Life as an Extreme Sport

The Daily: Health Care ‘Miracle’

As I have mentioned, briefly, I am writing an opinion column for The Daily this quarter. It’s good experience for me; it gives me a chance to hit weekly deadlines and see immediate results for making those deadlines. It also forces me to stretch my thinking and writing, and work within word limit boundaries.

It’s also an important career move. Bioethicists commonly write for local papers, either doing op-ed’s, or running series. In fact, many of the people I’ll be working with next year have long-running series with various major newspapers around the country. One of my favourite souls, Greg Pence, who’s down at the University of Alabama, collected his newspaper opinion columns into a book recently. I believe Jon Moreno (University of Virginia) might have done similar. And of course, Art Caplan (UPenn) is one of the most prolific writers in the industry. So, this is good for me; I’m building a portfolio, and hopefully will be able to convince the campus paper folks at SUNY-A to allow me to continue the fun.

But enough digression and set-up. This is the link to my first story, which I’m also including here. In the future, I’ll publish my stories in this blog a week after they print.

Health care ‘Miracle’
Publish Date: 2006-03-28

A quarter of Americans have either no health coverage, or very lousy coverage.

For years now, doctors have complained that people without access to preventative care have been flooding emergency rooms for basic health care, clogging the system when emergent cases actually do arrive.

And what’s the solution to this growing medical crisis or low or no coverage? Why, reality television, of course.

The television station that likes to promote itself as producing reality TV with heart, ABC, has brought us a new show, Miracle Workers, which airs Monday nights at 10 p.m.

According to the show’s Web site, every week Miracle Workers features two people “who do not have the network, access to the necessary medical community or in some cases the resources” to the needed medical procedures.

So far, the show has featured surgery to restore a blind man’s sight, several spinal surgeries, electrical stimulation therapy to treat Tourette’s Syndrome, and laser-guided hip replacement surgery.

But what might be worse than what the show features is what the show implies — that the only sexy and exciting medicine is the medicine that occurs on the frontiers: that which is not available to everyone, but only those blessed with fairy godparents masquerading as ABC executives.

According to professor Rick Carlson of the UW School of Public Health, we have spent $15 trillion on health care in the last 10 years. That’s $1.5 trillion a year, still resulting in a full quarter of our population without adequate health coverage. Yet, we still have people turning to the benevolent producers at ABC in order to receive necessary medical treatment.

Of course, medicine is a business, as is television.

Obviously it was assumed these were two great ideas that would work even better together. But when medicine begins competing with television to provide medical services to people in need, the only clear conclusion we can draw is that reform is necessary.

The next time you need to see the doctor, or have some surgery or other medical procedure done, ask yourself whether or not you’re pretty, sexy, compelling or charismatic enough to be picked out of a flood of applicants to receive that necessary care. And if not, what’s your back-up plan? Are you willing to play the one-in-four odds of not getting coverage?

Carlson notes that “real reforms must ask very different questions about our values, and our goals and aspirations.”

So we need to ask ourselves: do we want medical care to continue becoming a theatre of entertainment, something you should be lucky to receive? Or do we want to step up to the plate, take that $1.5 trillion a year, and guarantee at least a basic level of care for everyone?

It’s our call – how do you feel about those odds?

To Control Chaos is to Produce Order

I was told to do one thing last week, to work on my thesis: excavate my damned desk. And so I finally did it, and damnit. Phillip was right. Since getting my desk set back up (desk, candle, purple lucite Buddha, paper, pens, light, wine, etc) and actually sitting at it every morning and evening, I’m getting things done. The things I’m getting done are largely still organizational, but I’m making progress. Chaos is slowly tipping towards control, and I’m getting things picked up, put away, and packed.

And there’s that whole writing thing, too – the clean up is transcending to the virtual, as well, and I’ve been tidying my computer, writing more on the blog, and even got my Daily article written a day earlier than normal. The look on my editor’s face when I told her was pretty priceless, given I’ve been a total las minute slacker the last few weeks.

I hate it when Phillip is right, only because he enjoys gloating about it so much.

A Link Clean-up – Luddites in the Classroom!

I’ve had a bunch of links open for I don’t know how long (too long), and I should clean them up before my browser crashes and I lose them all and kick myself. Well, that and I’m trying to get back in the habit of writing here, again. Habits, for what it’s worth, are terribly hard to create, unless of course they’re bad ones. The bad ones, like staying in bed reading fiction or watching TV or not doing your dishes or laundry? Those are easy. The good ones, like going to bed and getting up consistently at the same time, writing every morning, working on your gorrram thesis? Much much harder to establish.

Anyhow. Digression.

A couple of weeks ago, I read about a professor at the University of Memphis banning laptops in her classroom. She apparently teaches in the law school, and felt that the laptops are terribly disruptive to her seminar-style lectures. Apparently she felt too many students were either attempting to take down what she said verbatim, being “fed” knowledge for later regurgitation, or were screwing around on the internet. Whatever they were doing, it wasn’t participating in the class, which was designed “primarily as a practice session for students to develop the skills outlined in the “Course Objectives.”” Plus, she felt the laptop created an invisible wall between her and her students, and the clacking of fingers on keyboards bothered her.

Boo-hoo.

Frankly, this sounds like the words of a very insecure professor who can’t control her classroom. First and foremost, by banning laptops, you automatically out anyone with an invisible disability, the people who she cannot, by law, prevent from using laptops. Way to go – you either look like you’re playing favourites by letting one or two people use the computer, or you end up implying or outright saying that a student has a problem. Secondly, if this is truly a seminar class where students are supposed to be participating and learning in order to receive evaluation and grading, then those students ignoring class for the internet and not participating over the tops of their laptop? Mark ’em down, so long as they’re truly not learning the material and unable to participate in the classroom while taking notes.

I’ve been on both sides of the table long enough now that I feel very comfortable making broad comments like the above, simply because I know what it’s like in smaller seminar classes. Yes, there are a lot of eyes there, and it can be a bitch to engage everyone. But not everyone participates in the same manner, and instead of trying to force everyone into a luddite zone where only paper and pen are allowed, the professor should instead work on improving her lecture skills and ability to run the classroom.

Don’t want people mucking around on the internet? Lecture from the back of the classroom. Have the students move their chair configurations into a circle. Don’t just stand in the front of the classroom and assume that because you are paid to stand there you have an automatic authority with the students. Authority is earned, not a privilege.

Finally, it also sounds like someone who wasn’t raised in the era of computers, who don’t understand how natural and fluid it is for people to multitask in this augmented age. Again, the solution is to catch up, not to halt the progress happening at such a rapid rate.

Okay, I can close that link now.

CHID 270 – Take 2, PF-style

Today, I finally came up with a good description for what a PF is. “A PF is sort of like… a TA meets Big Sister!” Muaahahaha – it’s like, all the fun of being an instructor AND a big sister, all in one!

Hello, darling students in my section, should you be reading. 😉 You can search on CHID 270 specific classes by using the “Filed under” function, clicking on the CHID 270-PF link, or by choosing it in the side bar. You’d find it under Academics -> Spring 06 -> CHID 270 PF. Hollar my way if it’s not intuitive.

Burning Tears in My Eyes

Anyone who’s seen me lately has probably seen my red, watery eyes and sniffling nose. They’ve probably thought it’s just allergies, but it’s not. The girl who never cries has been failing at holding back tears for going on weeks. And it’s not because I’m sad. It’s because I’m happy. I’m more than happy, I’m in awe.

I’m going to be graduating in the top 5% of my class in June, an achievement recognized by a lot of various honours and awards. I have been funded for a year straight in my research by the Gates Foundation, and I have been accepted to my dream graduate program. That I’m even making it to graduation has me in awe, the rest is icing.

Because for better or worse, my idea of myself has been formed around the only two long term relationships I have had, both of which ended with the man telling me that he didn’t believe I was ever going to make anything of myself. That I wouldn’t be able to achieve any worthwhile goals, that I would never be anything, anyone. That what I was doing was useless, and I would always fail. I shrugged it off as sour grapes from the first guy – after all, I was leaving him, finally breaking his hold on me. But the second one devestated me, and it’s been that tiny voice in the back of my head for the last two years. His voice, telling me that my choice of career and interests were part of the reason he was leaving me. The voice has been fading lately, and I expect that by June 09 it will be completely exorcised.

I am in awe that I have done what I have. The research, the conferences, the teaching – I’ve been going around thanking a few people in person the last few days, and each of them has said almost the exact same thing to me: that I have taken advantage of every opportunity to improve myself and expand upon my education. Every thanks has been met with a throwing it back upon me and what I’ve done, and I don’t shrug that off any more.

I am in awe of where I’m going. I’m not going to be doing…I don’t know. Something that locks me away in a tower somewhere. I’m going to be training to be in a position of influencing literal life and death decisions. That’s an awesome privilege, and power, to be facing.

As egotistic as it sounds, I see myself doing great things in my future. I see that I’m going to make a difference, and this isn’t something I saw even a few months ago. I see my potential, and I am not shrugging off and away or making excuses, I’m just looking at it, dead on, and it’s overwhelming to see.

So yes, if you see me, sniffly and watery red eyes, chances are I am caught in the beauty and the crispness of the moment, and am overwhelmed by the powerful feelings of love and gratitude towards those who’ve made this possible, who’ve supported me through my darkest hours and highest peaks. Chances are that my breathe is caught in my throat as I watch my future unfold in front of me, and chances are, chances are, I am finally, finally proud of what I have done, will do, and who I am.