Who says you're poor?

The U.S. government thinks you’re doing okay if, in a family of four, you’re pulling in something over $22,000 a year. It might be a little tough to get by on that these days. But the way poverty is measured, and plans made around the measurements, are obtuse and arcane at best.

Exactly who qualifies for state and federal assistance varies. More important than today’s index though, unless you are someone missing out on help, is tomorrow: plans for adequate housing, food stamp and other assistance programs are all based on some very old data. When the current federal index was set, for example, some 3% of the family budget went for food; today’s actual food costs are more like 10%.

A group of California seniors converged on the state capitol a few days ago with an eye toward bringing that state’s poverty line and real-time poverty closer together. The group is enthusiastically supportive of a far more accurate index developed by the UCLA Center for Health Policy Research.  They were careful to be “advocating and educating” only in meetings with legislators — the Senior Leaders Program is funded by the nonprofit California Wellness Foundation and lobbying is a no-no. But they would like to see AB 324, a bill crafted by Assembly Member Jim Beall, finally pass. Beall has watched it pass the Legislature twice, only to meet a Schwarzenegger veto; he told the seniors he thinks this time around the governor’s objections have been addressed.

This particular senior fails to see any reason to stick with inaccurate data when accurate data is available. The main argument against adopting a better measurement has centered around the cost issue — If we update the index, we might find more poor people. Hello? A town builds housing for 10 people and 100 people knock on the door?

Whether or not there are any incipient seniors in your family (we seem to make up a substantial percentage of the poor, by any measurement) you might want to see what’s going on in your state. Maybe, some day, the U.S. Government will even go for poverty line fact over fiction.

Dr Oz worries about cell phones too

More on cell phones and brain tumors: a reader yesterday sent along a link to an earlier commentary by Mehmet Oz, the cardiac surgeon/author/media guru who has also weighed in with advice that links between cell phone use and cancer are indicated.

We rely on them to connect us to the people we love, to help us stay organized, and, in an emergency, to keep us safe. But more and more experts are saying that cell phones may pose a very serious health risk – increasing your chance of developing a brain tumor.

That means that over 270 million Americans may be playing Russian roulette with their cell phones every day. Each year, more than 21,000 adults and 1,500 children are diagnosed with brain tumors, and researchers believe some of them may have been caused by talking on a mobile phone.

A new study examined a decade’s worth of research and concluded that people who use cell phones for more than 10 years are up to 30% more likely to develop brain tumors than people who rarely use them.

Nothing has shown proof — yet — that if you use a cell phone often enough, long enough, you’re going to get brain cancer. Dr. Oz lists ways to improve your chances — keep your phone in your pocket, use it on speaker (and Lord help us all when everyone’s not just on cell but on speaker…), use wired rather than wireless when possible. And however much some of us vow we’ll resist texting to the bitter end, atrophied thumbs might still be preferable to brain cancer.

Still, the cell phone industry is not going to issue credible warnings. The FCC should do so.

Is your cell phone frying your brain?

OK, if you think it’s all just a lot of hysterical hooey about cell phones & radiation, you can click on to another page. But this op ed piece by public health expert Joel Moskowitz (with Diana McDonnell and Gene Kazinets) in the San Francisco Chronicle got my attention. Moskowitz is the Director of U.C. Berkeley’s Center for Family and Community Health.

A huge, 30-year study called COSMOS has been launched in Europe to determine whether cell phones cause cancer and other health problems. Meanwhile, policymakers in Sacramento are considering legislation to ensure people know how much radiation their cell phones emit. The wireless industry vigorously opposes such legislation. It argues that its phones comply with regulations, and there is no consensus about risks so people don’t need to know this. Our research review published in the Journal of Clinical Oncology found alarming results to the contrary.

We reviewed 23 case-control studies that examined tumor risk due to cell phone use. Although as a whole the data varied, among the 10 higher quality studies, we found a harmful association between phone use and tumor risk. The lower quality studies, which failed to meet scientific best practices, were primarily industry funded.

The 13 studies that investigated cell phone use for 10 or more years found a significant harmful association with tumor risk, especially for brain tumors, giving us ample reason for concern about long-term use.

Do federal regulations adequately protect the public? The 1996 Federal Communications Commission regulations are based upon the Specific Absorption Rate (SAR), a measure of heat generated by six minutes of cell phone exposure in an artificial model that represents a 200-pound man’s brain. Although every cell phone model has a SAR, the industry doesn’t make it easy to find it. Moreover, children, and adults who weigh less than 200 pounds, are exposed to more radiation than our government deems “safe.”

So just for fun, I got out the 107-page User Guide that came with my cell phone. Full disclosure: my cell phone is turned off unless I’m out walking or traveling; it takes pictures but it doesn’t do apps. Still, those 107 pages say it can do all the fancy Stuff.

On page 81 I found the SAR data. Even if I wanted to decipher the very small print, there is no way any of it would be meaningful to a lay reader. It does say that “Your wireless phone is a radio transmitter and receiver. It is designed and manufactured not to exceed limits for exposure to radio frequency (RF) energy set by the Federal Communications Commission (FCC) of the U.S. Government.”

I do try to trust the U.S. Government. But since they once sent my then-Marine husband double-timing out of a foxhole toward an A-bomb blast with a radiation tag hung around his neck in the ’50s, it would appear we have long been open to experimentation about radiation damage. (He survived. The animals positioned closer to the blast site did not. No one will ever be certain how much damage was sustained by those Marines wearing radiation tags… but then, who knew we’d keep right on storing bombs and fighting senseless wars anyway?)

Another what-can-you-believe? comes from CNN’s medical guru Sanjay Gupta in this line from a two-year-old commentary on potential cell phone radiation damage still up on his blog:

Over the last year, I have reviewed nearly a hundred studies on this topic, including the 19 large epidemiological studies. I urge you to do the same and read carefully to see what you think. Here is an example from a Swedish paper showing no increased risk of a brain tumor, known as acoustic neuroma. (see study) As you read the paper, you will find they defined a “regular” cell phone user as someone who uses a cell phone once per week during six months or more.

Once a week? Hello? Even in Sweden, even a decade ago, did anyone with a cell phone not use it at least once an hour? This very old study did have a timeless conclusion: “Our findings do not indicate an increased risk of acoustic neuroma related to short-term mobile phone use after a short latency period. However, our data suggest an increased risk of acoustic neuroma associated with mobile phone use of at least 10 years’ duration.”

Moskowitz argues that it’s time to revamp FCC regulations, pointing out that it is not just heat transfer but also variations in frequencies emitted that could cause damage.

Most of us know something about potential damage lurking in our Stuff. But we tend to be slow learners, and our regulatory agencies tend to be even slower. Having just lost a greatly loved sister, a long-time smoker, to pulmonary failure, Moskowitz’ concluding paragraphs hit home:

We should address this issue proactively even if we do not fully understand its magnitude. Our government has faced similar public health threats in the past. In 1965, although there was no scientific consensus about the harmful effects of cigarettes, Congress required a precautionary warning label on cigarette packages: “Cigarette Smoking May Be Hazardous to Your Health.” More specific warnings were not required until 1984: “Smoking Causes Lung Cancer, Heart Disease, Emphysema, And May Complicate Pregnancy.”

Should we have waited 19 years until absolutely certain before we informed the public about these risks?

Although more research on cell phone radiation is needed, we cannot afford to wait. There are 285 million cell phones in use in this country, and two-thirds of children over the age of seven use them. Manufacturers bury the SAR within their owner’s manuals, along with safety instructions to keep your phone up to an inch away from your body.

Nine nations have issued precautionary warnings. It is time for our government to require health warnings and publicize simple steps to reduce the health risks of cell phone use.

Why not?

Government must inform us of cell phone risk.

Study the fetus before abortion: Oklahoma enacts tough new laws

It is still legal to get an abortion in Oklahoma. But first, you’ve got to look at the ultrasound, listen to some technician describe whether the fetus has indications of arms and legs and get your doctor to report on whether or not there is any cardiac activity. If you were not suffering pain and distress from an unwanted &/or unmanageable pregnancy before all this, you will doubtless suffer during and after. Then, maybe the State of Oklahoma will let you resume control of your own body.

No one is more vulnerable than a child in the womb,” said state Sen. Steve Russell, R-Oklahoma City. “They have no voice except ours.”

Well, I beg to differ with the good senator. Wonder what gender Steve Russell is? A fetus is not a child. Fetuses have voices; their voices belong to the women in whose bodies they reside. Exactly as the voices of a group of ocular cells belong to a woman considering eye surgery. It is nobody’s business but the woman’s whether a group of cells — detectable signs of appendages and heartbeats notwithstanding — should appropriately remain within her body until they might become a baby. It should not be my business to tell Steve Russell, or anybody else, how much he has to study pictures of spermatozoa before he undergoes a vasectomy, which I hope… well, maybe this analogy should not go any farther.

The Oklahoma Senate voted Tuesday to override Gov. Brad Henry‘s veto of two abortion bills, including one that an abortion-rights group has said would be among the nation’s strictest measures against the procedure.

The narrow override votes in the Republican-controlled Senate came a day after the state House voted overwhelmingly to do the same, meaning the bills became law immediately. The New York-based Center for Reproductive Rights quickly filed a lawsuit, however, seeking to block enforcement of one of the statutes.

It requires women to undergo an ultrasound and listen to a detailed description of the fetus before getting an abortion. The person who performs the ultrasound must describe the dimensions of the fetus, whether arms, legs and internal organs are visible and whether the physician can detect cardiac activity. He or she must also turn a screen depicting the images toward the woman so she can see them.

The Center for Reproductive Rights has said the ultrasound requirement intrudes upon a patient’s privacy and forces a woman to hear information that may not be relevant to her medical care. The group also believes it could interfere with the physician-patient relationship by compelling doctors to deliver unwanted speech.

“The constitutional issues are very serious,” said Jennifer Mondino, an attorney for the group. Oklahoma County District Judge Noma Gurich set a hearing Monday on the organization’s request for a temporary restraining order.

The other abortion measure overridden by the Senate prohibits pregnant women from seeking damages if physicians withhold information or provide inaccurate information about their pregnancy. Supporters of that measure have said it is an attempt to keep pregnant women from discriminating against fetuses with disabilities. Mondino said the group’s lawsuit does not seek to block enforcement of that law.

Oklahoma now officially joins Georgia, Ohio and an appallingly growing number of other states enacting, or seeking to enact legislation that is harsh, punitive and grossly inappropriate for women. Pregnant or not, women in the U.S. are entitled to the control of their own bodies. At least, for now. If the (largely white male) opponents of abortion get what they want, American women will be sent back to the dark ages of back-alley abortions.

Oklahoma enacts tough new abortion laws.

One immigrant's plight v Arizona law

My friend Maria is among the fairly good-sized community of illegal immigrants living in San Francisco. She works hard, buys local, supports her church and her daughter’s school, adds a lot to the city and state economy and functions in every way as a model citizen except she doesn’t pay income taxes. She would like to pay those taxes, but over the years that she’s been here she has not found an opening to apply for citizenship.

Once I asked Maria about her car, a nice one on which she paid hefty sales taxes but which, of course, she drives without a license.”I just drive very, very carefully,” she said, “and keep everything perfect with the car. If you’re stopped, maybe for a turn light being out, it’s $1,000 minimum.”

“A thousand dollars?” I said; “you’re kidding.”

“They impound your car. You have to find someone with a valid license, get them to go get your car for you, plus paying the fine and all the fees.” Maria said this in a quiet voice while I exhaled.

Now, if Maria is stopped in Arizona she will simply be sent home. And this makes very little sense to me. President Obama said the Arizona law threatens “to undermine basic notions of fairness that we cherish as Americans, as well as the trust between police and our communities that is so crucial to keeping us safe.”

He also said that he is monitoring the Arizona bill for civil rights and other implications.

“If we continue to fail to act at a federal level, we will continue to see misguided efforts opening up around the country,” Mr. Obama said.

In his remarks, the president didn’t offer a timetable for trying to pursue an overhaul of immigration laws in Congress.

Something seems not only unfair but un-American about making it legal for Maria to be summarily sent home after a traffic stop. Or some other kind of stop, no matter how vehemently everyone insists that racial profiling will never happen. We welcome Maria and her family in — after all, we need their labor if we’re going to eat strawberries — but once they’ve proven themselves solid citizen potential we throw them out.  Maria has cousins who were migrant workers although she herself has always been a small step up the ladder from that back-breaking job.

Admittedly, illegal immigrants come here for less than good-citizen motives. Certainly we must protect our boundaries. Arizona’s abuse-inviting law does not seem the right way to fix our immigration policies.

Obama Slams Arizona’s Immigration Bill – The Caucus Blog – NYTimes.com.

Abortion foes stoop to new lows, and new absurdities

Two pregnant women. One has someone behind her holding a gun to her head. The other one, a Black woman, is being led by a white man. They are entering an abortion clinic.

Wait! Saved by Georgia Right to Life!

It could soon be against the law to force someone to have an abortion, or to have an abortion that is “racially motivated” in the state of Georgia. SB 529, the Coercion and Prenatal Non-Discrimination Ban sponsored by Senator Chip Pearson and lustily supported by Georgia Right to Life, passed a couple of weeks ago by a vote of 33 to 14. The bill now goes to the House, where HB 1155 will send the same message into the world: Thou shalt not “coerce” someone into having an abortion; thou shalt not abort “on the basis of race or gender.”

If you have not noticed forced or racially motivated abortions being rampant in this country you may wonder what’s up with Georgia Right to Life.

I happen to think I know. My crystal ball says if the rather ridiculous law passes this is what will follow: GRTL will find some poor woman willing to declare, after seeking a perfectly legal abortion, that her doctor actually forced her to have the procedure. A high profile case will ensue, the doctor may or may not be convicted — that part really doesn’t matter — but more and more doors will close against abortions. Once enough doors are closed, GRTL and others eager to dictate what women may or may not do with their own bodies will have achieved their goal. Legal abortion will be denied the women of Georgia.

So, you say, they can just go to another state (until the method proves effective and other states follow along. Other states are watching.) If they have money and resources, that will be true. But the poor and un-empowered women of Georgia will be left without safe choices. And you can believe that there will be plenty of back-alley abortionists in business by then.

A diminishing number of us know what it was like in the heyday of back-alley abortions. The right-to-life people, who are so worried about embryos but don’t believe women have rights, won’t tell you. I will. Filthy men (and sometimes even women) made big money butchering desperate women who had no other choice. So the women lay on kitchen tables or gurneys bought cheap at hospital supply warehouses, had unsterilized objects puncture their bodies and went home — often to die.

There are two problems with the RTL people. One is their righteous zeal. The Alabama Pro-Life Coalition Education Fund, for example, “cooperates with God and other Christians…” Hmm. I, a committed Christian, have talked with God about a lot of things and She never told me She wanted to consign mature women to barbarity. The second problem is with mature women. The RTLers believe a fertilized egg has more rights than the woman within whose body it is harbored. If you find that as hard to believe as the notion that women in Georgia are being herded into abortion chambers against their will — check out Ohio Right to Life‘s opposition to the current H.B. 333. ORTL opposes the morning-after pill because “it may cause early abortion” on the morning after.

If the RTLers could, for one moment, stand in the shoes of just one poor, desperate, pregnant woman from the days before Roe v Wade they might get a tiny glimpse of the terror that comes from being without choices. The RTLers say, Choose Life, which I do, every day, for myself and everyone else humanly possible. If abortion becomes criminalized, as is the RTL aim, uncounted thousands of women will have no choice but the deadly back-alley abortionist.

Moving Mom & Dad: 8 months later

“The best thing? Well, there are only three rooms to look for my glasses in.” Nearing the end of her first year after a final move, my sister reports a whole bunch of pluses and only a couple of minuses in her housing choice.

Like millions of other older Americans, my sister Helen and her husband Clare faced the multitude of questions that come with aging in this country: where to live, how to stay active and independent, how to get necessary health care, how to finance it all. After a lifetime in academics and music, they had good friends at home and around the globe, but were beginning to feel isolated in their 4th floor Boston condominium because of limited mobility (Clare has Parkinson’s; they had long since sold the car…) and knew that changes had to be made.

First issue: Housing. Staying in their home was not a good option; though it had plenty of spare room, no family member was available to move in and help. They were far from needing (or being able to afford, for that matter) regular in-home help. Their children were scattered across four states, with families of their own.

The answer for Helen and Clare was Kendal at Ithaca, one of a growing number of retirement communities offering “lifetime” or “continuing community care” in almost every part of the U.S. and many other countries. They chose a two-bedroom, two-bath “cottage” within an easy walking distance of the main facility and its dining room (they have one meal a day there), fitness room, crafts room, library (a large and very well-stocked area where Clare spends most of his disposable time), swimming pool and meeting rooms (where Helen quickly found ways to be useful on multiple committees.) They made the move eight months ago (as reported on this page along with a running bunch of posts on senior housing choices then and since then); I visited again this weekend to see how things are working out. Pretty well. The winter wasn’t all that bad, though April in Ithaca seemed about as cold and ominous as June in San Francisco to this San Franciscan, and they have had no second thoughts.

The bad point: they miss their Boston friends. The good? Not having to worry about home care or upkeep, having a regular cleaning/household helper whom they greatly like, door-to-door transportation to cultural events at nearby Cornell University, Ithaca College and elsewhere, plenty of activities and new good friends, good food (“the desserts are desperately attractive,” Helen says) and health care (mostly right there on the premises.) On this last point, Clare lists one great attraction he sees: “They can’t throw me out.” The crowning bonus, for this fairly happily aging couple, is the proximity of their physician daughter and her husband, who relocated from the west coast to be near their parents, and who are in daily communication and assistance.

Kendal communities are not cheap. Nor are most of the others that offer independent living, assisted living and nursing care in assorted facilities, along the can’t-throw-you-out principle. Helen and Clare paid a hefty lump sum (being able to sell a home you’ve had for decades is the way most people swing this) and their monthly fee, which covers meals, transportation, doctors visits, drugs, etc, etc and etc, is also substantial. They are, though, a good choice for many. One college friend now in such a spot refers to her South Carolina retirement home as “our little corner of paradise;” another very close friend is delighted with her Virginia apartment in a community where her husband now lives in a “memory unit” a few steps away.

If you Google “retirement communities” or “continuing care communities” or similar phrases, literally hundreds of choices pop up. The managers of those facilities can spell out the costs and the benefits; for the pitfalls, it’s a good idea to talk with those who live there or whose loved ones are/have been there.

My demo couple in Ithaca are in the right spot.

Russian orphan Artyom, & another orphan story

Artyom and Vasya came from the same part of the globe as adoptive Americans — but the similarities end right about there. This is a personal perspective on another, happier-ending orphan story.

Seven-year-old Artyom Savelyev found himself at the center of an international incident recently, after being put on a plane by himself, with a one-way ticket back to Moscow and a note from his adoptive mother, 33-year-old Torry Hansen. “I am sorry to say that for the safety of my family, friends, and myself,” the letter said, “I no longer wish to parent this child. As he is a Russian national, I am returning him to your guardianship.”

She also said, “He is violent and has severe psychopathic issues”

Russian authorities were outraged, and suspended adoptions of Russian children. Some of the mom-for-a-year’s neighbors in Shelbyville, Tennessee, and many others who knew nothing more than what was reported in sound bites, were quick to condemn Torry Hansen and, in at least one instance, to say she deserved to go to jail. Investigations are ongoing.

Seventeen-year-old Vasya is the grandson of my friend Sally, who sent an e-mail today reminding everyone that there are not only two sides to every adoptive story, but some stories with hard-won happy endings. I’ve been following Vasya’s saga, via Sally’s e-mails, for over four years. There were two years (or perhaps a little more) of agonizing struggles with the red tape of the Ukranian government before Vasya finally arrived in the U.S. in 2007 at the age of 14, speaking no English and having an education at 5th grade level.

As reported today by his grandmother, Vasya is now fluent in English, finishing 9th grade in a private school, playing outstanding soccer, “an outgoing kid so proud of his newly-acquired driver’s license, a nice looking young man with a great personality. He is also an American citizen.”

All this, Vasya’s family emphasizes, “did not come about quickly, easily or smoothly.” They want others to know that adoptive families, as well as adopted children from abroad, can use a lot of support.

What about the future of adoptions of Russian children, currently on hold for U.S. citizens? The Joint Council on International Children’s Services, a membership-based advocacy organization, reported today,

The Department of State has received no information to confirm a suspension of adoptions from Russia to the United States.  Our Embassy in Moscow and other Department of State officials are talking with Russian officials to clarify this issue.

The Department of State is sending a high-level inter-agency team to Russia this weekend to meet with senior Russian officials, including officials from the Russian Ministry of Foreign Affairs, the Ministry of Education, and the Ministry of Justice.  The U.S. delegation will emphasize the importance of this issue to the United States, and will discuss our mutual concerns about how to better protect the welfare and rights of children and all parties involved in intercountry adoptions.

Many thousands of Russian children have found loving, safe and permanent homes in the United States through intercountry adoption.   Families in the United States have adopted more than 50,000 children from Russia.

The good news is, despite governmental red tape and countless hurdles, there are far more Vasyas than Artyoms. Maybe Russia will remember that.

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