of this project? There have been a lot of these schools. They're very important as reform germs. But what you really want is to go much bigger and say, what, what does great history look like? Why is it that almost all the history books that show up on New York Times bestseller list are written by people that are not practicing historians in academic departments because they want to write identity politics. Narrow, narrow, narrow, narrow, narrow questions that aren't ever going to be read by people. And you really want to ask questions about why does a generally educated American adult citizen, neighbor, voter, lover need to read history? What is the point of learning history? You're not going to hear that argument in most history departments right now. And so what you'd like to see is great history, great literature, great love for music and the arts, et cetera. And those things are not being done in universities right now, by and large. Let's build better liberal arts colleges at the center of these institutions.
Ross Douthat
Do you think you can get buy in from for that project from people who aren't conservatives or conservative sympathizers within academia.
Ben Sasse
Well, I'll give you an example. When we at Hamilton, when I got there, I think Hamilton had so many, I mean, thousands of applicants and lots of them were Ivy League liberals professors who taught in, you know, the most prestigious universities in big departments and they would quietly reach out like they, you know, something scandalous. Do you think I would be considered if I applied for a job at Hamilton and they had the idea that had been repeated by some lazy media that Hamilton was a conservative project. Hamilton wasn't a conservative project.
Ross Douthat
Hamilton was a liberal project. Wait, but it was a conservative political process. Right? Just in the sense that the people who wanted it the most, like the instigators and originators of the idea, some of them were classical liberals. You know, plenty of them didn't vote for Donald Trump. But it was still clearly a kind of right coded conservative, coded project. Right. I'm, I'm not, I'm, I agree, I
Ben Sasse
agree with you, Shakespeare. Does that make you a conservative?
Ross Douthat
I mean, under certain current academic conditions, that is coded as conservative. And the people, if the people, I mean, you were in charge, right? You were a Republican senator brought in to be president of the University of Florida. I'm just saying, like, I'm not disagreeing with you that, that this perspective and approach should be able to bring in people who are not conservative. I'm just saying, saying it is part
Ben Sasse
of, part of the challenge test for hiring for anybody in any of those disciplines.
Ross Douthat
Right. I'm just saying part of the challenge is that as you know, if you're in a red state, then it's sometimes it's coming out of Republican policy making in the state legislature and so on. Right. Like there is the, the ideological element is there and it's sort of what you're trying to transcend. Right?
Ben Sasse
Fair. But I think the 101 question question is what is the best use of 45 months of an 18 to 22 year old's time? Why would we compel people to do anything? It better dang well benefit them and benefit the broader society in terms of the economic output they're going to produce, but more importantly the civic engagement that they're going to be able to have and the love of neighbor and the engagement with, you know, a republic, a small r republic of pluralists who say we don't want a polity that's based on power. We want a whole bunch of people who want to flourish and thrive and build great things in their community. And that requires you to be acquainted with some of the wonderful ideas and with beauty in the past. And most of that is way more interesting than anything that is political.
Ross Douthat
Yeah, one, I mean one thing that has made me maybe more optimistic about this kind of Save the Humanities project project is actually watching left wing academia react to artificial intelligence where part of the reaction I think is mistaken. I think there's part of the reaction that underrates the technology and wants to say it's not that important. It's all fakery, it's just Silicon Valley hype. I think that part is wrong. But there is also a reaction I've seen that is a kind of humanist reaction that is trying to emphasize, emphasize human exceptionalism, which has not been where I think parts of the academic left have been. And it's made me wonder whether, yeah, there is a kind of left right humanist dialogue around. I mean, just the bigger question that I know you have thoughts on because you know, you were talking earlier about sort of the technological challenge we're living through. Right. But where, you know, the question of just like what is a human being and what, what makes human beings distinct from a computer, a machine, these kind of things, those seem like questions that are maybe get us out of current polarization a little bit. What do you think?
Ben Sasse
Well, well said. I in my pre cancer life where you sometimes, you know, dance for your dinner or raising money for a university and you're asked to give generalist speeches on a lot of topics. It's, you know, 90% of the time somebody will ask you some version of the question, do you think AI is going to bring heaven or AI is going to bring hell? And the right answer is yes. AI is going to be human activity and behavior at warp speed for good and for ill. And a lot of the stuff that we've been good at, we're going to get more of it faster, are cheaper and more broadly distributed. But a lot of what's horrible about human addictions and distractions, we're also going to get a lot more of it faster, cheaper, more ubiquitous. And I think the grand divide that is coming sociologically or demographically is not chiefly a class divide. I think the grand divide that's coming is, is about intentionality and what you do with your affections. And these super tools, the people who use the tools and get to capture the ability to drive marginal computing costs towards zero. Right. We're either going to make the quantification of routinizable tasks either Actually free, or so close to free that we won't bother to meter it anymore more. That's going to be extraordinary. It's going to be a transformation of the way economics has worked for human history. Past economics was a discipline about scarcity. Economics is going to become a discipline about ubiquitous abundance. Or your people who agree to outsource your attention and affections to somebody else's algorithm. That's hell. Who would have ever thought that we'd be living in a sex collection lapse less premarital sex, less extramarital sex, less marital sex because people are so addicted to not just pornography proper, but just digital distraction from bodily goodness. That's weird. And I think that the digital revolution that we're going to live through is going to bring all of that at faster speed. For a small number of people with lots of intentionality, lots of habits and thick communities of accountability and sabbaths, these tools are going to probably be pretty great for the majority of people. I think they're going to be disastrous.
Ross Douthat
What do you try and give to the normal people in that scenario? Is it a different philosophy of life? Is it a religious vision? If it's an 8020 scenario where it's heaven for 20% and hell for 80%, what's the path, path up for the 80%.
Ben Sasse
Communities that can do shared deferred gratification, that can say self discipline, self restraint, self control are the only antidotes to other constraint, other discipline and others control. And so I think we want to think very, very intensely, intentionally about our affections. What are your loves? We have to think deeply about rank ordered loves. And I don't think we do that right now. And I think our, our temptation to allow these tools to algorithmically tempt me into an eternal now, now, now, now, now, now slot machine of dopamine hits super dangerous. We have been for 150 years, years tempted toward generational segregation, which loses wisdom in my meaning.
Ross Douthat
The young don't encounter the old and vice versa, actually.
Ben Sasse
Exactly. I think that in my pantheon of American greats and villains, we radically underappreciate the downsides of John Dewey. I think John Dewey did many, many, many, many terrible things. And one of them was say, well, the economy went from kind of craft work and agriculture to industrialized scale. We should make childhood on an industrialized scale and we should institutionalize children for the vast majority of the time indoors, sitting still, passive, mother may I? And only around people with their same birth year. One of the least significant factors about life is people that just happen to have my same birth year. Except when you're 14 or 16, then it's real really terrible because our frontal lobes aren't done. And what a horrible thing to segregate 16 year olds. Only with 16 year olds. Those people are idiots and they deserve the benefits of 80 year old wisdom. And by the way, 80 year olds deserve the benefits of the reward of seeing 16 year old vitality again. One of the things I think the digital revolution does is it takes our generational segregation and puts it on speed and we lose lots of wisdom. We need a lot of more communitarian thickness to get at some of these self restraints and self controls that can use the tools instead of being used by the tools.
Ross Douthat
Foreign.
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Ross Douthat
Let's talk about your loves, your little platoons. I've never had a cancer diagnosis. I was very, very ill a while five, seven, ten years ago, and early on in that I had a bunch of phantom heart attacks where I went to the emergency room and I would think briefly that I was going to die. And what was striking in those moments was actually how little I was personally afraid of my own mortality and how much fear I had about my family and my kids. Your kids are older now than mine were then. Two of them are grown or as grown, you know, as grown as young people can be, right? But just tell me how you're thinking about your relationship to them and your own family life in the shadow of
Ben Sasse
death I got my diagnosis in mid December, and similar to when you were going through your health episodes, I was incredibly blessed to be quickly at peace. I kept hearing the Pauline phrase, to live is Christ, to die is gain, and death is terrible. We should never sugarcoat is not how things are meant to be. But it is great that death can be called the final enemy. It's an enemy, but it's a final enemy and there will then be no more tears. I believe in the resurrection and I believe in a restoration of this world. And so I did not Feel great fear about my death. I didn't want the pain I was going through. I didn't want to be a pansy ass, you know, at. In the, in the final moments. Excuse me.
Ross Douthat
You're doing okay right now with that?
Ben Sasse
I am doing so far. Oh, thank you. But I did immediately feel regrets about a lot of misprioritization. You jokingly referred earlier to my podcast, which takes its line from Monty Python. Not dead yet. We're all on the clock and I wanted to have prioritized better. And whether I really only had three or four months left or if I get nine to 12 months left, I want to prioritize better from then. But in my tradition in Christianity, the need for daily repentance is just a truth. I am broken. I leave undone those things which I ought to have done and I do those things which I have not done. You know what morphine. And there is no health in us. And I get to repent every day of both my sins of omission and commission. And, and yet at a slightly bigger level, if you're only going to get three or four months, you really want to get some of your affairs in order. And my boy was only 14 and I felt a heaviness. I knew that God wasn't surprised by the diagnosis. There is not a maverick molecule in the universe. But I didn't like the idea of my 14 year old son not having a dad around. At 16, I didn't like the idea of my daughters who are 22 and 24, not having their dad there to walk them down the aisle. And, and I felt a real heaviness about that. But I've continued to feel a piece about the fact that death is something that we should hate, we should call it a wicked thief. And yet it's pretty good that you pass through the veil of tears one time and then there will be no more tears, there will be no more cancer.
Ross Douthat
Can I ask how you think your kids are processing the experience?
Ben Sasse
They have a great mom and they are theologically rooted and their hope is in Jesus and they all three are doing really well. My girls are 22 and 24 and I know that our conversations are the true and accurate conversations. My 14 year old son is gritty enough and tough enough that I think even if he wasn't doing well, he could probably fake it. So I don't fully know. So I covet prayers on that. But he seems to be doing well
Ross Douthat
just on the, you know, front of having something like this change how you think about your own priorities. Is there advice that you would give to someone who is, you know, the Ben sass, father of three at age 40 or age 35 when the kids are young and everything's stressful and chaotic in light of where you are now?
Ben Sasse
Happy to go fire hose on this one. Number, number one, honor the Sabbath and keep it holy, man. I wish I'd treated the Lord's day differently over the course of my life. I've always known it, believed in it, and thought, you know, maybe next week we'll get better at taking. We've been at Sunday worship every morning forever. But man, am I tempted by 12:45 or 1:30 in the afternoon to get back to work or to an addictive level, work about the NFL. Boy, I would treat Sabbaths differently and especially digital intrusions into the Sabbath. Dinner time is precious, man. Lock up your devices and keep them away from the table and. And prioritize that time. There is a limit to how many trips a month are really worth it. I lived a road warrior life for a long time, and I kind of had a rule of thumb that seven nights a month at a hotel was the ceiling. But boy, there's a difference between seven and nine and there's a difference between seven and five. And I took way, way, way, way too many trips, Matt.
Ross Douthat
And might be convicting for the man interviewing you, but go on.
Ben Sasse
You know, family compounds like man have more cousins and figure out how to live thick with them. There's so many times when we optimize around things that are not nearly as important as more family thickness. Boy, I wish we lived down the block from my folks.
Ross Douthat
One of my recent guests was Bart Ehrman, who's New Testament scholar, well known as a skeptic, who was a Christian, was evangelical Christian for a time, and lost his Christian faith. And in our conversation he talked about that, the idea that he didn't lose his faith because he decided that the Gospels weren't historically related, reliable though that was mostly what we argued about, right? But because of the problem of evil, of human suffering. And he specifically talked about unanswered prayers. And as you know, I assume you've prayed for healing.
Ben Sasse
Yes, sir.
Ross Douthat
Not to be, you know, not to be the guy who just beats the odds, but to be the miracle story. God hasn't answered those prayers yet. Are you angry at God ever? No, not at all.
Ben Sasse
No. I wouldn't want a sovereign God to defer to all of my prayers with a yes, because I'm not omniscient. I don't know what the weaving together of the tapestry of full redemption should look like. But I know going through the period of suffering that I'm going through is a benefit because it is a winnowing. I'm filled with dross. And this suffering is not salvific, but it's sanctifying, and I'm grateful for it. Tim Keller, who I know you knew, who's in my denomination, a Presbyterian pastor in New York who also died of pancreatic cancer, said, I hate pancreatic cancer. I would never wish it on anyone, but I would never want to go back to a time in my life where I didn't know the prayer of pancreatic cancer. Meaning I now, in the midst of this disease, know much more the truth of my finitude than I ever let myself believe in the past. The hubristic nonsense that I was actually, you know, I believe in God and grateful and blessed, but I can build a storehouse that can be pretty deistically persuasive. My storehouse can have enough resources that I can operate without a need. But that's not true. I can't. I can't keep the orbits, the planets in orbit. I can't. I can't even grow skin on my face.
Ross Douthat
For the listener, viewer, who, whether for Ehrman's reasons or others, doesn't believe, believe in God and finds your cosmic optimism admirable, but maybe thinks that you're deluding yourself on the brink of actual finitude, what would you say to that person?
Ben Sasse
Let's read the book of Romans together. In Romans 1, where Paul's essentially LA laying out the catechetical argument for the structure of Christianity against a Jewish messianic hopeful backdrop, he says in. In chapter one, there are lots of intellectual arguments you can make against God, but you kind of have to start with a fundamental question about what do you do with this moral issue of our own conscience? And to. Does the individual, in your hypothetical, really start with the claim that things are right in your soul? Because I can't relate to that things are not right in my soul. My soul thinks Ben should be God, and I want that to die. Cancer sucks. But I'm pretty grateful that cancer is a stake against my delusional self idolatry.
Ross Douthat
Do you think you're ready to die? Do you feel ready?
Ben Sasse
I don't feel ready, but to whom would I go? I. I have confidence that when Jesus says to the disciples he didn't want to be identified as the Messiah yet. Keep these crowds away. You know, don't tell about the the water into wine. Marriage miracle at the feast. How amazing is it that Jesus first first miracle is a big ass party. Let's drink more together. But he says, you can't keep the children from me. And we're told that we get to approach the Almighty. We get to approach the divine and call him Daddy. Abba. Father. That's pretty glorious. And I know that that's what I need.
Ross Douthat
Ben. Sorry.
Ben Sasse
Happy to get him to open up the campaign.
Ross Douthat
He got me at the end. Got me. Ben Sass, thank you for joining me.
Ben Sasse
Thanks for having.
Ross Douthat
Interesting Times is produced by Sophia Alvarez Boyd, Victoria Chamberlain and Emily Holzeneck.
Jordana Hochman is our executive producer and editor.
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Podcast: Interesting Times with Ross Douthat (New York Times Opinion)
Episode Date: April 9, 2026
Host: Ross Douthat
Guest: Ben Sasse (former U.S. Senator, President of the University of Florida, terminal cancer patient)
This episode offers a profound conversation between Ross Douthat and Ben Sasse, who candidly reflects on life after being diagnosed with stage 4 pancreatic cancer. Sasse, known for his idealistic yet sometimes ineffectual brand of conservatism, discusses mortality, career, faith, American politics, higher education, and family priorities in the context of his drastically limited time. The discussion balances humor, gravity, and clarity as Sasse faces death with forthright honesty and hard-earned wisdom.
Timestamps: 04:17–15:53
Diagnosis Story:
Sasse recounts his diagnosis—late October 2025 brought acute back and abdominal pain, initially brushed off as training injury, but scans confirmed stage 4 pancreatic cancer with metastases (05:54).
"Ben Sass’s torso is chock full of tumors." – Sasse quoting his doctor (06:12)
Treatment Details:
Entered a clinical trial at MD Anderson in Houston using an oral targeted therapy (Duraxon Race ab by Revolution Medicine), leading to substantial tumor reduction. Manages side effects: difficulty growing skin, bleeding, severe nausea (09:32, 10:16).
Pain & Daily Life:
Sasse explains the delicate balance of managing pain, side effects, and energy under hospice care—but notes a significant reduction in pain and improved tumor metrics.
"My tumors this week are down 76% from December 29th. Tumor volume in my torso is down 76%." (13:49) However, this doesn’t mean a likely long-term survival; he likens cancer to dandelions already seeded throughout the body (14:20).
Humor in Adversity:
Despite the grim prognosis, Sasse brings levity—discussing memes about him outside MD Anderson smoking, and recalling a viral Senate photo involving Chuck Schumer and a joint-like prop (16:10–18:47).
Timestamps: 19:26–32:58
Senate Reflections:
Sasse reflects on his nontraditional political career—drafted into the Nebraska senate race, focused on idealism and civic engagement rather than dealmaking.
"I am way too idealistic about what I believe in America to be a very good deal maker." (22:57)
Diagnosis of American Politics:
He identifies institutional collapse as the core crisis of our time—digital technology eroding shared identity and meaningful communication.
"The largest tools any median individuals ever had access to...allow our consciousness to leave the time and place where we actually live ... and we allow our consciousness to go really far away." (23:45)
Modern Political Dysfunction:
Political discourse is dominated by extreme partisans ("professional political activists"), distorting civic life and discouraging moderate, truth-telling politicians (28:14, 30:20).
Can Normie Politicians Survive?
Sasse believes that politicians who are honest, community-oriented, and policy-focused can succeed in smaller constituencies, but acknowledges challenges for large-scale politics.
"Normie politicians have an opportunity at least, least in small enough electorates where people can get to know who you are as a person." (33:59)
Timestamps: 38:56–49:48
Leaving the Senate:
Sasse left the Senate for the University of Florida, motivated by a desire to impact lives directly and skepticism that the Senate would tackle important issues (37:54).
Academic Politics:
He jokes that academic politics can be even more brutal than politics in Washington (39:08).
Reforming Higher Ed:
Sasse champions the liberal arts, denouncing both left-wing narrowing of the curriculum and right-wing calls to "burn it all down."
"The answer is not to hate on the liberal arts. The answer is to recover the liberal arts." (43:40)
Building Institutions for Human Flourishing:
Sasse discusses efforts, such as the Hamilton Center at UF, aimed at restoring the ethical and civic formation role of higher education. He stresses the need for colleges to help students grow not just professionally, but as engaged, balanced citizens (41:20, 47:37).
AI & Human Value:
Sees a surprising opportunity for a left–right alliance in academia: concern over AI is prompting a renewed embrace of humanism, driving questions about what makes us distinct as humans (48:32).
Timestamps: 56:15–67:16
Facing Death:
Sasse describes being at peace with his own mortality, drawing on the Christian tradition of seeing death as the "final enemy" and placing hope in resurrection.
"To live is Christ, to die is gain...I did not feel great fear about my death." (57:03)
Regrets and Reorders:
He expresses regret over misplaced priorities, especially work and travel over family time, resolving to focus what’s left of his life on "the little platoons"—family, Sabbath, community.
"Honor the Sabbath and keep it holy, man. I wish I'd treated the Lord's day differently over the course of my life...Dinner time is precious, man. Lock up your devices." (60:57)
Advice to Others (on priorities):
Prayer, Suffering, and Meaning:
Sasse affirms that his suffering is sanctifying, not salvific, referencing Tim Keller's idea that cancer, while terrible, brings spiritual clarity.
"I would never want to go back to a time in my life where I didn't know the prayer of pancreatic cancer." (63:20)
To the Skeptic:
For listeners lacking religious faith, Sasse humbly suggests self-examination of conscience and the allure of personal idolatry, offering Christianity’s account of human brokenness and the need for grace (65:19).
This episode is a moving meditation on mortality, meaning, and citizenship in an anxious era. Sasse brings humor, self-awareness, and grounded faith to a conversation shaped by both private anguish and public responsibility. The dialogue holds power for those facing suffering, family questions, professional burnout, or spiritual doubt—offering both practical advice and a model of grace under pressure.
The conversation challenges listeners to reassess their priorities, renew their civic commitments, and consider the deeper questions of purpose and hope in the face of finitude—a wide-ranging reflection on living, dying, and what's worth fighting for.