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Choice in Health Care

This is a really big topic, and the center of a lot of debate at the moment.

When I was pregnant with my son, we spent a lot of time looking over all of the information about the different tests and things that were available to us. We decided not to do any tests that we could not do anything about. What that means is that if the result of a test would tell us something, but we could not do anything to change the outcome then there is no point. One of these tests would tell us that our child would likely have down syndrome. Because there would be no way to lessen the probability following the test, we decided not to do it. Additionally the risks associated with the test were far more likely to cause problems than the likelihood that it would find anything. I have worked with down syndrome kids and we knew that if anything were to happen we would deal with it.

That said I was seeing many different doctors within the practice so that I would have met any of the ones who might end up delivering the baby. One of these doctors (luckily they were no longer employed there by the time I went into labor) was very indignant that we opted not to do this test. I understand that doctors have their own personal beliefs, and that they are supposed to do no harm. We were very upset that she refused to respect our choice, especially since that choice, according to the statistics, the science, was the less damaging. The doctor agreed that there was nothing that could be done about the results, and understood our risk/benefit analysis. Unfortunately the doctor’s personal preference to know took precedence and made us very uncomfortable.

This is something that is the patient’s choice. It has no effect on anyone else’s life. Us knowing in advance would change nothing except potentially adding problems because of the test.

Some people choose to have the test because if the child is more than likely going to have down syndrome, they would terminate the pregnancy. This would be considered a medical reason and is subject to different rules than if the parents chose abortion for a healthy child. I respect that choice. Having children is a huge responsibility, children with special needs more than doubly so. Although I do believe that every person has worth I know that many people would not be able to handle the care that these children require.

Abortion is a choice that does affect other’s lives, mostly the parents and the child’s. That choice should be about what is best for those people. If the parents, specifically the mother, know that the child would not be well off growing up in that household or situation, they have the options of adoption or abortion. It is the responsibility of those involved to make the decision about what is best. Just being alive is not always the better option. I used to say that having a child would end my life, not in a literal sense, but in a figurative one. When I was younger I would not be able to devote the time to improving my situation if I were to care for a child. The child would come first, and unfortunately would not be able to be brought up in the way I would like if I did not have a job and an education.

So what about the other big debate right now? Vaccines. I believe in free choice. I do not like it when the government imposes things we have to do. As far as I am concerned wearing a seat belt should be a personal choice. The statistics are out there, it is undoubtedly safer with a seat belt, but the only life lost would be your own, yes other lives are affected by this as well. In a perfect society I would say that people need to take that into consideration as they weigh the risks and benefits (?) of not wearing a seat-belt. I know however that people tend to be self-centered and not consider that others would be affected by their passing.

What does this have to with vaccines? I believe that people should be allowed to make their own choices. However people are not very good at weighing the data, or considering others. I really feel silly for repeating some of this, but the original study used to back the argument that vaccines cause autism has been retracted, and the author discredited. The other risks that are often cited are concerns about the inefficacy or side effects of the vaccines themselves. If the vaccine is ineffective, you are no worse off than if you did not have it, so I believe there is no more to be said about that. As far as side effects, these are usually minimal, a little soreness, but come on, you stuck a needle there, why wouldn’t it be sore? Yes, some people are allergic to certain elements of the vaccines. The chances of this are extremely remote. Those who are too young, do have a bad reaction, or find that the vaccine is ineffective are those who have to count on herd immunity. As a culture we have had this type of immunity for long enough that some people forget what the risks really are, which makes a real risk/reward analysis skewed. It can also allow people to forget that their decisions can affect others.

This is an article about a child who was exposed to measles. And this is the response from an anti-vaccine advocate. One of the points made in the response is that the man who carried the infection had been vaccinated. This means that he is just as much of a victim of the shrinking herd immunity as the child. Yes, I have problems with the pharmaceutical industry, but that is about them charging too much for things. They have something of value and a monopoly on it. They are taking advantage, and not realizing who that might hurt, but I do not believe they are evil. If you look at some of her links you can see that the evidence does not all fit. The risks associated with the vaccine are stated, but it is clearly stated that those risks apply to the people who should be counting on herd immunity. Her link about the court case has a headline reading “Merck Whistleblower Suit A Boon to Vaccine Foes Even As It Stresses Importance of Vaccines”.

I do believe in free choice, but I am an idealist and think that people should have the ability to make informed decisions when they are given the information. I have a problem when what I believe should be the case is not the case. In the case of vaccines, I am tempted to say that the government should take away people’s right to choose, for other’s protection. But if I do that, am I any different than those who want to take away women’s right to make decisions about abortion? Am I any different than those who advocate taking guns away because some might be used to kill? Am I any different than those who are trying to take away our right to choose our leaders? If I choose to limit people’s right to spread misinformation I am not different than anyone who tries to limit my speech against corporations or governments. These are rights I believe in, and I refuse to participate in setting a precedent that would assist taking away these rights, and others. I can only hope that giving people the information and teaching them how to use it (including reforming our current school system) is the best way. I am not willing to risk the future of our democracy in order to combat one ill-informed decision. A functional democracy depends on having an informed populace. That is what we need.

 

Intelligence

What is intelligence? I know I have touched on this before. Traditionally we define intelligence as IQ, or Intelligence Quotient. This is something inherent to us that does not change within our lifetime, or at least that is how it is thought of. IQ is a way that we are all assigned a number that puts us on a line from less intelligent to more intelligent. There is no second dimension to it. More or Less, that is all.

But I believe that there is more than that. Think of it as the difference between plotting a point on a one dimensional number line and plotting a point in three dimensional space, except that I want more planes than even that and adding time (as a fourth dimension) would allow. There are so many different ways that people (and animals) can be intelligent. This is how we generally think of animal intelligence.

ginger

But not only do they probably think the same of us, but what if they are the smart ones? All it takes is a small perspective shift. They have figured out a way to let us do the work while they reap the rewards. Pretty smart.

In my opinion, intelligence is made up of many things, including some that cannot be tested for. I don’t really see the point of testing for it anyway. As I see it the point of testing is to see who is superior, and I would argue that no-one is. Everyone has their own strengths, and beyond finding a way to discover those, testing is superfluous.

Children are a perfect example of this. People often laugh at children because they believe the things they say are stupid. When I was young I put together the fact that I saw the world as flat and the fact that I knew there was another side of it and imagined that the world was a cube. Obviously my conclusion was incorrect, but you cannot fault the logic. I had used the information available to me to come to a more accurate representation of the world than man had for centuries. Intelligence, in this case, is about taking pieces of information and putting them together.

My son still has a very limited vocabulary, but he is figuring out ways to tell a story. Sometimes he will say ‘hot’ and ‘mom’ while pointing to the kitchen. It is pretty clear at that point that he wants a meal. He is communicating not only that he is hungry, but he wants hot food, or a meal. One time I came home and he said ‘eye’ and ‘ear’ and pointed at a wall. I was a bit confused, until my husband told me that they had been pointing out the eyes and ears of the girl in a picture on the wall. My 18 month old was telling me what they did while I was at work.

I know that may not sound like much, but one of the smartest things about kids, and this applies double to babies, is that they soak up information all the time. Learning itself is a part of what intelligence is. And, as many parents have discovered, they don’t only learn what you try to teach them. Many parents find to their dismay that the kid has picked up curse words. This is for the same reason that many babies first word is ‘no’. Kids say what they hear.

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These type of images are all over the internet, and people laugh at the dumb little kids. Really though that is a very smart kid. He knows that he is hungry, and food comes from boobs. He is just missing some information that led him to a false conclusion.

All the time kids fall down because they are still learning physics. If a kid learns to walk in a room with a perfectly flat floor and nothing on it, they will stumble when he gets on a ramp or a hill. But the younger they are, the quicker they are able to learn to compensate.

Another group that is often mocked for low intelligence is older people. When someone with Parkinson’s shakes and drops something they are called ‘retarded’. (We will address that in a minute.) The person’s mind can be as sharp as ever, but if the motor function starts to drop off, the labels fly off the shelf. In many cultures, and I am sad that mine is not one, older people are respected for their wisdom.

I completely understand that it can be very frustrating to try to teach someone who did not grow up using a computer how to do something that my generation regards as basic. But all it means is that the person’s mind is less malleable. They have more information stored in their brains than we do. Their intelligence is generally called ‘wisdom’ and it comes from the build up of all of the information that they have accrued in life.

Even people with what most people would consider ‘diminished mental capacity’ are intelligent in their own way. Today Einstein would probably be diagnosed with half a dozen learning disabilities. The reason that we think in terms of higher and lower intelligence is because we are giving the fish and the birds the same test as the monkeys and the elephants.

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This image has been used as a mockery of our current educational system, and it is. But the problem goes deeper than that. While many kids can excel at reading, teaching a dyslexic student in the same way can be disheartening, and make them wary of not only books, but the information contained in them. While trying to teach an autistic child to read can be completely futile. (And yes, under No Child Left Behind they are held to the same standards of ‘proficiency’ as anyone else in their grade).

That same autistic child might be a savant at something else. For some it might be advanced mathematics, another might be just obsessed with trains. While some teachers might try to use that obsession to motivate the child, (nothing wrong with that) I would suggest going even further and trying to figure out what it is about trains that they love so much. It might be that she is interested in creating the path for them because in their mind they can instantly see the most efficient route, or maybe it is the idea of multiple things following in the exact same path.

Sensory Processing Disorder is diagnosed when people’s sensory perception is abnormal. It is often described in terms related to ‘broken’ but what if some of them feel the need to re-confirm the solidity of objects because they somehow subconsciously know that atoms are mostly empty space? When Earnest Rutherford first discovered that fact, he is reported to have been afraid to get out of bed in the morning because he did not want to fall through the floor.

I am not presenting any of these ideas as fact, but as a thought exercise, a reminder that things are not always how we perceive them. Something that we see as stupid can, in fact, be signs of intelligence. It just means that we not see something in the same way as someone else. Rather than judging in the moment, we should give some time to consider how they came to that conclusion. It might just be that our own understanding of the situation is missing some information, or that they understand something better than we do.

Happiness

They say that being happy comes from enjoying what you have and living in the moment. I believe that, and I try my best. Overall, I am very happy. But this is a lot easier when I ignore what is going on in the real world.

The problem is that ignoring bad things allows them to continue. Some people say that the problem is that I care too much. That may be true, but I know that if we allow bad things to happen, it will affect us down the line. If by acting now I can help prevent that, I will act now.

I keep running into the problem that so many bad things are going on in the world that I cannot really be active enough in any one thing. Especially since I am a parent and I work full-time. This frustration that I have is probably part of the reason that so much of what I post are merely rants. I know full well that I am not adding anything meaningful to the debates. I just feel the need to DO SOMETHING.

I sign petitions, but so many of them ask for money after you ‘sign’ that I don’t even know if it gets counted unless I donate. I am not a bottomless pit, and I cannot donate to every worthy cause I come across.

Kindness

I am a kind person, I do my best. In the face of the evils of the world I genuinely believe that we need more kind people. There are so many people in the world who need that kindness.

At other hotels, where less than once a year someone would come in just to be indoors, I would let them spend some time in the lobby to warm up, maybe have some coffee. It wasn’t a problem. I met some very interesting people doing this, but not once was I frightened by them, or felt like I was being scammed.

More so at my current job than at any other I have people coming in and asking for help with things. Since it is a hotel, it’s usually a room. I am willing to work with them as much as possible within regulations. I have called over a dozen churches in the area to see if any one of them could help a homeless woman get out of the cold for a night. None of them serve that function.

I let people use the computer to make a reservation, but the other day it was on a bad card and they had an elaborate facade of getting someone else to pay for the room. I know they are locals and I have to add them to my mental list of people I cannot trust. *Since initially writing this, one of the women returned and did have someone to pay for the room. I was obviously skeptical, and made her wait outside, but everything is sorted out. I kinda needed that to restore a bit of faith in humanity*

People come in and try to eat the condiments that are left out for breakfast and drink the coffee. I know that if they need to do this there is a reason, but I also know that if I let them, not only will they be back, but so will others. Once a year for someone passing through town is very different than every day for several locals.

Over and over again I am reminded of why people are unkind to others. We have had people use counterfeit money. People smoke in the rooms several times a week, even though we are a non-smoking hotel. We charge $250 cleaning fee, and the same people return, thinking they will get away with it this time. I have had many people use elaborate stories to buy time in the lobby for different reasons. Many of these stories end up screwing the hotel. I have had many people try to scam us.

While I am kind, I am not stupid. One woman stayed in the lobby for more than 8 hours trying to get hotels.com to get her reservation straight. I did what I could to help her, but of course I could not let her into a room without payment. When I left, I told the next shift to make sure that the hotel received payment before giving her a key. The next day I found out that the girl had just checked in the woman with no payment. At the time I thought that the woman was genuine and had gotten lucky with the other girl. A few months later the same woman came back with the same story.

I find myself more and more skeptical of people, and it hurts. I do find that my instincts are usually right, but I often choose to be kind until I know for sure. I probably end up with more problems as a result, but I hope that by doing so, I can help more people who truly need it. I know that when people see my kindness they know that they can push the limits more, and that is not good for me, or the business I represent.maxresdefault

I do my best to thin out those who are up to no good from those who are genuine. For every bogus story that I hear, I have heard the story in truth once before. I know that there is a fine line between doing things because they need to be done and needing something done and using excuses. Even the people who try these simple scams do it for a reason. Something about the world has made them think that either they need to lie to get what they need or that lying gets them better results. I will tell you that lying is not serving them better than telling the truth. These people get kicked out of here and other businesses a lot. They need a way to get what they need without the lies. I need a legitimate place to send people who are in this predicament. I hate having no recourse but sending them back on the street. I hate that being kind means being taken advantage of. I hate that the media has made these people into monsters.

I have lots of ideas that might help, but they all need a source of funding. Most are the thoughts of an idealist that rely on the idea of ‘Pay it Forward’ actually working. I know that it has worked in some industries, but I am still skeptical about it working as an economic model on a large scale or over the long-term.

In the end, I am more willing to do what I can to find someone a job than to give them money. I could provide the homeless with an address, a haircut, a shower, photo id, and a reference. I would even like to provide temporary housing until they could get on their feet again, maybe job training too. The job market does not look kindly on long-term unemployment and this would likely by where my idea falls apart. In theory, once the person was able to move out they would, and would re-pay us over time. I do think that treating it as credit would result in more of these people disappearing before we were able to collect anything from them, whereas allowing them to donate to us to help another person in the future would work better.

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Work & Money

Why do we work? – To earn money.

Why do we need money? – To pay for things we need and want. It seems like a simple system. But this country produces enough food and has plenty of homes for everyone.

Why don’t we meet everyone’s basic needs? – Because it takes money to pay for them. People who work feel like if they need to work for these things it would be unfair to hand them out. And it would be.

What keeps people from working? – This is a very complicated question, with many answers.

  • No-one is hiring – There are more people available to work than there are jobs available.
  • Long-term unemployment – The longer you go without a job for any of these other reasons it becomes more and more difficult to get back into the job market.
  • Housing – It is difficult to get a job without a physical address, which means that once you are homeless, you have no way to get into the workforce.
  • Family – This can mean a lot of things;
  1. Childcare would take all of your income and so it is more efficient to not work.
  2. For some people having a stay at home parent is more important than having any extra income work would provide.
  3. Some people believe in the traditional family where women stay home.
  • Job hunting – Job hunting is the least rewarding job out there. Long hours, no pay and no guarantee of success.

If we take all of this together we can make some interesting discoveries. If every person able to work in the US did work, each person would only have to work 20 hours to get the same total amount of work accomplished.

(Using numbers from 2012 for continuity)

1789 work hours per year per worker (full and part time)

52 weeks per year

1789/52.1429=34.5

34.5 work hours per week per worker

145,355,800 workers

34.5*145355800=5,014,775,100

5,014,775,100 work hours per week

243,284,000 total population eligible to work

5014775100/243284000=20.5 work hours per week per eligible worker

What keeps us from working this little? – Employers would have to pay each employee enough to live on in order for this to work. This means paying more employees each the same amount as current employees, even though each employee does little more than half as much work. (Currently doubling the minimum wage would barely get employees to a living wage for working 40 hours, depending on where you live, so this would necessitate nearly quadrupling the minimum wage to allow living on a 20 hour work week.)

Is there another way to make this possible? – The easy answer is to have government supply all necessities; food, housing, healthcare etc. This would also necessitate higher taxes. Until the haves are willing to assist in supporting the have-nots, this will not be a self-supporting system without higher pay as well.

Money is a tool created by man to assist in transactions. Nothing more. Many societies have existed without money. Because money is what is getting in our way in our what ifs; What if we eliminated money? – There are a lot of consequences to this action. First and foremost problem would be creating an initiative for people to do the work that needs to be done. For this I see many solutions.

  • Get rid of boring jobs – Wait what?! All of these calculations are done based on the amount of work that needs to get done in order for society to function, right? Kind of. All of these calculations are done based on the amount of work that needs to get done in order for our CURRENT society to run. There are many jobs that could be eliminated by automation. In our current society that is frightening to many people, because the machines would take their job and deprive them of what they need to support their family. If the necessities are taken care of, the only thing that automation would do is cut down on that total amount of work needed. Suddenly automation is helpful.
  • Cut down on the required work hours – Already we have touched on this a bit, but there is more to be done! Without money, entire sections of the job industry become irrelevant. Banking, Accountants, Financial Advisors, Lenders, Wall Street, Investors, Marketing, the list goes on.
  • Cut down on the required labor – This may seem redundant, but stick with me. Our society today runs on ‘new’. But if we were able to shift the consciousness to ‘reusable’ we would cut down on a huge part of manufacturing. It is far easier to clean and sterilize a glass bottle than to create more, even from recycled materials. If the stigma surrounding buying used clothes and furnishings were not an issue, and products were designed to last, rather than to be discarded, another sector of manufacturing gets pruned down.
  • Let people work at what interests them – The remaining jobs after the first three on this list are mostly going to be based in agriculture, creative endeavors, and research. These are the types of things that some people think of as hobbies. And if they are required to only do 20 hours or less per week of it, that is very manageable.

While having an accountability structure would probably still be necessary, I will leave those ideas for another day.

 

Update – One City Fixed Homelessness

 

 

 

Donald Trump as President

At first I thought this post would say something like, ‘Ok, the joke is up, it’s not funny anymore.” But it is way past that point. I am truly terrified about this. At first it was just as an idle ‘what if,’ but the polling numbers make this a real possibility.

facebook page supporting Bernie Sanders posted a question, ‘What worries you about Donald Trump being president?’ I found that my answer was far too long for a response in the comments.

Entitlement – It started with Trump’s 1% attitude. He thinks that he got himself where he is today. As I have said before, I don’t really believe that is how capitalism works. Our economy does not get people where they belong based on work or ethics, but primarily on family wealth and/or unscrupulous behavior. This is shown with his ‘small $1 million dollar loan’. Little does he realize that this is more money than most Americans will even handle in their lifetime.

Trump feels that he is the best. His success has given him the idea that he can do whatever he wants. And the US legal system supports that. The fact that he has declared bankruptcy makes him feel that he has seen the worst. And the fact that he came back stronger makes him believe that he is even stronger than an ordinary millionaire. He thinks that he is so infallible that no matter what he does he will succeed.

As someone who already benefits from the elaborate protections the wealthy have on their money, Trump is likely to keep those and create more. All of these protections are damaging for those who cannot take advantage of them. For every penny that they keep is a penny out of circulation. Each penny is another one that will not be paid to the hard-working employees to buy food. In the end, each penny they hoard is a penny they don’t have to steal a second time.

Cruel – The television show, The Apprentice, is known for Trump’s coldhearted treatment of the contestants. While one could hope this was just for sensationalism, it is precisely that sensation that propelled him to where he is today. It is that attitude that has earned him fans. Having anyone in charge who thinks that people are disposable is a recipe for disaster. I doubt the people who work for him are treated very well. And these people we see on the show have been mentored by him, sometimes for several weeks. Even that does not help him to show any sympathy. What can we expect him to feel for people he has never even seen?

Bigot – Trump has gained his thunder through cruelty in general, but now he is directing it. He knows that he needs certain individuals to support him, and is directing their existing fears and prejudices to his advantage. His hate speech is terrifying to me. We forget that Hitler did not round up everyone he disliked at once, he started small and gradually worked his way up as fewer and fewer groups were there to protect one another. This is one of the reasons that we must protect other people’s freedoms as well as our own. American history that I grew up learning was a consistent progression of gaining equality and rights for the disenfranchised, but within my lifetime we have gone back centuries when it comes to this progress. Trump is even more overt about it than Bush.

Followers – The most terrifying thing to me is not that there is someone in the world like this. I know they exist. The fact that he has power is frightening, but what scares me the most is that people follow him. He has supporters who believe the outrageous claims. He is working them up to a fever pitch, allowing people who were considered ‘fringe’ before for their radical views to come into the limelight. This is the Tea Party, but perhaps even more extreme. This is dangerous.