NOW HEAR THIS!

 

With apologies to The Men’s Shouting Chorus, http://www.acappellanews.com/archive/003086.html

Once upon a time, people reserved loud outbursts for very special occasions.

HELP!

FIRE!

CHARGE!

In each case, the raised voice with its guttural message alerted anyone within earshot that an emergency required their immediate attention. Or in the case of warfare, now was the time to kill or be killed.

Polite company abhors a loud voice, such breech of manners considered the province only of drunkards, boors, or madmen. Like the boy crying wolf, making a loud noise with our voice serves us when normal communication fails, calls attention, and provokes a fight or flight response in those who hear it.

We respond to shouting both physically and emotionally as adrenalin dumps into our system. Our hands may form fists, our jaw clenches, our heart rate accelerates. Psychological studies have shown the negative impact of shouting:

Yelling activates structures in the limbic system that regulate “fight or flight” reactions. Repeated activation to these areas tells the brain that their environment is not safe, thus the interconnecting neurons in these areas must remain intact. …At work, overreacting creates a perceived unsafe environment and can also put others into constant fight or flight mode.[1]

Countless studies and publications warn against shouting at children, spouses, or employees. But why? Here’s an explanation.

The threat response is both mentally taxing and deadly to the productivity of a person — or of an organization. Because this response uses up oxygen and glucose from the blood, they are diverted from other parts of the brain, including the working memory function, which processes new information and ideas. This impairs analytic thinking, creative insight, and problem solving; in other words, just when people most need their sophisticated mental capabilities, the brain’s internal resources are taken away from them.[2]

Most of us realize that shouting is bad form. We also recognize that we don’t like to be the target of shouts. Then why do some of us tolerate shouting on a daily basis?

In the mid-1980s, a certain conservative radio announcer discovered that shouting on air provoked a rewarding response – people listened. Rush Limbaugh had been fired from previous radio jobs but finally found his niche after Congress repealed the Fairness Doctrine.

In 1984, Limbaugh returned to radio as a talk show host at KFBK in Sacramento… The repeal of the Fairness Doctrine—which had required that stations provide free air time for responses to any controversial opinions that were broadcast—by the FCC in 1987 meant stations could broadcast editorial commentary without having to present opposing views. … Rush Limbaugh was the first man to proclaim himself liberated from…liberal media domination.”[3]

It’s no surprise that the media had become, in some views, rife with so-called liberal viewpoints. Journalists are exposed to higher education before qualifying for a media job. Not only do journalists study literature, history, and political science which paint the broad picture of human suffering, but also upon being hired to a media job, journalists are immediately thrust onto the front lines of all the world’s social ills—crime, disease, prejudice, and injustice among them. Through these experiences, many journalists embrace a point of view that can be described as ‘liberal’ – by definition, “tolerant of different views and standards of behavior in others” and “concerned with general cultural matters and broadening of the mind.”

Professional journalists and the media outlets where they work must adhere to professional standards.

Members of the Society of Professional Journalists believe that public enlightenment is the forerunner of justice and the foundation of democracy. The duty of the journalist is to further those ends by seeking truth and providing a fair and comprehensive account of events and issues. Conscientious journalists from all media and specialties strive to serve the public with thoroughness and honesty. Professional integrity is the cornerstone of a journalist’s credibility.[4]

Not so with Rush Limbaugh, a college dropout. His admitted objective in radio is to sway people to a conservative point of view. People not only listened to his bombastic style but became agitated as if whatever was said in this shouting voice carried greater meaning, more importance, and undoubtedly revealed a threat heretofore unnoticed. His attention-grabbing delivery gained purchase among a vulnerable demographic.

The lesson quickly spread to other media, most notably to FOX News who came on air in 1996 with commentators who never miss an opportunity to shout. Few of these ‘announcers’ are professional journalists. As noted in a 2017 report in the Washington Post,

With the departure of credible centrist and conservative voices and professional journalists (e.g. Megyn Kelly, Greta Van Susteren, George Will, Major Garrett), the alternative-reality programming seen in the Fox evening and afternoon lineup and on “Fox & Friends” now overwhelms the rest of the operation.[5]

Neither Sean Hannity nor Glenn Beck, both popular FOX News commentators, completed college and are not journalists. Yet their audiences believe these men are delivering unbiased news.

The success of both outlets in hooking rapt viewers didn’t go without notice among other media.  Some CNN reporters stepped up to the plate and began shouting as well, in particular Wolf Blitzer who doesn’t seem capable of speaking normally. Thus the current political and social crisis was born.

The Rush Limbaughs of the world use shouting not to intimidate listeners as might a parent, spouse, or employer, but to signal alarm. LISTEN TO ME! I’VE GOT NEWS! Whatever the content of such commentary, it’s not simply information that we can take or leave or interpret in comparison to equal but opposing information. This is life or death information. Dangerous. The context screams EMERGENCY!

Not only are listeners held captive by the threat of such emergencies, they suffer physical and emotional damage that makes them vulnerable to manipulation.

Researchers have long known about the infectious nature of stress… Studies have shown that there is “crossover” stress from one spouse to the other, between coworkers, and “spill over” from the work domain to home. The stress contagion effect, as it’s known, spreads anxiety like a virus. Our mirror neurons help suck us into the emotional eruptions of others. …Emotions are highly contagious, as film directors and fear-mongering propagandists know, especially negative emotions.[6]

Held captive by unconscious physical and emotional response to shouting newscasters, listeners become victims of a kind of Stockholm syndrome, “strong emotional ties that develop between two persons where one person intermittently harasses, beats, threatens, abuses, or intimidates the other.”[7] An urgent need to hear what the shouters say takes over normal intellectual function. There’s an emergency and they’re telling us about it. We have to listen.

No one questions that regular shouting at a spouse is a form of domestic abuse, or that shouting repeatedly at children is a form of child abuse. So why do so many people not question the harmful impact of loud-mouthed media personalities?

What could be a more perfect explanation for the masses of people walking around seemingly without the ability to think rationally about matters of critical importance in our nation’s politics? While liberals may gravitate to quietly spoken news of the day uttered by a calm commentator on the PBS NewsHour, many conservatives seem to require regular doses of shouting. There’s probably a clear connection between being shouted at with its rush of body chemistry and the acceptance of a point of view that seems to solve the problem just described in those shouts.

What any reasoning adult should know is that shouting is a theatrical tactic used to capture the attention of listeners/viewers, a form of bullying meant to hold its beleaguered  audience. Sportscasters shout in order to build visceral excitement for whatever game they’re announcing. But why would we want the adrenaline rush of sports when we’re hearing news?

Isn’t ‘news’ at its most basic concept a source of information about important events around the world? About electing those who will steer our nation through challenging times? Do we really want to unquestionably accept a shouter’s point of view on such critical topics?

Limbaugh, FOX and other conservative shouters groom their audiences by occasionally lowering their voices, providing strokes to calm those just incited by the shouts. “Here, here,” the shouters say. “It’s not so bad. Here’s how to think about this.” And then the prescription is delivered, a calming pill of hate and prejudice, of unthinking narrow-mindedness convinced that any further information is not needed. The audience becomes like other sufferers of Stockholm syndrome, eager to defend their captors, afraid to turn away from the source of their agitation.

~~~

“Don’t raise your voice, improve your argument.” – Desmond Tutu

~~~

[1] https://mindfullifetoday.com/yelling-and-the-brain/

[2] http://www.businessinsider.com/stop-yelling-at-your-employees-its-making-them-stupid-2009-9

[3] https://en.wikipedia.org/wiki/Rush_Limbaugh

[4] https://www.mediamatters.org/research/2009/10/27/30-reasons-why-fox-news-is-not-legit/156164

[5] https://www.washingtonpost.com/blogs/right-turn/wp/2017/05/15/fox-news-undermines-a-free-independent-press/?utm_term=.90a81b4a1232

[6] https://www.huffingtonpost.com/joe-robinson/dealing-with-stress_b_4097921.html

[7] https://en.wikipedia.org/wiki/Stockholm_syndrome

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More Ignorance in Arkansas

Opium Poppy

Willful ignorance is a pathetic condition I’ve written about before, but a new and unexpected manifestation came to my attention in the Saturday paper.[1] In an extended interview with the Arkansas Democrat-Gazette, Dr. J. Carlos Roman voiced his thoughts on the Arkansas Medical Marijuana Act and the various twists and turns on its way to becoming a functioning service to people in need. Among those thoughts was this stellar quote: “What are we going to do as a state and culture to make sure medical marijuana doesn’t become the next opioid crisis?”

Oh please, Scotty, beam me up now.

It’s possible Dr. Roman made this statement in an attempt to be politically correct, considering that he’s under fire for possible conflict of interest in his role as one of five members of the commission that oversees the licensing of Arkansas’ first growing and dispensing facilities. As such, he gave the highest score to the Natural State Medicinals Cultivation group. Entities that didn’t score so high were understandably miffed that Natural State was one of only five chosen for a license, considering that Dr. Roman’s friend Dr. Scott Schlesinger is one of the Natural State’s owners. Consequently, several of those potential licensees not chosen have sued for bias.

Roman argues that he didn’t expect or receive any quid pro quo for his ranking of Natural State. He also pointed out that he has worked for years in his role as a pain management physician to fight the opioid crisis. He says his reason for accepting the voluntary role on the licensing board was in part to “ensure that the medical marijuana industry gets off the ground responsibly.”

He goes on to admit that he was initially opposed to the amendment that voters passed in 2016 legalizing medical use, not because he was totally opposed to marijuana’s medical use but because of public “ignorance” and so-called false information about its medical potential touted by many supporters of the new law. He concedes a few benefits of natural marijuana might be in its use in appetite stimulation and anti-anxiety and admits he will “reluctantly” certify patients to receive ID cards required in the program.

He’s such a great guy, isn’t he? And now, through no fault of his own, he’s being villainized by permit applicants who didn’t score as high as the group co-owned by his friend.

Sometimes you have to appreciate karma. Because this scandal about his potential conflict of interest is exactly the kind of spotlight that’s needed for people like Dr. Roman.

Why? Because who should be more qualified or informed about medical research than a physician? Yet here we have a physician who specializes in pain management worrying that marijuana could become the next opioid crisis. Talk about willful ignorance.

Farmer slicing opium flower pod to harvest the resin. Condensed resin forms raw opium.

Any physician, especially a specialist in pain treatment, should be fully aware of the history and effects of opiates. The opium poppy has been used medically as far back as 4000 BCE. For that matter, so has marijuana. But opium has served a greater role in pain relief.

Not content with what nature had to offer in the opium plant, chemists in the 19th century began tinkering. The first result was morphine, introduced in 1827 by Merck. But after the Civil War with thousands of injured soldiers becoming addicted, Bayer Pharmaceuticals gallantly invented heroin which hit the marketplace in 1894 as a “safe” alternative. Less than twenty years later as the addictive potential of heroin became more widely known, German chemists synthesized oxycodone.

This new “safe” alternative medication spawned generations of synthesized opiate clones, each touted as safer than its precursor: Oxycontin, Percocet, Vicodin, Percodan, Tylox, and Demerol, to name a few. Now we have the latest spawn, Fentanyl, at fifty times the strength of heroin.

Now, in order to capitalize on marijuana’s therapeutic gifts, the chemists are busy again. Already pharmaceutical grade THC, one of many active ingredients in marijuana, has been synthesized for legal sale as Marinol. You see where this is headed. Soon, coming to a town near you, we’ll have a potentially lethal form of marijuana.

But not yet. What Dr. Roman should know and apparently doesn’t is that marijuana is very different from opiates is two important ways. It’s not addictive. Opiates are. And marijuana is non-toxic, meaning no matter how much you manage to ingest, it won’t kill you.

And therein lies the absurdity of his statement.

Not to single him out. I’d wager that most physicians in Arkansas and elsewhere have made zero effort to learn more about the chemical properties of cannabis.

…In a large-scale survey published in 1994 [by] epidemiologist James Anthony, then at the National Institute on Drug Abuse, and his colleagues asked more than 8,000 people between the ages of 15 and 64 about their use of marijuana and other drugs. The researchers found that of those who had tried marijuana at least once, about 9 percent eventually fit a diagnosis of cannabis dependence. The corresponding figure for alcohol was 15 percent; for cocaine, 17 percent; for heroin, 23 percent; and for nicotine, 32 percent. So although marijuana may be addictive for some, 91 percent of those who try it do not get hooked. Further, marijuana is less addictive than many other legal and illegal drugs.[2]

Please note that “dependence” and “addiction” are two very difference things, no matter how Anthony and others might interchange them.

Addiction is a primary, chronic, neurobiologic disease, with genetic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.[3]

Psychological dependence develops through consistent and frequent exposure to a stimulus. Behaviors which can produce observable psychological withdrawal symptoms include physical exercise, shopping, sex and self-stimulation using pornography, and eating food with high sugar or fat content, among others.[4]

Marijuana plant showing leaves, generally not containing much of the active ingredients, and flower buds, the primary medically-useful portion of the plant.

“Dependence” in itself is simply an adaptive state associated with a withdrawal syndrome upon cessation of repeated exposure to a stimulus such as the ‘high’ associated with marijuana. Some studies report that ending heavy marijuana use causes some users to experience wakefulness in subsequent nights and possibly headaches.

Compare that to opiate withdrawal. Within six to thirty hours of last use, symptoms include tearing up, muscle aches, agitation, trouble falling and staying asleep, excessive yawning, anxiety, nose running, sweats, racing heart, hypertension, and fever. Then within 72 hours, more severe symptoms ensue and last a week or more, in including nausea and vomiting, diarrhea, goosebumps, stomach cramps, depression, and intense drug cravings.

But more important than symptoms of withdrawal are the risks associated with use, most critical being the risk of overdose death. And this is where Dr. Norman’s ignorance takes center stage. People die from opiates at an increasing rate, about 181 people per day in 2017.

…Victims of a fatal [opiate] overdose usually die from respiratory depression—literally choking to death because they cannot get enough oxygen to feed the demands of the brain and other organ systems. This happens for several reasons… When the drug binds to the mu-opioid receptors it can have a sedating effect, which suppresses brain activity that controls breathing rate. It also hampers signals to the diaphragm, which otherwise moves to expand or contract the lungs. Opioids additionally depress the brain’s ability to monitor and respond to carbon dioxide when it builds up to dangerous levels in the blood.[5]

Compare that to the effects of marijuana.

Because cannabinoid receptors, unlike opioid receptors, are not located in the brainstem areas controlling respiration, lethal overdoses from Cannabis and cannabinoids do not occur.”[6]

Here’s a wake-up call to Dr. Roman and others in Arkansas playing this Mickey Mouse game over marijuana: in states where medical marijuana has been legalized, opiate-related deaths have decreased.

Over the past two decades, deaths from drug overdoses have become the leading cause of injury death in the United States. In 2011, 55% of drug overdose deaths were related to prescription medications; 75% of those deaths involved opiate painkillers. However, researchers found that opiate-related deaths decreased by approximately 33% in 13 states in the following six years after medical marijuana was legalized.

“The striking implication is that medical marijuana laws, when implemented, may represent a promising approach for stemming runaway rates of non-intentional opioid-analgesic-related deaths,” wrote opiate abuse researchers Dr. Mark S. Brown and Marie J. Hayes in a commentary published alongside the study.[7]

We are nearly two years from the day Arkansas voters approved a measure to provide medical marijuana to citizens of the state. With these lawsuits filed against the commission for potential conflict of interest, the date when persons in need might obtain legal weed moves even further from reach.

Dr. Roman’s apparent failure to educate himself is only the last of so many failures regarding public health and marijuana. Prohibition propaganda remains deeply entrenched in those who don’t bother to become informed. Legislative foot dragging has never been more egregious than in the months of throwing everything but the kitchen sink in front of the voters’ choice on this measure. The tragedy is that while all these men and women responsible for the public welfare fiddle with the law’s implementation, people are suffering needlessly. And dying.

~~~

[1] March 31, 2018 issue, page 1

[2] https://www.scientificamerican.com/article/the-truth-about-pot/

[3] https://www.naabt.org/faq_answers.cfm?ID=15

[4] https://en.wikipedia.org/wiki/Psychological_dependence

[5] https://www.scientificamerican.com/article/how-opioids-kill/ 

[6] See https://www.cancer.gov/about-cancer/treatment/cam/hp/cannabis-pdq#section/all; also https://www.leafscience.com/2017/10/17/overdose-marijuana/

[7] https://drugabuse.com/legalizing-marijuana-decreases-fatal-opiate-overdoses/

U.S. Budget — Military and Social Security

Deceptive and Counterproductive.

Discussion ebbs and flows on the topic of U.S. spending. Of particular interest to several of my liberal friends is military spending. Frequent Facebook posts on this subject claim that military spending consumes over half the budget.

I agree that the military is not an ideal place to invest so many billions of dollars. I also agree that the U.S. has a history of blowing money on weapons and aggression. Further, I question whether the U.S. uses military means when a better, longer-lasting path to peace and stability in troubled parts of the world would be investments in education, infrastructure, agriculture, and commercial development.

All that said, I have to protest the continuing use of incorrect data in arguing against military spending. The cause for less military spending is not enhanced by presenting incorrect information. Just the opposite.

The accurate 2017 budget breakdown:

Please note that the portion designated military spending occurs in the lower left  of this pie chart and as such does not constitute half of the U.S. budget. It’s important to discriminate between a breakdown of discretionary spending and overall spending. Discretionary spending is one category of overall spending. It’s within the slice of pie of discretionary spending where we see the big bite that goes to the military:So yes, military spending within its slice of pie of discretionary spending, is over half the budget. And there’s no limit to the close examination this distribution of funds deserves. But please, let’s make our arguments based on the actual facts.

A second realm of considerable error by liberals calls for a shift in U.S. spending to better honor social programs like Social Security. A popular mantra on social media these days mistakenly claims that we ‘own’ our retirement funds because we paid into them. The following discussion spells out the facts:

“It’s My Money” [WRONG!]

* A common perception about Social Security benefits is: I am entitled to the money. It’s my money. I’ve saved it.

* Social Security is mainly a “pay-as-you-go” program. This means that it pays most of its benefits by taxing people who are currently working.

* Per the Social Security Administration: The money you pay in taxes is not held in a personal account for you to use when you get benefits. Your taxes are being used right now to pay people who now are getting benefits. Any unused money goes to the Social Security trust funds, not a personal account with your name on it.

* From the start of the Social Security program in 1937 through the end of 2016:

  • 94% of all Social Security payroll taxes were spent in the same year they were collected.

  • 13% of Social Security’s total income (including payroll taxes, taxes on Social Security benefits, transfers from the general fund of the Treasury, and interest on the Social Security Trust Fund) has accumulated in the Social Security Trust Fund.

* Per the Social Security Administration: Since the Social Security system has not accumulated assets equal to the liability of promised future benefits, the social security wealth that individuals hold represents a claim against the earnings of future generations rather than a claim against existing real assets.

* After the federal government pays back with interest all of the money it has borrowed from Social Security, the program’s current claim against the earnings of future generations is $30.8 trillion. This amounts to an average of $132,914 for every person now receiving Social Security benefits or paying Social Security payroll taxes.

* Per the Social Security Administration: There has been a temptation throughout the program’s history for some people to suppose that their FICA payroll taxes entitle them to a benefit in a legal, contractual sense. … Congress clearly had no such limitation in mind when crafting the law. … Benefits which are granted at one time can be withdrawn.…

* In 1960, the U.S. Supreme Court ruled (5 to 4) that entitlement to Social Security benefits is not a contractual right. [emphasis added]

[For more discussion of Social Security taxes, allocations, and projections, visit the Just Facts page.]

So let’s get our heads screwed on straight, fellow progressives. While a large chunk of U.S. tax dollars go to military expenditures, it is NOT consuming over half of our tax dollars. Our Social Security and Medicare funds are NOT held for our future use like individual savings accounts, but rather are spent immediately in payouts to persons currently receiving Social Security and Medicare benefits.

If we expect to prevail in directing our nation toward a more equitable and socially conscientious future, we need to be well informed and make our arguments for social justice in ways that make sense and align with the facts.

That is all. For now.

Incessant Self-Righteous Ignorance

Thursday afternoon I got a phone call. I had forgotten it was the day before the anniversary of Roe v Wade, immersed as I was in my current writing project. Usually I hang up as soon as the pause-click-click tells me it’s a solicitor.

The woman said her name was Grace. This time I said “Hi, Grace.”

“How are you?”

“I’m fine, how are you?”

“I’m calling on behalf of the Right to Life. We need to stop the killing of unborn babies.”

“Oh,” I said, instantly furious. “Well, you can stop right there. I’m Pro-Choice.”

I hung up.

Then I spent the rest of the evening thinking of what I should have said.

  • Oh really, Grace? Are you referring to an embryo or a fetus? Do know what an embryo looks like or that 67% of abortions occur before eight weeks? So in this image of a human embryo, is this the chicken or egg phase? When you have eggs for breakfast, are you eating a chicken?
  • So are you in favor of government forcing women to have children? Is that part of your ‘smaller government’ plan? Smaller except the part where the Fetus Police want to control what’s going on INSIDE YOUR BODY?
  • Gee, Grace, how exactly would you suggest the government keep women from terminating unwanted pregnancies—should they require them to check in monthly for a pregnancy test? Then if they’re pregnant, the government can keep them in a Safe-For-The-Unborn-Baby Compound until the baby is born, thereby preventing any ‘home remedy’ abortions. Women wouldn’t be allowed to leave, so taking care of other children in the home or providing meals/laundry service for their husbands would have to stop, not to mention finishing school or keeping a job.
  • So you’re in favor of forcing women to produce children they don’t want? Tell me, Grace—do you think those women will be good mothers to those children? Did you know that 70% of abortions are performed on women making 200% or less than the federal poverty line of $11,670? Did you know that this same group of women, without health insurance, are far less likely to have access to birth control? Did you know that children from families with annual incomes below $15,000 were over 22 times more likely to experience maltreatment than children from families whose income exceeded $30,000? Did you know these children were almost 56 times more likely to be educationally neglected and over 22 times more likely to be seriously injured? Did you know that childhood poverty is closely related to the later incidence of crime? Think of prisons, Grace, more and more prisons built to hide away children forced on poor families by the lack of access to birth control.
  • So Grace, since I’ve got you on the phone, maybe you can explain to me how you plan to stop abortion. Ending unwanted pregnancies has been going on for thousands of years. Maybe you didn’t know that. Maybe you thought that it was only after the passage of Roe v Wade that women started having abortions. Maybe you didn’t know that throughout the ages, women have decided who will be born—not men, not governments, not churches. Women are the ones responsible for selecting future generations. I bet everyone alive today came from a woman sometime in the past who terminated other pregnancies. Even you, Grace, probably have a grandmother back in the mists of time who decided to limit the number of children so she could take proper care of the ones she already had.

I’ve got some abortion statistics for you, Grace, showing women’s reasons for obtaining an abortion.

    • 74% felt “having a baby would dramatically change my life” (which includes interrupting education, interfering with job and career, and/or concern over other children or dependents)
    • 73% felt they “can’t afford a baby now” (due to various reasons such as being unmarried, being a student, inability to afford childcare or basic needs of life, etc.)
    • 48% “don’t want to be a single mother or [were] having relationship problem[s]”
    • 38% “have completed [their] childbearing”
    • 32% were “not ready for a(nother) child”
    • 25% “don’t want people to know I had sex or got pregnant”
    • 22% “don’t feel mature enough to raise a(nother) child”
    • 14% felt their “husband or partner wants me to have an abortion”
    • 13% said there were “possible problems affecting the health of the fetus”
    • 12% said there were “physical problems with my health”
    • 6% felt their “parents want me to have an abortion”
    • 1% said they were “a victim of rape”
    • <0.5% “became pregnant as a result of incest”[1]

Shall we discuss some of this data? You’ll notice that almost all the reasons for abortion have to do with lack of birth control. What is your position regarding birth control? Do you agree that birth control and all related information regarding human reproduction should be taught by middle school level? Do you agree that birth control should be freely dispensed at middle school level to any student who requests it? How about churches dispensing free birth control so there aren’t so many precious Unborn Children being aborted?

Did you know that only 1.3% of pregnancies are aborted after 21 weeks and generally only for medical reasons?

≤6 wks 7 wks 8 wks 9 wks 10 wks 11 wks 12 wks 13 wks 14-15 wks 16-17 wks 18-20 wks ≥21 wks
37.2% 16.9% 12.8% 8.3% 5.5% 4.5% 3.5% 2.7% 3.3% 2.0% 1.9% 1.3%

Grace, did you know that President Obama’s Affordable Care Act mandated that all employers were required to provide 100% coverage for all birth control methods? The only exception came after religious groups refused to provide such coverage and took their argument to court where they won the right not to provide coverage.

Maybe you can explain that for me, Grace. If the horror is abortion, why is there such outrage about preventing unwanted pregnancies? Because that really doesn’t make sense.

I mean, yeah, I get it. I know the unspoken thought. People aren’t supposed to have sex unless they want a child because sex isn’t for enjoyment. Sex is a duty to produce another generation—period. Because the only reason we’re on earth is make more of us. So if you’re having sex for fun, to feel good, then you’re doing it wrong and God will smite you.

It’s true that in all this, it’s the woman who suffers. I’m guessing that has to do with eating a forbidden apple. That’s on Eve. So she’s the one who has to suffer, all part of God’s loving plan to make people do what He wants them to do, which is, evidently, to keep having babies.

By the way, Grace, I don’t know how old you are, but if you were around in 1987, that’s the year the world population reached five billion. Now picture where you were and what you were doing in 1987 and imagine twice as many people. Because that’s where we’ll be in another thirty years. Twice as many cars, twice as many houses or twice as many people living in one house, twice as many big cities. Twice as many people grabbing that last loaf of bread.

It’s true that much of that population growth won’t be in the U.S. or Europe. The growth will mostly occur in Africa, you know, that “shithole” place where people already born are starving and killing each other. And Asia, of course. Those are the places where humanitarian agencies bring in food and provide medical care, including birth control. So the moral stance of this ‘Christian’ administration is to cut off financial support for any humanitarian health care group that offers abortion counseling along with birth control. So if a woman wants to obtain birth control, she can’t get it because someone in that same facility is answering questions about or providing an abortion.

That’s so perfect. So genius. So in keeping with the goal of stopping abortion.

~~~

[1] Finer, Lawrence B. and Lori F. Frohwirth, Lindsay A. Dauphinee, Susheela Singh and Ann F. Moore. “Reasons U.S. Women Have Abortions: Quantitative and Qualitiative Perspectives.”Perspectives on Sexual and Reproductive Health, Guttmacher.org, September 2005.
White, Angela. “Cost of Giving Birth at the Hospital or at Home.” Blisstree.com, 21 September 2008.
“Why It Matters: Teen Pregnancy and Education.” The National Campaign to Prevent Teen Pregnancy, retrieved 19 May 2009.

 

The Health of Arkansas

Yesterday, Arkansas Governor Asa Hutchinson beamed as he announced a drop in the number of state residents receiving health insurance through Medicaid.

Today there are fewer Arkansans on Medicaid than when I took office in January 2015, while our state’s population continues to increase. In the last year alone, the rolls have decreased by 117,000 (10%). Because of the reduction in Medicaid enrollment, DHS is now projecting that it will spend roughly half a billion dollars LESS (taxpayer money) on Medicaid in SFY’19 than anticipated in the biennial budget.

Perhaps to some, this is great news. We’re saving money! Woopee! All those freeloaders out there sucking on the government teat are now out in the cold where they belong.

But wait. We’re talking about medical care here, people who are sick or disabled or otherwise unable to obtain health care because they can’t afford to buy insurance. By his own numbers, our governor just celebrated the fact that 117,000 people of Arkansas are no longer able to obtain health care.

Now maybe that’s not exactly true. Maybe some of those folks got well from cancer or liver failure or whatever caused them to qualify for Medicaid. Maybe some of them got great jobs and have insurance now through their employers. Maybe some of them became the sudden beneficiary of their Aunt Tilley’s fabulous estate. Or won the lottery.

Or maybe not.

The reduction might have something to do with the federal government’s deep cut in advertising about how to sign up for health care. Or the federal government’s reduction in the sign-up time period. Or the state’s questionable method of deciding who to remove from the program—the electronic data system currently in use automatically deletes anyone who doesn’t respond to a request for income information. As in, one lost piece of mail. One overlooked letter amid a pile of unpaid bills. One person’s inability to comprehend what is being asked of him as he undergoes chemotherapy.

Last year, the governor looked for all the ways he could reduce the amount of money Arkansas pays for health coverage. As reported in the Arkansas Times in the May 2, 2017, edition, the governor’s goal was to lower the income limits.

As part of the Affordable Care Act, Arkansas expanded Medicaid via a unique policy known as the private option, which uses Medicaid funds to purchase private health insurance plans for low-income Arkansans. The concept was later re-branded as “Arkansas Works” by the governor. The expansion covers adults who make less than 138 percent of the federal poverty level — that’s $16,400 for an individual or $33,600 for a family of four.

The governor’s proposed changes to eligibility remove anyone who makes more than the federal poverty line (that’s $11,880 for an individual or $24,300 for a family of four) from the Arkansas Works program. Only people who make less than the poverty line would qualify going forward. That includes not just the beneficiaries who are covered by private option plans but also those who were deemed medically frail under Arkansas Works (the 10 percent of beneficiaries with the greatest medical needs, who are currently routed to the traditional Medicaid program rather than private option plans).[1]

So just to be clear, any single person earning more than $990 per month or head of household with spouse and two children earning more than $506 per person would no longer qualify for government assistance in gaining health insurance. This hasn’t yet been implemented because the federal government has not yet responded to Gov. Hutchinson’s request for the change. But really, governor?

Even the 138% of poverty level leaves lots of people without access to care. In 2013, 21% of Arkansas adults went without health care because of the cost. Do bragging rights automatically come to Gov. Hutchinson because that number dropped to 15% by 2016? What is 15% anyway, besides a seemingly small number?

The state’s estimated population is 3,004,279. Take away 23.6% of that for people below 18 years of age (non-adults). That leaves 2,295,270 adults. Fifteen percent of that equals 344,290 adults in this state without health care. That’s a lot of friends and neighbors.

In a November 2017 report, the Arkansas Times explained another proposed part of Hutchinson’s Medicaid ‘reform.’

Those between the ages of 18-49 would be required to work 80 hours per month; if they were not working, they would have to participate in job training programs or certain approved volunteer activities. Beneficiaries must be in compliance for nine months out of the year or they would be removed from the program for the duration of the year. Beneficiaries 50 or older would not be subject to the work requirement; exemptions would be available for others who met certain criteria, such as caring for dependent children.[2]

Studies have examined the realities of financial need in the United States and have come up with a set of numbers that reveal just exactly how morally bankrupt is the governor’s reasoning (along with the increasingly evident moral bankruptcy of the entire Republican party).

For a family with two adults and two children, the average cost of living in the United States hovered around $65,000 per year in 2015. The figure excludes discretionary spending on nonessential goods and services, such as leisure, entertainment and luxury items.[3]

To be fair, another source gathering economic data specific to locations gives credit to a lower-than-average cost of living in Arkansas. For a family of four in Little Rock, the average monthly cost is $2876.46. For an individual not paying rent, the monthly cost is estimated at $819.24.[4] However, in the governor’s proposed lower income limit, in neither case is there any ‘leftover’ income adequate to buy health insurance. In case you didn’t notice, the estimated average cost of living for Little Rock is $400 MORE than the cutoff income level for those seeking Medicaid coverage under the governor’s preferred income guidelines.

It’s no secret that Arkansas is one of the unhealthiest states in the nation. We rank 48th. We have higher rates of diabetes, cardiovascular disease, cancer, and general poor health both physically and mentally. In particular, according to a January 1, 2018, report published in the Arkansas Democrat Gazette, from 2013 to 2016, “the percentage [of Arkansans] who reported that their mental health had not been good in 14 of the past 30 days rose from 14.7 to 16.4 [percent.]”

The report I’d like to hear from Gov. Hutchinson would show data about the number of marginally-employed people who have gained better-paying jobs. It would show how many of those suffering mental or physical illness have gained any improvement in their health. I’d like to hear that Arkansas is spending more, not less, on health care not only in direct services but in education—I’m talking about nutrition education, cooking lessons, and everything else humanly possible to teach people how to eat healthy—which, tragically, probably doesn’t include toaster pastries for breakfast.

I’d like to hear the governor talk about how vouchers and private schools won’t be allowed to siphon money away from public schools. I’d like to hear his analysis of how inadequate education leads to poor self-esteem and how a positive self-image is key to a person’s ability to pay attention to diet and exercise. I’d like to hear him talk about how a person who doesn’t feel good either mentally or physically is a prime candidate for substance abuse.

I’d like to hear the governor discuss the abysmal status of substance abuse treatment options in the state, a crushing health care issue that gets short shrift in public discussion. More on that in another blog.

The governor needs to say that fundamentals like good health and proper education make all the difference in how a person participates as a vital member of society or how he/she gains and maintains sufficient employment. He needs to say, again and again, that a person who is well, who has learned how to reason, and who recognizes the responsibility of self-care and citizenship is the kind of person we absolutely must gain a lot more of in this state.

At any cost.

~~~

[1] https://www.arktimes.com/ArkansasBlog/archives/2017/05/02/governors-proposed-cuts-to-medicaid-eligibility-will-increase-costs-for-working-poor-likely-to-increase-uninsured-rate

[2] https://www.arktimes.com/arkansas/state-still-awaiting-federal-approval-on-medicaid-expansion-changes/Content?oid=11322951

[3] Cost of Living https://www.investopedia.com/terms/c/cost-of-living.asp#ixzz53JNGsNLI

[4] https://www.numbeo.com/cost-of-living/in/Little-Rock

America’s New Greatness

It’s been a crushing year. One after another, hard-won social advancements have been blocked or dismantled in the rush to “Make American Great Again.” But what does that even mean?

Exactly when was America greater? When everyone used outdoor toilets? When women couldn’t work outside the home? When skin color decided who could marry whom, or vote, or eat at a lunch counter?

Is ‘great again’ a worthy goal, the best we should expect? Is the conservative mantra right, that free enterprise and individual liberty “under limited government” was and forever will be the pinnacle of human achievement? If only we could rid ourselves of this ‘big government’ and free ourselves of onerous taxation, would the U.S. of A. become the shining star of the days of yore?

No, no, and no.

Let me explain. At the time of the Founding Fathers, ‘free enterprise’ applied to white male landowners. The constitution ignored the rights of women and non-landowners. Voting rights for Natives or slaves never entered the discussion. The founders conceived of a nation of educated, well-to-do white men who used women, natives, and slaves to meet self-serving goals in creating heirs, seizing ever greater slabs of the continent, and forcing labor from non-whites in order to sustain and increase their wealth.

They weren’t evil men. That’s just how things had always been. No wonder certain white males today would see those as the glory days.

But there’s no lack of free enterprise. Men and women of any class or color routinely open their own businesses. Three out of ten workers in the U. S. are self-employed or are hired by self-employed persons.[1] The ‘small business’ community provides the majority of American jobs.

…large businesses only employ about 38 percent of the private sector workforce while small businesses employ 53 percent of the workforce. In fact, over 99 percent of employing organizations are small businesses and more than 95 percent of these businesses have fewer than 10 employees. The reality is that most Americans are employed by a very small business that has little in common with the tiny sliver of the business demographic represented by corporate America.[2]

The complaint of conservatives is that free enterprise is hindered by big government. They rail against requirements that employers pay into insurance policies that provide medical care for workers injured on the job or that provide health care that meets the employees’ needs. Employers also must pay into Social Security and Medicare funds on a 50-50 basis with the employee’s withheld funds. Employers are required to deduct the appropriate amount of state and federal income tax from employee wages and to deposit this tax into government accounts. Employers also must provide a wage statement at the end of each year (W-2, 1099, etc.).

These requirements annoy the hell out of employers. When I operated my own café, I spent hours working on payroll. I resented spending money on workman’s compensation insurance – I never had an injured employee and all that I paid was money down a hole. But I understood the reason for it. If an employee had become injured, should I expect the government to pay for medical care? Should I personally pay for it? Should the employee be abandoned to pay himself?

These are old problems solved incrementally over a long period of American history back when a majority of legislators worked for the people instead of themselves. We stopped sending disabled or aged persons to poor farms where a pitiful stipend from the state supported them along with the random generosity of wealthy donors who might drop a few crumbs from their tables. We stopped allowing employees to be injured or killed in unsafe workplaces. We required people and their employers to set aside funds for retirement.

Like the Affordable Care Act, social support systems developed by our elected representatives to better provide for the ‘general welfare’ are an evolved safety net for all of us. The simplistic idea that these systems should be dismantled in pursuit of some long-vanished ideal of “free enterprise” fails to recognize all the reasons these systems came into being in the first place. We need them. They serve an important purpose.

‘Individual liberty’ is another often-touted phrase by deconstructionist conservatives. What that concept meant to the founders no longer applies in our current reality. The founders lived on the edge of an unexplored country with such a vast reserve of lands that no one could imagine a time when there weren’t new horizons where young men could ‘go West’ to make their fortunes. Individual liberty was possible only because men gained forty acres or more by simply staking a claim or, in many cases, serving in the military after which they received land grants.[3]

What land is free now? None.

What we took from the Natives was a virgin continent full of natural resources. The lands of Europe had been exploited for over two thousand years and here was a whole new start. Individually and collectively, we harvested those resources while patting ourselves on the back about how smart and industrious we were in building a fabulous new nation. We never considered that sooner or later, the last farmland would be plowed, the last gold nugget would be found, and we would run smack up against the end of the bonanza. We did the same thing here that our forefathers had done in Europe.

Conservatives, enraptured with these myths of a glorious past, believe we can return to times when anyone who wanted to work hard could simply plow his way to success with a mule and a compliant wife. Women, keen for their own ‘individual liberty,’ aren’t so compliant anymore. Farming is no longer a viable path to sufficient livelihood.

Obviously our living standards have changed. No more outdoor toilets or working the fields from dawn to dusk. We’re dependent on electricity and modern medical care and automobiles, all things that as recently as a hundred years ago simply did not factor into the picture for a majority of Americans.

Ever in pursuit of their bankrupt myth, the conservatives’ last gasp is the current grab of political power, attained by selling the myth to those who don’t understand. The conservatives are busy ending food and medical care for the aged, the homeless, and other needy segments of the population. The entire social net crafted over decades is being dismantled in a futile grab for a long-lost past.

The descendants of European colonialism want the glory back. They don’t agree that taking from the rich and giving to the poor is the right approach for modern societies. European nations have already grasped this concept. America today and in the future can never be the America of 1800 or 1900 or even 1950.

Making profit off of sick people or school children is immoral. Just as government regulates utilities, so it must regulate other services required by everyone, including health care and the internet. This is not an appropriate arena for capitalism. Government, not profit-driven capitalists, serves as the most efficient provider for the common welfare –healthcare, affordable housing, education, public transportation, infrastructure like bridges and railways, and a vast network of social services.

Reducing the tax burden for the wealthiest among us accomplishes nothing but the impoverishment of our entire nation. The current imbalance of wealth is clear evidence that the rich should be taxed even more. Expanded social programs should ensure that those at the lowest income levels are brought into counseling, health care, education, and training programs in order to improve their economic status.

We’re a largely urban, multicultural society now, completely different from what the Founding Fathers knew. Just as the founders were right to declare the rights of personal liberty, so were progressives right to end discrimination against minorities, women, and the handicapped and to provide mechanisms by which the damages of such long-term discrimination could be healed. It’s the progressives who have understood that the safety net must be available equally from state to state, a service that only the federal government can ensure.

The personal bankruptcy of a small number of men like Donald Trump and Steve Bannon cannot be allowed to dictate the future of our country. Such men long for a culture where white maleness guarantees ascendancy. Without a white male-dominated social structure, they cannot gain the power they so desperately crave. These are weak men dependent on the subjugation of others for emotional and economic support. They will die off just as the Neanderthal died off.

It’s called failure to evolve.

Here’s a toast to 2018 and the continuing evolution of our great nation.

 

~~~

 

[1] http://www.pewsocialtrends.org/2015/10/22/three-in-ten-u-s-jobs-are-held-by-the-self-employed-and-the-workers-they-hire/

[2] https://www.huffingtonpost.com/kristie-arslan/five-big-myths-about-amer_b_866118.html

[3] Bounties of up to 1,100 acres were granted for Revolutionary War service between 1775 and 1783 and up to 320 acres for the War of 1812 through 1815. Additional free lands went to men fighting in the Mexican War 1846-1848 and in Indian Wars from the 1780s through the 1890s. While outright land grants ended in 1855, Union soldiers who fought in the Civil War received homestead rights along with others meeting certain criteria. Much more on land grants and homestead rights at Wikipedia.

 

The New Censorship

The latest absurdity to emanate from the Trump White House is the edict to scientists at the Centers for Disease Control that they cannot use seven words in a report that will be part of the 2019 budget request. The words are vulnerable, entitlement, diversity, transgender, fetus, evidence-based, and science-based.

If I were a scientist working on that report, I would be strongly tempted to go through the draft that contains those words and simply black them out. That would remove them from the report, as requested. Let those who don’t want to see those words guess what’s under the black mark.

My second temptation would be to replace the words with a first letter and a following blank, as in t__________. Since all the forbidden words begin with different letters, it shouldn’t be too difficult for the reader to figure out the missing letters.

Alternatively, authors less willing to be openly defiant could resort to lengthy talk-arounds. For example, “vulnerable” could be replaced with “persons who through birth defect, age, illness, or other conditions are less able to resist potential harm from…”

“Entitlement” would become “the condition of having a right to have, do, or get something, or the feeling or belief that you deserve to be given something (such as special privileges), or a type of financial help provided by the government for members of a particular group.” Readers get to choose which meaning they prefer.

No reasons were given for the banishment of these seven words. Observers are left to speculate whether more words might be forbidden in the coming months and what they might be. Already we’ve learned that agencies may not refer to “global warming” or “climate change,” all part of this administration’s fervent embrace of denialism. Such an approach speaks volumes about the close-mindedness of the Republican right.

In the psychology of human behavior, denialism is a person’s choice to deny reality, as a way to avoid a psychologically uncomfortable truth.  Denialism is an essentially irrational action that withholds the validation of a historical experience or event, when a person refuses to accept an empirically verifiable reality. In the sciences, denialism is the rejection of basic facts and concepts that are undisputed, well-supported parts of the scientific consensus on a subject, in favor of radical and controversial ideas.[1]

Explanation is also missing about who in particular requested these restrictions. No one would be surprised if the proclamation came from the petulant-child-in-chief himself, since he prefers monosyllables. Maybe the four-syllable “diversity” is too much for him to move his lips over as he attempts to read it. With his utter disregard for science as a discipline and the exacting process science pursues in developing “evidence,” he might prefer, in the possible instance of his developing prostate cancer, that his doctor explains “there’s a bigly bad problem in your thingy down there.”

However, advisors whispering at the Big Baby’s elbow surely find political hay to be made from eradicating the word “fetus” in the hopes that report authors would be forced to use a preferred term such as “unborn child.” However, a fetus is not a child, born or not, and scientists would probably be picky about technicalities like that. They might resort to using a phrase something like “a being in the stage of prenatal development between the embryonic state and birth, occurring after the first eleven weeks of gestation.”

If the report isn’t specified to contain a limited number of words, perhaps no one would mind that a concise single-word scientific term like “fetus” would require twenty-two words to replace it.

This points up the deeply ridiculous aspect of the seven-word ban. Our society – and societies worldwide – agree on words like “fetus” to describe a precisely-understood concept. It’s not that the current administration doesn’t understand what a “fetus” is or feels that it needs a bigger explanation. It’s that the word is involved in a political debate about a woman’s right to choose whether to produce a child. The word “fetus” doesn’t trigger the warm fuzzies that make an evangelical want to rush out and murder a gynecologist or chortle over the prospect of an illegal abortion causing a woman to bleed to death.

Similarly, the word “transgender” triggers instantaneous outrage among the more benighted among us. Ready to drag out the Bible to point out where it clearly states that God only made man and woman, these folks aren’t going to listen to reason anytime soon no matter how clearly it’s explained that there’s a whole other world of gender- and sexual identity-reality out there. They still haven’t accepted that men and women can love and desire members of their own sex. Despite their abysmal ignorance and visceral terror over anything other than their mirror image, the prurient interests of these folks prod them to inspect and judge the more intimate details of Other People’s Lives.

Wikipedia:

Transgender people have a gender identity or gender expression that differs from their assigned sex. Transgender people are sometimes called transsexual if they desire medical assistance to transition from one sex to another. Transgender is also an umbrella term: in addition to including people whose gender identity is the opposite of their assigned sex (trans men and trans women), it may include people who are not exclusively masculine or feminine (people who are genderqueer or non-binary, including bigender, pangender, genderfluid, or agender). Other definitions of transgender also include people who belong to a third gender, or conceptualize transgender people as a third gender. Infrequently, the term transgender is defined very broadly to include cross-dressers, regardless of their gender identity.

Being transgender is independent of sexual orientation:  transgender people may identify as heterosexual, homosexual, bisexual, asexual, or may decline to label their sexual orientation. The term transgender is also distinguished from intersex, a term that describes people born with physical sex characteristics “that do not fit typical binary notions of male or female bodies”. The counterpart of transgender is cisgender, which describes persons whose gender identity or expression matches their assigned sex.[2]

It might be difficult to sum up all that in a short phrase in order to replace the word “transgender.”

Our collective intelligence and good will has been insulted repeatedly in the electoral-college victory of Donald Trump. Both before and after the election, he has intentionally incited violence, misunderstanding, prejudice, racism, and division. His performance as president is an international embarrassment. It’s difficult to believe he actually thinks about anything much less reasons. He’s the worst possible person for the role he managed to grab off the gut wagon.

We’ve been forced to accept a presidency of an essentially illiterate man with such a record of abuses, deceptions, insults, sexual assaults, adultery, and overarching greed that it’s difficult to maintain an appropriate level of disgust. While we may hope for a favorable outcome of Special Counsel Mueller’s investigation into Russian meddling in the election, meaning Trump himself would be found red-handed and subject to prosecution, we face the clear possibility that even this last glimmer of faith in our system will also fall by the wayside. And although we hope for a reversal of Congressional control in the 2018 election, even that will not remove the idiot currently occupying the Oval Office.

But this — this censorship of important words — is alarming evidence of the danger facing our nation.

Whether the seven-word ban is a result of Trump’s petulant desire to get his hands on an easier read—not that anyone thinks for a moment he’ll actually read the CDC report—or his acquiescence to the manipulations of people like Stephen Miller, the remarkably under-investigated wizard whirling the bells and whistles behind Trump’s curtain, no one can say. The most terrifying aspect of the straight-jacket this latest outrage places on scientists is the mentality behind it. Words that describe troubling issues are to be eliminated, as if banishing the word somehow banishes the issue.

These are manipulations of a tyrannical dictatorship, not the supposed world leader in freedom of thought and expression. The very idea of banning certain words from anything violates the fundamental concept of our nation and the stated protection of free speech enshrined in our First Amendment,  facts that are no doubt incomprehensible to this moronic president and the one-track extremists behind his agenda.

~~~

[1] https://en.wikipedia.org/wiki/Denialism

[2] https://en.wikipedia.org/wiki/Transgender