Health care’s ‘upstream’ conundrum

Stephan:  Here is a very insightful assessment of America's Illness Profit System. Because nearly two-thirds of Americans have never been outside of the U.S. borders I think most people just don't realize how awful America's healthcare and the social safety network actually are compared to other developed nations. Nor do they understand that to function properly all these social programs must be seen as interlinked.

Medics from Colerain Township in Ohio tending to a patient. Which hospital a person is taken to could make a significant difference in the medical outcome, according to a new study.
Credit: Ty Wright for The New York Times

At the heart of America’s vaunted health care system is a frustrating puzzle. The United States pays three times as much per citizen as the average of other wealthy nations—far more than even the second-highest spender, Switzerland, adding up to $3 trillion a year. Yet for all that enormous expenditure, we come in dead last among those nations in lifespan. And as the bills climb, our life expectancy is actually shrinking. (emphasis added)

What’s going so wrong? If our national health care were a corporation, that return on investment would get its CEO immediately fired. Plenty of experts are ready to point fingers at various causes: our lack of universal health care, industrialized food system, suburban lifestyles, and profit-driven tangle of insurers and drug companies and hospitals. Surely those play […]

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Why so many doctors kill themselves

Stephan:  I first wrote about physician suicides several years ago, and I have been watching this trend become worse bit by bit ever since. It is an aspect of the American Illness Profit System that outside of the medical profession itself receives almost no coverage this rare report, written by a physician, being an exception. In my opinion this is yet another example of how in the U.S. profit is more important and takes priority  over human wellbeing.  Other countries have figured out how to create wellness fostering healthcare why can't America?

Five years ago, I was at a memorial. Another suicide. Our third doctor in 18 months.

Everyone kept whispering, “Why?”

That was when I decided I had to find an answer.

So I started counting dead doctors. I left that memorial service with a list of 10. Today I have 757 suicides on my registry.

And I began writing and speaking about why doctors die by suicide and why it’s so often hushed up.

The response was huge: So many distressed doctors (and medical students) wrote and phoned me. Soon I was running a de facto international suicide hotline from my home. To date, I’ve spoken to thousands of suicidal doctors; published a book of their suicide letters; attended more funerals; interviewed hundreds of surviving physicians, families and friends. I’ve spent nearly every waking moment over the past five years on a personal quest for the truth of “why.” Guilt, bullying, exhaustion are big factors. Here are some of the things I’ve discovered while compiling my list and talking to so many people:

– High doctor suicide rates […]

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White supremacists responsible for most extremist killings in 2017, ADL says

Stephan:  As I have said repeatedly you are much more likely to be hurt by a Christian White Supremacist than you are a Muslim Terrorist. Much more likely. Here is the latest data proving this.

White supremacy rally
Credit: Salon

White supremacists were responsible for the majority of extremist killings in 2017 compared to other groups, according to a newly released report by the Anti-Defamation League.

Of the 34 people the league’s Center on Extremism found were killed by domestic extremists last year, right-wing extremists killed 20 people, with 18 of those killed by white supremacists, it said in the report released Wednesday.

“Extremism in any form is an issue. Foreign born, politically minded extremism or racially focused extremism. What the data tells us in the past 10-plus years it is far right-wing extremism, white supremacists and their ilk that are responsible for more extremist-related murders than any other group,” said Jonathan Greenblatt, CEO of the Anti-Defamation League.

Last year was the fifth deadliest for extremist violence since 1970, when the ADL began tracking these types of crimes.

“Concretely it confirms extremists feel emboldened in the current environment. Right-wing extremists in particular were responsible for nearly 60% of extremist-related fatalities last year,” Greenblatt said, “The data lays bare that this is not an […]

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Californians can now get rid of their old weed convictions

Stephan:  Here is some good news. Once again California under democratic governance leads the way in fostering wellbeing.

Credit: Vice News

Jan. 1 was a big day for California: In addition to legalizing recreational marijuana, the state fully adopted one of the most sweeping criminal justice reforms in recent years.

The new law, Prop 64, not only OK’d possession for people 21 and older but also allows anyone to apply to have their past marijuana-related offenses reduced or expunged completely. And roughly one million Californians are eligible, according to the Drug Policy Alliance.

A clean record would allow people to vote, apply for many loans and licenses, and, perhaps most importantly, answer “no” when potential employers ask whether they have a felony in their past. The change particularly affects African-Americans in California, who were five times as likely to get arrested for a marijuana felony than white offenders, and thus disproportionately saddled with the lifelong constraints that come with a criminal record.

“It really kind of affected me,” said Rayshon Williams, who’s now eligible to get one of his felony convictions reduced. “The whole time, they’re not gonna hire you because they see […]

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Dad facing deportation who is sole caregiver to ill wife takes refuge at Detroit church

Stephan:  I never thought I would see an America where armed agents of the government dragged people out of the normal places where Americans live their lives. Tearing them literally away from the arms of their children, handcuffing them and putting them on a plane to a country of which they may know little or nothing, having never been. They may not even speak the language. And in the process of doing this leave a family of American citizens destroyed. I just never thought I would read a story like this one. We stand at a crossroads, both as individuals, and as a nation.  What do you think we should do? What are you doing to make that happen?

Ded Rranxburgaj of Southgate, Mich., talks at a press conference Jan. 16, 2018, after taking sanctuary at Central United Methodist Church in Detroit while facing deportation.
Credit: Romain Blanquart/Detroit Free Press

DETROIT, MICHIGAN — Saying it answers to a higher law, a historic Protestant congregation here said it is taking in an undocumented Albanian immigrant whom the U.S. wants to deport next week.

Last year, Central United Methodist Church, which sits next to Comerica Park, declared it was a sanctuary congregation open to those seeking refuge. That notion will be put to the test Jan. 25 when Ded Rranxburgaj, 48, of Southgate, Mich., is scheduled to be removed and sent back to his native Albania.

It is the first time a church in metro Detroit has announced that it is taking in an immigrant that Immigration and Customs Enforcement wants to deport since President Donald Trump took office, immigration-rights advocates say.

ICE has what is called a “sensitive locations” policy that advises agents not to target houses of worship and schools.

► Jan. 16: 

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