Jenna & Barbara Bush doing good? Building better global health? Believe it

Saying good things about anyone named Bush has not been a priority of this space. But an article by Sarah Adler that appeared in today’s San Francisco Chronicle, and a quick visit to the Global Health Corps Web site, suggest that the former first twins have found a way to turn their considerable name recognition and fund raising skills into an innovative program at work to improve health access and care in the U.S. and across the globe.

When first daughter Jenna Bush attended a Bay Area AIDS summit hosted by Google.org two years ago, some skeptics doubted it would amount to more than a photo op.

But they were wrong. In a conversation with a Google staffer and a Stanford AIDS activist at one session, she helped come up with a big idea: A plan to improve health care access in the poorest parts of the United States and the world. What may have seemed like a pie-in-the-sky plan has morphed into a nongovernmental organization with an impressive roster of donors and more than $1 million in funding. Few may have heard of the Global Health Corps, but as its influence grows, that is likely to change.

“So many ideas come up in group conversations that never get realized,” said corps founding director Dave Ryan, who at the time was the executive director for Face AIDS, a nonprofit group that helps Rwandans living with HIV. “But when we all got together, we saw there was something special that could happen.”

Having watched friends transition from college into careers through organizations like Teach for America, they wondered whether they could create a similar organization dedicated to health care.

“We felt like there should be a similar program for public health,” said Charlie Hale, who works in Google’s direct ad sales division and is one of the group’s co-founders.

They enlisted an eager group of socially conscious friends and secured $250,000 in seed money from Google.org. Jenna’s sister, Barbara Bush, became the president of the organization, after spending time working in Africa with UNICEF and the U.N. World Food Program.

Rather than plunging into provision of health care or supplies, GHC finds people with skills in supply chain, design and technology often learned outside of the health care field, and partners with public health organizations to fill such needs within the field. These tend not to be old fogeys over 30, either; it is twenty-somethings like themselves that GHC seeks to attract. They have thus far sent 22 fellows to 12 countries in East Africa and the U.S., and plan to send 36 new fellows out this year.

The organization has also formed partnerships with the Clinton HIV/AIDS Initiative, which is part of former President Bill Clinton’s global nongovernmental foundation, and Partners in Health, which was co-founded by Dr. Paul Farmer and has a large presence in Haiti.

The Global Health Corps has four staff members in New York and three volunteers in San Francisco and relies on group calls, e-mail and video conferencing at cafes, such as the recent session at Philz Coffee where Barbara Bush, Hale and Chief Financial Officer Jenny Miller exchanged updates.

The group has raised more than $1 million, and Hale said that while he’s aware that the group has more advantages than others, it also has a greater obligation to prove itself.

“Our contacts got us in the room, but at the end of the day, no one is going to significantly fund you unless you show that your good idea can work,” he said.

The Global Health Corps is accepting applications for fellowships in Burundi, Malawi, Tanzania and Rwanda, where Barbara Bush recently traveled to meet with the group’s fellows.

Boomers and beyonders need not apply. This is a new-grads generation thing. Working backwards from the Greatest Generation through the Depression-scarred and the super-achievers and the me-firsters and the whateverers, it is encouraging to see a new generation of energy and optimism deciding to take on global issues of real significance and need. Even if the decider is named Bush.

Opportunity, optimism in Global Health Corps.

More on mortality: living strong, dying well

It’s hard to think about the death of my sister Jane (below) without thinking of another death we faced together.

Our father, in his 90th year on the planet and his 20th year of widowhood, started putting the pressure on Jane and me to come to see him one Thanksgiving. As we were in different states and had families and other things needing attention, getting to Virginia required some doing. Our dad had two daughters in between Jane and me, but she was the executor of his estate and I was the one who brought comfort because I closely resemble my mother. We four daughters usually visited at different times in order to stretch out the audiences for his story-telling and generally keep an eye on him. This time he was adamant. He wanted the two of us there together.

In mid-January we got it worked out. Jane and I met in Atlanta, having to spend the night there because the Richmond airport was snowed in. We managed to get on the first plane to land in Richmond the next morning. After picking up a rental car for the drive to Dad’s home in Ashland we took him to lunch at the only place open in town. He was impatient to get back home. Once there he did his traditional monologue about his 12 flawless grandchildren, a reassurance, of sorts, of his posterity. Then he shuffled off to his room for a nap.

And that’s where we found him when he didn’t answer a call to dinner. Keeled over, on his knees at the head of his bed, where he had said his prayers for 90 years. Having  departed this realm in the midst of a conversation with God, all arrangements complete. He and God had long maintained a strong, conversational relationship.

Not all of us can engineer our departures so efficiently — you had to know my father. Or so gently as Jane’s closing days with her family around, singing hymns. But there are millions of such stories (some of which are in the book, Dying Unafraid, that was motivated by the first story above, if you’ll pardon a little blatant self-promotion here; it’s still in print.) The great majority of those stories happen not because the central character had an unshakable faith in some deity or other (although that does tend to help matters) or because he or she had mystical powers or superhuman strength and determination, but because the central character accepted his or her mortality. We’re born, we live, we die. The facing of, and preparation for, its eventual end often makes dying better and always makes life richer.

That’s the lesson of these two stories. Dying unafraid tends to happen to people who live unafraid. And who talk to their families and friends, and complete their advance directives, and make it clear what their choices are. This is equally true for the young and the old, the fit and the infirm.

What are you waiting for?

Goldsworthy sculpture sends spirits soaring

Just when you think there is no good news, anywhere, any more, comes wordSpire sculpture this morning that Andy Goldworthy is considering a new sculpture in the Presidio National Park. His last work, Spire (left), created a monument to nature out of the trunks of 37 cypress trees. Like most of Goldsworthy’s works, Spire evokes a sense of reverence and peace. And, also like many others, it will eventually disappear as surrounding trees grow up to and past their silent neighbor.

The serenely beautiful film Rivers and Tides introduced many Americans to the creative Scottish sculptor a few years ago. My 40-something children loved it. Their teenage children loved it. Preschoolers love it. What’s not to love about Rivers and Tides? Goldsworthy art has a way of inching into your soul and making thinks okay. The new piece in the Presidio — that gorgeous chunk of land you and I now own — would be a band of eucalyptus branches snaking along 350 feet of Lover’s Lane, in the southeast corner of the 1,491-acre park. It may not leave the ground, but it still promises to soar.

Goldsworthy’s best known works in the San Francisco Bay area include his Stone River at Stanford, and Faultline at the de Young Museum

You’ve not met Andy Goldsworthy? Treat yourself. It’ll make your day.

'Lesbian Health 101' seeks to open doors, minds

Years ago a lesbian friend, who would soon die of uterine cancer, told me how she hated going to her gynecologist and consistently postponed it. “I’m sitting there in the middle of all those bulging bellies and beatific smiles,” she said, “like some sort of an alien.”

How I wish she were alive, so I could send this clipping from the San Francisco Chronicle:

When Dr. Patricia Robertson held the first lesbian health clinic at San Francisco General Hospital in 1978, she decided to cover the “family planning” signs in the lobby – she didn’t want to deter patients who thought gynecologists were only for dispensing birth control and helping women get pregnant.

“We wanted to put together evidence-based research that would support clinical guidelines, so when we talk about why lesbians are different from heterosexual women we can back that up,” said Robertson, who is a professor in the UCSF department of obstetrics, gynecology and reproductive sciences. “Doctors are going to be able to legitimize their advice after they read this book.”

The article points out that although progress has been made in health care since then, “lesbians are more likely than straight women to suffer depression and drug and alcohol abuse. They may be less likely to get regular health screenings like pap smears and breast exams.

With those disparities in mind, Robertson and Suzanne Dibble, a registered nurse with the Institute for Health and Aging in the UCSF School of Nursing, have put together the first textbook on lesbian health care. ‘Lesbian Health 101’ was released this month.

The textbook is written in medical language and designed for doctors, nurses and other health care providers, although Robertson and Dibble say they’re encouraging lesbians to use it as a resource for understanding their own health issues. Most of the chapters were written by health care providers who are also lesbian.

Chapters in the nearly 600-page book focus on a wide variety of health issues, from heart disease and breast cancer to partner violence and how to decide which woman in a relationship should get pregnant.Some sections focus on the risk factors that affect lesbians more than straight women – higher smoking rates, for example, or what effect not having children might have on breast cancer risks – while others address how doctors can best meet the particular needs of lesbian patients.

Many of the health issues that affect lesbians can be tied to stress related to their sexual orientation, Dibble said. Discrimination, the stress of coming out to family and friends, or feeling ostracized and alone can all lead to health problems.

Dr. Erica Breneman, an obstetrician-gynecologist with Kaiser Permanente in Oakland, said she’s pleased to see such a textbook available to doctors now, even if it’s troubling that the book is even necessary.

“In a perfect world, we wouldn’t need this,” Breneman said. “A woman who happens to be gay shouldn’t need much that’s terribly different than a woman who is straight. But the reality is, because of the particular demographics of lesbian women, they do have other health issues.”

Perfect worlds, it seems, are slow in coming.

‘Lesbian Health 101’ seeks to open doors, minds.

Taxes & fun together — Well, almost

‘Taxes’ and ‘fun’ — those two words in one sentence? The National Women’s Law Center is floating some family helpers that make such a combination almost possible. In today’s economic hard times, discovery of a few dollars remaining at home rather than going to Washington can be downright euphoric.

As W-2s and 1099s start appearing in mailboxes once again, kicking off the agonizing annual countdown to April 15, Americans must begin gearing up to discharge that most dreaded of citizenly duties: filing their taxes. In celebration of the venerable but oft-neglected holiday, “Earned Income Tax Credit Awareness Day,” we here at the National Women’s Law Center want to let you know that this year is different. This year, filing taxes can be…well, “fun” might be taking it too far. How about “marginally less unpleasant”?

We all know that more low- and moderate-income families than ever are struggling financially. But fortunately, thanks to the American Recovery and Reinvestment Act of 2009, more help than ever is available to those families in the form of tax credits.

Quick tax lesson – don’t run away: in general, a tax credit simply lowers the amount a family owes in income taxes. However, for some tax credits, even if a family owes little or nothing in income taxes, it can receive the value of the credit – sometimes thousands of dollars – as a refund. This means that for the families who are in the direst of financial straits, tax credits can be essential to survival (and you thought taxes were boring).

Pointing out that billions of dollars in tax credits go unclaimed every year, simply because eligible families don’t file for them, NWLC lists a few of the potential savings:

• The Earned Income Tax Credit supplements the wages of low- and moderate-income families. It is worth up to $5,657 (depending on income and number of children) and is refundable.
• The Child Tax Credit helps families with the costs of raising children. It is worth up to $1,000 per child (for up to three children) and is refundable for some families.
• The Child and Dependent Care Tax Credit covers some of the child or dependent care costs that families incur in order to work. It is worth up to $2,100 but is not refundable.
• The new Making Work Pay Credit increases families’ take-home pay. It is worth up to $400 for single tax filers or $800 for married couples and is refundable.

Some states offer similar tax credits, and because the value of many state credits is tied to the value of the federal credits, families could be eligible for more assistance than last year through their state tax returns as well.

The new law increased the maximum value of some existing federal tax credits designed to help working families and families with children, and it also established a brand-new credit. So this year, a family could be eligible for some or all of the following:

NWLC invites you to visit their site for details about these tax credits and tools to get the information for people who need it. “One final piece of good news,” they add: “families can get free help with preparing their tax returns. Call the IRS at 1-800-TAX-1040 to find your nearest Volunteer Income Tax Assistance location.”  So go for it. Save a buck, have a ball. You might be able to chuckle all the way to the filing deadline.

Gay judge for Prop 8 trial: open secret, non-issue

The biggest open secret in the same-sex marriage trial underway in San Francisco has been the general knowledge that presiding Judge Vaughn Walker is himself gay. It became less secret and more open today, thanks to a piece in the Sunday San Francisco Chronicle by columnists Phil Matier and Andrew Ross.

Many gay politicians in San Francisco and lawyers who have had dealings with Walker say the 65-year-old jurist, appointed to the bench by President George H.W. Bush in 1989, has never taken pains to disguise – or advertise – his orientation.

They also don’t believe it will influence how he rules on the case he’s now hearing – whether Proposition 8, the 2008 ballot measure approved by state voters to ban same-sex marriage, unconstitutionally discriminates against gays and lesbians.

Gay rights supporters, as well as many on the other side of this case, say they would not expect the sexual orientation of the unpredictable jurist to become an issue. Walker was, in fact, loudly condemned by the LGBT community for representing the U.S. Olympic Committee in their successful suit to keep the San Francisco Gay Games from using the ‘Olympics’ name when he was a private attorney.

“There is nothing about Walker as a judge to indicate that his sexual orientation, other than being an interesting factor, will in any way bias his view,” said Kate Kendell, head of the National Center for Lesbian Rights, which is supporting the lawsuit to overturn Prop. 8.

Matier and Ross quoted a federal judge friend of Walker who said Walker had some concern that people might conclude he wants to conceal his sexuality, but that it is part of his private life and irrelevant to any decision-making. The friend, who asked not to be identified “because of the sensitive nature of the Prop. 8 trial” further commented,

As evidence, she cites the judge’s conservative – albeit libertarian – reputation, and says, “There wasn’t anyone who thought (overturning Prop.8) was a cakewalk given his sexual orientation.”

State Sen. Mark Leno, D-San Francisco, who has sponsored two bills to authorize same-sex marriage that were vetoed by Gov. Arnold Schwarzenegger, said that as far as he’s concerned, Walker’s background is a nonissue. “It seems curious to me,” he said, that when the state Supreme Court heard a challenge to Prop. 8, the justices’ sexual orientation “was never discussed.”

Leno added, “I have great respect for Judge Walker, professionally and personally.”

Matier and Ross quoted a federal judge friend of Walker who said Walker had some concern that people might conclude he wants to conceal his sexuality, but that it is part of his private life and irrelevant to any decision-making. The friend, who asked not to be identified “because of the sensitive nature of the Prop. 8 trial” further commented,

Is it newsworthy?” he said of Walker’s orientation, and laughed. “Yes.”He said it was hard to ignore the irony that “in the beginning, when (Walker) sought to be a judge, a major obstacle he had to overcome was the perception that he was anti-gay.”

In short, the friend said, Walker’s background is relevant in the same way people would want to know that a judge hearing a discrimination case involving Latinos was Latino or a Jewish judge was ruling in a case involving the Anti-Defamation League.

There has been some talk around town that if the judge rules Prop. 8 unconstitutional and the  case goes as expected to the Supreme Court, Prop. 8 supporters will indeed raise the issue of Walker’s sexual orientation; and this was noted by the columnists.

Not so, said Andy Pugno, general counsel for the group that sponsored the Prop. 8 campaign.”We are not going to say anything about that,” Pugno said.

He was quick to assert, however, that Prop. 8 backers haven’t gotten a fair shake from Walker in court. He cited both the judge’s order for the campaign to turn over thousands of pages of internal memos to the other side and Walker’s decision to allow the trial to be broadcast – both of which were overturned by higher courts.

“In many ways, the sponsors of Prop. 8 have been put at significant disadvantage throughout the case,” Pugno said. “Regardless of the reason for it.”

Who’s getting the breaks and advantages in the case, now being considered by the judge, is a matter of who’s doing the analysis.

Judge being gay a nonissue during Prop. 8 trial.

Gay rights: a strange week everywhere

President Obama seemed finally on the move toward ending don’t ask, don’t tell after 16 years. The California same-sex marriage case was inching toward its anticipated target, the U.S. Supreme Court. Gay rights supporters were beginning to see rays of hope. That was the beginning of this week.

Nearing week’s end, Defense Secretary Robert Gates, who had joined Adm. Mike Mullen in calling for an end to the policy, was saying we should not rush into anything. Former Secretary of State and Retired Army General Colin Powell had switched gears and said the onerous law should be changed. Judge Vaughn Walker had begun to sift through testimony in the Perry v Schwarzenegger — but you can watch it (well, a reenactment set up after cameras in the courtroom were barred) yourself if you’d like to second guess the unpredictable federal judge. It has been a strange week, and it’s not even Friday yet.

In the California capitol meanwhile, State Senator Mark Leno, an openly gay and widely influential state legislator, is pushing a bill to defuse religious opposition to same-sex marriage. The bill would alleviate clergy concern about their churches losing tax-exempt status by putting the word “civil” before “marriage,” thus clarifying the differences between civil and religious ceremonies. It would protect those unwilling to perform a marriage which conflicts with religious beliefs — an argument that featured prominently in the acrimonious debates leading to Proposition 8 ‘s ban of same-sex unions.

Leno’s bill has the support of LGBT organization Equality California, whose executive director Geoff Kors says it will eliminate confusion, and of the pro-Prop 8 California Southern Baptist Convention, whose spokesman Terry Barone calls it “good legislation.”

We may never see bipartisanship in Washington, but when Equality California and the Southern Baptist Convention come out in support of the same legislation, it has to be a sign of progress. Or Mark Leno’s political wisdom. Or something.

Going to hell, or going to dance — hate group meets celebration

A small but extraordinarily vitriolic hate group out of Topeka, KS visited the San Francisco Bay Area this past week, picketing a variety of targets — anything Jewish, homosexual or supportive of same seems to do. It is, in fact, hard to find many people these folks don’t hate. You are welcome to check out their website — Westboro Baptist Church — it’s just not recommended after eating.They are headed to Dallas next.

Most people simply ignored them. But groups at several local high schools and at Stanford University took the occasion of being targeted for a little creative anti-hate-group celebrating, and some of these events are chronicled on the Not In Our Town site:

Hillel at Stanford University, one of the institutions targeted Jan. 29 by Westboro, invited the entire Stanford community to stand together Friday morning “for a peaceful gathering in celebration of our diversity and our unity,” according to the invitation they emailed to students and campus groups.

“We chose to use the incident as an opportunity to align the campus around shared values and issue a call to action,” said Adina Danzig Epelman, executive director of Hillel at Stanford. Students were instructed not to engage the Phelps family in any way, and to bring signs with positive rather than negative messages.

About 1000 students  representing dozens of campus organizations, or simply themselves, along with a number of faculty and staff, showed up at 8am for 45 minutes of musical celebration, including an unexpected bagpipe player who launched into “Amazing Grace” on the front steps of the Hillel building. It was, Epelman said, “a very broad gathering, representing the diversity of our campus.”

In a message of support earlier in the week, the Hindu and Muslim co-founders of Stanford F.A.I.T.H. wrote: “If we did not stand alongside Jews, gays and lesbians, or any other group that may be maligned this Friday, we would not be the Hindus and Muslims we strive to be.”

At San Francisco’s Lowell High School, another target, the handful of picketers were met by an exuberant horde of teenagers who seemed to agree with one sign proclaiming “We’re not going to hell, we’re going to dance.” My personal favorite sign read “Jesus had two Dads;” had he been around I suspect Jesus would have been dancing.

The only gloom, in fact, was on the faces of the young picketers. They looked more wistful than hateful. It’s easy to believe they would rather be dancing too.

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