Gupta & US Healthcare

Paul Krugman responds to the notion that CNN’s Sanjay Gupta may be appointed Obama’s Surgeon-General:

So apparently Obama plans to appoint CNN’s Sanjay Gupta as Surgeon General. I don’t have a problem with Gupta’s qualifications. But I do remember his mugging of Michael Moore over Sicko. You don’t have to like Moore or his film; but Gupta specifically claimed that Moore “fudged his facts”, when the truth was that on every one of the allegedly fudged facts, Moore was actually right and CNN was wrong.

What bothered me about the incident was that it was what Digby would call Village behavior: Moore is an outsider, he’s uncouth, so he gets smeared as unreliable even though he actually got it right. It’s sort of a minor-league version of the way people who pointed out in real time that Bush was misleading us into war are to this day considered less “serious” than people who waited until it was fashionable to reach that conclusion. And appointing Gupta now, although it’s a small thing, is just another example of the lack of accountability that always seems to be the rule when you get things wrong in a socially acceptable way.

I’m sure this won’t matter to Obama.  Gupta is a bright and compassionate man, except when it comes to the US healthcare system.  He fits the bill.

If you’re an American and you haven’t seen Sicko, you need to check it out.

UPDATE:  See “No Way, Sanjay” by Rosemarie Jackowski at Dissident Voice

Witchey Women

From Jessa Crispin at The Smart Set:

Part of the development of a socially maladjusted teenage girl — right around the same time she starts carrying Sylvia Plath’s Ariel with her everywhere she goes, scribbling in the margins; hacks at her own hair with dull kitchen shears; and discovers a copy of Hole’s Pretty on the Inside — is an obsession with the Salem Witch Trials. The more she learns about the 19 women and men who were executed in a little over a year, the more it reinforces her cynical theories about society — specifically that, as a woman, if you refuse to conform you will be left vulnerable.

The targets of these trials were not just those women who were unable to fulfill their womanly duties — the postmenopausal, the barren, the spinsters and widows. Women who stood up for their rights — along with women who were perceived as being too brash, too forceful, or too flirty — might just as well have put on a pointy hat and started riding a broom. And of course it was not just Salem, Massachusetts, involved in the prosecution. All across Europe and the colonies, women were brought up on charges of witchcraft, tortured for confessions, and then executed over a span of 300 years.

Read the whole thing here

The Burning Times [documentary from the National Film Board of Canada]:

This beautifully crafted film is an in-depth look at the witch-hunts that swept through Europe just a few hundred years ago. False accusations and trials led to massive torture and burnings at the stake, and ultimately to the destruction of an organic way of life. The film advances the theory that widespread violence against women and the neglect of our environment today can be traced back to those times. Part two of a series of three films on women and spirituality, which includes Goddess Remembered and Full Circle.

1990, 56 min 10 s

Directed by
Donna Read
Produced by
Mary Armstrong
Margaret Pettigrew
Signe Johansson
Production Agency
National Film Board of Canada

 

 Part One

Part Two

Part Three

Part Four

Part Five

Part Six

Xeni Gwet’in

Nemaiah Valley, British Columbia

About the Xeni Gwet’in people:

The Nemiah Aboriginal Wilderness Preserve is our spiritual and economic homeland: from the lakes of Chilko, Taseko and Tatlayoko, where we fish for salmon and trout; to the mountains where we gather wild potatoes and berries; to the pristine forests where we hunt, gather medicinal plants and practice our sacred and spiritual ways.

This is a special land, where spawning salmon make their incredible 300-km journey up the Fraser and Chilcotin Rivers to Chilko Lake. Bighorn Sheep, grizzly and black bears, deer and wild horses are just some of our neighbors you just might encounter on your visit here.

This biggest surprise is that Nemiah is inaccessible rather than remote.  Physically, it lies less than 200 kilometers northwest of Vancouver, but with the Coast Mountains looming in between, the only road access from BC’s largest city is through the Pemberton Valley or up the Fraser Canyon to Williams Lake and then west into the mountains.  Figure eight or 10 hours by car, but preferably truck.  This is not a nice road.  For most of the last 100 kilometers, it is not even up to the standard demanded by the Ministry of Forests for logging roads.  You bounce and slide and pray (pointlessly, it turns out) that you don’t get a flat tire.  But the most important thing about the road is that until 1973, it didn’t exist at all.  While that made life difficult then, today the road brings new problems as well as opportunities which the Xeni Gwet’in hope to maximize.

Henry Solomon was the Xeni Gwet’in chief in 1973 and he remembers the wrenching effort required to get the road finished.  The project was started by an entrepreneur trying to improve transportation to a nearby fishing lodge.  He ran out of money, however, leaving the Xeni Gwet’in scrambling for resources to finish the job.  Solomon and band members lobbied the federal government for aid and support until, finally, the Army Corps of Engineers stepped into the breach.  Life changed overnight, Solomon says in his native Tsilhqot’in, his daughter translating.  “Before, no one wanted to help the Indian. We never got welfare or anything and we had to make our own money,” he said.

Earning a living in this isolated valley was no easy feat.  The Nemiah ran cattle and trapped through the winter, gardening and fishing in the finer months.  Once a year, they hitched up their horses, loaded the wagons and journeyed into Williams Lake, driving cattle for sale and buying seeds and dry goods for the coming year.  The trip took a week, one way.  It was a life little changed from 100 years earlier, when the survivors of the short-lived Chilcotin War withdrew into the valley to live in safety apart from the white man.

Before the road came in, the Xeni Gwet’in communicated in Tsilhqot’in.  Today, almost everyone over the age of 25 is still a fluent speaker.  If outsiders came into the valley back then, Solomon said locals would default into Chinook, a lingua franca derived from aboriginal languages, English and French and shared by natives and non-natives from the BC coast into the Interior.  There was some knowledge of English but not much affection for a language drummed in at the Oblate Mission school in 150 Mile House, east of Williams Lake.  “They were pretty mean,” Henry Solomon says of the missionaries.  “We couldn’t speak to each other, couldn’t speak Tsilhquot’in.”  Smiling, he adds, “But they couldn’t hold the kids; the kids would run away,” as he did before he reached his teens.  And life just seemed to get tougher.

Friends of Nemaiah Valley

What got me interested in Nemaiah Valley and the Xeni Gwet’in people was this lovely documentary:

Wild Horses, Unconquered People explores the intriguing relationship between the Xeni Gwet’in, a tiny band of Tsilhqot’in Indians, and hundreds of wild horses that mysteriously roam B.C.’s rugged Nemiah Valley – described as Canada’s Nepal. For what is arguably North America’s last true horse culture, the untamed spirits are an economic and spiritual resource – a powerful icon in a century-old fight with the government for control of this unconquered land.

Troubled Water

From a review of the documentary “Trouble the Water” by Andrew O’Hehir:

One of the peculiar media memes of the past year has been a lot of tormented nonsense about whether the ascendance of Barack Obama means that race is somehow off the table as a defining issue in American life. Of course his prospective nomination is a historic moment, but I can’t even begin to understand why this is a controversial topic. How can anybody suggest with a straight face that pervasive racism is not the reason why, in a year when every imaginable factor favors the Democrats, Obama is even or trailing in the polls behind an addled, war-hawk septuagenarian who is disliked by his own party?

To me it is Katrina that puts the lie to any fantasy of a race-neutral America. And it’s Katrina, not 9/11, that displays the nation’s potentially fatal 21st century weakness. While countless billions have been spent converting our society into a police state to prevent another unpreventable attack by a handful of neo-medieval wackos, the story of the ongoing destruction of a historic, majority-black American city — before, during and after that storm — has been briskly swept under the carpet or, more accurately, abandoned to investigative journalists, documentary filmmakers, NGO social workers, corrupt or incompetent bureaucrats and other irrelevant social debris.

Trouble the Water” is a doc by Tia Lessin and Carl Deal that uses video recorded by Kim Rivers Roberts during Hurricane Katrina and evacuation and rescue “operations”.  It won the “Best Documentary of 2008” Grand Jury Prize at the Sundance Film Festival.

From the review by Manohla Dargis at NYT:

Ms. Roberts didn’t wait out the storm from her home in the Lower Ninth Ward; she chased it. Roaming her neighborhood on foot and bicycle, she videotaped the gathering dark clouds and her stranded neighbors with a newly bought camera, watching with mounting concern as the drizzle grew into a deluge. Her rough, untutored camerawork has an ugliness and urgency that only add to the escalating sense of chaos and unease. As her sightlines roughly shift from one fugitive image to the next — wary adults, giggly children, nervous dogs, a stop sign that will soon be almost entirely under water — you can feel the pressure of the moment. Excitement courses through her free-ranging chatter and the palsied, swerving visuals.

[…] one of Ms. Roberts’s hosts tearfully vows that her son, who has thoughts of joining the Army, will not fight for a country that seems to have forgotten its black and its poor. Ms. Roberts, who often puts her faith in God but tends to take matters into her own capable hands, expresses little anger at the government. She isn’t especially at peace with her country, just resigned, so much so that she almost shrugs when she delivers the movie’s most devastating line, saying it felt as if “we lost our citizenship.”

Tragedy of the 20th C.

Morgan Meis, at The Smart Set, discusses Niall Ferguson’s documentary, War of the World, aired on PBS over three weeks in late June and early July:

Ferguson’s unconventional arguments strike me as a sign of a greater attitudinal shift happening now in the early part of the 21st century. The assumptions of the century past don’t seem so obvious anymore. We’re more inclined to look backward in dispassion and perhaps a little melancholy. The German critic Walter Benjamin once came up with a startling image he called the Angel of History. Here’s the passage:

There is a painting by Klee called Angelus Novus. It shows an angel who seems about to move away from something he stares at. His eyes are wide, his mouth is open, his wings are spread. This is how the angel of history must look. His face is turned toward the past. Where a chain of events appears before us, he sees one single catastrophe, which keeps piling wreckage upon wreckage and hurls it at his feet. The angel would like to stay, awaken the dead, and make whole what has been smashed. But a storm is blowing from Paradise and has got caught in his wings; it is so strong that the angel can no longer close them. This storm drives him irresistibly into the future to which his back is turned, while the pile of debris before him grows toward the sky. What we call progress is this storm.

We are starting to be able to see the 20th century as that catastrophe, that pile of wreckage linking our most recent past to all the other centuries that have piled up man’s folly. Surely it is the only thing we’ve got and there is a strange beauty to the wreckage. But it becomes impossible to look back at the 20th century without a sense of tragedy.

It is only fitting, then, that WWII should become a centerpiece of contention. WWII has always been the success story of the 20th century, the war that everyone can feel good about even while recognizing its terrible costs. Suddenly, though, it is possible to wonder whether such a horrific orgy of destruction could ever be called “good.” Even the once unchallengeable claim that it was “The Necessary War” has recently come under fire. Patrick Buchanan — hardly a marginal figure — has recently come out with a book called Churchill, Hitler, and the Unnecessary War. Buchanan comes to many of the same conclusions about the Allies’ responsibility for the war as the Left pacifist Nicholson Baker does in his recent book Human Smoke. (I wrote specifically about Nicholson’s book in these pages a short time ago.) Buchanan writes:

“Victory at all costs” proved costly indeed. Yet, horrendous as the cost was, it had to be paid. So we are told. For Hitler, as Henderson wrote, was out to “rule the earth.” But if he was out to rule the earth, and war was the only way to stop him, we must ask: Where did Hitler declare his determination to destroy the British Empire and “rule the earth”? How was a nation of Germany’s modest size and population to conquer the world? Was there no way to contain Hitler but declare a war in which, as Chamberlain told Joe Kennedy, millions must die?

The fact that we have three analysts — Ferguson, Buchanan, and Baker — coming from such different political standpoints and all raising such similar questions about the hitherto almost universal opinions about WWII is telling. Once again, at the beginning of a new century we are looking forward to a new era with as much uncertainty as ever. The concrete truths we stood upon to survey the world just a few years ago suddenly melt beneath our feet. The cost of historical understanding comes at the expense of surety.

In the last episode of The War of the World documentary (covered in the epilogue of the book) Ferguson makes the point that the second half of the 20th century wasn’t much less bloody than the first half. The areas of conflict simply shifted from Europe to the Third World. Ferguson closes with the following thought:

[W]e remain our own worst enemies. We shall avoid another century of conflict only if we understand the forces that caused the last one—the dark forces that conjure up ethnic conflict and imperial rivalry out of economic crisis, and in doing so negate our common humanity. They are forces that stir within us still.

It is a strange conclusion for Ferguson to draw when he has spent so much time showing us the overwhelming force of history as against the relatively pathetic human attempts to consciously control it. The more realistic conclusion to be drawn is that historical understanding works only in one direction: backward. Like Benjamin’s angel of history, we only get to view the catastrophe once it has already happened. In that sense, our knowledge is frustratingly impotent. The 20th century found its own special and remarkable ways to be the bloody mess that it was. There is little reason not to assume that the 21st century, too, will add to the carnage of history. A new perspective on the 20th century merely confirms our essential uncertainty. But as an old man once mentioned after visiting the Oracle at Delphi, there is wisdom in knowing how much you don’t know. 

Read the whole thing

One point of major disagreement:  there is nothing inevitable or “beyond us” about historical understanding, and an understanding of the world today is not beyond us either.  There are powerful forces waging war in our world, but they are not absolutely beyond human control.  There are people today, as there were people, “yesterday”, who see and understand the depth and range of the many powers that operate against progress and peace.  I remain hopeful that, one day, there will be enough such people to change the future.  Though it is getting awfully late in the day.

Hey Toronto

Please spread the word widely to your networks!
 
You are invited to attend the documentary screening of:
 
IT’S TIME: AFRICAN WOMEN JOIN HANDS AGAINST DOMESTIC VIOLENCE
 
Followed by a panel discussion featuring special guests:
Mahdere Paulos, Executive Director, Ethiopian Women Lawyers Association
Tsidi Kambula, Prosecutor, South African National Prosecuting Authority (NPA)
 
Monday, June 2, 2008 at 6:30PM (doors open at 6PM)
Innis Town Hall, University of Toronto
2 Sussex Avenue (St. George Campus)
Admission to the screening is free and refreshments will be provided. The venue has limited seating and is wheelchair accessible. ASL interpretation, attendant care, and digitized note-taking service may be provided if requested by Wednesday, May 28.
 
For more information please […]  visit http://www.itstimeafrica.org or contact Yukyung Kim-Cho at (416) 947-5273 or ykimcho@ojen.ca .
This event is sponsored by Law Courts Education Society of B.C., the Ethiopian Association in the GTA and surrounding regions, the Ethiopian Women’s Association, and the Ontario Justice Education Network.
 
A civil society through education and dialogue.
 
Andrea Sobko
Program Manager
Ontario Justice Education Network
Réseau ontarien d’éducation juridique
Osgoode Hall, 130 Queen Street West
Toronto, Ontario, M5H 2N6
416-947-3308
asobko@ojen.ca
www.ojen.caHey Toronto

Poverty and (ill)Health

PBS recently aired a documentary by Larry Adelman, Unnatural Causes: Is Inequality Making Us Sick:

What connections exist between healthy bodies, healthy bank accounts, and skin color? Four individuals from different walks of life demonstrate how one’s position in society – shaped by social policies and public priorities – affects health. 

“In Sickness and In Wealth” travels to Louisville, Kentucky, not to examine health care but to discover what makes us sick in the first place. The lives of a CEO, lab supervisor, janitor and unemployed mother illustrate how social class shapes access to power, resources and opportunity, resulting in a health-wealth gradient. On average, people at the top live longer, healthier lives. Those at the bottom are more disempowered, get sicker more often and die sooner. Most of us fall somewhere in between. 

Louisville Metro maps reveal 5- and 10-year gaps in life expectancy between the city’s rich, middle- and working-class neighborhoods. Experiments with monkeys and humans shed light on chronic stress as one culprit. 

We also see how racial inequality imposes an additional risk burden on people of color. Solutions being pursued in Louisville and elsewhere focus not on more pills but on more equitable social policies.

unnatural causes.org sells the DVD as well as running a series of events in the US and offering companion tools to the series/DVD

Gary Bloch, a Canadian physician:

It is time to open a new front in the war on poverty.

The Canadian health-care system has devoted sizable energy and resources to reducing risks to our health over the past couple of decades. This effort has included large campaigns targeted at smoking, obesity and exercise.

Amazingly, we have largely ignored the one risk that surpasses all of these in its potential to cause ill health and its cost to our health system – poverty.

As a family physician, I see the health effects of poverty on a daily basis. One of my patients, “Sally,” is a 37-year-old single woman working at a full-time minimum wage job in Toronto that provides her with $1,280 a month (and no benefits), $450 below the Statistics Canada poverty line.

She is currently healthy, but studies have shown that her poverty places her at a 300 per cent higher risk of developing diabetes and a 200 per cent higher risk of having a major episode of depression. Her risk of developing heart disease is about the same as if she had high blood pressure or was a smoker (both conditions into which we have pumped millions of health-care dollars for prevention). Her life expectancy is 1  1/2 years shorter, and her risk of dying from a chronic disease is 16 per cent higher per year than the average Canadian.

These are the kinds of numbers that usually make doctors, nurses, public health planners and health ministers jump into action. But we typically see poverty as a moral and political issue, not as a health risk.

While moral and political issues are easily dismissed as partisan and only of benefit to “special interest groups,” health is seen as a universal right and a fundamental social responsibility, worthy of significant social expenditure. The shift from a moral to a health perspective has taken place with smoking and is in the process with obesity. The next great preventive health frontier needs to be poverty.  TheStar.com

See also CIHR:

Life expectancy and the burden of disease for Aboriginal Canadians differs from other Canadians. From the data that are available we know the following:

  • In 2000, First Nations males had a life expectancy of 68.9 years compared to 76.6 years for females. In comparison, non-Aboriginal Canadians’ life expectancies in 2001 were longer by 8.1 years for males and 5.5 years for females.*
  • The infant mortality rate among First Nations in 2000 was 6.4 deaths per 1,000 live births, compared to the Canadian infant mortality rate of 5.5.*
  • The tuberculosis rate among First Nations people is 6.2 times higher than in the general population. *
  • Diabetes is 2.7 times more prevalent among First Nations than in the general population.*
  • First Nations peoples on reserves have reported rates of heart diseases 16% higher than the general population. 

Disinformation

Norman Solomon: 

While it’s a positive step, the big front-page New York Times article on Sunday – “Behind TV Analysts, Pentagon’s Hidden Hand” – is tardy by several years and now makes a remarkable detour around the active role of the television networks themselves in implementing systemic disinformation efforts for starting and continuing war. As I say in the documentary film War Made Easy, “Nobody forced the major networks like CNN to do so much commentary from retired generals and admirals and all the rest of it.” And that just begins to tell the sordid and bloody tale.

This kind of stuff is 24/7 wartime wallpaper for cable news. The extent of the war-propaganda problem is such that the Times just scratched the surface. For a look at some grim media cases-in-point and samples from War Made Easy, go to: www.WarMadeEasyTheMovie.org

Here is David Barstow’s New York Times article

Note that the Pentagon suspended their practise of providing analysts to news media, not the news media, according to Barstow’s follow-up here

Indigenous Peoples

The Canadian government has told the United Nations that the situation of Indigenous peoples is “the most pressing human rights issue facing Canadians.” Yet the Canadian government has repeatedly failed to implement the recommendations of UN human rights bodies concerning the protection of Indigenous peoples’ rights in Canada . Amnesty International’s work in Canada has included the land rights of the Lubicon Cree, the police shooting of Dudley George, and violence against Indigenous women. Amnesty International Canada, more here

Indigenous peoples’ organizations and human rights groups welcome yesterday’s decision by the Canadian Parliament to endorse the United Nations Declaration on the Rights of Indigenous Peoples.

The Declaration was adopted by the UN General Assembly on September 13, 2007 in a historic vote by an overwhelming majority of member states. Canada was one of only four states to oppose the Declaration. The government of Stephen Harper has since claimed that the Declaration is not applicable in Canada. This claim has no legal basis and is unprecedented in Canada’s foreign and domestic policy.

On Tuesday, April 8, the House of Commons passed a resolution to endorse the Declaration as adopted by the UN and calling on Parliament and the Government of Canada to “fully implement the standards contained therein.”  here

Tracey Deer grew up on the Mohawk reserve of Kahnawake with two very firm but unspoken rules drummed into her by the collective force of the community. These rules were very simple and they carried severe repercussions: 1) Do not marry a white person, 2) Do not have a child with a white person.

The consequences of ignoring these rules were equally simple: 1) Lose all status as a Native person and, 2) Deny your unborn child their status as a Native person. The larger tragedy, of course, was that by breaking either of these rules, she would be depleting the growth of “the Nation” and, by extension, betraying everyone she loved.

In Club Native, Deer looks deeply into the history and present-day reality of Aboriginal identity. With moving stories from a range of characters from her Kahnawake Reserve – characters on both sides of the critical blood-quantum line – she reveals the divisive legacy of more than a hundred years of discriminatory and sexist government policy and reveals the lingering “blood quantum” ideals, snobby attitudes and outright racism that threaten to destroy the fabric of her community.  National Film Board of Canada  here