Sun Mar 07, 2010 at 16:10:38 PM PST
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Received a lot of pushback on the US Social Forum's emphasis on leadership of people of color. Wrote this to answer those questions and formulate my point of view:
There is a legacy of racism and classism in this country that says that the priveleged white institutions can determine how and where our communities can assemble and change them to meet their economic or psychological needs. It goes back to the dismantling of Black families for control of slave labor. It goes back to Indiginous removal to create new territories, properties, and states.
Unfortunately this trend continues, and to some degree even in "progressive" spaces whereas people think they know best what should happen to poor folk because they studied policy or because their nonprofit specializes in poverty issues. In the worst cases, it may happen just on the priveleges of white skin and culture. In our 2010 US Social Forum processes we are lifting up the community, survival, and organizing processes in these most impacted communities and assert the truth that no effective organizing will happen in this country without these processes.
Oh there are many challenges, ranging from political to psychological but in these days and times it is more than necessary. Lastly, our country is facing an economic crisis and many politicians and mediamakers are calling for a return to the strength of our previous capitalism. In Detroit we have gone through post-industrial collapse for 40-50 years and we know that something fundamental is broken. We cannot look to the system to fix it, to restore the "American" standard of living to our communities. We must come together and create something new. We are changing the highlight from oppression to underdevelopment, inserting a crucial class lens (which is interwoven with the racial lens).
The racism is that these Black and Brown communities are allowed to be underdeveloped, undereducated, environmentally toxic. Now with this economic collapse, white folks are feeling in their communities some of the same pressures that have existed for 20-30 years and are calling it a "crisis." Welcome to Detroit, have a seat amongst 25,000 of your sisters and brothers and join us in creating a new system-- one that actually works to provide healthy livelihood, and human rights for all.
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Sun Mar 07, 2010 at 10:00:00 AM PST
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"Something I've heard about Canada (correct me if i'm wrong) is that u have a Canadian style healthcare system."
This was Stephen Colbert speaking to Member of Parliament (MP) of Vancouver South, Ujjal Dosanjh. Hee-haw larious. The rest of the interview can be found here (of note, the interview sounds pretty hostile but it's true to Colbert's satirical approach. Not knowing anything about this liberal MP Ujjal Dosanjh, I explored his website, where he defends his interview with Colbert, as satire to reflect on. But that's also where I found out that Dosanjh was previous the federal Minister of Health for two years. He's a well-informed, outspoken advocate of the Canadian healthcare system, and recently was interviewed by NPR about it. He speaks from a human rights framework. I'll share the interview below because it's interesting...
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Sun Mar 07, 2010 at 09:00:00 AM PST
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Though it's been two weeks since the 45th anniversary of Malcolm X's assassination, I keep thinking about a post that my friend Adrienne Maree Brown wrote at her blog, about his transformation from Detroit Red to Malcolm X to El-Hajj Malik El-Shabazz. These two lines are stuck in my head: Are you supporting transformation? Who is the Malcolm X in your life, and how are you supporting him or her?
Check out her blog post. You might find these lines stuck in your head too.
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Wed Feb 10, 2010 at 06:00:00 AM PST
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i was one of those orchestra kids. don't get any funny ideas about class or money or anything, by the way-- public schools have orchestras, too (or, at least they used to)-- and i used to drag my mom to concert after concert. for years this woman sat in a room full of people she hardly knew listening to variably tuned simpliied renditions of the war horses (mozart's eine kliene nachmusik, a little brahms, and, may God forgive us, the brandenbergs) and learned not to clap in between movements. she saved up for concert dresses we couldn't afford and i grew out of too quickly and for a long while took the whole thing very, very seriously, carting me to lessons and rehearsals and doing the crossword puzzle in the car.
which brings me to stage fright.
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Sun Feb 07, 2010 at 07:36:43 AM PST
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(We're so glad to see Will -- namastebrown -- posting here again! He was one of our first writers back in 2007 when we started the site. And let's get the curethis community out to detroit for the USSF! - promoted by los anjalis)
Hello and Good Day
I am at a loss for words, but am coming back to the Cure This Site.
I have been busy trying to figure out what to say in my next post.
A family member died recently and suddenly. She complained to a doctor of a burning sensation on the side of her face. The doctor at the public hospital advised her to rinse her face with water. A few weeks later she collapsed at home, playing with family. She was 20-21 years old. I'm told it was an aneurysm that killed her. Really? It couldn't have been detected or prevented? Damned right I am concerned about health justice.
No one even has the language to say "this is a health justice issue"
Another family member is elderly on Medicaid and is terrified of dying. She can't sleep nights. Gets unsatisfactory care from the visiting nurse that the government provides. Has had heart failure and now a kidney condition and is past the point of surgery. Now she has trouble walking from her living room to her kitchen. I don't even know how to begin to find resources that will help her. Or really how to insert myself within the context of her life in a way that is supportive and helpful. Damned right I recognize a need for health justice, a health care system/ ideology/ philosophy/ practice/ profession that is navigable, honest, fair and treats all people with a modicum of dignity.
How to get that in a society that is not committed to treating all people with dignity? You see my conundrum.
I am an organizer for the US Social Forum. http://www.ussf2010.org We are working on building a Health and Healing Track. But we need to make sure that it is not just a network of "healers" and "professionals" but that it seeks to unite all the people who are tired, sick, and pissed off and looking for a new way to take care of themselves (and each other, no?)
The 2010 USSF will take place in Detroit. June 22-26. We hope that curethis community comes out to support to help build this movement that will transform this nation and join it to international struggles for life, health, dignity, and self-determination.
I will write more on that later.
Signing off,
namaste brown
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Sun Feb 07, 2010 at 09:00:00 AM PST
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It appears that Superbowl Sunday is only topped by Thanksgiving day in regards to calories consumed per person in the United States. That information was backed by data but I do not recall the source...
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Fri Jan 29, 2010 at 06:00:00 AM PST
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i seek refuge in the lord of the dawn somewhere there is a door that if you open it there is someone breathing through a tube, someone who will never talk, will never walk, will never peel an orange. all i'm saying is it could have been worse. from the mischief of created things on the other hand, there is the possibility that this is as bad as it gets. that the worst that can happen has happened. i know a doctor whose patient died. there is a story about an answering machine and somebody assigned to check it, about a vacation, about a holiday weekend, about a lab result that never found its way to someone who could understand it, who could do something about it. but that was an adult. this is a baby. maybe this is as bad as it gets. from the overspreading darkness
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Sat Jan 16, 2010 at 10:43:17 AM PST
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I can't stop. Every time I think it will be better it's not. Everything was going good but I backslid and lost friends, lost jobs, and treated people really badly. I'm filled with regret at this point and just trying to put my life back together.
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Thu Jan 14, 2010 at 22:16:33 PM PST
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the thing i want you to know is that i held her hand and cried.
the thing i don't want you to know is that i will hurt you. not that i want to. not that i'm trying to. but i will hurt you and neither of us will see it coming.
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Sat Jan 09, 2010 at 07:00:00 AM PST
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If a fat person dies and one more person says to me, “Fat Person died because s/he was FAT!” I’m gonna sit my fat behind on that person’s unfat face. If you must be a condescending pseudo doctor know-it-all fuckwad, please, let’s be more appropriate about diagnosing...
Check out the rest of the post -- over at FlipFloppingJoy -- it was written by brownfemipower, who's written some absolutely amazing posts previously at CureThis.
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Mon Jan 04, 2010 at 13:00:50 PM PST
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(cross posted at NPA Blog) The most recent edition of San Francisco Magazine (which I read only when I see it strewn across piles and piles of books, journals and mags at my in-laws' place in Sonoma) features a run-down found here on Healthy San Francisco, a health care access system for SF residents to receive care at nearly all health care providers in the city (My long-time SF friend reminds me that it's not a health insurance plan so what you do when you get alcohol poisoning in Napa or get shot in Oakland - or vice-versa - is beyond me). I am looking forward to actually reading the thing and learn about its inner-workings, but what I find most intriguing is this commentary by SF Mag's Editor-in-Chief Bruce Kelley. Kelley states: When it comes to national healthcare reform, I think we should throw participatory democracy out the window. This one policy debate would go better if the American public were silent and disengaged, refusing to blog, carp, watch Fox News, or exercise its voice. It would also be helpful to suspend the constitution, strip all interest groups of power, and install a temporary dictatorship. One smart person would make the final decision how to address the healthcare disaster. She’d be advised by other smart people. She would wave a wand. Then Congress would return from a short hiatus, and the sausage-making would resume.
Kelley goes on to tell that that's basically how Healthy SF came to be - without anyone actually noticing - and since it's such a hit, we should replicate the process and fix US health care a la SF...
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Sat Jan 02, 2010 at 10:00:00 AM PST
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This song (youtube video below) by folk artist Brett Dennen was recorded a few years ago, but is still quite relevant -- something to reflect upon as we start a new year. Lyrics:
Pilgrims in the parking lot
Arteries clogged with blood clots
Pushing through the aisles of department stores
Neon crosses and Christmas lights
Credit card debts and brand new bikes
The holidays are here and we're still at war...
(more after the jump)
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Mon Dec 28, 2009 at 23:22:30 PM PST
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Yesterday, I noticed a sign on the wall at our hospital just outside our office. Taped above a table, it reminded doctors to bring lunch trays back to the lunchroom, not left on the table near the door. Far beyond the standard business casual passive aggressive mandates, this sign climaxed in a fury of times roman 26 bold: "Doctors, your lack of consideration for staff and patients is horrifying!!!" Really? Not the lack of health care in the USA, that our patients wait by the hundreds to be seen. That's A-OK. But dishes not done, scourge of modern civilization. All this for a lunch tray hurriedly left between patients, rounds, and pages? Really? It bothered me. A lot. It reminded me of everything wrong with our hospital. Quick to ascribe the most negative human attribute to stupid actions, slow to address systemic solutions to real issues. Neglected lunch tray = Horrifying lack of consideration. Poverty, disease, despair = normal and unnoticed. 
The sign has been up for years, visibly reminding the entire patient, staff, physician community about the paucity of compassion amongst our doctors. & Yesterday it really, really, really bothered me. Today, it took the sign down. I ripped it up, recycled it. Today, BTW, I also added anew sign on our otherwise dull door. Title: "Welcome to Our Family and Community Medicine Department." Followed by big picture: prancing unicorn and falling stars. Caption: "Making the hospital fabulous since 1974!" New slogan for our department at bottom of page: "Family Medicine: where puppies and unicorns meet the street." I feel much more at home. Moral of story: when feeling run down by bureaucrats and hegemonic systemic illness, make happier signs. Preferably with unicorns.
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Tue Dec 29, 2009 at 09:00:00 AM PST
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It's a fascinating story -- ex-gang members from Los Angeles traveling to rural southwest Alabama to talk to kids about violence, gangs, poverty and love. Homeboy Industries, the largest gang intervention program in the country, is based in Los Angeles and is doing just that. The LA Times covered a recent trip to Prichard, Alabama by two members of Homeboy Industries, Luis Colocio and Agustin Lizama.
The video -- "Alabama's Homeboys" -- captures the critical intersection of rural poverty, joblessness, crime, race and youth, and leaves the viewer with more questions than answers, but is quite inspiring. The Times also provided extremely sobering socioeconomic statistics about Prichard, Alabama at the same link. It's wonderful to see Homeboys Industries continuing their stellar work in the face of a financial crisis. Folks who would like to support Homeboy Industries can donate money as part of Homeboys' "virtual carwash". And if you're in Los Angeles you can volunteer at Homeboy Industries, dine at Homegirl Cafe, or purchase Homegirl Cafe's salsa, now selling at Ralphs.
(cross-posted at LAist)
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Mon Dec 28, 2009 at 08:00:00 AM PST
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This week has seen intense discussion among progressives over whether to support and fix the health insurance reform bill or whether to kill it. Such debate began after the Senate version of the health insurance reform bill was stripped of its hugely popular "public option" and then further stripped of a possible "Medicare buy-in" by Senators who essentially held the US Senate hostage.
This debate has been important, and it is healthy for progressives to have differing opinions on a piece of legislation, but recently there has been some disappointing yelling across the aisles and name-calling. On both sides.
[Of note, there are some folks who from the start have called everything "less" than single-payer (100% government-funded and privately/publicly delivered healthcare) a compromise and vowed not to support anything but single-payer. Those folks have a right to their opinion but I'm not referring to them, they haven't been fighting together with other progressives for improving this bill all along. I'm talking about progressives who have tried to make this process workable from what was put on the table.]
(more after the jump...)
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Fri Dec 25, 2009 at 21:36:29 PM PST
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This is very interesting, this concept of cooperation with evil. Now, I don't know much about the Catholic Church, I'll admit. But it seems, in the Catholic faith, there seems to be an OK cooperation with evil and a not-so-OK cooperation.
The New York Times has a piece out today -- Christmas Day -- that sheds some light on cooperation with evil in the context of the abortion debate and the health insurance reform bill that just passed the Senate yesterday.
The Senate bill, approved Thursday morning, allows any state to bar the use of federal subsidies for insurance plans that cover abortion and requires insurers in other states to divide subsidy money into separate accounts so that only dollars from private premiums would be used to pay for abortions.
Just days before the bill passed, the Catholic Health Association, which represents hundreds of Catholic hospitals across the country, said in a statement that it was "encouraged" and "increasingly confident" that such a compromise "can achieve the objective of no federal funding for abortion." An umbrella group for nuns followed its lead.
The same day, the United States Conference of Catholic Bishops called the proposed compromise "morally unacceptable."
(more after the jump...)
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Fri Dec 25, 2009 at 17:08:02 PM PST
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Imagine arriving home to find that everything in your house, down to the beverages in your fridge, is wrapped in christmas wrapping paper. A guy in Chicago was the target of such a prank by his friends. He's still unwrapping everything (35 wrapping paper rolls worth). But the aww in the story is this:
He jokes that the upside is that, with each package he unwraps, he finds something inside that's just what he needs.
Here's to rediscovering that we've got all we need. (Thanks to tanya karakashian for sharing the article).
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Thu Dec 24, 2009 at 17:50:43 PM PST
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The US Senate convened today -- the day before Christmas -- and passed the Senate's version of the famed health insurance reform bill, the Patient Protection and Affordable Care Act. This bill will move into conference committee with the House of Representatives' version of the bill in January, before finall passage (Previous discussion of this week's Senate events here). It is not a common occurrence to meet the day before Christmas. The last time the Senate held a roll call on Christmas Eve was in the year 1895, when Senators lifted a ban on government officers who had joined the Confederacy from serving in the post-Civil War military. Below are other interesting facts about the Senate.
- Today (Christmas Eve) marked the 25th straight day of debate. This is just short of the record for the longest number of consecutive days that the Senate was in session, in the winter of 1917 (thanks to @wonkroom on Twitter for this fact). The extended debate in 1917 was due to anti-war legislators stalling debate about whether or not to arm US merchant ships during World War I ... (more below)
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Mon Dec 21, 2009 at 08:00:00 AM PST
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Although it was highly anticlimactic, awfully frustrating for Americans, and just the beginning, the early hour of this morning marked a historic vote for health care reform.
So what exactly happened? Well, the US Senate voted 60-40 NOT in favor of PASSING the bill -- but in favor of ending debate and stopping further filibustering on a specific set of amendments put forth by Senate Majority Leader Harry Reid. Yes, they voted for "cloture" -- to end debate on the bill. Were the debate to continue, Republicans (or Sen Lieberman or Nelson) would have more and more chances at filibustering the bill (a process by which they are allowed to read every page of the phone book aloud or do other things a 2nd grader wouldn't even do, in order to stall the process of moving a bill forward)...
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Sat Dec 05, 2009 at 07:00:00 AM PST
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i wrote off psychiatry in my third year of medical school because i catch crazy. turns out everybody does. maybe i'm a little hasty. but the depressed ones get me down, the happy manics are fun to be around and when my patient tells me he's hearing voices, i start to notice that i'm listening for them, too.
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Mon Nov 23, 2009 at 22:02:02 PM PST
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i'd never been to a board and care before and definitely not to a psych board and care. but this is the part i like, the steep part of the learning curve, where you start out knowing nothing and get a lot smarter really fast.
one of the first things i learned was that you sign over your government checks to them, which they use to pay your room and board, and then they give you what's left over. and the second thing i learned is that they're unregulated.
so you can see where this could go.
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Mon Nov 16, 2009 at 07:00:00 AM PST
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so after ecg conference this morning (theme-- watch out! the automatic reader screws up, too) my fellow turns to the consult team and asks for volunteers. suddenly, the floor is very interesting.
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Tue Nov 03, 2009 at 22:14:15 PM PST
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so every two weeks we round at the nursing home. i have one patient and she's as sweet as peach pie, which is very, very disturbing.
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Fri Oct 30, 2009 at 20:39:01 PM PDT
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just so we're clear on that point.
i really hadn't done anything wrong, except that i had. i walked past the door and he was sitting there like a teenager who's fifty years old-- legs crossed, arms crossed, staring all pissed off at the floor. and i passed the door and saw that there was no chart, like there often isn't and popped my head in the doorway to say i was off to find his emergency back up hospital chart.
in that millisecond, i realized that i knew him, i realized that he looked pissed off, and i realized that he had a couple of bottles on the counter, which is patient body language for i need refills.
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Wed Oct 28, 2009 at 08:00:00 AM PDT
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This week, the public option in healthcare reform is back on the table, and suddenly senator (with a small s) joe lieberman, in the dem caucus, decides he's going to filibuster any bill (block it from going to a vote) that has a public option in it. The health insurance company stocks shooting up after this announcement, and Rachel Maddow digs in about this with Jane Hamsher of FireDogLake.
As always, a pleasure to see both of these brilliant women talk this out. And yes...
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Sat Oct 17, 2009 at 13:07:02 PM PDT
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so i was going to write about my patients but i can't because i'm trying to leave the hospital. last time i was on call was the day before yesterday into yesterday and i found out at the end of the shift that i have a golden weekend this weekend, which means i don't have to see the hospital, be in the hospital, or think about the hospital for two whole days. so i'm not going to. except i keep doing it anyway.
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Sat Oct 10, 2009 at 07:00:00 AM PDT
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so rule number one is trust no one. and i never seem to learn that.
(names are changed, of course)
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Mon Oct 05, 2009 at 07:00:00 AM PDT
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so her heart stopped for a couple of seconds but there's this emergency back up system that kicks in. so the heart can keep going, but only just enough.
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Sat Sep 26, 2009 at 08:00:00 AM PDT
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i know liver. i remember it from having to sit there pretending to be interested in the stream of data emanating from beds one through four and six through eight while hers was so unrealistically simple, everything swerving out of control, the jagged lines lurching towards zero. a mexican woman, she wasn't eligible for an american liver-- there were papers she was supposed to fill out years and years ago. i've delivered dozens of her of their babies, struggling to america so that their children will be americans while they themselves, well no time to think of that right now.
i know liver. i remember how my favorite professor told me of clutching at her for two full years, trying to buy a little more time. i know that once her kidneys veered off course there was not stopping it. the desk just had to point at her bed, at her family, now at least twenty-five strong, filing past her bed as if it were a state funeral, but not yet. they held her hands and cried softly as her body which wasn't quite a body yet but wasn't really their grandmother anymore either softened under the morphine i gave her because it can't really be comfortable, can it. it certainly wasn't from where i sat.
she hadn't done anything wrong, not that it matters but we both know that in some sense, yes, it kind of does, kind of makes things worse. her immune system attacked her liver. maybe some day someone will know why but for now no one does and for years there wasn't much to do no matter how smart or careful or well-read you were and it was all leading up to this and trapped behind my desk i had to see it all.
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Tue Sep 22, 2009 at 08:55:57 AM PDT
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I'm long overdue for a post here, and kudos to Anjali for reminding me how important it is to write...
Three months ago I started working at Atlanta's Grady Memorial Hospital, one of the country's largest public hospitals. It's been a privilege to care for people who otherwise have no option for quality health care. I wish all 435 Congressmen and 100 Senators could spend a day with me at Grady. Better yet, I wish they could spend a day with one of my patients. Go into their homes, have dinner with them, watch them pay their bills and juggle often chaotic lives. I'd like to hear them tell my patients that they don't think the current system needs changing, or that it costs too much to change, or that they are more concerned about undocumented immigrants getting care than they are about keeping their constituents out of bankruptcy...
In thinking more about the opposition against health reform, I think I've found 4 types of people who oppose health reform. I think they have different reasons and motivations; thus, we need different approaches. So at the risk of over-generalizing, here it goes:
Person 1: Chris The Confused Citizen
Chris knows the health care system is not working. He may have felt it personally, or through someone he knows. But Chris has difficulty supporting health reform because he's confused by the mixed messages. It's not that he's not smart; it's that health care is indeed confusing.
Especially health care in America.
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