Aargh!

Sometimes, I hate reading the news. Between President Obama's willingness to cut Social Security and Medicare, cuts "which would affect veterans, the poor and the older Americans," and the state of Tennessee's foolishness:

"A Tennessee bill that would cut welfare benefits of parents with children performing poorly in school cleared committees of both the House and Senate last week."

and

Twice a year, Tennessee holds a “health care lottery” that gives some hope to the uninsured residents in the state who can’t afford health coverage. Tennesseans who meet certain requirements — in addition to falling below a certain income threshold, they must be elderly, blind, disabled, or a caretaker of a child who qualifies for Medicaid — may call to request an application for the state’s public health insurance program, known as TennCare.

[snip]

State residents who have high medical bills but would not normally qualify for Medicaid, the government health care program for the poor, can call a state phone line and request an application. But the window is tight — the line shuts down after 2,500 calls, typically within an hour — and the demand is so high that it is difficult to get through. [...]

[snip]

If Tennessee Gov. Bill Haslan (R) opted to expand Medicaid under Obamacare, more than 180,000 people would be able to be added to the TennCare rolls by 2019... Haslan has not yet decided whether Tennessee will accept Obamacare’s optional expansion of the Medicaid program, although he has indicated that he may make his decision sometime this week [week of 25 March 2013].

I despair of our ever having a truly effective safety net.

Also, it must be nice to have the luxury of time to decide if 180,000 people who need healthcare can get it. Uh-oh, Governor, your privilege is showing!

The Limits of Choice

Tessa Savicki, of Springfield, MA, maintains that she was illegally (without her permission) given a tubal ligation after delivering her ninth child. A reporter from the Boston Herald interviewed her, and over and over Savicki's words cut to what is the heart of the issue: "That’s my choice," she said, "This is my body."

But a few days later, the Herald prints another story about Savicki with the headline, "Public backlash stuns sterilized mother of nine." Apparently, she has gotten hateful Facebook comments and texts and people telling her she should be ashamed of herself.

I want to tell her, Ms. Savicki, don't be stunned, not when the Herald felt the need to include this in the first article:

Savicki has nine children from several men, is unemployed and relies on public assistance for two of the four children who live with her. She receives supplemental security income, or SSI, for a disability, non-Hodgkin’s lymphoma, she said. Her mother has custody of three of her children. Two of her children are no longer minors.

Why, you might think, is that included? Why is this not about the doctors and nurses who allegedly sterilized this woman without consent?

Well, that part is about the doctors and nurses--the reporter wanted to give you a chance to "understand" what their motivation may have been. I mean, after reading that, anyone can see why the medical personnel acted as they did, a fact confirmed by the public backlash. It's a really old story by now and it boils down to this:

Poor, single women should not be having children, much less nine children. Their choices are not respected/respectable. They cost "us." Their children cost "us." Someone else knows what's better for them and the ever-burdened taxpayers.

In fact, the second page of the initial article is Savicki being placed on the defense, because, as a poor single woman, she has done something wrong in having children:

Savicki acknowledged that some may feel little sympathy for her situation, but cautioned against public judgment because she is a poor, unmarried mother of 9.

“I would never have the right to tell anyone else ‘because you have this many kids that’s enough,’ ” she said. “That’s no one’s right to say that. It’s my choice. No one has the right to say you’ve had enough.

“I take care of my kids. I love my kids. I was not ready to make that kind of decision,” she said of the permanent sterilization.

Savicki said her life has stabilized in the last decade after a rocky start. She had her first child at 13 and dropped out of high school in the ninth grade.

Savicki said she’s been in a relationship with her fiance, Angel Flores Tirado, 36, since she was 25. She lives with him and the couple’s three children. Tirado helps support the family with his full-time job as a personal care assistant. Savicki said she’s had eight of her nine children while in committed relationships and hoped for one more child with Tirado.

“It’s not like I’m jumping from guy to guy to guy to get pregnant,” she said. “I’m trying to make a healthy home for my children.”

This is our world, where a woman who may have been sterilized against her will has to offer arguments as to why this should not have happened to her.

So what if it's an illegal, invasive violation? So many will see this particular violation as the right thing, the best choice.

Life, the Update

Thank you to everyone, here, on facebook, and via e-mail, who expressed concern, offered prayers, kind words, good vibes, etc. I have had a tumultuous two weeks, but everything else fades compared to concern for my dad.

Last Thursday, he had the lower portion of his left leg amputated. This time, the wound is healing just fine. They moved him today to a rehab that his doctors promise us is the best in the area. And of course, while I have all the "What can we do to facilitate his physical and emotional healing/get him through this?" sorts of questions, my sister had the practical ones. "Is the place clean? What's their health record like? Are the caretakers kind? What should we do about having a ramp built at home?" I'm smiling as I think of it.

Everything else is coming along. The car probably only needs a radiator. The conference is over and I didn't suck. My grad class dropped to six, but is back at seven, so it might hold. The baby shower turned out nicely. I finished my survey syllabus (wasn't stressing initially cuz I teach it every semester, but condensing fifteen weeks to five? Gulp!). I still have some worries, but am feeling a bit better.

I wish I could hug all of you back and cook dinner for you.

The Other Louisiana

Some time ago, I asked what Louisiana does Senator David Vitter, who opposed the S-Chip reauthorization in 2007, live in.

After Bobby Jindal's speech and his rejection of some of the stimulus funds, I have to ask the same of him.

I am really at the point where I can't utter much more than, "How dare his ruthlessly ambitious, selfish, trying-to-score-a-political point ass do that?"

From my micro-viewpoint of the north-central/northeastern portion of the state, I'd just like to point out people in Louisiana are suffering. There have already been budget cuts and guess where those disproportionately occur?

Higher (public) education and health care. This is a result of politics as usual in Louisiana:

Over the years, lawmakers have locked more than half the state's income into specific programs -- everything from elementary and secondary education dollars to wildlife and fisheries funds -- making the money largely protected from budget cuts. When the state faces a deficit, the governor and lawmakers have little discretion to cut those shielded programs.

That situation leaves Louisiana's public colleges and health care programs to take the largest hit in tight budget years. They are the two largest areas of unprotected spending.

[snip]

Higher education and health care could lose more than $380 million each in budget cuts next year because the state is expected to bring in $1.2 billion less in state general fund revenue in the fiscal year that begins July 1.

If you look at that Vitter post you can see some of the dismal statistics re: health care (and access to it) in Louisiana. But here is a summary from LPB's Louisiana Public Square January "Backgrounder" entitled "Guarded Condition: Healthcare in Louisiana":

Louisiana is one state away from leading the nation in:

- Infant mortality, with an average of 10 infant deaths per 1000 live births;

- Cancer deaths, which kill 223 out of every 100,000 Louisianans; and

- Premature death, where poor preventive care practices annually kill 11,000 of our citizens before their time.

Health outcomes like these have placed the state either 49th or 50th in the United Health Foundation’s national health rankings for the last 17 years.

Medicaid and CHIP are (again) underfunded in Louisiana. According to FamiliesUSA, that has translated into a reduction in the number of monthly prescriptions covered by Medicaid for most adults, "delayed implementation of programs that provide services to certain seniors and people with disabilities," and "reducing how much providers who participate in the programs are paid for their services."

As if it is not already difficult enough to find providers willing to accept Medicaid.*

On the education side, Louisiana's public universities have already had $55 million trimmed from their budgets.

What that means in my North-Central Louisiana home area is this:

Louisiana Tech has had to lay off 30 employees and had $2.65 million cut from its budget.

UL-M has frozen hiring and had $2.38 million cut from its budget.

Grambling has had $1.33 million cut from its budget.

Friday, I talked to a colleague at LA Tech who asked me about going to the Organization of American Historians' Conference at the end of this month. Someone from his department was going to go, he said, but then travel funds were frozen. I read somewhere that such is the case on many campuses. And adjuncts, already in a tenuous position, are being fired.

The University of Louisiana System could have as much as $116 million cut from its budget next year. That particular scenario:

would result in the loss of approximately 60 academic programs, 1,500 jobs, 3,000 furloughed employees and a possible drop in enrollment of 12,000 students.

The technical colleges are hurting, too. As noted on the Louisiana Community and Technical College System website

LCTCS institutions have the lowest tuition rates throughout the state per full-time equivalent student, and are the most reliant on state funding. Therefore, across the board cuts have a far greater impact on our ability to serve students.

The restrictions are not enough for some Louisiana lawmakers, though, who actually want to see some of the schools close.

Gotta love our priorities.

Lower levels of education are affected too, of course. mrs. o's high school is probably closing in May, after a bitter, protracted fight. She and I both find it ironic that one of the selling points of closing the school and combining it with the larger high school in the parish seat is the availibility of the dual enrollment program at the local technical college. Budget cuts means there is a lack of funding for the program!

The summer program that I usually work, funded by the Louisiana Department of Education, is cut. I'm not sure if its school year existence (when it is held as an after-school program) is in jeopardy or not.

And then, late last week came the news that Pilgrim's Pride plants in Farmerville and El Dorado are closing. The direct impacts of the loss of the Farmerville plant in North Louisiana, according to that article, are 1,300 in-plant jobs gone by summer and 290 contract growers (and my God, their situation merits a posting of its own) in limbo. I'm not sure the article took into account the Louisianans who cross the state line to work in Arkansas. I've already written about how earlier reductions hurt the region. This will be devastating. As mrs. o told me Friday night, by summer, neither she nor her husband will have a job.

This is the context in which Bobby Jindal takes it upon himself to turn down money. And that speech he gave--I'll be honest and say that I focused, horrorstruck, on that image he tried to paint of Louisiana as "regenerated" in the aftermath of Katrina.

A Louisiana to which many people can't come home (not that they're wanted to come back, of course) because of lack of housing** and health*** and social services.

A Louisiana (particularly New Orleans) in which he admits to abandoning the public school system brags about "opening dozens of new charter schools, and creating a new scholarship program that is giving parents the chance to send their children to private or parochial schools of their choice."

A Louisiana in which state agencies still report delays, loss, and confusion as a result of the 2005 hurricanes. My own experience has reflected this. Just one example: in September 2007, I sent my son's birth certificate to the Louisiana Vital Records Registry for a change. In April of 2008, I called them. The alteration had just been assigned to someone in February, an employee told. She specifically connected the backlog to Katrina. In June, I received a letter requesting that I send in a new check as the previous one was "outdated." I said forget it and went to a local health unit and paid for another copy. I have never received the original back.****

Many Louisianans are poorly educated, in poor health, have little economic opportunity, and little job security. The fact that Jindal can stand there with his fake grin, crafting tales, and declaring "Americans can do anything" while marginalized Louisianans, ill-equipped to withstand the realities of this recession, are hurting, is disturbing. He's keeping his eye on the big picture, though, right? Too bad for the residents of a little state whose realities are getting in the way of the story he wants to be able to tell.
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*One of the things that strikes me most about the "Oh, no, universal health care is a socialist evil!!!" arguments is the one that says people might have to wait long periods for health care. Not desirable, but totally based upon the experiences of a certain class. Poor people already wait long periods and the health care they receive is often inadequate. The waiting times at "charity" hospitals (I am most familiar with the LSU hospitals in Monroe and Shreveport and the stories of Ben Taub in Houston) are unbelievable. People sit for hours and hours in ER waiting rooms. Getting in for routine, preventative care at the LSU Hospitals or the Parish Health Units often requires trying to schedule months (even a year) in advance. But as long as it's poor people waiting...

**Click through that whole presentation!

*** Though the shortage of healthcare providers is not nearly as acute as it was as late as 2007, there are still issues surrounding access to healthcare.

**** The other major issues for me, as a historian, have been research related.

Labor Pains

In 2007, after a very complicated labor and delivery, mrs. o gave birth to a baby boy. There were some issues, however, and he had to be taken to another hospital and placed in NICU.

She was in ICU herself, but when she was finally able to come home, she seemed in good spirits, still preparing their house for the new baby.

Then one day, she broke down. You go through labor and delivery and you expect to come home with your baby*, she explained to me. So one of the emptiest, most hurtful feelings she'd ever had was coming home from giving birth without a baby.

mrs. o could take solace in the fact that her baby would soon be there--a homecoming delayed by two weeks, in the end, but a homecoming nonetheless.

Kalynn Moore of Jersey City has no such comfort. She gave birth to a baby boy who died on 12/21. There would be no homecoming, but she hoped to give him a homegoing.

And now, even that desire may be denied. Christ Hospital, where Moore gave birth to little Bashir, has apparently discarded the baby's body with the trash. From abc.com:

The hospital says the baby... was delivered stillborn and was placed in the hospital morgue. When funeral workers came to claim the body Friday the hospital could not locate the body.

Police later informed Moore that her son's remains had been thrown out with the garbage.

The article states that Bashir was "misplaced."

Misplaced.**

My first reaction was that this story, even with no other details, is horrific.

But I am waiting for more details because I think there is a lot more behind this story. I do not know anything about Christ Hospital, but these things stand out to me.

1)Kalynn Moore is black. I think of the historic (mis)treatment of people of color by the medical establishment and, specifically, how reproductive freedom and justice have been denied women of color.

2) Kalynn Moore might be a single mother. Though her son seems to have been named for his father, the articles I've read have said things like, "a son was born to Moore" or "Mom demands answers." There is no mention of the baby's father--when the articles talk of family, they mention Moore's cousin. That is not to say that Bashir's father is not there, but that in a society that constructs married parenthood as the-only-way-to-go, 1) he might be being disappeared as not a "real father" and 2)the validity of their family unit is quietly denied. Similarly, I wonder how the treatment of Kalynn Moore might have been affected?

3) The baby was born on December 21, but the funeral home did not come to pick up his body to January 2. Because the hospital says he was stillborn, there was no autopsy. Even given the holidays, is 13 days a long delay? (It would be where I'm from). I ask, because I wonder if there were financial difficulties--an issue that would have definitely affected how Moore and her baby were prioritized and treated.

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*Such is the case for most women, though I do not mean to discount the experiences of women who place their babies for adoption or who know, before delivery for various reasons, that their newborn's life will be short.

**This post calls the situation a "bizarre mishap," this one (by one of the authors of the first linked post and with the appalling title, "Dead Baby Trashed"), a "hospital blunder." Euphemisms, gotta love them.