Just How Broken is Our Healthcare System?

A young woman dies in childbirth for lack of proper perinatal care. An elderly man can’t afford meds to control his chronic conditions, so he rations them. A child is misdiagnosed in the emergency room. A patient waits months to see her doctor about a troublesome symptom.

Stories like these abound. They are shared by patients, parents, partners, good healthcare providers and others who’ve had enough of medical runarounds, cost issues, access problems, diagnostic and treatment errors, insufficient time with providers, and more, to contend with. Reports of major issues in healthcare by medical professionals as well as patients and politicians with a conscience are increasingly sounding alarms.

In a recent Instagram post, for example, Senator Tammy Baldwin (D-WI) was outraged to learn that drug companies charge as little as $7.00 for an inhaler outside the U.S. while here the price gouging rises to as much as $380 depending on what type of inhaler is needed. Senator Bernie Sanders (I-VT) is among several Democratic senators, and The Senate Health, Education, Labor and Pensions Committee, that have demanded information about asthma inhaler patents and prices from four major manufacturers accused of “manipulating the patent system.”

One of the four companies was cited for charging $645 for an inhaler it sells in the UK for $49. Another company was called out for charging $286 on the U.S. market for an inhaler that costs $9.00 in Germany. According to another Instagram post in February, “Pharmaceutical giant Eli Lilly reported over two billion dollars in profit in the last three months of last year alone. This massive number comes from hiking prices of vital drugs for American seniors and other patients”.

Dr. Ashish Jha, Dean of the School of Public Health at Brown University wrote in a Washington Post editorial in January expressing his concern that some doctors are selling their practices to private equity firms because running a medical practice has become a management nightmare. “The number of private equity firms in health care has exploded in recent years,” Dr Jha lamented. “It’s a trend that should have everyone’s attention, from politicians to patients, because it can significantly increase costs, reduce access, and threaten patient safety.”

In an article published in the New York Times in November last year, Dr. Amol Navathe, co-director of the Healthcare Transformation Institute at the University of Pennsylvania, worried that non-profit hospitals were focusing more on dollars than patients.  He wrote that nonprofit hospitals are “hounding poor patients for money, cutting nursing staffing too aggressively, and giving preferential treatment to the rich.” It’s gotten so bad, he says, that nurses and other healthcare workers are resorting to strikes to improve workplace safety at several hospitals during an “acquisition spree” that is making healthcare less affordable.

Nursing homes and assisted living facilities are taking a hit too. According to the New York Times these profitable facilities charge $5,000 per month or more topped up by fees for such things as a blood pressure check, $50 for an injection (more for insulin), almost $100 a month for medication orders from external pharmacies, and over $300 a month for daily help with an overpriced inhaler. There can be extra charges for help in toileting, dining room fees, or a daily check in by staff.

There are currently 31,000 assisted living facilities nationwide. Four out of five of them are for profit businesses. Most of them cater to affluent white elders, although minority groups are a quarter of the population older than 65 in the U.S. According to the New York Times piece, assisted living is “part of a broader affordability crisis in long term-care for the swelling population of older Americans.” Aside from cost issues, there are reports of serious care problems reported by watch groups, ranging from staffing shortages, growing infection rates, and lower vaccination rates in assisted living facilities.

Another area of healthcare feeling a looming crisis is mental health, including addiction.  Daniel Bergner, author of the book My Brother’s Story, the Science of Our Brains, and the Search for Our Psyches, points out that while housing, additional psych wards, and community-based treatment facilities are traditionally identified remedies, budgetary and logistical problems are ignored. “These fundamental changes often involve the involuntary nature of care,  and the flawed antipsychotic medications that are the mainstay of treatment for people dealing with the symptoms of  psychosis,” he says.

Bergner reveals that existing laws in almost all states allow for mandatory care that can rely on court-ordered treatment, including the use of antipsychotic drugs. “Imagine,” he asks us, “being hauled off to an emergency room, forcibly injected with a powerful drug…and held in a locked ward until being dispatched into a compulsory outpatient program.” He points out that is likely to add to a patient’s trauma, isolation, and lack of agency, rather than their recovery. “Compulsory care is deeply problematic…made more so by the medications at its core. … Drugs shouldn’t be the required linchpin of treatment.”

This is just a sampling of the issues confronting our failing healthcare systems. Our disgraceful maternal and infant mortality rates are often linked to racial discrimination. Shrinking Medicaid payments to clinics for the poor dramatically affects healthcare for the poor. And reproductive healthcare is on a rapid road to crises that smack of sexism -- all among the reasons our voices and votes need to be heard this year.

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Communal Living Makes a Comeback

Some years ago, when I turned fifty, I gathered with my BFFs (Best Female Friends) to celebrate the milestone that each of us would reach that year.  It was a joyous and somewhat raucous Croning Celebration at a beach house that led to many more such times over the years. At one of our meetups, we got the idea that when we were old, we should have a Crone cottage together, staffed by a cook, a housekeeper, and a gardener (who some suggested could double as a toy boy). We would each have our own room but share communal space and camaraderie. It was a great idea, and we thought it was an original one, but that proved not to be true.

We’d forgotten that convents had preceded us. In the Middle Ages life was tough for females and convent living was a way out. There was a kind of freedom there, intellectually, educationally, and even politically, at least within the church, and sometimes the wider community. According to the National Museum in Zurich, Medieval nuns were not all living a simple ascetic life. Catherine of Sienna (1347 – 1380) is an example of women who evaded marriage (and childbearing). She chose to enter a convent and became an important voice in matters of church policy.

Later I learned about Beguines. They were part of lay religious groups for women in northern Europe during the Middle Ages. They led spiritual lives but didn’t join religious orders. The first group, comprised of upper-class women, started living communally in the late 12th century. They engaged in social and economic problems and supported themselves by nursing, sewing, and lace-making.While promising chastity while living with other similarly dedicated women they were free to return to the wider community and to marry, which would end their affiliation. Some claim, perhaps glibly, that these women were “the world’s oldest women’s movement.” Several of these women’s groups still exist in Europe, some of which are UNESCO World Heritage sites.

More recently, given housing costs and the cost of elder care, along with the challenges of finding one-floor living and the growing problem of homelessness, isolation and the need for support and friendship, the idea of group housing is becoming attractive again, especially for women.

In the UK, co-housing communities exclusively for women are becoming popular. An article in The Guardian last year revealed that a group of women in their fifties to nineties had set up such a community near a theatre, a patisserie, and other amenities in a suburb of London. As one of the women told the reporter, brothers, sons and lovers were welcome as visitors, “but they can’t live here!”

Many of these women, who live in individual apartments, work, volunteer, or remain active in the larger community in various ways. As the reporter noted upon visiting the women, “No one here bears any resemblance to the stereotypes of senior citizens.” Added a resident, “You can’t define us as old!”

These women fiercely reject the notion that they are a commune. They simple refer to their living arrangement as co-housing among a group of women who are “fiercely opposed to ageism and paternalism.”

A friend of mine lived happily with seven other professional women in two large houses for several years. Their ages varied but they could all relate to the various reasons for co-housing.  Last year they’d had enough of American life given the political situation, so they moved to France, where they now live in two houses again. Each is well-traveled, unafraid of new adventures, and clever about reinventing themselves. The have found or developed ways to work there – one is fluent in French and the others get by -- and they enjoy exploring their new country and making new friends. This model is unusual because it means adjusting to a different culture, and not everyone over fifty would find that inviting or viable, but it speaks to the array of ways to live in a shared-housing community.

My Crone group is now well past fifty and our Crone cottage hasn’t happened. It’s no longer likely to become a reality, but we still think about it so who knows?

One thing is certain: It’s an idea that is growing and it makes a lot of sense. As one woman who has managed co-housing settings told The Guardian, “People who are attracted to co-housing usually want purposeful closeness to their neighbors as a big part of their lives. It’s not just about alleviating loneliness – it allows people to become part of an ecosystem of families and individuals.”

Almost two years ago my husband and I moved from a rural setting to a smaller home closer to town and we really got lucky. The street we now live on feels like a co-housing community.  The individual little houses that we and others inhabit all make living on one floor possible, we are all in the same age group, and our neighbors are wonderful people who all look out for each other. I sometimes refer to it as a geriatric hippy commune (we’re all liberals), but really, it’s simply a great way to be in community as well as a participant in an ecosystem of families.

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The Power of Hope and the Promise of the Parkland Generation

 Ever since David Hogg, Emma Gonzales, and other high school student leaders began organizing against gun violence when their Florida school experienced a massacre in 2018 that killed 17 people and injured 17 more, I’ve clung to the belief that if we could get to the Parkland generation as political leaders, we just might save our country. I believe that now more than ever.

David Hogg is 23 now and a student at Harvard. It should come as no surprise that he has reached a new level of political advocacy. Working with Kevin Lata, Rep. Maxwell Frost’s (D-FL) campaign manager in 2022, the two activists have launched a new organization that seeks to put more young people in elected office at the state level and in Congress.

Leaders We Deserve has a PAC to coordinate with selected campaigns and a super PAC to raise funds for those campaigns. The organization has a diverse advisory group that includes Reps. Root, Swalwell (D-Calif.), Justin Jones (D-TN) and Lauren Underwood (D-Ill.). It plans to hire staff going forward.

“A big part of this,” Lata told NBC’s Meet the Press, “is electing young people that have the values of our generation [which] understands the anxiety of not knowing if you’re going to be able to survive math class.”

Hogg, who cofounded March for Our Lives, put it this way to CBS: “There are so many charismatic, brilliant young people that have come from March for Our Lives, and have now started running for office, like Maxwell, and there’s so many more that I think can come. That’s why I’m doing this, it’s to help build that pathway.”

Both Hogg and Lata take a long view of the work they have begun.  They know it’s more than an ideology-driven effort. It requires organizational skills, political savvy, resources, an experienced staff and viable candidates. That’s why they are starting with a plan that includes raising money, connecting 15 to 30 candidates at the state level to media, and supporting them in the “mechanics of a campaign.” Their goal is to help young people gain and remain in elected office with a view to running for higher office when the time is right. They are starting in states like Texas, Florida, Georgia, and North Carolina. As Hogg told NBC, the aim is to “make inroads and start building the bench now.”

They have notable role models to look to as their work progresses. Maxwell Frost was the first Gen Z member of Congress and he’s made a name for himself as he serves on the Committee on Oversight and Accountability, asking astute questions while standing up to Republican extremists who work hard to politicize committee work in Congress. He also represents a progressive view unfamiliar to many in Congress who are out of touch with youth, Black, and Latino constituents.

It's worth noting that Frost, a former organizer, activist, and special needs teacher, was inspired to activism when he was 15 years old because of the mass shooting at Sandy Hook Elementary School. He also witnessed and survived gun violence himself in Orlando in 2016.

Rep. Alexandria Ocasio-Cortez (D-NY) is another example of effective leadership from younger members in Congress. She worked in the 2016 presidential election as a volunteer organizer for Sen. Bernie Sanders (D-VT.) Inspired by demonstrations led by indigenous communities in South Dakota who opposed a new pipeline, she joined them, resolving after that experience to commit to public service. Shortly afterwards, she launched her first campaign for Congress, and won against a long-time incumbent.

She became the youngest woman and youngest Latina to serve in Congress in 2019 and she quickly got to work. During her first term she introduced 23 pieces of legislation, one of which was the Green New Deal resolution, which envisioned a 10-year plan inspired by FDR’s New Deal. It was designed to open work opportunities in construction and restoring infrastructure, reduce air and water pollution, and fight economic, social, racial and climate crises. She was also recognized for her skill as a questioner in committee hearings, effectively standing up to Big Pharma, defense contractors, and other power players.

Leaders like Frost and Ocasio-Cortez reveal the possibilities inherent in the purpose of Leaders We Deserve. Along with Hogg et al. they offer an important and timely new vision of effective leadership at a time when we are worried about the aging of some current, long-time legislators and leaders, many of whom have no real connection to or understanding of their constituencies or other Americans.   

According to a Tufts University study an estimated 8.3 million newly eligible voters emerged in the 2022 midterm elections, including White, Latino, Asian, Native American, and Black youth. In the current Congress, 52 members of the House are Millennials, aged 27 to 42, up from 31 in the last Congress. They represent 10 percent of all current voting House members and are divided equally between Democrats and  Republicans. In next year’s election those numbers are likely to grow.

David Hogg sees this as “a second step for our generation and the people in power. We’re not just voting, we’re also running.”

Activist Ariana Jasmine.agrees. “Young people are the future. They are showing that they are fed up, and they are showing up even if they aren’t old enough to vote. They understand that the direction we’re going in is completely unsustainable.”

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Why is Holocaust Denial Growing?

This month Jews everywhere marked the High Holy Days of Rosh Hashana and Yom Kippur to welcome our New Year. They are solemn days and a time for renewal shared with family and friends every year, even by the most secular Jewish people.

As a child I was moved by those days when I stood with my parents and siblings in our small synagogue and listened to the Hebrew prayers being chanted. I loved hearing the Shofar blown on Rosh Hashana and the time for reflection and hope at Yom Kippur, a day of atonement when we forgive ourselves for the past year’s transgressions and promise to do better in the coming year. I crafted a poem about these annual rituals some years ago as I remembered years gone by.

In that poem called “Kol Nidre” – the mournful prayer that marks Yom Kippur - I wrote this (edited) verse: “Kol Nidre  and I am bound to every Jew, in every place, at every time…and in every corner of the globe [where] a Jew is standing, swaying, weeping, praying…I stand beside the Jews in the Warsaw Ghetto, and in the camps, and I am with the Jews of pogroms,… Kol Nidre, and I am everywhere and in every time there is a Jew to remember.”

Later I wrote another poem. It was inspired by my learning that I was born in the same month as the fall of the Krakow Ghetto. A month later the Warsaw Ghetto collapsed. “It happened over and over again, until the black saber of the Holocaust disemboweled European Jewry,” I wrote, imagining myself in Anne Frank’s attic, and wondered “if I would have had the courage, the cunning, the chutzpah to survive?” I imagined what it must have been like in Kracow and Waraw and Auschwitz “because I was born a Jew.” “I might have been among them, racing for a cellar, a closet, a bed cover. Anywhere where they could not, will not find me.”

I share those excerpts because both of my parents had fled pogroms in Ukraine with their families when they were children early in the 20th century, simply because they were Jewish. I share them because the pogroms and the Holocaust are part of my history and my heritage. I share them because I’ve read Elie Wiesel and Viktor Frankl and copious other writers who wrote true Holocaust stories. I share them because I’ve been to Yad Vashem and Holocaust museums and memorials here and in Europe, and I share them this year because for the first time I was afraid to attend High Holy Days services given the increase in anti-Semitism and the increasing denial of the Holocaust.

An April program on PBS’s News Hour reported that “antisemitism rose in the U.S. last year and shows little sign of abating worldwide,” according to researchers. Last year a similar study reported that “2021 set a new high for antisemitic incidents, and in some countries, most alarmingly the United States, it intensified.” Additionally, the Anti Defamation League (ADL) reported that the number of antisemitic incidents in the U.S. increased by more than 35 percent in the past year.

A survey reported in The Atlantic titled “The World Is Full of Holocaust Deniers,” almost ten years ago found that only 54 percent of the world’s population had heard of the Holocaust. Let that sink in: 54 percent, in 2014.  Only a third of the world’s world population at that time believed the genocide had been accurately described in historical counts and 30 percent of survey respondents thought that “Jews still talk too much about what happened to them in the Holocaust.”

Today the problem is exacerbated by social media and the Internet where misinformation, memes, and hate-filled posts that perpetuate antisemitism and Holocaust denial are proliferating.  Most sites have done little to end this travesty in the name of free speech and debate. For example, Facebook and Twitter enacted weak policies prohibiting Holocaust denials a few years ago but as of this year, they continue to allow dangerous content on their sites. And they are not the only ones.

In 2022 the United Nations approved a resolution stating that genocide “will be forever a warning to all people of the dangers of hatred, bigotry, racism and prejudice.”  Israel’s ambassador to the UN at the time went a bit further. A grandson of Holocaust victims, he said “the world lives in an era in which fiction is now becoming fact and the Holocaust is becoming a distant memory. Holocaust denial has spread like a cancer, and it has spread under our watch.”

The resolution and the rhetoric of politicians and diplomats seems to have had little impact. Holocaust denial and distortions are growing, and they are stunning, while antisemitism has risen in many countries. The Netherlands is one of them.

A government minister there made this statement at a cabinet meeting in July this year: “Denial of these kinds of heinous crimes against humanity is commonplace. …This … should not be left unaddressed, as the lesson of the Holocaust is not just a history lesson. It affects the here and now. … It is about good and evil.

He’s right of course. But we need more than words and resolutions to stop the scourge that has so many Jews frightened. We need to bear witness as the few remaining survivors of Auschwitz and other death camps give testimony. We need to read the books of Holocaust writers and to look at the photos and write poems. We need political action and responsible information platforms. And we need it all now so that we can feel safe - simply because we are Jewish.

A is For Absent: America's Teacher Shortage

 Her name was Shirley Myers, and she was a gift in my life when I needed one. I was in middle school and a loner, unlike most kids that age, because my mother suffered from depression that meant she was hospitalized for long stretches. Ms. Myers was a calm teacher and a gentle soul and somehow, I started going to her classroom after school to talk with her. It was quietly comforting to be with her, and we formed a bond that got me through those lonely times.

 She wasn’t my only good teacher. In high school, Desmond Jones, who scared everyone with his high standards and grim demeanor, taught me how to consider literature carefully and to write cogently about it in his English class. Vivienne Davenport gave me my love of language with her Word for the Day. They were delicious words like obsequious, sartorial, serendipity, and ubiquitous. We were required to learn their definition and to write a sentence using each day’s word. I think about her each time I use one of her many fine words. Doc Martin, slightly disheveled and occasionally distracted got me through Latin; later Spanish helped me become bi-lingual until I forgot how to conjugate.

 In college I had fine teachers who taught me about literature, art, religion, psychology, sociology, and other subjects that interested me.  And in graduate school I learned to do professional research, explore interdisciplinary methodologies in my chosen field, write for publication, and have confidence in my abilities. My advisor during that time is still a close friend.

 Later I became a teacher myself. I taught at high end colleges and universities and at community colleges, and I now teach in adult learning programs because I love teaching no matter where I do it. I know the joy of watching motivated students consider issues they’ve never contemplated before, the pleasure of seeing their thinking and writing skills grow, their openness to new ideas, their new sense of confidence.

 So I am deeply saddened, and worried by the loss of so many good teachers, at all levels, who are leaving their chosen, and often undervalued, profession. They are quitting for numerous reasons that are valid. They work under poor conditions, suffer high stress, heavy workloads and burnout, as well as insulting salaries and a lack of administrative support, and now more than 60 percent of them fear mass shootings at their schools according to a 2018 survey conducted by the National Education Association (NEA) and reported by CNN earlier this year. CNN also reported that “one in three teachers say they are likely to quit and find another job in the next two years, according to a recent survey by the EdWeek Research Center and Merrimack College.

 Briana Takhtani, a teacher who resigned and spoke to CNN, said she quit her “dream job” because of the pandemic and school shootings. “It just became too much for me to handle on a day-to-day basis and still feel sane,” she said. Her statement is reflective of those made by numerous other teachers.

 The loss of qualified teachers is alarming in many ways.  Some schools have had to cancel core classes, others are hiring people who lack professional teaching qualifications and, in some cases don’t even have a basic college degree. The impact is especially dramatic for children who need special education or bilingual teachers as well as those who live in rural areas.

 One superintendent told PBS at the start of the 2022 school year that “it really impacts the children because they’re not learning what they need to learn. “When you have these uncertified, emergency or inexperienced teachers, students are in classrooms where they’re not going to get the level of rigor and classroom experiences.” In other words, a generation of children are not being prepared adequately for what lies ahead for them, not only professionally but intellectually, culturally, and psycho-socially.

 As a story in The Atlantic revealed recently, “The education system is headed toward a cliff at a moment when it most needs to help students who fell behind during the pandemic. For nearly a decade, America’s students have been backsliding on the nation’s report card, which evaluates their command of math, science, U.S. history and reading.”

That’s a sobering reality. It makes me grieve for all the children who will never have a Shirley Myers, a Desmond Jones, or a Vivienne Davenport in their academic lives, and will never experience the difference they make. Teachers like those I was gifted with understood that as a Tibetan proverb says, “A child without education is like a bird without wings.”

I am ever grateful for having been educated in a time when they represented the finest members of the teaching profession and I fervently hope that children will fly again once the reasons for our educational crisis are adequately resolved.  

From Designer Babies to Devalued Children

A recent press release I received got me thinking about how much we really care about kids?  The press alert came from the Coalition to Stop Designer Babies, which is organizing internationally to oppose efforts by some scientists and would-be parents who want to overturn legal bans and prohibitions on Human Genetic Modification (HGM).

A so-called designer baby is defined as “an infant whose genes or other cellular components have been altered by practitioners at the embryo or pre-embryo stage, ostensibly for the purpose of avoiding passing on genetic diseases, or making babies that are smarter, taller, or stronger,” according to the Humane Biotech organization.

Coalition spokesperson Dr. Daniel Papillon, a French scientist, notes that” There is no unmet medical need for this technology, but the risks are immense. … It would increase ableism and entrench social inequality.” Like other opponents of this technology, he notes that “HGM is the latest high-tech version of Eugenics,” the belief that the human race could be improved if reproduction was controlled and only those who were deemed worthy of being born or of reproducing should live or bear children. The movement advocated selective breeding and the elimination of those considered to be imperfect. Advocates ranged from Margaret Sanger to Adolf Hitler. Even Vermont practiced Eugenics.  Between 1931 and 1941, about 200 people, mostly women, were sterilized in the state.

The idea of designer babies and perfect progeny smacks not just of social control but of affluence and exclusion. It illuminates the deep chasm between privilege and poverty, both of which speak to the deprivation of lives that might have been lived. Let’s not forget that eugenics was at the core of slavery and is still a threat in a world of growing fascism.

The idea of designer babies versus impoverished, marginalized children made me think of all the ways children throughout history, and children now in this country, have been damaged, degraded, and devalued, despite the rightwing devotion to fetuses. There are deeply disturbing examples of the abuse children of all ages experience, physically, emotionally, sexually and via neglect and exploitation.

Take, for example, the revelation revealed by the Houston Chronicle that Texas state troopers were told to push immigrant kids, even babies, back into the Rio Grande as they tried to survive crossing the river alone or with others. Or the fact that thousands of children are at risk of separation, abuse and neglect at the Mexico-US border, and that documented major abuse takes place in retention centers on the US side. Kids trapped in Mexico are sleeping in the streets where they are exposed to violence and abuse, as Save the Children and other organizations have pointed out. And those who make it to U.S. Customs and Border Protection report physical and psychological abuse, unsanitary and inhuman living conditions, isolation from family, extended periods of detention, and denial of access to legal and medical services, reported in a University of Chicago Law School report five years ago.

Sadly, the National Children’s Alliance reports that more than 600,000 children are abused in the United States each year, with children in the first year of their lives being 15 percent of all victims; more than a quarter of child maltreatment victims are under two years old. Nationally, neglect is the most common form of abuse. What does that say about who we are as a country?

What does this say?  According to the Equal Justice Initiative eleven states have no minimum age for trying children as adults; some states allow children between ten and thirteen to be tried as adults, while children as young as eight have also been prosecuted as adults. Shockingly, the U.S. is the only country in the world where kids as young as thirteen have been sentenced to life in prison without parole, and until 2005 children were executed in the U.S.

Law enforcement and police brutality contribute to the abuse and criminalization of children ranging from kindergarteners to teenagers. Stories abound. In one state, an off-duty policeman placed his knee on a middle school child’s neck, while in another state, four

Black girls were arrested for not stopping young boys from fighting.

The stories are immensely disturbing. A child in kindergarten was arrested for picking a tulip at a bus stop. A12-year old was arrested for doodling at his desk.  A nine-year-old was arrested, pepper sprayed and handcuffed for “acting like a child” when police were called to her school. These and other stories like them have been exposed by the Legal Defense Fund.

Now comes the exploitation of kids in the workplace, courtesy of Republican legislators who are happy to ignore labor laws. Lawmakers in several states want to let children work in hazardous workplaces, and to work longer hours on school nights, including serving alcohol in bars and restaurants as young as fourteen. The Economic Policy Institute revealed that ten states in the last two years have tried loosening child labor laws, while the Department of Labor reported this year that child labor violations have increased by nearly 70 percent. It’s Dickensian!

These tragic tales are the tip of the iceberg. They speak volumes to the level of child neglect that is rapidly being normalized in America. The big question is what are we going to do about it? That’s a good question to ask anyone running for office next year. As for designer babies, that’s a question for the wealthy who are wedded to privilege and perfection.

The Time for Bread and Roses is Now

When I think about labor movements and unions, two favorite stories come to mind, and both are true. The first one is about a group of girls and young women known as the Lowell Factory Girls. They worked in the mills and factories of Lowell, Massachusetts in the 19th century. Little more than children who labored for long days doing dangerous and exhausting work, they revolted in 1836 when their dismal wages were cut while their factory-owner mandated living expenses went up.

One day an 11-year-old worker named Harriet Hanson, decided enough was enough. She walked out “with childish bravado,” as she wrote in her 1898 memoir, declaring that she would go alone if she had to. That wasn’t necessary. A long line of girls followed her and thus began a strike that led to an organized labor movement launched by women, and the establishment of an early U.S. union.

The second story is less well known. It involves a labor leader and activist, Esther Peterson, who was born into a conservative family in Utah. Esther, who was much older than me, eventually came to New York where she taught wealthy girls by day and the daughters of their household maids at night.  Working at home, the young girls sewed pockets onto Hoover aprons if they were old enough, alongside their mothers. The pockets were squares until management decided heart-shaped pockets were nicer. The work was piecemeal, and hearts took longer than squares. Esther was outraged that they weren’t paid more.

“Why don’t you do something about it,” her husband asked. “Organize a strike!” Esther, who grew up thinking unions led to danger and violence, resisted. But she decided to advocate for the children, so she organized the “Heartbreaker Strike,” inviting her wealthy day students’ mothers to go on picket lines since the police would never brutalize them as they would the poor mothers. It worked, and Esther was on her way to becoming a beloved labor leader.   

I think of the Factory Girls and Esther now, when so many large-scale strikes loom large, and for good reason.  It’s no coincidence that workers at UPS and in Teamsters unions, Amazon warehouses across the country, Starbucks, and Hollywood writers and actors are striking or contemplating striking for better wages, benefits, and working conditions. American Airlines cabin crews may soon be joining them as I write this commentary.

That’s a wide, diverse swath of American workers and a huge number of jobs, goods, and services at stake. The implications are alarming. A short time ago the threat of a railroad strike was enough to make economists shudder and that’s only one sector that could have wrought havoc throughout the country.

Leaders of unions that represent large numbers of people working in companies trying to deny them their right to unionize act as though union organizing was something new and egregiously difficult. The fact is that huge, organized strikes are nothing new in this country. We’ve had labor unions forever, inspired originally by the 18th century Industrial Revolution in Europe. Shorter work days, livable minimum wages, and rational benefits have always been a bit part of union organizing. For example, poor pay and working conditions led to strikes by the Pullman Railroad Workers and the United Mine Workers in the late 19th century.

Over the years unions grew across many sectors and by 1979 there were 21 million union members in America. Today union membership is growing again after a slump, thanks in part to the pandemic and a rapidly changing labor market.  Young workers are unionizing across various sectors now because of tech-driven jobs. They are joining farmers, factory workers, food handlers, and others as they seek safe and equitable employment, just as factory girls and children sewing apron pockets did before them.  

For UPS drivers, Amazon workers, Starbucks baristas and others, companies that refuse to bargain are enraging. Labor leaders and workers have had enough. They are tired of corporate leaders who make phenomenal amounts of money a year, own mansions and yachts, and still continue reneging on workers’ rights.  Amazon, for example, has engaged in dozens of unfair labor practices, Including terminating the entire unit of newly organized workers.  Starbucks “has become the most aggressive union-busting company in America,” according to a staffer for Bernie Sanders (I-VT) and more than 200 workers have been fired for taking part in organizing activities.

I’m not trying to put a Pollyanna spin on unions. I know there is a troubling history of corruption and criminal intent in some organized labor movements and unions, and that is not something to be overlooked.  But I agree with John F. Kennedy that, “Labor unions are not narrow, self-seeking groups. They have raised wages, shortened hours, and provided supplemental benefits. … They have brought justice and democracy to the shop floor.”

More to the point perhaps in these troubling political times, labor leader Delores Huerta was right when she put the point this way: “If we don’t have workers organizing into labor unions, we’re in great danger of losing our democracy.”

My friend Esther would agree with her old boss, JFK , and with Delores Huerta, with whom  she worked on labor rights for women and children.

The Horror of Healthcare Financing

It’s no secret that America’s healthcare system is broken. Most of us can cite a litany of problems we’ve personally experienced. But few would include the travesty surrounding how healthcare costs are billed and covered.  I ventured into that morass recently and what I learned provided another compelling reason for universal healthcare and a single payer system.

 It began with a pneumonia vaccination that I received at my doctor’s office instead of a Walgreens pharmacy. I expected a charge but assumed it would be minimal. Then I got the “patient statement” from the hospital where my doctor practices. On the statement a “pharmacy” line item appeared in the staggering amount of nearly $700. Other charges were for “preventive care services” and “physician fees.” I saw these charges as redundant since I saw my doctor for a “wellness check” that constituted preventive care with a physician.

 Although I was billed a small amount for these services because “contractual allowance adjustments” covered the bulk of the bill, I began trying to learn what it all meant. I started with two simple questions: Who sets healthcare costs and fees, and who regulates those fees, which included overhead costs and $243 the hospital is charged for “medicine” (serum). 

 Thus began an exhaustive search for answers that led me down a frustrating rabbit hole. Among the Vermont state offices called for information were the Governor’s office, the Healthcare Administration Financial Regulations office, the Division of Licensing Protection, the Department of Health Division of Rate Setting, and more.  Fifteen calls later I still had no answers. Instead, each call resulted in a circular handoff, often to agencies I’d already called. No one in these agencies, it seemed, had any idea how costs were established, who regulated them, and who paid for them.

 This led to a discussion with my local hospital’s CEO and financial officer who walked me through a bureaucratic maze of rules and regulations emanating from federal and state mandates, organizational finance relationships and more. It was so complex that even though I worked in public health as an educator, policy analyst, and advocate for over forty years and hold a master’s degree in health communication and promotion I could not understand everything they shared with me.

One of the things I learned is that no one actually pays the gross charges, which are based on what will be reimbursed by insurance companies, and the costs of various services and procedures as identified by Medicaid and Medicare, with fixed rates periodically negotiated based on current reimbursements. This is known as “cost shifting.” In Vermont, organizational relationships regarding financing of healthcare also play a part in this cost sharing.

 Christopher Dougherty, CEO of Brattleboro Hospital, agrees that the current system of healthcare financing is an odd system that “puts us at risk.” He is troubled by the fact that the financing system is modeled on covering the costs of services rather than measurable outcomes of patient care. That viewpoint aligns with equitable, accessible, quality healthcare for all and it is grounded in the holistic and cost-saving idea of health promotion and wellness, and the fact that healthcare is a human right.  

To explain the convoluted, crazy financing of American healthcare, which is fundamentally a national disaster, requires a full investigative report if not an entire book. My purpose here is two-fold: First, it’s to expose the problems in healthcare financing and to encourage healthcare consumers to self-advocate when those, or other healthcare dilemmas, affect them personally. That means asking key questions of politicians and healthcare professionals along with other measures that lead to accountability and transparency. It also means voting for leaders who understand and care about healthcare issues.

My second objective is to underscore the urgency of a universal healthcare system that eliminates the outrageous bureaucratic enigma and the power brokers that now drives health care and costs. To paraphrase the late Princess Diana, “there are three [organizations] in this marriage,” and one of them is not the patient. It is Big Pharma, the insurance industry, and the fact that healthcare delivery systems like hospitals are increasingly dedicated to business models rather than putting people above profits. This powerful triumvirate must be called into question, revised and re-invented in ways that will be difficult to achieve. But they are not impossible.

In 2020, T.R. Reid wrote a book called The Healing of America.  Reid researched five developed countries in which some form of universal healthcare was practiced. Drawing upon what he learned, he developed a model of universal healthcare that would be viable in the U.S. His recommendations went nowhere because Americans are loathe to pay higher taxes for social services (a chunk of which would be financed by corporate America paying its fair share of taxes), and very few in Congress, who are loathe to lose an election, understand what a social democracy looks like.

 Ironically, when I was mired in trying to get to the bottom of healthcare costs, not just in my state, but nationally, I was facilitating a seminar for hospital personnel, called “Humanity at the Heart of Healthcare.”  As great physician writers and profoundly humanistic caregivers still out there know, we need to return to that foundational idea in the delivery of health care. With enough people standing up for the principle that caring and curing can go hand in hand, we can focus on the Hippocratic idea to “do no harm,” (including financially).

As poet Amanda Gorman wrote in her poem Hymn for Humanity, “May we not just ache, but act.”  Now is the time.

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The Wandering Souls of Migration, Immigration, and Asylum Seeking

In her moving debut novel, Wandering Souls, Cecile Pin tells the story of a Vietnamese family desperate to leave their 1970s war torn country. The story opens with the family’s three older children becoming “boat people” in route to Hong Kong where they await the arrival of their parents and four younger siblings who don’t make it. The story follows the three survivors as their physical and emotional ordeal unfolds over decades. It’s a poignant portrait of what refugees and asylum seekers face, putting a much-needed human face on the experience of others.

But it is only one story. There are multitudes more. They are heartrending tales of traveling through deserts, facing thirst and hunger, suffering physical and sexual abuse, surviving family separation. And a growing number of people, young and old, strong and weak, all seeking safety, keep coming in waves in search of human rights, work, and dignity.

According to the Council on Foreign Relations (CFR), “record numbers of migrants [from just Central America] risked their lives in 2022 to cross the treacherous, remote jungle region bridging Central and South America.” More than 151,000 migrants came to the U.S. in less than a year from countries around the world. Others died trying to get here.

It will only get worse given civil war, political instability, increasing violence, economic crises, and global warming. Currently CFR reports that about two million cases are backlogged in U.S. immigration courts. That number will grow while those already in the system wait years to have their cases heard.

Sadly, the legal and judicial systems make things harder for refugees and asylum seekers by establishing obstructive, unnecessary, bureaucratic barriers that would be challenging for anyone, especially for those who don’t speak English. 

“The U.S. imposes innumerable walls on people seeking safety,” says Kate Paarlberg Kvam, executive director of the Community Asylum Seekers Project (CASP) in Brattleboro, Vermont. “Non-citizens in immigration court have no established right to counsel. The government can eject asylum seekers from the country, and they have no right to a lawyer. When people seek asylum here, they are blocked from obtaining work authorization for an arbitrary period of months, or longer. When they do get work, they are frequently exploited.”

CASP, a pioneering organization recognized for its work in supporting immigrants, offers a wide range of services to asylum seekers through a network of volunteers and community partners.  It provides lawyers, assists in securing work permits, and helps people survive until they can work, all while advocating for better policy at state and federal levels. Paarlberg Kvam feels lucky to work alongside people seeking asylum. “Their resilience, their refusal to be beaten, and the hospitality and solidarity they show to one another is a window into a better way to live. Asylum seekers don’t need people like me to teach them how to build a new life – they just need us to remove the pointless barriers that are in their way.”

In her book A is for Asylum Seeker, Rachel Ida Bluff recounts some of what one volunteer witnessed at the southern U.S border. “I have mental images of that wet, chilly day: the teen couple who consider whether to get married as we shelter under the highway bridge, in the hope it would allow them to better keep track of each other; the two-year old in the big, donated white puffy coat who eventually takes a nap in her mother’s arms; the young woman who dials a friend on my cell phone as she walks toward the bus with barred windows that will take her across the border, frantically leaving message in Creole.”

Anyone of these innocent people could have experienced months, even years, in mostly for-profit detention camps or holding facilities without access to lawyers, advocates, or sponsors. They will have been held in cold, crowded cells, given poor food, dangerously inadequate health care, limited hand-me-down clothes and hygiene products, and little emotional support. Who among us could survive that intact?

Sadly, much of immigration policy in the U.S. is driven by economic motives, fear, false assumptions, and stereotyping, all of which add to the trauma of those who have braved escape from inhumane conditions and economic strife. Rightwing politicians have been quick to ascribe the stigma of criminality to people who have suffered in unimaginable ways, resulting in unspeakable acts of violence. That’s why we need to put a human face on immigrants, refugees, and asylum seekers, who contribute much to our country and communities, practically and culturally. 

I am the progeny of asylum seekers. My grandparents and parents came to North America in the early 20th century to escape pogroms against Jews in Ukraine.  Some came through Ellis Island, where they suffered indignities, but most were immigrants with family sponsors, so they didn’t experience what current asylum seekers do. Still, growing up, I witnessed the emotional and practical impact that experience had on them. It’s part of a legacy that shaped my life. But, outside of anti-Semitic experiences, I cannot imagine the toll taken on others who of necessity continue to seek shelter and welcome in another country, whatever the motivating forces.

We would be wise to remember that except for Native Americans, we are all immigrants in this country.  Our ancestors are among the “wandering souls” that inhabited the place we call home. Can we offer kindness and compassion to those who follow us, at least by looking into their eyes and seeing the pain they reflect?  

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Having submitted my final columns for 2022 before the end of November, I looked forward to a holiday respite while contemplating what my first commentary for 2023 might be. My notes suggested global warming, immigration challenges, and the earliest ever election season, which had started a nanosecond after the November election.

Then came four mass shootings in less than a week that killed nearly two dozen people and grievously injured many more. As I write this, the month of November has seen 32 mass shootings nationally while a tally of more than 600 mass shootings have occurred across the country so far.  According to the Washington Post in June, mass shootings had averaged more than one per day and not a single week till then had passed without at least four mass shootings.  The frightening statistics go on and on as does the increase in gun violence and death in this country: In 2014 there were 243 mass shooting in the first half of the year, in 2022 there were 606.

Clearly, we live in a country besieged by domestic terrorism in the form of unchecked gun violence. It’s a country that mystifies and frightens other civilized nations such that many would-be visitors no longer want to set foot in such a dangerous place of random violence. It is a country in which there is a very real chance that being in the wrong place at the wrong time can cost you or your loved ones their lives. That place could be a school, a place of worship, a workplace, a shopping mall, grocery store, restaurant, lecture or library, concert or club. It is a country bereft as blood runs red in our homes, our places of higher learning, our streets, our nightmares.

In June last year Rep. Carolyn B. Maloney (D-NY), Chairwoman of the Committee on Oversight and Reform at the time, held a hearing on the urgent need to address the  gun violence epidemic. The powerful words of those who testified speak volumes for all of us who want Congress to stand up to obstructive politicians, rabid lobbyists for the NRA and other destructive organizations and Americans who worship guns no matter who they kill.

Kimberly Rubio, who lost her daughter in the Uvalde slaughter, was one of many people who testified. “Today we stand for Lexi, and we demand action. We seek a ban on assault rifles and high-capacity magazines.  We understand that …to some people, people with money, people who fund political campaigns, that guns are more important than children, so at this moment we ask for progress. Somewhere out there, a mom is hearing our testimony and thinking, ‘I can’t even imagine their pain,’ not knowing that our reality will one day be hers, unless we act now.”

Another was Becky Pringle, President of the National Education Association. “The impact to the community is forever.  …  The idea of turning our schools into prisons, into places where they are not conducive to teaching and learning, is not the solution to the problem.  We know what the solution to this problem is, it’s comprehensive gun reform.”

Buffalo Police Commissioner Joseph Gramaglia, representing the Major Cities Chiefs Association, called for Congress to reinstate the assault weapons ban, adopt universal background checks, ban high-capacity magazines, enact red flag laws, and pass other “common-sense reforms that would help law enforcement and other stakeholders mitigate the threat gun violence poses to our communities.”

According to the Pew Research Center, research has shown that the effects of the gun epidemic have led to a mental health crisis in America with rates of depression and anxiety as well as youth suicide rates increasing.  “It changes the entire picture on how much public resources we should use to attack gun violence,” Erdal Tekin, co-author of a report in the journal Health Affairs, says. “It would be informative for the public and policymakers to know that the impact of gun violence extends to people who think they are safe.”

It would also be wise, and it is obviously urgent, for Congress to actually legislate, at long last, gun laws that put an end to the travesty of continued gun violence and related deaths. A good start would be to promulgate laws that ban assault weapons nationally as other countries have done, along with other sensible laws aimed at keeping innocent Americans alive.

With Republicans now in control of the House that is a tall order, but it is an order from the vast majority of constituents for both parties.  If our elected representatives in Congress ignore our pleas they can expect to be inundated with calls, protest, petitions, and more. They can also expect to lose their seats next year.

If each of us makes a commitment to act, starting now, to end the madness of high-capacity magazines, open carry laws, assault weapons and more, we can collectively save lives while sending a strong message to Congress. Begin bombarding the House and Senate now with calls and petitions and marches. Write letters to the editor. The message is clear:  Enough is Enough. Stop the slaughter. End the massacres that shames our nation. Save the lives of loved ones, including your own. End the travesty that tarnishes our names as Americans. And remember the Talmudic teaching: “Whoever saves a single life is considered by scripture to have saved the whole world.' ...

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Will the U.S. Have Post Election Buyer's Remorse?

After Great Britain formally withdrew from the European Union nearly two years ago, a move known as Brexit, it didn’t take long for those who voted for withdrawal from the economic agreement among European nations to regret their decision. Similarly, it took only six weeks for the British electorate to regret having voted for Liz Truss as Prime Minister, a post she was forced to leave after just six weeks in office.  Both the Brexit decision and the appointment of Truss were achieved by Britain’s conservative party and its leadership, both of which will likely fall to the labor party in the next election if not sooner.

With U.S. midterm elections upon us, one can’t help wondering if we too will experience buyer’s remorse in the months to come if our now dangerous and dystopian conservative party wins a majority in either or both Congressional chambers, and/or state and local offices.

How that could happen is incredible to those of us among the majority of American voters, not all of whom are radically left leaning, given what we know is at stake. How, we ask ourselves, can people vote against their own interests? How could they not realize what will happen if the Republican party succeeds in promulgating hideous legislation that blatantly favors the wealthy and the white, while punishing workers and women, as well as multitudes of others? How could they prioritize gas prices over fascism?

It isn’t just America’s elderly, poor, black and brown people, disabled citizens, and children who will suffer most. It’s females whose bodies will be owned by the state. It’s the LBGTQ community who will not be able to marry the person they love. It’s increasing gun violence and domestic terrorism. It’s banned and burned books, control of school curricula, inaccessible quality healthcare in a time of unending pandemics. It’s the continuation of a failing infrastructure that could cost lives, and threats to the planet on which we all live.

The answer to the question “how could that happen here?” is that the demise of democracy as we know it at risk because white supremacy and institutionalized racism –fascism’s core – has existed since America was founded. It’s the foundation of privilege built by orchestrated fear of, control over, and willful punishment directed at immigrants, indigenous people, people of color and other cultures, and those who disagree with dangerously selfish and destructive power grabs by narcissistic maniacs and their acolytes who want a share of wealth and power. At its worst it condemns, attacks, imprisons, deports, and one way or another eliminates “the Other.”

Should Republicans come into power legislators like Rick Scott of Florida will work to promote his “Rescue America” plan which sound great, but really means that Social Security and Medicare would be renegotiated every five years and could ultimately be so diminished that our elders will be doomed to live in poverty and possibly die from lack of needed healthcare.

South Carolina’s Lindsay Graham and other Republicans want to see “entitlement reform” which means steep cuts to Social Security along with a raised retirement age. Medicare, Medicaid, and badly needed prescription drug reform, including the right to negotiate prices with Big Pharma and cap insulin cost would be compromised at best. Meanwhile Marco Rubio is waiting to repeal President Biden’s Inflation Reduction Act that among other things caps prescription costs for Medicare beneficiaries.

Kevin McCarthy, who would be Speaker of the House should Republicans win, is threatening to hold the U.S. debt limit hostage to policy changes, even though it was Republicans who added massively to the national debt because of their tax cuts to corporations and obscenely wealthy individuals.

Basically, Republicans simply want to reverse, nullify, limit, or kill all the achievements of the Biden Administration, US citizens be damned.

America as we’ve known it is truly at risk in a way that most of us have never known or acknowledged in our lifetimes, despite the fact that racism and white supremacy have always been part of our life and legacy. It is time now, before it’s too late for generations to come, that we recognize the underbelly of our country in order to save it and make it whole, and that we ensure common cause so that we can grow and thrive as a free and feeling nation.

Politically, we have two kinds of needs. The first is practical. The second is strategic. Right now, voting is a practical need that is immediate, easy to do with quick results. It’s not as controversial as strategic needs which include long term work and social change, like giving women the right to vote. Strategic needs are aimed at equity, freedom, and democracy. We have to address them too, but they will not be easy or quick.

Our task now is to embrace voting to save what we value. That right and responsibility has never been more urgent. But our responsibility doesn’t end with voting. It begins there and leads to doing the hard work of defending, perpetuating, and securing democracy. Only then can we recover from our present trauma and begin to rebuild a stronger, better nation that is sustainable, inclusive, equitable, and empathetic than the one we find ourselves in at this crucial moment.

The Life Force of Livid Women is at Work

In 1995 when activist, advocate and former Congresswoman Bella Abzug uttered these words at the 4th World Conference of Women in Beijing, thousands of women there and everywhere felt the force of her words: “Women will change the nature of power, power will not change the nature of women. Never underestimate the importance of what we are doing. Never give in and never give up!”

Recently, when I quoted those words to a group of adult learners in recounting United Nations conferences focusing on women that had occurred over 20 years between 1975 and the Beijing conference, some participants struggled to understand what Abzug meant about the nature of power as it relates to gender.  For several days I pondered their questions searching for clarity in how to respond. Then on October 3rd something happened that helped me articulate an answer.

That was the day Ketanji Brown Jackson became the first Black woman to be seated on the Supreme Court of the United States, and I realized that the three critical voices of dissent on the badly damaged highest court in our county would now be women’s voices. Their intelligent, impassioned collective legal analysis would still be in the Court’s minority, but having them there, “speak[ing] truth to nonsense” as legal journalist Dahlia Lithwick, author of the new book Lady Justice puts it, highlights a watershed moment in which the nature of power for both women and men is shifting, not symbolically but in real terms, representing a new understanding of how women are reshaping how we live.

Described as “a beacon to generations” in one account of her first day on the bench, it was not lost on legal scholars, and many women, that Justice Jackson has arrived at the Supreme Court at a critical and necessary time. Her effectiveness as a voice of dissent, reminiscent of Ruth Bader Ginsburg’s, was apparent when with quiet authority she offered to “bring some enlightenment” to a provision in the Clean Water Act in her response to an attorney hoping to kill the Act.

The voices of women like Justice Jackson and Dahlia Lithwick, inside and out of courtrooms, speak volumes to multitudes of women and their advocates in a time when females are being dragged back to a full throttled misogyny so devoid of understanding, compassion, and justice and so deeply punitive and threatening it boggles the mind.

That’s why acts of resistance like the one Iran’s women are bravely mounting with global support have always existed, whether over female sexuality, the quest for freedom, need for voting rights and economic security, or egregious political acts of injustice. Women in vast numbers through the ages have had enough. They are tired of being silenced, rendered invisible, and metaphorically burned at the stake. They’ve had enough of being told to calm down when revealing their consciousness and attempts at social justice based on lived experience, whether in capitals, courtrooms or communities. They’re exhausted from abuses in the marketplace, the academy, the home, and the mine fields of micro-aggression. They are more ready than ever to self-advocate in the face of misogyny driven violence, abuse and poverty while rejecting discrimination, deprivation, and  unrealistic expectations.

In a recently published LitHub article about her new book Dahlia Lithwick captures this frustration while interviewing numerous women who worked within the legal system. One of them was Anita Hill, who shared this personal story about giving a presentation on Supreme Court decisions. “A young white man said, ‘Aren’t you being a little paranoid? You act as though the sky is falling.’” Hill replied, “Here’s a list [of examples]. You tell me when the sky is falling.” Later she realized “it wasn’t just that the sky was falling. It was because we don’t live under the same sky.” Lithwick adds, “I realized that much like the 6-3 conservative supermajority that now controls the court, they simply don’t live under the same sky.”

Therein, Hill and Lithwick capture a key problem. As Lithwick puts it, addressing charges of paranoia and hysteria, “The mirror image of telling a woman you believe her is telling her she is being hysterical. … That is the real problem when women’s pain is substituted for actual justice.” And as she points out, “our very presence is outrageous. The fact that we even say anything is a sign of resistance.”

It is that resistance to insults and dismissal that I think Bella Abzug was reaching for when she spoke of gendered power in 1995. She knew, of course, that not all the world’s women would be with her along with the thousands of women who came to Beijing, nor would they all welcome the change women so badly need. But she also understood that for millennia, power has been the purview and prerogative of men, a notion that has been considered a social norm, despite women having always been a profound presence seeking justice and human rights, rendering themselves a thorn in the side of patriarchal power.

Women’s voices and calls for justice are always fundamental to resisting imposed silence, so Bella’s clarion call to a fatigued sisterhood who needed to be infused with new energy and hope was deeply important in that moment. It’s also why Judge Jackson’s presence on the Supreme Court now, along with Justices Kagan and Sotomayor, is so very important. 

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Elayne Clift writes about women, politics and social justice from Brattleboro, Vt.

Community in Context: The Importance of Connection

It was 103 degrees when we gathered under a shade tent in California to honor a mutual friend over Labor Day weekend. We’d been a tight group connected to the woman we’d come to see for almost 30 years and joyful hugs were shared as we greeted each other. The most remarkable thing about those hugs was that with one exception we’d never actually met each other in person.

We had communicated for many of those years by email, text, and phone because we were part of a support group that helped sustain the friend we came to meet while she was incarcerated for far too long and for all the wrong reasons. An amazing woman, her story and her strength had bound us in friendship and determination and now a  few of us we were gathering in solidarity to celebrate her rightful place in society and to salute her extraordinary patience, faith, and skills as a peer leader, which had inspired each of us.

That occasion prompted me to think about the importance, and the urgency, of community in a time when it seems that the idea of community – coming together with and for each other - has been sadly diminished in an age when social media, email and text dominate our lives such that we have lost the art and the gift of true interpersonal contact. As I contemplated this loss, myriad examples came to mind as I recalled the sense of community I’d grown up with and have been lucky to enjoy in a variety of contexts.

I remembered the neighborhood I grew up in, a place where other mothers took the place of mine when she was frequently hospitalized. I recalled summers “down the shore” with school friends, and later the women’s group I started when I had a significant birthday, a gang that has continued to constitute a caring community relied upon and enjoyed by each of us for nearly three decades.  I embraced the thought of the new community my husband and I entered when we moved recently.

I also recalled the deep sense of loss I experienced when other strong and loving friendships that created the sense of a small community dissolved for reasons I still don’t understand.

Those memories helped me contemplate the nature of community and why it is so important to maintain in a frenzied world with a fragile future. I thought about how communities are born and exist within a variety of contexts and how they are sustained. I realized that they come in different sizes, can be short-lived but meaningful and important, arise around relationships developed in formative years, fleeting encounters, or in later life.  Sometimes inspired or bound by geography or shared experience, cultures, or history, they can also spring up between and among people of deep diversity. 

When I solo-traveled frequently as a young single woman I found myself in community because of a shared love of travel that lasted the length of a train trip, or a hotel stay or a restaurant encounter. The people I met and connected with on many levels weren’t just new acquaintances, some became lifelong friends even though we lived in different countries or came from disparate cultures; they were my community in the time we shared.  

When I connected with people who share my religious identity or my political views, for example, we “got” each other quickly and understood and cared about each other. We told our stories, laughed together, and revealed our values and worldview. However long or brief, it was a time of deep connection. Occasionally my new sense of community kept me out of trouble as a young woman traveling alone and helped me to not feel lonely or afraid. It also gave me the chance to share my wonder and joy in new places with others who felt the same way.

That, it seems to me, is essential community. It’s about being in connection in very human ways and caring for and about each other in times of celebration, new experience, growth or need. It’s a time to explore and contemplate our common humanity and often to find soulmates who sustain us.  It manifests itself in places where people gather, and in places where they find each other serendipitously. It can exist through structured environments or in the metaphorical woods of exploration and questing.  Sometimes “it takes a village,” and sometimes it’s found in interrupted solitude.

That’s why it is so sad to think that we are relinquishing community – in whatever form it takes -- or failing to recognize its demise because modern life has created craters in our connection to each other.  Writer bell hooks (sic) put it this way: “I am often struck by the dangerous narcissism fostered by spiritual rhetoric that pays so much attention to individual self-improvement and so little to the practice of love within the context of community.”

Those words speak volumes about technology-driven modern life and the isolation it spawns. They also remind us of the need for, and the gift of, connection in our harried lives. Whether in a village, a train, or a regularly shared tradition, community exists to be cherished and nurtured, just as it continues to nurture us.

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Elayne Clift writes from Brattleboro, Vt. 

How Much More Can We Take?

A few days before writing this commentary my husband went into town on a quick errand. When he didn’t return for a longer time than expected, my first thought when I began to worry was this: Could there have been an act of gun violence?

While waiting nervously for him to come home I learned that two days earlier an 18-year-old part-time junior police officer armed with a gun and with inadequate training had fired his weapon next to a school which fortunately was closed, and into a house where a bullet landed in a bedroom wall.  Luckily, no one was injured. 

What might easily have been a tragedy in my small, sleepy, rural town was deeply disturbing. It was also unimaginable, which is what we all think when our sense of immunity in the face of growing gun violence kicks in.

In a letter to the editor of the local newspaper, I wrote, “How is it possible that an 18--old person not long out of high school is permitted to serve on a police force, part-time, with a firearm, with limited if any training when research reveals that it isn’t until the age of at least 24 that the human brain is sufficiently mature to have developed impulse control and sound decision-making? Why is a junior, part-time cop in a small Vermont town allowed to carry a gun, especially without adequate training?”

Why, for that matter, is anyone allowed to readily purchase or gain access to guns – and in some states to open carry them, especially long, lethal guns designed for military use specifically to kill someone?

It is notable that numerous research studies published in recent years have addressed the issue of brain development and its relation to impulsivity and poor decision-making in adolescents. The studies are highly relevant to the issue of young people, including junior cops, who are males between 20 and 30, having access to guns. They show that “poor cognitive control and the tendency toward impulsive behavior influence the ability to make reasonable choices in daily-life situations during adolescence. In fact, many risky behaviors … are closely related to impulsivity in adolescence ….”

Put colloquially, “Neuroscientists are confirming what car rental places already figured out — the brain doesn't fully mature until age 25. Up until this age …the part of the brain that helps curb impulsive behavior is not yet fully developed. Some scientists say this could illuminate a potential factor behind a recent spate of acts of mass violence.”

The many questions flooding my mind and the mind of so many others in the aftermath of the Uvalde massacre are questions that have loomed ever larger since the slaughter in Newtown, let alone all the other school killings and fatal shootings in malls, movies, markets, clubs, churches, and other venues. They are questions that contribute nonstop to rage, grief, sadness and fear, all of which have grown exponentially until these feelings begin to inhabit our bodies in alarmingly somatic ways that illustrate the mind-body connection many of us now experience.

Some questions regarding gun violence are rhetorical, while others are frustrating beyond measure.  Why, for example, after Newtown, have legislators on one side of the Congressional aisle – the side that wants to protect fetuses but continually prioritizes guns over babies or child welfare, still be able to remain in office? Why expect more guns to resolve the epidemic of mass shootings, or think that teachers with guns are the solution, if teachers would take up arms when trained cops are afraid to use them in the face of military weaponry that rips bodies apart in seconds?  Why are we the only country in the developed world with this growing, egregious, tragic problem even though other countries have mentally ill citizens too?

Those are big questions for all of us to ponder, but like other moms, wives, family members, friends, and others, my personal questions haunt me to the point of neurosis because of the horror of continuing gun violence: Why haven’t the kids texted or called back? When will they phone to say they’ve arrived home safely?  Is it safe for me to enter this bank or that restaurant, the grocery store, a performance venue? Should I walk  here? How can I not be in the wrong place at the wrong time? Would I survive unspeakable loss?

In searching for a relevant end to this rumination I read copious anecdotal and empirical works about situational anxiety and depression, written or spoken by notable as well as lay people, before guns and violence became so much a part of our lives. They all sounded like tired cliches, superficial sound bites in this time. Now the urgency of what I read about anxiety and depression related to gun violence is markedly different. It is a collective, clarion call pleading for an end to what has become our country’s new, hideous, destructive normal.

 I am reminded of something Martin Luther King, Jr. once said in a different context: “If you can’t fly, run. If you can’t run, walk. If you can’t walk, crawl, but by all means, keep moving.”  If that’s the most a governing body can offer its citizens, what does it say about who we have become, and where we are headed?

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Elayne Clift writes about politics, social issues, and current events from Vermont.

Actions Have Consequences: The Supreme Court Should Know That

It was like standing alone on a nuclear landscape. Like being in the center of a dystopian nightmare. Like being on a sinking ship without a life vest. At least that’s how it felt to me as the Supreme Court’s decisions were handed down, one after the other in their recent session.

Stunned and frightened like so many others were, I wondered whether the faux Christian, conservative justices on the Court had any idea what the consequences of their hideous decisions would be as they ended a term in which civil rights in America were systematically ended. Did they willfully ignore what would happen because of their Draconian decisions, did they not have a clue, or did they simply not care?

Was this the legacy they wanted to leave their children and grandchildren, let alone the rest of us? Did they have any sense of the consequences, intended or otherwise, for American citizens, and the planet? Do they grasp the context of our Constitution, or the concept of democracy? Do they really hate women and others unlike them this much?

As these questions roiled in my head, I thought about some of the consequences the justices’ rightwing agenda presented, beginning with what would befall women and girls who no longer have agency over their bodies and lives, or access to reproductive health care.

Among them is a ten-year old child pregnant by paternal rape being denied an abortion in Ohio,  women with pre-eclampsia – high blood pressure that can be fatal to mother and baby when not treated urgently, women with gestational diabetes, a condition that can be harmful to mother and baby, women with ectopic pregnancies in which a fertilized egg attaches to the Fallopian tube instead of the uterus, an emergency situation requiring immediate care to prevent a fatal rupture, women whose lives are at risk because of  drastic fetal anomalies.

 Now women with these urgent or other reproductive healthcare needs are too frightened to seek timely reproductive care while providers are increasingly unwilling to offer it, both for fear of being prosecuted. These examples offer a small glimpse into what will happen to women and girls because of the Court’s decision to end Roe v. Wade, but this much we know: Many of them will die. So will women who elect to have an illegal or self-induced abortion for any reason.

I also thought about the death knell being sounded for the fragile, struggling planet on which we live due to environmental degradation and the global warming crisis. Just these staggering statistics are enough to send chills down my spine: “Every hour, 1,692 acres of productive dry land become desert. We are using up 50 more natural resources than the Earth can provide.” What’s more, “We have a garbage island floating in our ocean, mostly comprised of plastics - the size of India, Europe and Mexico combined!” 

Further, “The effects of human-caused global warming are happening now, are irreversible on the timescale of people alive today, and will worsen in the decades to come,” according to NASA. “Glaciers have shrunk, ice on rivers and lakes is breaking up earlier, plant and animal ranges have shifted, and trees are flowering sooner,” while “effects that scientists had predicted in the past would result from global climate change are now occurring: loss of sea ice, accelerated sea level rise and longer, more intense heat waves.”

Against these chilling facts, six Supreme Court justices saw to it that the Environmental Protection Agency would now have limited ability to regulate carbon emissions from power plants “making it nearly impossible to cut greenhouse as emissions any time soon.” In their dissenting opinion three justices said the majority had stripped the E.P.A. of “the power to respond to the most pressing environmental challenge of our time.”

When it comes to separation of church and state the conservative majority outdid themselves. Recent decisions included a ruling in favor of a Christian group’s plea to allow a flag with a cross on it to fly over Boston’s city hall. Another decision allowed for taxpayer money to cover tuition for students attending religious high schools, while the six Supremes decided in favor of a high school football coach who led Christian prayers on the playing field  after games.

Then there’s states’ rights. Again, the Scotus-6 opined against New York State's concealed carry law requiring state residents to have a permit to carry a gun in public.  That law’s requirements for a permit were specific and in the public interest but when two guys who wanted to carry guns publicly were denied permits, they appealed to the Supreme Court, which ruled the state law violated the 14th and Second Amendments. The decision proffered that the Second Amendment protects the public carry of firearms and set up a new test for courts to determine whether a law violates the Second Amendment.  New York's law was struck down, and other laws like New York's are likely to be struck down now.

Is it any wonder these frightening, tip-of-the-iceberg rulings made me feel like we’re approaching nuclear winter?  Bundle up. The Supreme Court is just getting started.

Another Day, Another Newtown: The Obscenity of Gun Violence

When news of another school slaughter broke, this time again in Texas, the bile that rose in my throat was as bitter as the memory of Columbine, Newtown, Parkland – and the other grievous incidents of gun violence in schools – all 554 of them since Columbine, as NPR has reported.

From the Carolinas to California, 27 school shootings are among the 200 mass shootings this year alone in America, and it’s only May.   But this is not a time for numbers. It is a time for unprecedented action borne of rage about what is happening in our country. It is also time to answer burning questions: why is it happening, and what are we going to do about it? It is a time to shout our disgust and dismay, to demand gun legislation now, and to take action to end the slaughter of innocent children.

Here is what I believe must happen NOW. All living presidents (with the exception of Donald Trump) should stand together before Congress and declare that we are done with thoughts and prayers. We are done with the platitudes that surround grief and loss. We are done with inaction, and with turning the other way because political power is more important than loving our babies, especially among those who champion fetuses but ignore the needs of living children.

Go on strike because that is what it will take – teachers, clergy, workers, moms, women and men alike. Call for and participate in a national strike against violence and the insanity of mass murder. Bring down the economy as well as the evil that prevails on Capital Hill if that’s what it takes to stop the killing.

Call it what it is: a public health epidemic, not a gun violence or mental health issue.  We can and must learn the lessons of pioneering health communication campaigns, including, against all odds, the successful fight against the tobacco industry, which saved the lives of hundreds of thousands and demonstrated that people are capable of change.

It is vital for Americans to vote, this year and in 2024, with all the energy a soul can muster.  Stand in line for days if that’s what it takes to be counted among the family of humankind, and the families who must now endure unimaginable and unending sadness.

Most importantly, Americans who want the massacres of innocents to stop must demand an end to the filibuster and lobby for killing the Second Amendment -- the only way to halt the madness we’ve grown used to. Forget appeasing the irresponsible, vicious right wing with calls for limited legislation; go for the one thing that can stop gun violence faster and more conclusively than anything else -- an end to an irrelevant and antiquated amendment written before bullets and rifles that tear bodies apart in seconds were invented.

I believe that what lies at the heart of the tragic problem that is ours alone among developed countries is this: We are a nation wedded to violence and we always have been.

From the time white men first set foot on American soil guns have been used in genocides to eliminate non-white Native American peoples. During slavery guns were a way (along with physical punishment) to ensure forced labor and to instill terror among human beings who were bought and sold. Throughout our entire history guns have been part of our increasingly lethal war arsenals and today the sale of weapons in the U.S. is higher than it has ever been, while the people least likely to be killed by a bullet are made exceedingly rich.

Killing, it appears, is in our DNA. Mass murder has come to define us, whether through war, incarceration, racist law enforcement, the consequences of ignoring poverty while clamoring for personal and financial power, and random gun violence. All of it results in deep-seated human pain in a nation that is “exceptional” in all the wrong ways. We must end our killing fields if we are ever to have pride in a country that asks us to pledge our allegiance.

We have become a country in which the governor of Texas, Greg Abbott, appears at NRA’s convention, held in Texas, three days after 19 children were brutally shot to death there, a country where a former president who tried to overthrow an election, and a Senator from Texas who thinks we need more guns, join the governor. It is a country that exposes the personification of evil and reminds us how often scum rises to the top.

So I say this to Governor Abbott: Have you, at long last, no decency? And to Ted Cruz I say: You are not sorry. You are guilty. You have colluded with mass murderers. May the words spoken to me by a 4-year old child ring in your adult ears for all eternity: “Sometimes sorry is not good enough.”  As for Donald Trump, there are no words.

To all the others akin to these monsters, I say only this: We condemn your evil. We will inscribe your names and your deeds and your selfishness in the world’s history books, and we will celebrate the end of your cruelty for all our days.

Pathologizing Grief: How Long Can You Be Sad?

Here we go again. The so-called experts in psychiatry charged with updating the Diagnostic and Statistical Manual (DSM-5), the less than empirical “bible of psychiatry” that clinicians rely on for reimbursable diagnoses, have decided that six months, maybe a year if they’re generous, is sufficient time to recover from a life-shattering loss.

This pathologizing of “prolonged” grief is yet another example of the arbitrary labeling of human feelings that is present in every version of the DSM, and a reflection of the culture of pathology we have fallen prey to. Big Pharma couldn’t be more pleased as its chemists race to their labs in search of new psychotropic pills. I couldn’t be more concerned about the price women will pay.

Consider this comment by the psychiatrist who chaired the steering committee overseeing revisions to the DSM-5. While being interviewed for a story in the New York Times in  March he said, “They were the widows who wore black for the rest of their lives. They were the parents who never got over it, and that was how we talked about them. Colloquially, we would say they never got over the loss of that child.”

The absence of context in that statement is stunning.  The widows who wore black were likely not grieving forever; they were more likely observing a cultural norm. And can anyone who has not lost a child begin to understand the emotional agony of that experience? The insensitivity, judgmental language, assumptions, and lack of empathy and context among diagnosticians like that is nothing short of staggering. How can one practice psychiatry devoid of the emotional intelligence necessary to accompany someone on the long, sad journey of grief?

There are psychiatrists, psychologists and social workers who share this view. They are openly critical, arguing that pathologizing a fundamental aspect of the human experience is not only morally wrong, it’s dangerous, warning that being told you have a mental illness when you are emerging from a period of deep grief can add to despair and a debilitating sense of vulnerability.

The backlash against re-defining depression to include grief has been ongoing for at least a decade or more, along with longer term concerns about arbitrary labeling, lack of evidence-based diagnoses, overmedication of patients, and the lack of context in diagnosis, especially for women, who are all too often subjected to meaningless labels like “borderline personality disorder” and “premenstrual dysphoric disorder.”

Women are significantly more likely than men to be diagnosed with a range of psychiatric illnesses. They are also more likely than men to be prescribed psychotropic medication, given electroconvulsive therapy and hospitalized for psychiatric illness.

 One of the leading critics of the DSM was the late Dr. Paula Caplan, a pioneering feminist psychologist who resigned from the DSM-4 committee because she recognized that over-diagnosing and overmedication were occurring on the basis of unscientific labeling and diagnosing, especially for women. In a piece she wrote in 2012 in the Washington Post she said, “Since the1980s, I have heard from hundreds of people who have been arbitrarily slapped with a psychiatric label and are struggling because of it.”   She noted that “About half of all Americans get a psychiatric diagnosis in their lifetimes which can cost anyone their health insurance, job, custody of their children, or right to make their own medical and legal decisions.”

Others in relevant professions have similar, significant concerns about the DSM. Their concerns include oversimplification “of the vast continuum of human behavior,” misdiagnosis and over-diagnosis “simply because [the patient’s] behavior does not always not always line up with the current ideal,” labeling and stigmatization. The American Psychological Association, the American Counseling Association, and the society for Humanistic Psychology are among the professional organizations who have publicly shared their concerns about the DSM.

Psychiatric care and psychological counseling, of course, have their place in mental health. But practitioners, especially those charged with oversight of the troubling DSM, a reference book some professionals argue should be abandoned, as well as those who seek reimbursement for services, do clinical studies that require funding, and especially those who ignore context or lack sufficient empathy, must recognize their moral obligation to “do no harm.” That includes avoiding judgmental diagnoses, false assumptions, heavy reliance on medication, unhelpful labeling, and inherent sexism.

Paula Caplan had it right when she said “In our increasingly psychiatrized world, the first course is often to classify anything but routine happiness as a mental disorder, assume it is based on a broken brain or a chemical imbalance, and prescribe drugs or hospitalization…. These days you would think there is no such thing as normal.”

Perhaps the next DSM revision should include a new disorder: “Prolonged insensitivity to suffering.” It would be easily diagnosed by an absence of compassion and the overuse of meaningless labels upon meeting new people. Surely no one would argue with that.

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Elayne Clift is a health communications specialist and former Program Director for the National Women’s Health Network. She writes from Vermont. 

An Artist, A Mission and a Meaningful Moment

There are occasions in life that gift us serendipitously. Often they move us. Such was my experience when I met Russian born Alexey Neyman, an 83-year old Jewish artist whose work was sold at the Creative Connections Gallery in Ashburnham, Massachusetts recently in support of Ukraine.

 Neyman ‘s exhibition, “The Habitual Light of Memory,” was mounted to raise funds for Ukraine.  The works raised over $4,600 on the first day of the exhibit and the funds were immediately sent to the International Rescue Committee’s Ukrainian relief effort.

That’s because Neyman, who was born in Moscow and frequently visited Ukraine, lost his grandparents, one of whom was a rabbi, to Nazi cruelty in Ukraine during WWII. He still has family and friends in Ukraine, Belarus, Russia, and Poland. He and his daughter, son, and Polish son-in-law are actively supporting refugees and will soon bring family to the U.S.

But there is more to the artist’s story which involves his philosophy of art. “In this time of crisis in Ukraine,” the gentle artist with twinkling eyes and a ready smile says. “Artists can contribute to the efforts of humanitarian aid, which is why we are donating proceeds from the art show to help Ukraine. It’s also why I went to protest the war in Times Square right after the war broke out.”

Formally trained as an architect, Neyman still designs Russian Orthodox churches and supervises their construction. He also studied the art of painting with Valdimir Weisberg, a renowned Russian painter and art theorist, for ten years. He is dedicated to “the philosophy of art,” which is contemplative and includes understanding how colors work in various mediums. He believes as well that “color has a life of its own,” as Weisberg and Cezanne did. The result is subtle, evocative, soft works that draw the viewer into paintings that are often inspired by people Neyman knows and places he has lived or visited. “I like to immerse the viewer in a visual experience they might not get elsewhere because the qualities and properties in works of art require an awareness of the color as an instrument.”

 One painting that conveys that idea is a portrait of the artist’s long-time partner who is from Ukraine. In her portrait she wears the colors of the Ukrainian flag. “My heart is with the people of Ukraine, and with the people of Russia who are protesting the war, Neyman says. “Everyone will pay a price that is too high. Being genuine and straightforward in my work is the one thing I can do in response to all war crimes.”

Listening to the quietly powerful words Neyman spoke, which closely align with his artistic sensibilities, moved me mightily.  They were the words not only of an artist, but of a humanist, an activist, and a man of deep character. They were also wise words spoken softly by someone who helped me believe that there was still hope for the world.

There is another reason I was moved to know Alexey Neyman.  I too am Jewish, and my grandparents and parents were born in Ukraine.  They fled the Russian pogroms of the early 20th century and in doing so, unlike some of the artist’s family, survived the atrocities.  Another connection we share is that we both engage with the world creatively, me as writer and Neyman as artist, both addressing human rights and social justice. That too was part of our serendipitous meeting.

Painting for nearly sixty years, Neyman’s work has been widely exhibited in the US, Russia, and Europe,  as well as in private and state art collections including the Pushkin Museum in Moscow. But perhaps his greatest gift to others is his gentle, human words: “Ukraine can’t be explained by human language. Art helps.”

Neyman’s art has indeed helped, not only esthetically but practically. His work of expression and remembrance continues. So, too, does our friendship.

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Elayne Clift writes about art, politics, women and social justice.

The Act of Resistance Through Art

Goya did it in 1814 with his powerful painting “Third of May” which depicted the horror of war in the face of a screaming soldier being shot to death. So did Picasso in his iconic 1937 painting “Guernica,” a stunning indictment against the suffering of innocent people during the Spanish Civil War. Diego Rivera did it in his famous 1920s mural renderings in Mexico that attacked the ruling class, the church and capitalism.

Resistance art is a longstanding tradition that has grown larger over time as a form of political protest grounded in the mobilization and activism of people who wish to resist nonviolently. It has come to represent popular power and strength by offering activists something to rally behind, as art historian and critic Ruth Millington has pointed out. “Protest artwork can question, disturb, and even change the status quo,” she says, citing AIDS awareness campaigns in the 1980s and the more recent Guerilla Girls, a group of anonymous feminist advocates who got their start pushing for gallery representation of female artists. Now they protest, speak and perform, their identities concealed since they are working artists. Their humorous in-your-face posters, flyers, billboards and books are widely recognized and revered.

For all of history brave and creative people have fought oppression, injustice and inequality through various forms of art. They have stood for and led those who are without voice, marginalized because of their class, gender, age, disability, race, or social status. They have been the embodiment of the slogan “Power to the People” as they lead the way in acts of defiance that inspire connection and conviction.

Today protest art is even more important and possible thanks to the prolific possibilities of social media. It also takes numerous forms beyond paintings and poetry. But all of it, whether literature, drama, dance, puppetry, posters, or strobe lights on public buildings, it speaks volumes, encouraging public gatherings and passive resistance.

Music can also move people to action. Think Arlo Guthrie, Nina Simone, Bob Dylan.  Or YoYo Ma playing the Ukrainian national anthem on his cello in front of the Russian embassy in Washington, D.C. Or just think of the beauty of the little girl with the golden voice who sang from a bunker in Ukraine and went viral.  Watch the Ukrainians singing their national anthem in front of Russian tanks.

Photography can also be social reform art.  The work of 1960s photographer Diane Arbus revealed the pain of poverty and otherness, while the work of Margaret Lange, whose “Migrant Mother” moved millions during the Depression and Dust Bowl days.  Social reformers like Jacob Riis used their social reform photography to bring evidence of their claims of injustice to viewers, conveying potent messages that engaged others. They communicate ideas that resonate across time, place, and context.

Such ideas are shared in the simple act of witnessing. Who would not be moved by the overwhelming crowds of protesters all over the world moving silently along the boulevards of their cities, placards in hand, as Ukrainians suffer? Who could not be mesmerized by the courageous woman fleeting across a live Russian state TV program with a placard that said simply, “Stop the War!” Who is not motivated to act in whatever why they can when we witness bombed babies and birthing mothers on Facebook and Twitter?

Whether it’s a universal image of a closed fist on a poster, a bit of graffiti on a building or bridge, an outrageous visual by the Guerilla Girls, or a simple rendition of the Ukrainian flag, powerful images like those of Iranian artist Shirin Neeshat, who advocates for women in Iran, call us to action because, as she says, “Art is our weapon.”

It is also a common thread among those of us who wish to be counted in the struggle against cruelty, injustice, and violence, and to those of us who want to bring about positive societal change. In light of all that this fragile world is confronting in these times, I am grateful for all forms of art that humanize and galvanize us, as they move us to resist when resistance is needed.

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Elayne Clift writes from Saxtons River, Vt. 

Fanning the Flames of Poverty

A child plays with a lighter in a three-story apartment building in Philadelphia resulting in a fire that kills twelve people, mostly children. A malfunctioning hallway door in a Bronx high-rise apartment building leads to the death of seventeen people, including eight children – all within one week. Both tragedies housed low-income people. Both speak to the need for compliance with coded housing safety measures.

In the case of the Bronx high-rise building a self-closing door malfunctioned, filling a staircase with rapidly spreading suffocating smoke. The building had no fire escapes and residents reported that the building had door problems for years. They also reported persistent heat and fire safety issues, including fire alarms that no one actually paid attention to because “they rang at all hours of the day.”

In 2018 a fire in a residential building in the Bronx killed another dozen people. At the time, Rep. Richie Torres (D-NY) was a Bronx City Council member. He co-sponsored a bill that mandated all residential buildings in the Bronx have self-closing doors by the middle of last year. Now he has announced a federal, state, and local task force to examine residential building fire safety hazards. “We have to ensure that the housing stock is brought to the 21st century when it comes to fire safety, and the Bronx is no stranger to deadly fire,” he told the local press.

According to the press report, the Bronx building, built in 1972 under New York’s affordable housing program, only had sprinklers in the basement because, as a spokesperson for the owners of the building said, “its ceilings and floors are poured concrete and its fire doors are sufficient to make the building qualify as “non-combustible.” It’s worth noting that the current building owners include the son of a for-profit affordable housing developer.

Safe, affordable housing is a critical issue that gets little attention until there is a tragedy. Profit over people is usually the name of the game among developers and building owners, and politicians often look the other way or just don’t find time to address the urgent problems inherent in housing for low-income residents. Those problems often create health as well as safety issues, yet they remain ignored or skirted around because they are part of a complex, failing infrastructure too long denied, not only because of the expense of ensuring safety, but because building tenants at risk are not a high priority group for many building owners or politicians.

Sometimes it’s a matter of benign neglect on the part of landlords, but more often than not in large cities like New York, corruption fuels code breaking. And no landlords are more corrupt than so-called “slum landlords” whose neglect is criminal.

Take, for example, Jared Kushner, whose abuse of tenants was documented in a film by Alex Gibney called “Dirty Money,” in which one person interviewed called Kushner a “tier one predator.” According to the documentary, Kushner’s properties “have received hundreds of health code violations, including the presence of lead paint, lung carcinogens, and fire safety hazards.” In many documented cases, “the New York City Housing authority had issued violations but never followed up on collecting fine payments” nor had they checked to see if Kushner’s company actually fixed any dangerous living conditions.

Not all landlords rise to the level of Kushner’s abuse, but there are enough bad players that one guy’s mission in life is to keep landlords out of trouble. He calls himself “the real estate solutions guy” on his website which warns building owners about twelve common code enforcement violations. They include missing or inoperable smoke and carbon monoxide detectors, plumbing, heating, and electrical deficiencies, insufficient ventilation and rodents and infestations. Some cities, he adds, separate priority and non-priority violations. On his list of non-priorities? Missing or non-functioning smoke detectors.

Jessie Singer, in her forthcoming book There Are No Accidents: The Deadly Rise in Injury and Disaster – Who Profits and Who Pays the Price, points out that “the term ‘accident’ itself protects those in power and leaves the most vulnerable in harm’s way, preventing investigations, pushing off debts, blaming the victims, diluting anger, and even sparking empathy for the perpetrators,” her publisher, Simon and Schuster, says, adding “As the rate of [all] accidental death skyrockets in America, the poor and people of color end up bearing the brunt of the violence and blame, while the powerful use the excuse of the ‘accident’ to avoid consequences for their actions.”

That insight gets to the heart of the matter when it comes not only to building codes and fire safety but to the fundamental human right to safe, adequate shelter, as expressed in the United Nations Declaration of Human Rights, Article 25, which begins with these words: “Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing …”

As Jessie Singer said on an Instagram post following the Bronx tragedy, “Seventeen people in the Bronx died in a fire for the same reason that many Americans die in a house fire in 2022, because the only housing accessible to them is housing that is unsafe.”

In 2022, that is not only a human tragedy. It is a national disgrace.