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Posts Tagged ‘Public Policy’

You’ve all seen them while running through an airport. The giant ads – no, not the picture of the Parlor Mob at JFK – pictures of doctors in white coats, smiling in front of computers. Why wait for hours at your local Emergency Department? Can’t get an appointment with your actual doctor for months? Maybe you’re too sick to drive, and just too busy to take an Uber to an Urgent Care?

Well, the Virtual Doctor is in!

The first time I saw my very own Dr McDreamy at UVA I was slightly disappointed. Like many women, I had never had a primary internal medicine doctor before…ObGyns sure, and specialists to repair meniscus tears etc. Whenever something was seriously wrong, I always had Bob to remind me this was just a virus and it would get better with time. But a real doctor, this was something new to me.

Let’s go over the best parts first: the waiting room was almost empty; he was on time; his nurse was efficient, I was blessed with some very good genes so my medication list is mostly vitamins; his resident asked all the right questions; and finally, when I saw the doctor, he sat and talked with me for a very long time. I was in love!

And now for the not so good parts: I had to drive 40 minutes to park in a gigantic cement parking garage I would later get lost in; the walk to his office was well over a mile; and the worst part of all, he never actually touched me. I never got undressed and jumped onto an exam table clinging to a paper robe. No physical exam…I left his office with appointments for tests like blood work and a mammogram.

Let’s skip ahead to that week between my fall off the steps in Nashville, and our trip to the South of France. I called my Primary Care doctor and he was away and they couldn’t fit me in. I called my Orthopedist and his office said since I didn’t break any bones, he doesn’t do muscles! I didn’t bother trying to see my Dermatologist. I wondered aloud, is this what it’s like for everybody? When you finally really really need to see a doctor, like you can barely walk and you’re about to get on a plane, they are nowhere to be found?

Well folks, I think Bob may have found his retirement second act. Emergency docs have to know a little bit about every disease and a whole lot about the ones that will kill you. And isn’t that what we all want to hear? You don’t have a terminal illness. It’s just a cold, get over it! Well, maybe they will say it with a bit more finesse, into their monitor.

Dr Ali Parsa, founder and chief executive of digital healthcare app Babylon, sees the (remote physical and mental) health trend as an undoubted force for good.
“It’s time to do with healthcare what Google did with information – using the power of technology to democratise access for all, and put a personal (digital) doctor in everyone’s pocket regardless of geography or income,” he says. http://www.bbc.com/news/business-40629742

Bob’s been doing this for years already with our relatives and friends. People send him pictures of rashes, x-rays of broken bones, brain CAT scans. He’s functioned as our collective consultant at seders and dinner parties. “My foot’s just not getting better.” Or, “Will you just take a look at all the drugs I’m taking?”

I’m pretty sure I wouldn’t want an App or a Bot to speak to about my medical condition, but having a real, live physician on FaceTime or Skype? Sure! And the doctor or the patient could be in Katmandu, so long as the WiFi is working – this takes boutique medicine to the next level.

Lots of hospitals do this already. Did you know in most rural parts of the country, smaller community hospitals have critical care ICU docs checking in via monitors from their big city university hospital? At night, radiologists in other countries read X-Rays that are sent  digitally from the US. This has been going on for years.

I’m feeling hopeful today after the Senate saw fit to drop their misguided bill to “fix” the ACA and throw millions off Medicaid. The sheer irony of Sen McCain delaying the vote because he was busy having a surgical procedure his insurance covers illustrated their sinister deliberations. http://www.cnn.com/2017/07/18/politics/how-the-republican-health-care-bill-fell-apart/index.html

I hate that we politicize health care in this country. Until we see fit to have Medicare for all, maybe technology will help restore access and autonomy to the doctor/patient relationship. And at the very least, we would know if we need to go sit in an ER because our neck is tender and we must rule out meningitis. The doctor is on deck!IMG_0846

 

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I’ve always wondered what people mean when they differentiate “street smarts” or “common sense” from “book smarts.” Because intelligence isn’t just a number on an IQ test, and it’s not just the ability to memorize facts. Critical thinking is essential to a well-informed electorate; the ability to understand public policy and weed out an opinion from reality.

We are a nation divided, by coastline and big cities from the heartland. And if this trend toward anti-intellectualism continues we won’t just be “America First,” we’ll be “America All Alone” on the world stage. If I learned one thing from attending many Naturalization Ceremonies on July 4th at Monticello, it’s that we are a diverse nation with almost 200 religions. And that our Founding Fathers wanted a BIG wall between church and state! And men women and children are still flocking to our shores for the promise of a better life.

For the freedom to speak their mind.

Tomorrow a reprehensible group of people will gather in one of Cville’s beautiful parks to exercise their First Amendment rights. The police have installed cameras. Roads will be blocked to traffic. There’s no telling just how many will show up from other states, but this small blue dot, the home of Thomas Jefferson’s Academical Village, will be hosting a KKK Rally.

“Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.”

The Klan has advertised their “Unite the Right: March on Charlottesville” for months. They burned their first cross in fact, in 1921, in front of Monticello’s graveyard.

Remnants of this Reconstruction-era white supremacist terrorist group have crawled out from under their rock to demonstrate against Charlottesville’s effort to remove its Jim Crow-era Confederate monument to General Lee. Historical preservationist organizations which support maintaining such Lost Cause relics have scrambled to voice their disavowals. One local white nationalist organizer has sputtered a feverish conspiracy theory: leftist activists must have put the Klan up to holding this July 8 event, a month prior to his own planned August 12 “alt-right” gathering at the General Lee statue, in order to tar his “legitimate conservatives” and Confederate devotees with the same ugly KKK brush. https://medium.com/@JalaneSchmidt/excuse-me-america-your-house-is-on-fire-lessons-from-charlottesville-on-the-kkk-and-alt-right-84aafddca685

And so we are to see another “Alt-Right” group come to town in August for this Summer of Hate. I must admit, I’m worried for this college town, a bright blue light of the Resistance. Our Mayor proudly calls us a Sanctuary City. And Indivisible Charlottesville has deployed many progressive activists around Albermarle County this past year. You may have read about some of my exploits here: https://mountainmornings.net/2017/01/31/busy-morning/

When the Rocker was in middle school, I was into the PTA in a big way. One day I found myself serving Chinese food to students in the cafeteria to help celebrate the Chinese New Year. I’ll never forget the look of hate on one boy’s face when he told me he didn’t want any. I coaxed a little, not wanting him to starve, and he followed up by telling me, “I’m NOT Chinese,” in a venomous voice. By 12 and 13 a world-view can be set in stone; children are taught to hate and fear “the other,” but it is possible to teach compassion instead.

Curiosity is essential to our growth and development as a people. What if Jefferson didn’t wonder what was beyond the Blue Ridge? What if Kennedy didn’t wonder if we could go to the moon? Today our President meets with Putin. What if Trump tells him what a great golfer he (Trump) is and how much money he’s making on this Presidential thing?

What if we’ve learned nothing from history?   IMG_0929

 

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Do you remember your 8th Graders trip to the Nation’s Capital? We lived just three miles away from the ocean, our kids went to Rumson’s middle school where they pretty much lived in shorts and surf tee shorts. But we parents were advised to send our young teens to DC with shirts and ties for the boys, dresses for the girls, because as Mark Twain said, “Clothes make the man (or woman).” The Principal told us that over the years she had found that when students dressed well, their behavior improved…and an overnight trip like this could get a little dicey with all those hormones charging around.

This morning I was reading a list of “Ten Books to read for June” from the BBC website http://www.bbc.com/culture/story/20170602-ten-books-to-read-in-june – not that I will be able to read ten books in one month, but I found this title fascinating, “Strange Contagion,” by Lee Daniel Kravitz. “Kravetz gathers research on social contagions – the ways in which others influence our lives by catchable thoughts, emotions and behaviours.” 

Kravitz looked into the Palo Alto suicide clusters of teens throwing themselves onto train tracks in 2009 and again in 2014. I wrote about this and the term “affluenza” in a study published in the Atlantic here: https://mountainmornings.net/2016/01/03/a-study-in-money/

And I’ve had occasion to think about it recently. Not suicide, but social stress, the whole keeping up with somebody syndrome. One friend hires a company to update her closet, and before you know it the whole subdivision is installing custom closets. Men were comparing notes on woodstoves in the Berkshires, in the Blue Ridge they talk about tractors. You’ve heard of the study about how hanging with overweight friends will make you fat, right?

“…the study’s conclusion that if you have heavier friends, family members, and colleagues, it is more likely that you will be heavier, too. The stronger the relationship between the two people, the stronger the link between their weights. But only one of the pathways—number three—explained why people of the same size clustered together. http://www.health.harvard.edu/blog/how-your-friends-make-you-fat—the-social-network-of-weight-201105242666

The three pathways the Harvard study referenced were: 1) Collaboration; 2) Peer Pressure; and 3) Monkey See Monkey Do! So that curious little monkey is responsible for our widening waistlines? How many of us have gone out to dinner with friends and heard, “Well if you’re ordering an appetizer…” or, on the other hand, maybe everyone says “No thanks” to the dessert menu and you refuse it too, even though you’ve been dying for a piece of their famous apple pie!

The need to belong, to fit into a certain cultural place is universal. Whenever we would show family and neighbors the mechanical room in our basement’s “Not so Big” house and its tankless water heater, they would marvel. To think you never run out of hot water, and you save money by not heating up gallons of water that just sits there waiting for you to get into the shower.

I’m hoping beyond hope that social contagion will keep our country on the road to fewer carbon emissions and a sustainable future despite Mr T’s backtracking on the Paris Agreement. I’ve already heard that California and New York are committed to moving forward with green energy, oh and Pittsburgh didn’t like being lumped into Mr T’s speech yesterday either. The NYTimes reports a coalition is forming to proceed anyway, defying Mr T!

The unnamed group — which, so far, includes 30 mayors, three governors, more than 80 university presidents and more than 100 businesses — is negotiating with the United Nations to have its submission accepted alongside contributions to the Paris climate deal by other nations. “We’re going to do everything America would have done if it had stayed committed,” Michael Bloomberg, the former New York City mayor who is coordinating the effort, said in an interview.”  https://www.nytimes.com/2017/06/01/climate/american-cities-climate-standards.html?_r=0

So catch this thought Mr T, we Americans can dilute your damaging policy and defend Mother Earth. We will not all follow you off that negative/denial cliff, some of us would like to protect our world for future generations. It’s the least and the most we can do. Now if I could just get Bob to buy a Tesla!      IMG_0538

 

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When the Rocker was in Middle School, we hopped a train into NYC to see Chicago. He brought a friend along and we had exceptional seats in one of the side boxes next to the stage. We could see the sweat on the dancers’ faces. And when they broke into the Cell Block Tango song “He Had it Comin,” I laughed till I cried.

Well this morning I just wanna cry in my coffee.

Though jet lag is behind me, the American news has been assaulting me daily. Mr T was a little too chummy with a Russian diplomat named Lavrov, the same guy Flynn resigned over, and the one guy left on the Hill with any credibility at all, HR MacMaster, is trotted out to deny any classified information was leaked – even though Mr T admitted/tweeted he had every right to do it, which he may have done, though who cares, right?

He had it comin so to speak…

He had it coming
He only had himself to blame.
If you’d have been there
If you’d have seen it
I betcha you would have done
The same!

Our President has been playing at his role, learning on the job, and demonizing the press. But this news today, allowing only Russian media into the Oval and then handing them classified information on ISIS, like a child showing his buddy the cute frog he just caught, is not only just damning, it’s possibly treasonous. To put it into Broadway lingo, he didn’t just break a leg, he shot himself in the foot. And he only …”had himself to blame.”

“This is code-word information,” said a U.S. official familiar with the matter, using terminology that refers to one of the highest classification levels used by American spy agencies. Trump “revealed more information to the Russian ambassador than we have shared with our own allies.” https://www.washingtonpost.com/world/national-security/trump-revealed-highly-classified-information-to-russian-foreign-minister-and-ambassador/2017/05/15/530c172a-3960-11e7-9e48-c4f199710b69_story.html?utm_term=.804daaaa5484

When will the GOP wake up and realize what is happening? When will they appoint an independent prosecutor? What about his Taxes?? Is anybody listening? We heard all about Hillary’s emails to Huma regarding creme brulee, but Mr T can fire his FBI Director for dubious reasons and keep playing at a reality show/game of How. Friggin. Much. Can. I. Get. Away. With…

In the musical Chicago, there was a guy named Alvin Lipschitz. He was very artistic and went out every night to “find himself.” Mona, one of the dancers in the cell block tango, didn’t take too kindly to all the women and men he found himself with, so she broke up with him, in the worst possible way. Her defense was artistic differences, and she swore he had it comin!

A free press will not be barred or barricaded away from this White House. We the people deserve an investigation into how Russia colluded with Mr T’s campaign to swing our election. He also has it comin – he should be facing impeachment hearings for his pure and utter incompetence.

Let’s just say we have irreconcilable artistic and public policy differences.

And just as a welcome back to Cville, this past weekend found a “white heritage group” bearing torches and chanting Nazi-like slogans at Robert E lee Park. Lots of guys in khaki and white button-down shirts with Confederate flags. We have some stylist differences as well. Hate speech has a free hand today, disguising itself as freedom.

http://www.npr.org/sections/thetwo-way/2017/05/14/528363829/richard-spencer-leads-group-protesting-sale-of-confederate-statue

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What’s happening in the world. As Tillerson jets to Russia with a “Make my Day” kind of deal, an Asian physician is dragged off a United plane while passengers documented every minute. This morning, the United CEO has done an about face, finally apologizing for the incident; and simultaneously lovely Melissa, oops, Sean Spicer got his apology right on the third try. Yes Sean, Hitler DID use chemical weapons on innocent people, they just happened to be Jews.

The Jewish people are used to this kind of thing. In fact, a dear friend just told me that one of her son’s friends/acquaintances is a Holocaust denier. And that they actually don’t say it didn’t happen anymore, just that it was more like what we did with the Japanese internment camps…. You know, like a “Holocaust Center?!”

Over the years, I’ve met relatives with numbers on their arms. My first supervisor at an outpatient mental health clinic was a child of Holocaust survivors. One of our Big Chill friends was conceived at a refugee camp in Italy after his parents were liberated from a concentration camp in Poland. I’ve been attending Seders now for almost 40 years, and yet this was the first time I actually ran the show. I knew something would go wrong. I forgot to give everyone some parsley, so I started a new tradition of a parsley posey.

This is the first time I’m actually afraid for the survival of the human race, not just one group of people. Seriously – will Russia decide to sacrifice another pawn. Or maybe North Korea will put us into checkmate?

What kind of plagues should God rain down upon us this time? At least I didn’t poison anyone at my Seder. I’m a compulsive germaphob in the kitchen. Ever since I nearly killed my first husband with a salmonella infested sandwich I picked up at a deli in Harvard Square. I made Great Grandma Ada wash her hands all the time, and we cooperated on the prep for the haroset. Maybe Mr T will get a bad case of boils? Or locusts could infest the Rose Garden?

Our trees are greening and birds are singing. Spring is a time for rebirth, not sarin gas and armageddon. In fact Sean, you were right in one detail, Hitler did NOT use sarin to exterminate 6 Million Jews, “innocent” people, even though it had been discovered by a German scientist. Some speculate it was because he was gassed in the First World War. But most scholars say it was because Churchill would have retaliated if he tried to use gas on the battlefield or in the camps.

“War is chess. Hitler would have sacrificed a lot of pieces that he couldn’t afford to lose.”  https://www.washingtonpost.com/news/retropolis/wp/2017/04/11/hitler-refused-to-use-sarin-gas-during-wwii-the-mystery-is-why/?utm_term=.9dc38985fc9d

The Nazis constantly searched for more efficient means of extermination. At the Auschwitz camp in Poland, they conducted experiments with Zyklon B (previously used for fumigation) by gassing some 600 Soviet prisoners of war and 250 ill prisoners in September 1941. Zyklon B pellets, converted to lethal gas when exposed to air. They proved the quickest gassing method and were chosen as the means of mass murder at Auschwitz.

At the height of the deportations, up to 6,000 Jews were gassed each day at Auschwitz. http://www.ushmm.org/wlc/en/article.php?ModuleId=10005220

6 Thousand a day, 6 Million in WWII. Holocaust centers, killing camps. Sarin gas vs Zyklon B vs chemical weapons. A gaffe is a gaffe is a gaffe. And this whole Trump administration is one big gaffe.

Today we rode along Skyline Drive to get the long view, the balcony shot. I wish we humans could just decide not to play chess with our lives on this planet.  IMG_0305

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April showers are nourishing all the perennials we just planted, but if you are a migratory bird looking to nest in Florida, you’d be plain out of luck. Wading birds like egrets and herons depend on fresh, clean water from rivers meeting the sea in estuaries on our coasts for their food supply, and scientists have been putting on waders to count their nests this time of year. Considering Mr T’s deep cuts to the EPA, this Audubon report is troubling:

The latest South Florida Wading Bird Report, which was published last week, offers signs of trouble for the birds and the places they live. During this nesting season, which ran from December 2015 to July 2016, surveyors were disappointed to find 26,676 nests total. That’s just one-third the number of nests tallied during 2009, one of the best nesting years in decades, and the lowest nest census since the 2007-2008 season. Of the indicator species, only two (Great Egrets and White Ibises) met their nest recovery goals. The only bird to show an above-average nesting season last year was the Roseate Spoonbill. http://www.audubon.org/news/floridas-wading-birds-had-terrible-breeding-season-last-year

We had a Great Blue Heron swoop over our Rumson garage every morning to fish in the Shrewsbury River. When you live so close to the ocean, you begin to notice the rise and fall of tidewater by the line of black silt on your Corgis’ short legs, which would sometimes cover their bellies. “Swamp Dogs” was our affectionate term for Toots and Blaze. My sister Kay was kind enough to immortalize that mother/son duo in a 1993 watercolor.

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But it’s the long, stilt-like legs of Great Egrets that are helping them navigate the rising seawater levels due to Climate Change.

And now we have a circus/barker/climate/denier as the Leader of the Free World who would like to dismantle and disrupt the federal government, and return power to “the states.” I’ve always wondered why Republicans even pursue public service when they hate it so much! If any of you are still wondering about the loss of Arctic ice or if keeping that house your aunt left you on the Jersey Shore is a good idea, take a look at Leonardo diCaprio’s interactive global temperature map. It looks like there may be a quarter of Rumson left after the flood. Seriously.

“Every fraction of a degree of global warming sets in motion sea level rise that will profoundly threaten coastal cities across the world,” explains Dr. Benjamin Strauss from Climate Central. “[Our map] shows the incredible stakes and urgency of our climate choices.”

https://www.beforetheflood.com/explore/the-crisis/sea-level-rise/

Now that you’ve put in your city, and the visual has sunk in and maybe you’ve “woke up” think about these cuts to the federal budget. Keep calling your legislators people, dig out your Wellies (English for waders or rain boots), and start looking for higher ground while planning your retirement

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What is your carbon footprint? Do you know what (or who) is the biggest factor in greenhouse gas emissions? This is not a quiz, although this last question was on the GRE I took decades ago.   They are important questions if you are a believer in fact-based science; you understand that human development is responsible for climate change, and climate change is a factor in the migration and extinction of animals, while also contributing to the refugee crisis.

And since you are a believer and want to save the planet, if not for your grandkids then maybe for that condo you bought in Miami, may I suggest you light a candle today in the church of your choice.

Because today Mr T will be signing an Executive Order to dirty the waters around the Clean Power Plan and walk us away from the 2015 Paris Agreement – it’s like Kyoto all-over-again.

President Trump will take the most significant step yet in obliterating his predecessor’s environmental record Tuesday, instructing federal regulators to rewrite key rules curbing U.S. carbon emissions.

The sweeping executive order also seeks to lift a moratorium on federal coal leasing and remove the requirement that federal officials consider the impact of climate change when making decisions.

The order sends an unmistakable signal that just as President Barack Obama sought to weave climate considerations into every aspect of the federal government, Trump is hoping to rip that approach out by its roots.  https://www.washingtonpost.com/national/health-science/trump-moves-decisively-to-wipe-out-obamas-climate-change-record/2017/03/27/411043d4-132c-11e7-9e4f-09aa75d3ec57_story.html?utm_term=.ec3f40a30921

In other words, IF we have any federal regulators left, they will not be asked to look ahead at the big picture when they bring coal back to coal country. This order will also allow drilling on federal land and accelerate fossil-fuel production by lifting President Obama’s cease and desist orders to the Dakota Access and Keystone XL pipelines. Remember all those Native Americans protesting those pipelines, and the Marines who joined them? Well Mr T just showed us what he’s made of, that he values corporate interests over American lives.

When I was growing up in Victory Gardens, we had a coal bin right outside our kitchen. Daddy Jim would shovel the coal into our furnace and toss the ashes outside, somewhere. Whenever we all piled into his little Chevy Impala, I would scream bloody murder to open the windows because both Nell and Jim smoked cigarettes non-stop. Camels I think. That’s probably why I never started smoking, I had been semi-tortured as a child. It’s a wonder my lungs are still functioning at all! Maybe it’s all those rosary beads I kept in my pocket?

It may seem antithetical to think that Evangelicals are also, as a group, big believers in climate change, but they are. In fact, it’s worth mentioning the Canadian climate scientist I follow on Twitter who manages to see no distinction between her Christian beliefs and science – the smart and talented Katherine Hayhoe @KHayhoe

Still, it may come as no surprise that a belief in human assisted climate change has become a political touchstone for our time, with the GOP digging their heads further into the sand of climate denial. Hence, with a stroke of the pen Mr T will take us back in time to America’s glory days of unregulated, polluted power. If you feel that politicizing science is just so 19th Century, you may be shocked by this graph from the Pew Research Center illustrating just how divided we are:  PS_2016.10.04_Politics-of-Climate_1-14

So dear readers, what can we do? Take a good look at your portfolio if you’re lucky to have anything left after 2008. Think about divesting in fossil-fuel companies, and investing in wind or solar. Think about global companies that are fighting the good fight. Use your economic leverage…call your legislators NOW…using your voting leverage. Our town hall tactics have stalled the rush to kill Obamacare, let’s use the same strategy to save our planet from this magalomaniac. Not only is Mr T’s pen poison, his policies are lethal.

And if you pray, this is our Hail Mary pass, in the name of Mother Earth.

 

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