Lifting awareness of male supremacy: an elevator pitch with a twist

Lifting awareness of male supremacy: an elevator pitch with a twist

  November 21, 2025    Stephen Cobb

---

The source of much of what is wrong in the world today is male supremacy, awareness of which needs raising. Could one simple question do the trick? 

I believe there are many men out there who, like me, are sick to death of guys who perpetuate, knowingly or unintentionally, the evil that is male supremacy and all the pain and suffering that it is causing in the world today.

The burden of that pain and suffering falls mainly on women. But the pain and suffering caused by male supremacy also impacts men, through the oppressive hierarchical structure of society and the poisoning of our efforts to relate to each other.

In my opinion the solution to male supremacism is — or at least begins with — men and women improving their understanding of each other. One huge gap in mutual understanding that I see is the risk gap: far too few men truly comprehend the amount of risk that women have to deal with each and every day, throughout their lives.

According to a vast range of studies and statistics, life is a lot riskier for women than it is for men, even in so-called advanced countries like the US and UK. If you doubt this, consider this observation from a woman I know:

What a luxury it is not to have to think about being assaulted while you go about your day, to feel safe in a rideshare, loiter in a park, relax in a bar, walk home alone from work at night. — Soraya Chemaly

If you are still not convinced that women are forced to live with more risks than men, I have a question for you:

A man and a woman get into an elevator. Which one is doing risk assessment?

If you’re a man and your first thought was the woman, good for you! It sounds like you may have what it takes to truly understand what I mean about life being riskier for women. If you're a man and answered the woman and immediately felt discomfort, sadness, shame, or anger that even now, in 2025, this is how things: Congratulations! You have real potential to make this world a better place, a place where women feel as safe as men.

I'm talking about a place where women can enjoy the luxury of not having to think about being assaulted while they go about their day. A place where male supremacy is not exacting a constant toll on our mothers, sisters, daughters, partners, wives or lovers. A place in which it is no longer the case that: 

...men’s relative freedom of movement and safety are unspoken privileges. And we pay for them dearly every day. — Soraya Chemaly

To be clear, I think men can and should make this world a place where women are free to live the lives they choose for themselves, and it safe for them to do so. As I've said, it’s going to take a lot of hard work, but I truly believe this work will make life a whole lot better for both men and women. 

And there is one relatively easy piece of work we can all do right now: ask the elevator question (or the lift question if you’re in the UK, Ireland, Australia, New Zealand, or South Africa).

Working the Elevator/Lift Question

I’ve been asking the elevator question for many years in many different settings and I find it's an effective and relatively non-confrontational way of raising awareness of how different life is for men and women due to the huge gap in their risk exposures. And to say that I’ve learned a lot by asking this question would be huge understatement.

First of all, almost all women answer the woman. I had expected this when I first came up with the question, but I wasn't prepared for how many women said it right way, I mean instantly, sometimes loudly and with feeling. 

And I had not expected at all was the unprompted outpouring of elevator risk management strategies, some of which I will paraphrase here:

• I always head to the back of the elevator.
• If the elevator’s empty and the man goes first, I pretend I’ve forgotten something and don’t get in.
• If the elevator’s empty, like it’s just him and me, I just don’t get in.
• If it’s just me and and a man waiting for the elevator I take the stairs. 
• I always take the stairs, and not because I need the exercise.
• If I’m the only woman waiting for an elevator I make sure my keys are in my hand.

For me, these strategies shine a bright light on the huge gulf between the way men and women experience daily life; and the fact that women are doing this is a concrete evidence of the insidious nature of male supremacy. 

This risk gap, and the way that it reflects all the things that make up male supremacy today — the persistent misogyny, the enduring patriarchal structure of society and its institutions, the appalling level of violence against women — needs to be openly discussed by all of us. And I mean all of us everywhere, at dinner parties, in staff meetings, over drinks after work, and in our homes.

Which brings me to the elevator pitch, sometimes called the elevator speech, lift speech, or elevator statement. Wikipedia defines elevator pitch as: "a short description of an idea, product, or company that explains the concept in a way such that any listener can understand it in a short period of time." 

I've written a ton of these during my time as an entrepreneur, author, and film producer. Here's my elevator pitch explaining why we should be asking the elevator question:

"If you're looking for a way to raise awareness of how unequal life still is for people who are not rich white men, especially for the more than 50% of people who present as female or feminine, pose the following question whenever you get a chance: A man and a woman get into an elevator. Which one is doing risk assessment?" 

If the elevator ride is a longer one, I would add suggestions as to who should hear this question: your partner, your friends, your work colleagues, the people you meet at conferences, sports events, coffee shops and bars. 

Anyway, that's my pitch for starting conversations about male supremecacy. Ask the elevator question and see what happens. I'd love to hear how you get on. Could it be said better? Do some people just not get it? Would it be better to say risk management that risk assessment? 

(I tend to think of risk management as what's happening once inside the elevator car; but clenching of keys and taking the stairs are risk mitigation techniques — let's face it women are often very good at all of these things.)

Speaking of being very good at things, I think Sora Chemaly's new book — All We Want Is Everything: How We Dismantle Male Supremacy — is very good at spelling out what male supremacy is, why it still exists, what great harm it is causing, and how important it is for us to — in her words — dismantle it. Cramming all that into one clear and concise volume is a major accomplishment, one that I hope will spark major progress in the dismantling of male supremacy. 

p.s. If you already know this stuff, recommend Soraya's book to folks who don't. Better yet, buy them a copy.

NOTES

1. Gender language: I made a conscious decision to write this article using the traditional terms men and women. My reason: I didn't want to lose any male readers before I had even made my point. That point is: male supremacy is bad for everyone and one way to advance the very urgent and very necessary task of dismantling it, is to raise awareness of just how much harm it does to us all, including cisgender women, trans and non-binary people, and those with Indigenous gender/social roles, and also cisgender men like me. I'm pretty sure most people in all those groupings already understand this, with the notable exception of an unacceptably high percentage of cisgender men.

2. Male Supremacy: The belief in cisgender men’s superiority and right to dominate, control, or erase “others,” women, trans and non-binary people, and those with Indigenous gender/social roles. —Institute for Research on Male Supremacism

3. Quotes: The exact source of Soraya's quotes in the article is All We Want Is Everything: How We Dismantle Male Supremacy, Kindle Edition, p 12, 2025.

4. Transparency: I should mention that I did not come up with the elevator question in the context of dismantling male supremacy. It a rose from my efforts to recruit more women into the cyber security profession. There has always been a shortage of people with the necessary aptitude and inclination to do the vital work of defending our ever-growing digital information systems and the data they process. I'm sure I wasn't the first person to point out that the profession was male dominated but that women were entirely capable of making vital contributions to profession. But I was one of the first to point out that, on aggregate, women tended to have a greater awareness of risk than men, and hence likelier to possess an aptitude for security work.

5. Keys and self-defense: Clenching your keys in your fist with the points sticking out between your fingers has long been a staple of "self-defense for women" but many experts are now of the opinion that a different style of key grip is better, as enthusiastically demonstrated by a man in this blunt-but-on-point YouTube video on using keys as an improvised weapon, and discussed by a woman here.

Read More

Giant Cell Arteritis: Watch out for this nasty disease if you're female and over 40

Giant Cell Arteritis: Watch out for this nasty disease if you're female and over 40

  September 05, 2023    Stephen Cobb

---

Women in their 40s or older need to be aware of a condition called giant cell arteritis or GCA. This article explains why. I'm not exaggerating when I say that knowing about GCA could save someone's sight, or even their life.

GCA is also known as temporal arteritis because, when you have it, "the arteries, particularly those at the side of the head (the temples), become inflamed." As NHS England states, GCA is "serious and needs urgent treatment."

What does GCA do? It causes multiple problems, including: "persistent, throbbing headaches, tenderness of the temples and scalp, jaw pain, fever, joint pain, and vision problems." That's according to the Vasculitis Foundation, which echoes the NHS when it warns: "Early treatment is vital to prevent serious complications such as blindness or stroke."

But wait, there's more: GCA often causes drenching night sweats, a symptom that can also be caused by menopause. And that's why women over 40 need to know about GCA. Sadly, far too many doctors tend to dismiss any symptoms suffered by women over 40 as "just menopause." And some doctors will say that to women in their 50s, 60s, and even 70s (for menopause neophytes, the menopause as the Brits refer to it, is over by 50 for most women).*

To be clear, most cases of GCA occur in people over 50, and the "peak group" is those between the ages of 60 and 80 years. That's according to PMRGCAuk, the leading GCA support organization in the UK.

It's not always menopause

If you know many women who are nearing or have turned 50, you may already know that this demographic often gets a particularly raw deal when it comes to healthcare. This is a result of two factors. First, there is a massively patriarchal bias throughout the medical world. Second, multiple diseases produce symptoms similar to those of menopause. 

I found this to be true, and truly problematic, when I started researching something called hereditary hemochromatosis about 15 years ago. This genetic condition can cause menopause-like symptoms in women who have gone through menopause; but many doctors have been taught—erroneously—that hemochromatosis is a young man's disease, even though older women can suffer and die from it. The result? Hemochromatosis in older women is often missed until it has caused them serious damage. (See the "hemopause" website for more details). 

When it comes to GCA, consider the main early symptoms, as described by PMRGCAuk: "headache, feeling generally unwell, weight loss, drenching night sweats and loss of appetite." You can well imagine a woman going to her doctor with those symptoms and being told one of the  following:

• It's just menopause
• It's just perimenopause
• You're just post-menopausal
• You're just rundown/overworked/stressed

What the doctor should do is ask the patient if they have any:

• Pain over the temples
• Double vision, loss of vision, or pain behind your eyes
• Difficulty opening your mouth, or pain when eating
• Scalp pain or tenderness

Those are four indicators which, when taken with the initial symptoms, suggest that the patient may have GCA. (Medicine Today) This suggestion needs to be taken very seriously, given that untreated GCA can cause blindness and stroke if not treated swiftly. Heavens knows how many women with those symptoms have been fobbed off with: "it's just the change."

Further GCA Information

How serious is GCA? This article written about 10 years ago for doctors in New Zealand is quite clear on how seriously GCA needs to be treated: "Giant cell arteritis, also referred to as temporal arteritis, is a form of vasculitis which predominantly affects older people. It must be treated urgently, as it is associated with a significant risk of permanent visual loss, stroke, aneurysm and possible death." (Best Practice Advocacy Centre New Zealand) 

Who diagnoses GCA? If you have a good GP (UK) or primary care doctor (US) they may recognize the early signs of GCA and refer you to a rheumatologist. If you are seeing an eye doctor because of pain in one or both eyes, or a sudden and significant reduction in vision, and they can't find a cause for these symptoms within your eyes, they may suspect GCA and refer you to a rheumatologist.

A more scientific description: "Giant cell arteritis (GCA), also called temporal arteritis, is an inflammatory autoimmune disease of large blood vessels. Symptoms may include headache, pain over the temples, flu-like symptoms, double vision, and difficulty opening the mouth. Complications can include blockage of the artery to the eye with resulting blindness, as well as aortic dissection, and aortic aneurysm. GCA is frequently associated with polymyalgia rheumatica. (Wikipedia)

Illustrated medical deep dive: Highly technical article, Giant Cell Arteritis: A Case-Based Narrative Review of the Literature. 

GCA is a form of vasculitis: "Vasculitis is a family of nearly 20 rare diseases characterized by inflammation of the blood vessels, which can restrict blood flow and damage vital organs and tissues." Vasculitis Foundation

Who gets GCA and why? "GCA is the most common form of vasculitis in older adults, affecting people over 50 years of age, with an average onset of 74 years of age. Women are more than twice as likely to get GCA than men. The condition is mostly seen in people of Northern European ancestry and is rare in other ethnic groups such as Asians and African Americans. GCA prevalence is estimated at 278 per 100,000 people in the United States over the age of 50.

Beware of rare: The word rare can be tricky. For example, both GCA and hemochromatosis are said to be "rare in people who are not of Northern European ancestry." But people who self-identify as Asian and African American may still get GCA. Also, GCA is also said to be rare before 50, but there are younger people who have it. Remember this, just because textbooks say X is rare, doesn't mean you don't have it or shouldn't be tested for it.

Facebook support group: https://www.facebook.com/groups/giantcellarteritissupportgroup/

UK support group: https://pmrgca.org.uk/

More about symptoms: "The main early symptoms of GCA are headache, feeling generally unwell, weight loss, drenching night sweats and loss of appetite. Over time, the blood vessels on the side of the head can be visibly swollen with tenderness on touch.  Things like brushing your hair may become painful. In more advanced cases, people may find difficulty in chewing. Typically, it is chewy foods like a piece of chicken or a hard piece of toast that cause problems. The chewing becomes progressively painful rather than being painful from the first bite. If ignored, the condition can affect either part or whole of an individual’s eyesight. Very rarely, individuals may not notice any early symptoms and develop sudden painless loss of vision." https://pmrgca.org.uk/

* I realize that the "timing" of menopause varies greatly, but I sometimes think that statements like "menopause can last into your sixties of seventies" arise from doctors attributing symptoms to protracted menopause rather than digging a bit deeper into the diagnostic toolkit. My partner first presented to her doctor with GCA-like symptoms when she was 45. She was finally diagnosed with GCA at 70.

Disclaimer: This page contains general information about medical conditions and treatments. This information is not medical advice, and should not be treated as such. I, Stephen Cobb, am solely responsible for the content of this website, and I am not a doctor. I'm just this bloke in love with a woman who has, like far too many women, suffered greatly, and in many cases needlessly, from the patriarchal, male-dominated, man-centered nature of medicine.

Please bear in. mind that you must not rely on the information on this page as an alternative to medical advice from your doctor or other professional healthcare provider. If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider. If you think you may be suffering from any medical condition you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this page.

Read More