In the five years since the book was published, the disease has metastasized and spread far beyond universities. It now infects journalism, the arts, nonprofits, K–12 education, and even medicine. Show me an organization where people are afraid to speak up, afraid to challenge dominant ideas lest they be destroyed socially, and I’ll show you an organization that has become structurally stupid, unmoored from reality, and unable to achieve its mission.