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Monthly Archives: April 2020
Determinants of sleep impairment in psoriatic arthritis: an observational study with 396 patients from 14 countries – DocWire News
Posted: April 18, 2020 at 3:44 am
OBJECTIVE:
Sleep quality is diminished in patients with psoriaticarthritis(PsA) and close to 40% of PsA patients consider sleep difficulties a priority domain. This work analyzes determinants of impaired sleep in patients with PsA.
This was a cross-sectional analysis of an observational study (ReFlap, NCTNCT03119805), which included adult patients with definite PsA with 2 years disease duration from 14 countries. Sleep was assessed using the patient self-reported evaluation of sleep on a 0-10 numerical scale, included in the PsoriaticArthritisImpact of Disease questionnaire (PSAID-12). A score 4 was considered as sleep impairment. Demographic and clinical variables associated to sleep impairment were assessed through univariate analysis and Poisson regression modeling leading to prevalence ratio (PR) [95% confidence interval].
A total of 396 patients were analyzed: mean age 51.912.6 years, 51% were females, 59.7% were receiving biologic therapy, 53.3% had 1-5% of body surface area affected by psoriasis; 23.7% were in remission and 36.9% in low disease activity according to the Disease Activity in PsoriaticArthritis(DAPSA) score. Median (25th-75th) patients self-evaluation of sleep difficulties was 2 (0-6), 157 (39.6%) had sleep impairment. In the Poisson regression model, self-reported levels of anxiety (PR: 1.05 [1.02-1.08], p=0.003) and pain (PR: 1.06 [1.04-1.09], p<0.001) were independently associated to sleep impairment.
In this multicentric study, sleep impairment was present in 40% of PsA patients; pain and anxiety were associated to sleep impairment whereas inflammation was not. Impact on sleep appears multifactorial in PsA.
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Determinants of sleep impairment in psoriatic arthritis: an observational study with 396 patients from 14 countries - DocWire News
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John Ivison: The Liberal government has had free rein for five weeks. It is time it was reined in – National Post
Posted: at 3:43 am
Long, long ago around the end of January Conservative MP Tony Baldinelli submitted a written question about a loan for $196 million that was written off by Export Development Canada.
Who received the loan, what was it for and why was it written off, he asked, not unreasonably.
He has just received the answer from Global Affairs Canada, a department notorious for its imperiousness when it comes to public accountability.
The transaction in question was export-related and deemed to be in Canadas national interest, he was told.
That was all Baldinelli, or you and I, are entitled to know. Any more details would breach confidentiality rules and customer privilege.
It is extremely disappointing to receive a non-response like this. We are talking about tax dollars generated by hard-working Canadians, he said.
In the absence of a sitting parliament, this is the kind of brush-off that governments can get away with. The House of Commons is often derided but it helps keep the government honest by airing its dirty laundry in public.
Even in the billions here, billions there days of emergency relief spending, $200 million is real money. The loan came from the Canada Account, a politically directed program that is administered by EDC but usually involves projects the export credit agency wouldnt touch with a 10-foot pole.
There have been 15 loans worth more than $100 million since 2001 almost all of them political hobby-horses of the government of the day such as the TransMountain pipeline; Bombardier; the automotive bailouts to Chrysler and GM; General Dynamics Land Systems (light armoured vehicles) and the Davie shipyard in Quebec. There is no official confirmation which deal has been written off but sources said EDC extended loans to Norwegian sub-sea contractor, Cecon, at a time when it was a member of the partnership that bought the Davie yard in 2012.
Cecon commissioned three offshore construction vessels from Davie but went through a debt restructuring in 2015 that saw creditors take a hit. The loans to Chrysler were written off and publicized because the company agreed to make the terms public.
Parliament is the best whistle-blower on government misbehaviour
But in this case, the government is hiding behind a provision in the Export Development Act that says customers are privileged and the information may not be disclosed.
Why? If the loan is written off, the taxpayer is on the hook. Why shouldnt we know who has stiffed us?
Write-offs are a last resort and are rare, the government claims. When requested it is because writing the loan off is deemed to be in the best interests of Canada and Canadians.
I like my coffee dark and my governments transparent. I can see why writing off $200 million and burying the bad news might be good for the party in power but how could it possibly be in the best interest of Canadians?
Baldinelli said he plans to asks colleagues on the international trade committee to raise the issue when Parliament returns.
The ardour for truth may diminish if the Conservatives realize they were in power when the bad loan was extended.
But the point remains valid Parliament is the best whistle-blower on government misbehaviour the custodian of the nations freedom, in the words of John Diefenbaker.
No party has a monopoly on wisdom and, as Bloc leader Yves-Francois Blanchet pointed out in the House during last Saturdays emergency sitting, improvements were made to the emergency response benefit after Canadians contacted MPs of all parties.
When the House will reconvene remains a matter under discussion.
The motion suspending the House of Commons proposed MPs return on April 20 but there is no deal in place to either resume sittings or to delay until the technology is in place to hold a virtual parliament something the Speaker of the House says may take weeks.
The prime minister has said he prefers the idea of a virtual sittings. He probably prefers not having to answer awkward questions at all.
Conservative leader Andrew Scheer said the sitting last Saturday showed the benefits of face-to-face debates.
Quebec Conservative MP Bernard Gnreux used the opportunity to call for the government to extend the emergency response benefit to part-time and seasonal workers, and to amend the wage subsidy to include small businesses with a payroll lower than $50,000. The government has since acted on both demands.
I like my coffee dark and my governments transparent
Scheer said regular accountability sessions are needed to ask the government why it has relied so heavily on advice from the World Health Organization, why Health Canada hasnt fast-tracked new medications and why some people are still falling through the benefits cracks. This cannot wait until June or the fall. Parliament must get back to work, he said at a press conference on Thursday.
In the U.K., the House of Commons has proposed hybrid proceedings that will see up to 50 MPs in the chamber of the House and 120 members taking part in proceedings via video conferencing.
The most abrupt departure in 700 years of parliamentary history is due to start next Wednesday and Canadians will be watching closely.
The government has had free rein for five weeks. It is time it was reined in.
Scheer is right when he says, now more than ever, Parliament is an essential service.
Email: jivison@postmedia.com | Twitter:
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Rex Murphy on COVID-19: The power to censor speech and other great ideas from our Liberal overlords – National Post
Posted: at 3:43 am
If there is one positive thing that can be said about this terrible plague were enduring, it is that now and then, it gives the Trudeau government some really, really great ideas.
Sure it was only a couple of weeks ago that the Liberals came up with the idea that they a minority in Parliament, remember should give themselves the power to tax and spend for the next two years, without having to get parliamentary approval. It was a truly brilliant idea, except that it ignored the fact that approving government spending is one of the most important functions of Parliament. Take away its authority over spending and the House of Commons might just as well be any old bingo hall, or with a little imaginative renovation, a one-of-a-kind Costco store.
Now, compliments of Privy Council President Dominic LeBlanc, we learned that the Liberal government is contemplating legislation to make it an offence to, as a CBC report put it, knowingly spread misinformation that could harm people. In plain language, this government is openly thinking of making itself the official censor of what can and cannot be said about COVID-19. Pure brilliance again, dont you agree?
Well, actually, no. Dont even think of it. Better still, to borrow a phrase from Greta Thunberg: how dare you? There is already a government that has that power, and in some cases brutally exercises it. That is the government of the Communist Party of China.
And what has it done with that power? It barred telling the truth about COVID-19, and instead told lies about it. On the where it happened, when it happened, how it happened and how it spread, the Chinese government confounded, confused and lied about a plague that has now hobbled the whole planet. And China officially reprimanded the doctor who initially tried to warn people about the coronavirus, and who, with dread irony, actually died from it. (A postmortem apology followed from the government. That surely helped.) Admire the Chinese government if thats your thing, but on this subject, it is not an example to be followed.
So, lets tap this serpent of an idea on its little head before its fangs emerge and it develops a real appetite. The problem with government having control over what is said and written, completely aside from it being the utter contradiction of a liberal democracy, is that governments especially on a matter such as this pandemic are simply not competent enough to know what is right and what is wrong.
What is required for a government to pass a law against misinformation? To begin with, it presumes an infallible authority thats able to make judgments on what is, or is not, correct information. Even worse, it presumes the government has the ability to make judgments on a matter that, incontestably, is not yet fully understood by anybody.
This virus is new. The investigation of its nature, transmission, the best policies to confront it, the extent of the response to it, even the nature of the response all of these elements are, at best, in an incomplete and early stage of understanding.
Experts have varying degrees of skill and knowledge. If experts disagree, which happens often, will some of them be silenced? In actuality, a divergence of opinions can be seen as a path to the full truth emerging. But this cannot happen if the government gags those who may seem to be wrong at the present moment.
On the purely political front, there are equal objections to giving government censorship powers. Governments take to extensions of their power like bears to honey. The more power they get, the more they believe they alone should exercise it. Power swells the ego. Add more power, and if you follow the analogy, a little balloon soon thinks its the Hindenburg. And a government swollen with power does not like other voices.
It was only a couple of weeks ago that Prime Minister Justin Trudeau barred the leader of the Opposition from joining talks with other opposition leaders because, in Trudeaus own memorable words, Conservative Leader Andrew Scheer disqualified himself from constructive discussions with his unacceptable speech earlier today.
Yet it is not for Trudeau, or any other prime minister, to determine what is acceptable speech from his constitutionally positioned critic, the leader of the Opposition. Nor is it proper for this minority government, which has had enough struggles of its own over misinformation on masks, on screening at airports, on our relative security from the pandemic to decide what the rest of us can, and cannot, say or write about this unique crisis.
National Post
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Malcolm Turnbull ‘nearly destroyed the Liberal Party’ – Sky News Australia
Posted: at 3:43 am
It has been revealed former prime minister Malcolm Turnbull was prepared to "bankroll" The Guardian Australia despite it being one of the "most left-wing outfits in the whole world" says Sky News contributor Cory Bernardi.Mr Turnbull outlined in his forthcoming memoir, 'A Bigger Picture', how he helped introduce the UK editor of the the Guardian Alan Rusbridger with the man who would bankroll its Australian counterpart, Graeme Wood.He did so, Mr Turnbull writes, because he was "beginning to despair about the state of Australian journalism."Mr Bernardi said these revelations show Mr Turnbull is "not a Liberal, he was never really a Liberal, he's one of these people who will be whatever he needs to be to get where he wants to go".He told Sky News host Peta Credlin Malcolm Turnbull was a "disaster for a the Liberal Party, and he nearly destroyed the Liberal Party".Image: AP
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Malcolm Turnbull 'nearly destroyed the Liberal Party' - Sky News Australia
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Cuomo, liberal Northeast governors hatching ‘Trump-proof’ plan to reopen economies without the president’s influence: report – TheBlaze
Posted: at 3:43 am
New York Democratic Gov. Andrew Cuomo and several other northeastern governors are reportedly developing a plan they hope will thwart attempts by President Donald Trump to influence how and when they reopen their states' economies.
According to Reuters, Cuomo has hired high-powered consultants from McKinsey & Company to produce models on "testing, infections, and other key data points that will underpin decisions on how and when to reopen the region's economy." Cuomo has also recalled former top aides as part of the effort.
The goal is to "Trump-proof" the plan, an adviser to New Jersey Democratic Gov. Phil Murphy told Reuters.
A Cuomo adviser added, "We think Trump ultimately will blink on this, but if not, we need to push back, and we are reaching out to top experts and other professionals to come up with a bullet-proof plan" to open the economy on the states' terms.
A McKinsey adviser confirmed to the news agency that consultants are providing analysis on testing demand and availability, supply chain for important supplies, virus projections, and hospital capacity.
Cuomo, Murphy, and governors from Connecticut, Pennsylvania, Rhode Island, Delaware, and Massachusetts formed a coalition Monday to work on a coordinated plan to reopen their economies as the coronavirus pandemic dies down. Of the seven states, only one has a Republican governor Massachusetts.
Three governors from the West Coast states, California, Oregon, and Washington, also formed a coalition Monday. On Thursday, seven Midwestern states followed suit.
The New York Times noted that the northeastern coalition announcement "appeared to be an implicit rebuke to President Trump."
Trump, who had previously desired to reopen the economy by Easter but later decided to extend social distancing guidelines until April 30, has been sensitive to the consequences of a long-term economic shutdown since the start of the outbreak. He had been growing increasingly frustrated with Democratic governors who appeared more comfortable with the idea of continuing economic shutdowns in their states.
During a White House press briefing on Monday, Trump argued that he possesses "total authority" in regard to reopening the economy after a crisis. It wasn't immediately clear what the president meant by this statement, but nonetheless, the clash with governors over who has the power to reopen the economy had evidently reached a boiling point.
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Why Society Will Need Liberal Arts Graduates – Diverse: Issues in Higher Education
Posted: at 3:43 am
The global pandemic has disrupted all of higher education, but perhaps no sector in it more than liberal arts colleges. Our bread-and-butter is close personalized interaction between faculty mentors and students. We provide students with a holistic living-learning environment that COVID-19 and remote learning has abruptly upended.
Dr. Sonia Cardenas
But a liberal arts education is about much more than where we teach and learn. It provides students with lifelong skills and a broad base of knowledge. To be sure, these skills and knowledge translate into jobs and earnings over a lifetime. They also produce societal outcomes that we can no longer afford to ignore.
The decisions made across every sector of society in preventing and responding to crises are shaped by what the people making those decisions know, how they think, and what they value. This is the real power of a college education and a liberal-arts one in particular.
We overlook the societal impact of education when we think of higher education only in individualized terms (job outcomes) or equate quality with institutional reputation (college rankings). As important as jobs and rankings are, the global pandemic illustrates that we need to care more about what and how students learn.
Below are 25 ways in which a liberal arts education can shape our quality of life as a society. All of these are learning outcomes linked to a broad-based personalized education that is rooted in the liberal arts and reinforced through real-world experiences. Liberal arts students learn how to grapple with hard, enduring questions mirroring the messiness of life. They learn how to think, not just what to think.
In navigating this new remote world, lets not lose sight of the kind of society we want and need to be. Lets make value-based decisions, not fear-based ones, about our educational systems. Our society will need liberal arts graduates now more than ever before. Regardless of their career path, liberal arts graduates will be broadly prepared to make the world better.
Dr. Sonia Cardenas is acting dean of the faculty and vice president for academic affairs, and professor of political science at Trinity College in Hartford, CT.
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Why Society Will Need Liberal Arts Graduates - Diverse: Issues in Higher Education
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Liberalism, Like the Wuhan Virus, Will Never Die – Townhall
Posted: at 3:43 am
The media are outraged that President Trump is talking about re-opening the country, following their previous position that he sure was taking his sweet time at opening up the country.
Fortunately, the Centers for Disease Control and Prevention's death forecasts from the Wuhan coronavirus have shrunk from 1.7 million Americans in mid-March; to 100,000 to 200,000 two weeks ago, provided there were massive suppression efforts; to -- most recently -- 60,000.
Every week, it seems, were another two weeks away from the apex.
According to a model recently published in The New York Times, if Trump had issued social distancing guidelines just two weeks earlier -- on March 2, rather than March 16 -- instead of 60,000 Americans dying from the Chinese coronavirus (projected!), only 6,000 would have died.
If thats what a two-week quarantine would have done, then how about a four-week quarantine?
By the end of the month, 90% of the country will have been shut down, quarantined and socially distancing for FOUR WEEKS. A majority of Americans have already been under these self-isolation rules for three weeks. (And most of the rest live in rural communities 16 miles from one another.)
Two weeks is the magic number. Test positive for the Wuhan: self-quarantine for two weeks. Come into contact with someone who has it: self-quarantine for two weeks. Traveling from New York, New Jersey or Connecticut: self-quarantine for two weeks.
With cold and flu viruses, people develop symptoms after just five days. But to be extra safe, were assuming the Wuhan virus can be transmitted for a full two weeks after contact.
After two weeks, youre either sick or the infection has passed through you with no symptoms.
Again: Its been three. Does social distancing work or doesnt it?
After four weeks of self-isolation, wont 90% of the country be Wuhan-free? Or are we in a sci-fi movie with a virus that can live forever without a host?
For the tiny percentage of the country not in self-isolation for the past three weeks, either because they are essential workers or because they are screw-offs, lets add them to the vulnerable list. Everyone take special precautions around doctors, nurses, grocery store employees and people who dont follow orders -- just as we do around the elderly and immunocompromised.
By May 1, even most of the slackers will have worked through the Wuhan. There havent been any large gatherings for them to attend, and almost everyone else has been staying 6 feet away from them. Theyve had a month to infect one another and either live or die.
In any event, unless all the claims about social distancing are nonsense, then a ONE-MONTH nationwide quarantine should have killed off the Wuhan in 90% of us, allowing a return to mostly normal life. (It goes without saying that Trumps travel bans will have to remain in place.)
I notice that the same people telling Americans they must remain at home indefinitely were indignant about closing bathhouses in response to the AIDS epidemic. Back then, the media and all gays except Randy Shilts said: How dare you ask us to shut down the bathhouses! Theyre part of gay culture. It would be like asking Catholics to stop visiting the Sistine Chapel!
But putting the entire country under stay-at-home orders? No problem.
Another liberal about-face since the AIDS era gives me an idea for how to re-open the country.
Liberals are furious with Trump for expressing optimism about the experimental drug hydroxychloroquine. When it came to AIDS, the gay communitys successful campaign to compel the FDA to allow compassionate use of unapproved drugs was a civil rights milestone on the order of Selma.
In a 1990 editorial, for example, The New York Times praised the educated and articulate gay spokesmen for bringing about changes in the traditional methods of testing drugs, adding that the new procedures were a compassionate response to AIDS sufferers.
By contrast, today the media are absolutely ghoulish in their hope for hydroxychloroquine to fail. The drug is approved for malaria patients, so its safe; its simply not approved specifically to treat the Chinese virus.
The reason for the medias hostility to hydroxychloroquine is obvious: Trump expressed enthusiasm for the treatment, so liberals are required to take the opposite position.
Its just like the Democrats recent infatuation with open borders. Until Trump, nearly every Democrat was for -- or claimed to be for -- border security, deporting criminal aliens and ending the anchor baby scam.
But as the Times Frank Bruni said, Democrats are defining themselves as antonyms to Trump. Why else, he wondered, would Democrats push policies like open borders, which wont go down well with many of the voters the party needs?
Perhaps we could use this liberal neurosis to our advantage. To re-open the country, we need Trump to come out against it.
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South London Memories: Ted Knight, divisive figure and political activist in the Labour Movement – London News Online
Posted: at 3:42 am
Ted Knight, who died on March 29 aged 86, was a divisive figure even in the Labour movement.
He led Lambeth council from 1978 to 1985 and spearheaded its defiance of Prime Minister Margaret Thatcher, who had attempted to cap local government spending.
He refused and persuaded his 31 Labour colleagues to do so. Ultimately, they all ended up being disqualified fromelected public office for the rest of their lives.
John McDonnell, ex-Shadow Chancellor, described his old friend last week as one of the finest and most courageous socialists I have known.
Norwood resident Mr Knight had been politically active from his childhood in the North-East.
His father, who was in the Royal Navy, encouraged Ted to hand out leaflets for Clement Attlees Labour Party at the post-war General Election. Knight joined the Labour Party League of Youth in 1949.
He was expelled from the party in 1954 for being a member of the Socialist Labour League, which associated with Trotskyists and organising a meeting on the abolition of the monarchy.
He was finally re-admitted in 1970 and told the admissions panel he wasa Marxist.
And he was soon secretary of Lewisham Trades Council. He became a councillor in Norwood in 1974 and by 1978 was the leader of Lambeth council.
Mr Knight quit his job as a contracts manager of a cleaning firm to work at the council full-time.
He led the council on a 60 a week the allowance for attending committee meetings and drove a 12-year-old Rover car.
He said: When you are in control of a 150million budget it is nonsense to suggest that you can do it in your spare time.
Knight founded the weekly Labour Herald in 1981, along with Ken Livingstone, then leader of the Greater London Council, and Matthew Warburton, the deputy leader of Lambeth.
In his memoirs, Mr Livingstone said Knight had an impeccable haircut, immaculate clothes and class-based approach to politics.
The Conservative landslide at the 1979 General Election meant both sides took up entrenched positions but Thatcher had the power to impose the law.
In 1984, she decided to cap local government spending through the Rates Act. Scores of Labour councils initially resisted but in the end only Liverpool, led by the notorious Derek Hatton, and Lambeth stood their ground.
Mr Knight dubbed Red Ted by Thatchers supporters in the national press refused to abide by the capped rate in 1985, because it would have meant massive cuts to services.
The district auditor notified him and the 31 others that he intended to fine them 125,000 for the debts run up when they refused to set a legal rate.
Mr Knight said: We intend to fight. We wont concede. We wont because we cannot concede if we are really representatives of working class people in this area.
In the end, the money was raised by Labour party members.
The Department of the Environment, which funded up to 75 per cent of local government spending at the time, in the end found the money to sustain Lambeth spending at its existing levels for a year.
But many of his party colleagues complained that his activities as Lambeth leader divided the party, made it unelectable and paved the way for Conservative dominance for the next 11 years.
Former Labour Party leader Jeremy Corbyn was his agent when he stood in Hornsey in 1979. He said last week: We were and remained very different characters. But it never stopped us from working together across London.
His leadership of Lambeth council was legendary. He stood up to the Thatcher Government and improved public services to meet the needs of working people. The establishment made him pay a huge price by trying to bankrupt him. But he was not deterred by this and spent his life campaigning for socialism.
Mr McDonnell said: Ted Knight was one of the finest and most courageous socialists I have known. He was indefatigable in his campaign for a society based upon equality, social justice and solidarity.
No matter what was thrown against him, he stood firm in his beliefs.
He devoted his life to the greatest cause there is, humanity.
Len McCluskey, the general secretary of the union Unite, said: Ted was a true spirit and a fierce fighter for his class.I have been proud to know Ted for many years, and to have been inspired by his leadership and socialist convictions.
Ted will be much missed but in offering our sincere condolences to his family and friends on behalf of Unite, I hope the admiration and respect so many have for Ted will be of comfort. Goodbye my friend.
Ed Hall, from Blackheath and former secretary of Lambeth Unison, said: At his peak, he could come across as haughty, even dictatorial. But I personally think he was astonishingly selfless and brave.
It was obvious his career would be destroyed by his rebellion in a way which Margaret Hodge and Ken Livingstone would never have been able to stomach.
But it did not seem to bother Ted that he would be in the shadows.
I was always astounded he managed to persuade 31 other Labour colleagues to follow him when the same fate awaited them. Where some politicians are looking for advancement, he did the opposite.
He helped keep youth clubs and libraries going and supported the gay and feminist movements when they were unfashionable.
And I cannot think of anyone like him who could turn around a cold community hall meeting of hostile people.
Mr Knight was also co-founder and chairman of the Croydon Assembly organisation, which staged regular meetings and rallies at Ruskin House over the past decade.
He also became chairman of Gipsy Hill Labour Party branch in 2016.
A memorial meeting will be organised later in the year.
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Inside America’s Mental Health Crisis and the Case for Prison Abolition – The Daily Beast
Posted: at 3:42 am
The mainstream conversation around mental health in the U.S.and throughout much of the Western worldfocuses on the relatively mild afflictions of the decently well-off. Sometimes, during times of fear and crisis, cynical politicians may zero in on the possible mental illness of individuals who commit acts of mass violence. But rarely do we talk about conditions of those with severe mental illness who, instead of receiving compassionate lifelong care, are usually tossed into prisons and onto the streets, typically out of view of those of us who can waltz in and out of psychologists offices as regular or occasional acts of self-care.
Psychiatrist and filmmaker Dr. Ken Rosenbergs latest documentary, Bedlam, premiering on PBS April 13, asks the American public to seriously contend with the extreme neglect and punitive measures Los Angeles County, as well as the rest of the country, has leveraged against those who most desperately need consistent and competent care. To do this, Rosenberg fuses both the personal story of his own sisters struggle with schizophrenia (and his subsequent choice to pursue a career in psychiatry) and the stories of several patients and their families who are routed in and out of the overburdened emergency psychiatric healthcare system.
Long-term care for those with severe mental illnessparticularly among the poor and working classhas essentially been eradicated from the U.S. in the decades since the middle of the last century, as mental health institutionalization became seen as inhumaneand many of the practices in most institutions werethe U.S. government, under JFK (whose own severely mentally ill sister was irrevocably harmed by a lobotomy), decided to turn patients out into society with little or no support. Instead of reimagining what compassionate lifetime care for those who needed it could look like, the state and federal government decided it would be easier to take the laissez-faire route.
Dr. Rosenberg wasnt originally going to include his family and sisters story, and in the film, you can tell that the rehashing he does is painful. I intended to make a film that had nothing to do with me. [A film] that would show life in the emergency room, because thats always interesting and exciting. But it was not really fair to the viewers because they wouldnt know why I was there and why I was doing it, Dr. Rosenberg explained. When you film someone in the emergency room, you get a glimpse of someone in a moment in time, but its not really the whole picture. You dont know what theyre like when theyre well, with their family, at work; theres so much you dont know about them.
But the effect is one of visible solidarity with his subjects: Bedlam doesnt gawk at or scrutinize the people with mental illness it encounters or their families; instead, the film becomes a charged vessel for action. I felt that to really do justice to the subjects in the film, Id really have to go to homes and collaborate with them and find them, said Dr. Rosenberg. And the beauty of filmmaking is in doing that, I found Patrisse, Montes sister, who ended up being one of the worlds foremost activists by the time the film was over.
That is Patrisse Cullors, a co-founder of the Movement for Black Lives and member of prison abolition organization JusticeLA (shes also a writer on the Hulu show Good Trouble). Her brother, Monte, goes in and out of the ER and prison due to his schizoaffective and bipolar disorders, and Patrisses lifelong activism coalesces around the act of caring and thus advocating for him. We first meet Monte in 2013, in the psych ER, where he is kind, energetic, and also in the middle of an episodehe had previously stopped taking his medication, and is having visions of fantastical horned adversaries.
Patrisse understands that caring for her brother will be lifetime workand its work shes honored to do. In the film, she explains that when her brother was first diagnosed, she made the decision she would never let his condition negatively affect how she sees him. Its a theoretically simple sentiment, but one you see play out in the documentary in incredible ways. Monte is a big black man, and so racismwherein he is seen as a threat to the state not only because of his illness but because of his racial identitybecomes yet another preexisting condition. So, in co-founding the Movement for Black Lives and JusticeLA, Patrisse had the question of mental illness at the front of her mind.
For a number of reasons, there dont seem to be a huge number of people who are (currently) able or willing to show up for severely mentally ill family members and friends with the same solidarity and acceptance (not to mention the degree of advocacy) that Patrisse offers to her brother Monte and others. Dr. Rosenbergs own family story shows how this widespread reality is not necessarily due to a lack of love but because both our social fabric and the provisional mental healthcare system we have are designed to undermine or prevent any and all love expressed between the severely mentally ill and their communities.
Because of Monte and Patrisse, as well as Todda middle-aged white houseless man with HIV and an undisclosed mood disorderBedlam becomes a film that is not about severe mental illness as its own isolated issue or identity, but about prison abolition, which is to say the coalition-based, momentous social change necessary to begin building a society based on cooperation and care rather than fear and punishment.
The idea of prison abolition is critiqued by both left and right, with extreme cases brought up as supposed evidence that prisons must continue to exist in some form, for some people. For liberals, that typically means those who commit acts of violence (rapists and serial murderers, especially) and for some leftists, that means white-collar capitalist criminals (the ruthless billionaires, profiteers, and exploiters). There are also racialized people otherwise open to abolition whose limit may be found at the very real existence of violent racists. Prison abolitionists are well aware of and sensitive to the harm of violence in communities and for survivors, but dont believe prisons have solved or can solve its trouble and terror.
I think there is a lot of misunderstanding [about] what we mean when we say abolish the prison/police state, Patrisse told me over the phone, Because the idea of abolition is about getting rid of one thing, but its also about imagining anew. And abolitionists practice at the intersection of healthcare, our legal system, [and] how we fundamentally take care of each other as human beings. We have designed a system that is punitive, that is about othering people, shaming people. Weve designed a system that really does value people based [on] their skin color, their size, their ability, their gender; and abolition is actually challenging us to evolve as human beings, to relate to harm and violence from a place of compassion, interdependence, dignity, and care. The abolitionist approach is a philosophy, a theory, and in that theory we try to figure out how we process it.
Weve designed a system that really does value people based [on] their skin color, their size, their ability, their gender, and abolition is actually challenging us to evolve as human beings, to relate to harm and violence from a place of compassion, interdependence, dignity, and care.
When someone like Lis Smith, former Democratic presidential candidate Pete Buttigiegs senior communications adviser, accuses abolitionists of posturing for Twitter retweets and preventing reasonable incremental change, she is really admitting the current system suits herand her careerjust fine. But Patrisse insists that no one is safe in the process and the theory we live under right now. Prison abolition demands us to imagine a collective future of care, not a top-down rationing of it. And abolitionists arent against meaningful reform: With the March 3 primary election, Patrisse and the organization she chairs, Reform L.A. Jails, was able to make an important step forward by getting a majority of votes for measure R, which requires Los Angeles County to invest in rehabilitation and mental health treatment while reducing jail populations.
Dr. Rosenberg, for his part, believes coalition is essential to a mental healthcare movement that doesnt meaninglessly split hairs over, for instance, drug treatment versus psychotherapy or a medical model versus a psychological model (he writes more extensively about these differing perspectives in the book version of Bedlam). Because we are so at odds with each other and because we are so ashamed of this and deny it and dont talk about it, as a consequence, thats where we get taken advantage ofby pharmaceutical companies, prisons and jails. And the care of the mentally ill ends up going to the highest bidder.
Bedlam makes a compelling argument for why mental health cannot be treated like a niche issue, separate from either the material or social conditions of the 99 percent. As weve seen with the coronavirus pandemic, the failure of the U.S. healthcare system is tied up in the failure of the state itself. To do anything about it, well have to get at the root.
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Inside America's Mental Health Crisis and the Case for Prison Abolition - The Daily Beast
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Where is the White House’s testing plan?; States teaming up; Navy COVID casualty, ID’d; The most helpful NATO ally; And a bit more. – Defense One
Posted: at 3:42 am
Call your own shots. In another abrupt shift, President Trump said on Thursday that hes now leaving the reopening of states up to governors. This latest development came as the White House issued a set of basic checkboxes to help understand when to allow various activities to resume. These include, for example, not opening back upuntil:
Critical caveat: Four months after the first U.S. case was found, the White House still has offered no detailed plan for reaching any of the goalsabove.
Public-health experts insist that one key to resuming normalcy is greatly expanding testing, ensuring that it is accessible and affordable, and putting the resulting data to effective use through contract tracing and isolation plans. And states have had to organize in regional consortiums to end the medical-gear bidding wars that had emerged in the absence of a federalresponse.
By the way: Those governor consortiums grew again on Thursday with the emergence of a Midwest group consisting of the governors of Michigan, Ohio, Wisconsin, Minnesota, Illinois, Indiana and Kentucky. CNN has more on that, here.
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Youre going to call your own shots, Trump told U.S. governors in a call Thursday afternoon, a recording of which was obtained by AP. Were going to be standing alongside ofyou.
Some White House officials did concede that this will all take a while. The new guidelines make clear that the return to normalcy will be a far longer process than Trump initially envisioned, with federal officials warning that some social distancing measures may need to remain in place through the end of the year to prevent a new outbreak, AP writes. And they largely reinforce plans already in the works by governors, who have primary responsibility for public health in theirstates.
Update: The Theodore Roosevelt sailor who died of COVID-19 has been identified. Aviation Ordnanceman Chief Petty Officer Charles Robert Thacker Jr., 41, of Fort Smith, Arkansas, died Monday at Naval Hospital Guam. His wife, also a Navy sailor, was at his side, a Navy releasesaid.
There are now 660 known cases of COVID-19 among Thackers shipmates, or 13 percent of the sidelined aircraft carriers crew. More on the ship after thefold.
Whats Wrong With the Air Forces Connect Everything Project // Patrick Tucker: In a new report, GAO watchdogs say officials cant say how much it costs or if itll evenwork
Global Business Brief // Marcus Weisgerber: USN, USAF acquisition chiefs talk COVID; Shipbuilder staggers shifts; Contractor accidentally ejects himself; andmore
No Military Has Done More for Corona-Stricken Allies Than Germanys // Elisabeth Braw: The Bundeswehr has been flying supplies to, and medevacing patients from, its Europeanneighbors.
Haircuts in a Time of Coronavirus? // Jim Golby: There have been too many confusing messages during this crisis. Senior military and civilian leaders should be enforcing social distancing as much as discipline, and with onevoice.
Welcome to this Friday edition of The D Brief from Ben Watson and Bradley Peniston. Send us tips from your community right here. And if youre not already subscribed to The D Brief, you can do that here. On this day in 1946, the French military officially withdrew its last soldier from Syria under the so-called French mandate, thereby granting Syria its fullindependence.
The French navy is under fire for how the coronavirus spread on its aircraft carrier Charles de Gaulle, Reuters reports from Paris. So far, Nearly 700 out of 1,767 sailors in the carrier group that includes the flagship Charles de Gaulle have so far tested positive for the virus, a total expected to rise when results are finalised from a third of the tests. Twenty crew members are in hospital, including one in intensive care. Read on, here.Roosevelt updates: The Navys COVID fact sheet for Friday reports that 660 of the Theodore Roosevelts 4,865 sailors have COVID-19, while 3,920 have tested negative. 4,059 sailors have moved ashore into isolation accommodations on Guam, where the nuclear-powered carrier has been sidelined since March 27. Seven sailors are in U.S. Naval Hospital Guam for COVID-19 symptoms, one in the ICU.Othernews:
Elsewhere in Europe, outdoor Rome has become a place for the birds, thanks to the coronavirus. AFP takes you there, here.And in Belfast, Ireland, vans are driving around with kegs of Guinness for at-home delivery since the pubs are all closed.Perhaps unsurprisingly, Moscow has more coronavirus cases than state testing shows, Reuters reports today. Employees from three Moscow-based private laboratories told Reuters that positive results were coming back in between 1% and 5% of cases - a wide range but a significantly greater share than the official tally. Like many countries, Russia is not carrying out mass testing, focusing solely on people with symptoms, those who have returned from abroad or people who have had known contact with infected individuals. More here.Meanwhile in NW Syria, some families are heading back to their destroyed neighborhoods because they just might be safer there than in crowded refugee camps.Also in Syria this week: Russian and Turkish troops went on their fourth joint patrol on Wednesday, Reuters reported in a very short hit, here.
In tech news this week, Indias government is the latest to ban Zoom for official business, citing concerns over the apps privacy vulnerabilities. The advisory came from Indias Cyber Coordination Centre, and comes as several companies including Google, Apple, NASA, and Tesla have urged or warned their employees from using Zoom, TechCrunch reports, adding German and Taiwan have also banned the use of Zoom in their nations. More here.Google seems to smell blood in the water and on Thursday announced an expansion of its video conferencing tool Meet for educators and businesses. The integration of Meet with e-mail is the first of several features being launched ahead of schedule because of a surge in demand for video conferencing, Reuters reported after speaking to Google vice president Javier Soltero.Notable fine print: Google is not charging customers for upgrades to Meet-related features like large video calls during a six-month period ending in September, Reuters writes. The policy, which is aimed at winning over customers in the long run, could add to the strain on Googles profits at a time at when its ads sales business is taking a hit. More here, or read Googles explainer here.
And finally: This week we learned that U.S.military personnel perform, on average, like or slightly better than the civilian population along a variety of metrics including such as family income and family wealth as well as cognitive abilities. Thats one facet of some recent research in the Journal of Strategic Studies looking at American military demographic trends over the past roughly five decades. The findings were highlighted in a Thursday report from The Economist entitled, Social climbing: Recruits to Americas armed forces are not what they used to be.The work was sparked by a reassessment of an intense debate between two opposing camps, headed by two leading intellectuals, Milton Friedman and Charles Moskos. For Friedman, compulsory military service led to a military of slaves. For Moskos, a military of volunteers was a military of mercenaries.As a former soldier, attempts to apply that slave/mercenary dichotomy to the U.S. military of today seem more than just misguided and offensive to your D Brief-er. But apparently, From past research, we know that from the abolition of the draft through the mid-1990s, Moskos prediction about the socio-economic backgrounds of those who joined the military turned out to be correct. However, that is no longer the case.Long story short: for the period 1997-2008, the U.S. armed forces have been recruiting primarily from the middle-class rather than from poorest (or the richest) groups, the researchers write.To expand on that, recent recruits tend to have higher than average socioeconomic background: they disproportionally come from the middle of the family income, family wealth, and cognitive skill distributions, with both tails under-represented. Whats more, among individuals from low socioeconomic backgrounds, those with higher cognitive abilities i.e., those with better career options are more likely to enlist, in contrast to the existing understanding.Perhaps most interestingly for the future of U.S. national security, the authors write Rather than an entity separated from the rest of society, as some have warned, men and women who serve are likely to embody the values and culture of the median voters. This affects not only the nature of the military itself, but also the calculations in terms of costs and benefits of democracies electing to go to war.Theres even a takeaway regarding Chinas rise in the 21st century buried in this research: But as the research by Stephen Biddle has long shown, U.S. military prowess comes not only from its technology, but also from the human capital of those employing it and from the extensive training they receive. This means that in the emerging military-technological rivalry between the USA and China, the competition for talent will play an increasingly important role.Read the rest of the research, here. And a big tip of the hat to Defense One contributor Jim Golby for flagging it on Twitter thismorning.
Have a safe weekend, everyone. And well see you again onMonday!
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