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Mar. 19 2010 — 3:20 am | 153 views | 0 recommendations | 0 comments

Homeless & still grinning

President Obama’s proposed budget for FY2011 includes a broad range of programs addressing homelessness, from provision of new services to the “Zero Tolerance” initiative for homeless veterans; I wish them all well. Aside from national efforts, most of us struggle with our personal relationship to the growing numbers of homeless citizens: Look the other way? Drop coins in cups? Buy snacks? Volunteer with the Food Bank? Most of us try to give something.

Occasionally, we get something more. This is such a story.

My friend Kevin left our neighborhood park in December, bound for Bakersfield in California’s central valley. “The Saint Vincent de Paul bought me a ticket,” he said. I worried about who would look after him. In our neighborhood he could sit in the sun and watch the birds on the lake, the joggers and strollers, and children on the playground. On rainy days he could sit on a corner bench inside the library. He never asked for money, but many of us gave him a dollar or two whenever we met. “Oh, I think he’ll be okay,” said one of the dog-walkers who is also among the Mountain Lake Park regulars. “He’ll find a meeting, and they’ll help him. He’s been doing really well with his drinking.”

Turns out it was not really Kevin I was worried about, but myself. Things were not the same. I would finish the hop kick on my loop around the parcourse fitness trail, and Kevin was supposed to be there. Instead, I would encounter an empty bench, or a disinterested stranger preoccupied with someone at the other end of a cell phone line. I missed the “How you doin’?” or the “Where you been ?! I ain’t seen you in a long time!” The occasional pause to sit beside him in the sun and pay attention to the feasts of nature everywhere.  Most of all I missed the wide, semi-toothless grin and the parting “Have a guht one!” that sent me brightly on toward the push-up bars just around the next bend in the trail. I was bereft.

Then a couple of weeks ago, headed from the chin-up station (I wish), I spotted a vaguely familiar figure walking slowly toward me. Decked out in a puffy new jacket (Kevin’s fashion tastes lean toward multiple bulky layers) and a new, bright blue cap, his beard somewhat trimmed, I did not recognize him until the great, toothless grin broke across his face. I ran down the trail, catching myself at the very last minute to restrain the hug I felt – this, I think, would’ve been too much for Kevin to handle – but grabbing both of his mittened hands.

“Kevin!” I said. “I thought you’d left us, gone off to Bakersfield forever!”

“Naw,” he said. “It’s too wahm in Bakersfield.”

So there it was. We were redeemed by the perpetually mild weather of the San Francisco Bay, where it seldom gets too warm and on rainy days one can find refuge in the library.

Did he have a good time in Bakersfield? “Oh, yes.” Did he get to see family? “Mmm.”

I still don’t know all the answers, or whether one day I’ll get to the hop kick station and find him gone again, for good.

What I do know is that for now the universe is proceeding as it should. And that one man with seemingly nothing to celebrate has brought the spirit of celebration back to Mountain Lake Park. It’s a great gift.



Mar. 18 2010 — 2:27 am | 47 views | 0 recommendations | 0 comments

Catholic nuns urge passage of health bill

There’s hope. The U.S. Conference of Catholic Bishops may be trying to sink health reform because they feel they know best about women, but a few thousand good sisters are raising their own voices. And not just your everyday sisters.

Catholic nuns are urging Congress to pass President Barack Obama’s health care plan, in an unusual public break with bishops who say it would subsidize abortion.

Some 60 leaders of religious orders representing 59,000 Catholic nuns Wednesday sent lawmakers a letter urging them to pass the Senate health care bill. It contains restrictions on abortion funding that the bishops say don’t go far enough.

The letter says that “despite false claims to the contrary, the Senate bill will not provide taxpayer funding for elective abortions.” The letter says the legislation also will help support pregnant women and “this is the real pro-life stance.”

This space, a space which claims several priests as good friends despite our frequent and vehement disagreements, hereby sides with the sisters. And offers a sincerely respectful three cheers.

Catholic nuns urge passage of Obama’s health bill – Politics – Wire – TheState.com.



Mar. 17 2010 — 3:29 am | 73 views | 0 recommendations | 8 comments

Health reform: Are we there yet?

Nancy Pelosi is known around San Francisco — and in a few other spots — as one tough politician. She likes being Speaker of the House, and she doesn’t much like losing. So this week’s do-or-die health reform bill is going to get all the muscle she can manage. It is, Pelosi has declared, “a moral and political imperative.”

Okay, it’s not what we hoped, it’s too complicated and too fraught, it’s going to be full of little gifties given to get votes. If we don’t get something America will be stuck with a non-functional system and millions will remain without health care at all. So I for one am on Pelosi’s side.

The plan is for the House to pass the Senate version and send it to Obama for his signature and enactment. Certain fixes the House is demanding for passage of the more conservative Senate bill will be included in a separate, special measure that will go to the Senate for an up-or-down vote that avoids a filibuster.

But once the House passes the base legislation and Obama signs it, the measure becomes law regardless of what the Senate does.

Democrats do not yet have the votes in hand and Pelosi will not call a vote until they do. Liberal lawmakers have deep reservations about the Senate bill, and fights over abortion and immigration have yet to be resolved. But Pelosi has set the legislative train in motion, even as Republicans have publicly begun to express doubt that they can stop it.

Pelosi laid down the law to wavering Democrats who are threatening to bolt. “It’s not about abortion, it’s not about immigration,” she said. “The only reason, therefore, to oppose the bill is that you do not support health care reform.”

A lot of people don’t support health care reform. The Republicans, the insurance industry, the anti-abortion folks and the anti-immigration folks and more than a few people who feel pretty much okay with what they’ve got and frankly don’t care a lot about what others don’t have.

But health care reform is a moral imperative.

Pelosi: Dems will have votes to OK health care.



Mar. 15 2010 — 2:18 pm | 75 views | 0 recommendations | 8 comments

Gutter talk in cyberspace: how free should speech really be?

Occasionally this space has received comments one would deem offensive (especially if one could remember the days when people apologized for saying damn in polite company) but they are all there, at the bottom of assorted posts. T/S has a “Call out” mechanism for making comments more public. I have occasionally called out comments which strongly oppose a post, but not included the gutter language. The truly offensive just lie there, hopefully unnoticed.

There has to be a limit. Lawyer/journalist Peter Scheer argues for the preservation of some degree of civil discourse in an op ed piece that appeared in today’s San Francisco Chronicle.

Some people have no choice but to live in a cesspool. (Consider the young protagonist in “Slumdog Millionaire,” leaping into a pool of human waste in order to escape a locked latrine.) But news organizations are not among them.

The cesspool that many newspapers occupy is the comments sections of their Web sites. This is the space, typically following a newspaper’s own stories and editorials, where readers have their say. If postings to that space are completely unfiltered, it is sure to be stuffed with the rants and invective of people who have too much time on their hands. Reading online comments sections, one can easily get the impression that bigots, psychopaths and conspiracy theorists make up a majority of newspapers’ online readers. (Note to publishers: This is hardly a desirable demographic to show to advertisers.) In reality, such commenters are relatively few in number, although they are, regrettably, loud and prolific.

Facebook, Twitter, etc are, as far as I can tell, wayy outside the parameters of this act. Except for the time a True/Slant post of mine was blocked from Facebook by some anonymous person who objected to the mention of dogs and research in the same paragraph, presumably believing I was supporting cruel and unusual treatment of animals — you had to read the article, which the objecter did not — censorship seems rare on those sites. Not so obscenity and vulgarity and the randomly bizarre.

I am Facebook friends with my grandchildren — the only line of intergenerational communication open to those of us who draw the line at texting. But I try not to look at their pages. My college freshman granddaughter, in fact, recently asked for my Twitter name so she could follow me, but suggested I wouldn’t want to follow her. The brave new world is populated with abbreviated obscenities and codes which might totally replace English; oh, me. But back to the Communications Decency Act.

Section 230 of the act protects newspapers that operate their reader comments sections as a cesspool, permitting readers to post whatever they wish, no matter how libelous or harmful. Injured parties can sue the authors of those online comments, but not the newspaper. The newspaper is shielded, even if it has been given notice that statements in its comments section are false and it refuses to remove them.

But newspapers are equally protected if they act responsibly, screening comments or editing them. The act was intended to give news organizations a perverse incentive to refrain from editing user-generated comments. As long as editors don’t alter the meaning of a comment completely (say, by changing the comment to say the opposite of what was posted), the newspaper will be protected.

Reader comment sections have huge potential. The opportunity to debate both other readers and the journalists responsible for the paper’s news stories and editorials can reflect democratic self-government at its best. However, this ideal can be realized only if editors take seriously their responsibility to edit.

Misconception No. 2 is the belief that to regulate readers’ comments, enforcing rules of civil discourse on a newspaper Web site, is to engage in a form of censorship – and that censorship by a news organization, if not strictly illegal, is at least hypocritical. But this concern confuses censorship with editing. Although the online venue may remove the need to edit comments for length, it does not diminish the obligation to edit for substance.

Ah, substance. And propriety. And civility. And good old-fashioned print newspapers some of us still read over breakfast coffee. My age may be showing here.

Online comments need editing.



Mar. 13 2010 — 1:53 pm | 141 views | 0 recommendations | 1 comment

Patients fight hospitals (& not just Catholic hospitals) for proper care

“Suppose I wind up being taken to a hospital,” said the lady with the penetrating blue eyes and a lovely, long braid over her shoulder. “How can I keep them from doing all those things I don’t want — ventilators, feeding tubes…?”

The lady with the lush braid was among a small group of retirement community residents with whom I spoke yesterday about end of life choices. None of them fear death. All of them fear aggressive, unwanted treatment. A colleague and I had been invited to talk with them about documents (advance directives, POLST forms, etc) and legal measures that can help insure a compassionate end. But the distressing reality is that there are no guarantees.

This is where we are with health care: patients having to fight against doctors, hospitals, systems — and directives from Bishops — for the right to die in peace.

A recent Kaiser Health News article (KHN is a publication of the Henry J. Kaiser Family Foundation and unrelated to Kaiser Permanente) cited problems arising from directives to Catholic hospitals about a variety of issues. The directives, issued in November by the U.S. Conference of Catholic Bishops, changed the policy on feeding tubes, for example, from “presumption in favor of”  to an “obligation.”

“This obligation,” the bishops said, “extends to patients in chronic and presumably irreversible conditions,” such as persistent vegetative state, who might live for many years if given such care. A feeding tube is not required, however, if it wouldn’t prolong life, would be “excessively burdensome for the patient,” or would “cause significant physical discomfort.”The directive raises fresh questions about the ability of patients to have their end-of-life treatment wishes honored — and whether and how a health care provider should comply with lawful requests not consistent with the provider’s religious views. Hospitals and nursing homes do not have to comply with requests that are “contrary to Catholic moral teaching,” according to longstanding policy that, as in the case of the revised directive, applies to non-Catholic patients as well.

As the women in our group yesterday understand, you can wind up with unwanted treatment in all sorts of circumstances, not just when you’re dying.

Dr. Lachlan Forrow, a Harvard University medical ethicist and palliative care specialist, expressed strong concern about the new policy, stressing its potentially broad scope. “That gets to be a very, very large number of people,” said Forrow, who heads a panel developing recommendations for the state of Massachusetts on end-of-life care.

(A)ccording to Catholic officials and outside experts, the directive may well apply to a wider range of patients, those that it describes as having “chronic and presumably irreversible conditions,” though the organization representing Catholic health facilities downplays the impact. Experts say this affected group could include those with massive strokes, advanced Alzheimer’s disease, traumatic brain injury and Lou Gehrig’s Disease.

If a patient or family didn’t want a feeding tube “and the reason they don’t want it is they basically want to die, then the Catholic institution would explain to them they can’t cooperate with that and they would have to go to another institution,” said the Rev. Thomas G. Weinandy, executive director for doctrine at the bishops’ conference, who helped draft the policy.

Weinandy said “obviously the public should know what the directives say,” and patients and relatives “can easily download the directives or get a copy.”

Oh, sure. The EMT people are loading mom into the ambulance, and you ask them to wait until you download a few pages of papal edicts.

In the days before she died two weeks ago (in a non-Catholic hospital) my sister Jane occasionally showed signs that, though sleeping, she might be experiencing pain. My niece, who was keeping round-the-clock watch over her mother, more than once asked the attending physician for additional pain medication and was told, in a “There, there now, dear” voice that “We can’t hasten!!” My niece is a tenured law school professor.

Doctors make a lot of fuss about that “First, do no harm” business in the Hippocratic oath. Is withholding pain medication because it might cause death a few hours sooner than later doing no harm? Is inflicting painful, unwanted and unwarranted interventions for some obscure religious reason doing no harm?

Catholic Directive May Thwart End-Of-Life Wishes – Kaiser Health News.


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About Me

I’ve been a writer since probably before you were born: newspapers, magazines, trade publications and websites beginning with Beliefnet.com’s start-up issue. Working as a hospice volunteer and with AIDS groups led to a 1999 book Dying Unafraid (still in print and apropos) and more involvement with end-of-life causes. This is how to end any cocktail party conversation: “I write a lot about end-of-life issues.” So with Boomers and Beyond I’m working backwards and sideways and wherever concerns of these generations lead. I grew up in beautiful downtown Ashland, VA) and migrated through Atlanta eventually to San Francisco where I live with my final husband, Bud (my college Senior Dinner Dance date before we lost track of each other for 37 years.) Manhattan/Asheville/Atlanta kids, parents of my five flawless grandchildren, keep me attuned to Boomerhood. Full rather braggadocio disclosure: the Manhattan daughter Sandy is married to T/S super-contributor Miles O’Brien.

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