Farewell to a Not-All-Bad Year

2016

Farewell to 2016? People all over the globe are saying good riddance.

There are those of us in the U.S. who believe that climate change is real, that the vast majority of Muslims are peace-loving and the vast majority of Mexicans are neither rapists nor murderers, that women deserve better than to be denied rights and casually groped. Even those who believe otherwise admit reason and decency suffered some killer blows in the past year.

Poor 2016. Throw in global goings-on with the Brexit vote and the tragedies in Syria, Venezuela and too many troubled spots to mention, and it would seem there’s not a lot good to be said for the year. But it actually wasn’t all bad.

For openers, there are the things that didn’t happen: Nobody let loose a nuclear missile that would have begun the destruction of the planet. The Mosul Dam didn’t fail. Northern California didn’t have the devastating earthquake for which it is overdue. Even the luxury tower set to zoom up and block this writer’s 7th-floor balcony view of the far-off San Bruno mountains didn’t materialize. (OK, we know it’s coming. New York developer has the right to build to 240 feet, but so far the city says he can’t have an exemption to go 200+ feet higher.) So from the frivolous – which a 7th floor view certainly is – to the horror scenario, 2016 could surely have been worse.

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And as for the good news? Glancing back over the posts on this site over the old year is one way to find a lot of it. A random few:

Mutual support and understanding among different religions was alive and well in 2016, as it will continue to be in the new year – at least in much of the U.S. Several times I wrote about events sponsored in San Francisco by the S.F. Interfaith Council, such as the Thanksgiving Prayer Breakfast – at which an overflow crowd representing people of all faith communities reaffirmed their commitment to human rights, social justice and world peace before launching into a rousing chorus of Leonard Cohen’s “Hallelujah.”

Philanthropy is alive and well too. In May, a 3-year-old friend of ours decided to open his piggy bank and give the money ($32.60) to his two favorite charities: the local library and the hospital where he and his baby-sister-to-be were born. His philanthropy spurred several matching gifts. Who says you have to be a zillionaire to be a philanthropist and do good in the world?

More than once I wrote about one of my real life heroes, Dr. Willie Parker, an African American physician determined to keep abortion access available to those who are denied reproductive healthcare: most often poor women of color. Nothing will slow down Willie Parker.

justice

And speaking of heroes, In January I was fortunate to be part of a collaborative celebration of Martin Luther King Day, with a predominately white church and its predominantly black partner church, affirming King’s message that only light can drive out darkness, and only love can drive out hate. It’s only a small effort in one small part of the globe, but as members of the two communities work (and play and sing) together, light shines on racial injustice.

There have been other optimistic highlights, such as the Internet Archive celebrating its 20th anniversary. The IA is a mind-bending, increasingly successful effort to make All Knowledge Available to All, for free. Impossible? Believe. Another blog highlighted another impressive physician, Dr. Angelo Volandes, who was touring the country last year with his new book The Conversation. Volandes is on a campaign to end aggressive, unnecessary, unwanted and often cruel end-of-life treatment. What happens in emergency rooms and intensive care units during the last few days of life for millions of Americans is an expensive disgrace; Volandes’ efforts will help change that.

In August I was caught in the middle of Delta’s computer meltdown, and spent some interesting hours trying to get from Atlanta to San Francisco. What was worth writing about were the many acts of kindness among airport crowds. They reminded me of flying from San Francisco to Portland OR several days after 9/11, when it seemed everyone in America wanted only to be kind to everyone else.

That spirit is still here, somewhere; we just need to recover it after a bruising year.

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Russia — and Nuclear Arms Racing

moscow-cathedral

Russia occupies a soft spot in my heart.

It grew out of the boundless enthusiasm for everything Slavic exuded by my Russian-major college roommate – or may have been seeded earlier by the cloth-covered storybooks full of babushkas, snow-covered cottages and deep forests that I so loved as a child. It expanded through and beyond the one time I was lucky enough to visit the country. I love the vastness of its countryside, the majesty of its ancient cathedrals, the intriguing complexity of its history, the wonder of its literature, the no-nonsense hospitality of its people.

I especially love every single one of those non-English-speaking Russians who helped me find the Dostoesvsky Museum in St. Petersberg one day, as I wandered a very long boulevard, counting canals, clutching my map and repeatedly smiling at perfect strangers, pointing to the spot and saying “Dostoevsky Musee?” More than a dozen of them patiently took turns guiding me along. The last took me by the arm and walked me several blocks and down the steps to the obscure doorway through which I entered the last apartment inhabited by one of my literary heroes. (I would never have found it!)

Dostoevsky Museum.jpg

Many friends and strangers across the U.S. share this affection. Much travelled scientist/author Jo Anne Valentine Simson writes in her small, lovely new book Russia Revisited: Come Take a Tour with Me that it “is one of my favorite countries in the world – huge and beautiful, with a complex and tortured history and a culture to match.”

But we do not love Mr. Putin. From this vantage point, he is among a handful of dangerous tyrants determined to centralize power and increasingly restrict the freedom of ordinary citizens. Simson puts it this way: “Unfortunately, in 2016 the political power seems to be devolving once again into a form of aristocracy, with Vladimir Putin behaving like an autocrat.”

We also don’t like the prospect of nuclear annihilation. Or another dangerous arms race destined to increase the supply of nuclear weapons in the U.S., Russia and who knows where else. Which is why we find the “bring it on” tweets of our president-elect more than a little scary.

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by Snoron.com

According to the good people of Ploughshares Fund, there are currently 15,375 nuclear weapons held by nine countries. The U.S. and Russia have 93 percent of them. That means each of us already has enough nukes to destroy the planet several times over. A small dispute between Mr. Trump and Mr. Putin, whom our president-elect admires but seems eager to challenge, could unleash a few and end life as we know it on this fragile planet.

A little less trash-tweeting and a little less talk about building nuclear stockpiles would be a nice Happy New Year gift for Russians and Americans alike.

Talking Your Way into a Better Death

Angelo Volandes
Angelo Volandes

“If you do something to my body that I do not want,” says physician/author Angelo Volandes, “it is assault and battery. But if I do the same thing to you in (a medical situation,) it is standard of care.”

Volandes thinks this last is a bad idea. He is on a campaign to change the way American doctors and patients, and indeed the country at large, understand what is done to American bodies at life’s end. He spoke of this campaign, and his new book The Conversation that outlines it, at a recent Commonwealth Club event in San Francisco. When he’s not taking time out to promote the book and the campaign, Volandes practices internal medicine at Massachusetts General Hospital in Boston and is on the faculty at Harvard Medical School. He is Co-Founder and President of Advance Care Planning Decisions, a non-profit foundation dedicated to improving patients’ quality of care.

“Ninety percent of people want to die at home,” Volandes says; “most die in hospitals. There is a misalignment between the type of medical care they want and what they get.” About this unwanted care? “If you’re in the hospital and get unwanted care you never bargained for, I still get paid for it.”

After watching too many patients endure end-of-life treatments he was sure they would not have chosen, Volandes started an unusual practice: taking every one of his patients to visit the intensive care unit, and some to visit the dialysis unit. Once they gained a better understanding of what some of the aggressive treatments – CPR, breathing machines, etc – actually looked like, the patients almost always moved away from “Do everything” to comfort care as their choice.

The basic change Volandes believes is needed begins with a conversation between physician and patient. Those conversations do happen, and there is now Medicare reimbursement, but few physicians find them easy, and few patients know how to inaugurate them or what to say. “Never did a senior physician have to certify that I could talk to a patient,” Volandes says. “The patient needs to know ‘What are the questions I need to ask? What are my options?’ Life’s final chapter needs to be written – but the problem is, I’m writing it (instead of the patient.)”

This writer has been advocating for individuals to write their own final chapters for over two decades. With others writing those chapters instead, the costs are monumental and unnecessary – and millions of Americans die after undergoing painful indignities they would never have chosen. Physician aid-in-dying – approved by a majority of doctors and 7 in 10 Americans and now legal in five states – is one key piece of the puzzle. But the elephant-size puzzle piece is how to get every one of us to make known, well before those “end-of-life” days arrive, what medical care we do or do not want.

Volandes’ conversations could put that piece in place. Every person alive who takes time for the conversation (and for writing it all down) will likely die a better death.

 

 

Making All Knowledge Available to All? For Free? Believe It

Universal Access to All Knowledge. In other words, let’s gather up and digitize everything on the internet, and offer it to everyone on the planet. For free. Every book in every library, every website, movie – oh, and throw in music: vinyl records, CDs. In as many languages as possible.

archive-crowd

Some people were doubtful this could be done. But then, they probably didn’t know Brewster Kahle. Kahle, according to his Wikipedia page, is an American computer engineer, Internet entrepreneur and internet activist. And perhaps foremost, he is an advocate of universal access to all knowledge – to which end he founded the Internet Archive in 1996.

The Archive, consisting of a few billion items – it could be a few trillion by this writing – is now a non-profit library recognized by the Library of Congress. If you’re a human being with a digital device you can access anything within its collections. These are grouped within recognizable categories like ‘Old Time Radio,’ ‘Iraq War’ or ‘Television,’ and enigmatic other categories like ‘Electric Sheep’ and ‘Netlabels.’

This writer, whose left brain is minuscule, was only dimly aware of the Archive, despite the fact that some years ago it purchased, for its headquarters, a former Christian Science Church building in San Francisco which I pass every few days. But when Kahle’s wife Mary Austin, co-founder of San Francisco Center for the Book and someone (decidedly right/left brained) I am proud to call a friend, insisted I attend the 20th anniversary celebration not long ago, it seemed time to peek into it all.

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A few hundred friends and supporters turned out for the celebration, stopping by the taco truck at the front steps and going from there to stations offering demonstrations of archived music and video games, planetary digitizations, scanners that put books onto digital shelves in a matter of moments. Many of the Archive employees who work from areas around the globe – this writer talked at length with a sharp young lady from Toronto – were on hand to help explain things, and enjoy the reunion. The Wayback Machine (more than 279 billion web pages saved over time) was a crowd favorite, as was the Live Music archive (6,991 collections: rock, blues, classics, big band . . .) Some of those last were comprehensible to this reporter; other areas where the beeps and blinks of giant servers and assorted machines were connecting us all to the digital universe – well, what can I say?archive-scanner

But I have my library card! Open Library: We lend e-books worldwide for free. You can get one for yourself. Open Library has over a million ebook titles.

You might also want to support this ambitious undertaking and its latest safeguard project: creating a copy of Internet Archive’s digital collections in another country. Kahle and friends are building the Internet Archive of Canada “because lots of copies keeps stuff.” In other words, one more assurance of universal access to all knowledge. Free. And private. Internet Archive does not accept ads (which could track your behavior) or collect your IP address.archive-planets

Fact-check it out.

On Being a Blessing

There was an invisible pall hanging over the banquet hall.

An annual feel-good celebration of a cherished cause, the room was filled with friends and supporters of the San Francisco Free Clinic. The Clinic offers medical care for the uninsured; the pall had to do with the new President-Elect’s pledge to increase the ranks of those uninsured by unknown millions by immediately repealing the Affordable Healthcare Act.

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For 23 years, SFFC supporters have filled the same banquet hall. The annual event, initiated by the late San Francisco investor/philanthropist Warren Hellman and his wife Chris, generates the entire budget for SFFC’s operation. Not coincidentally, the San Francisco Free Clinic was founded 23 years ago by the Hellmans’ daughter and son-in-law, Tricia and Richard Gibbs, two young physicians who decided to throw over the prospects of their lucrative medical practices in favor of starting a free clinic for the growing ranks of uninsured in need of quality medical care.

(Full proud disclosure, this writer and her husband have been supporters of the Free Clinic since its opening day.)

A highlight of the annual event has always been brief closing remarks from the host, and after Hellman’s death, this task fell to the Drs. Gibbs. This year, Richard Gibbs said a few words and then turned the podium over to his wife.piggy-bank-w-stethoscope

“One thing I have now learned,” she said, “is never to write a speech the day before an election.” She went on to explain how the Free Clinic has made incremental progress in its mission every year since its founding, and she had prepared remarks about that narrative with the expectation that this would continue. With the election of Donald Trump, though, comes the realization that the story of ongoing progress – Clinic staff not only provide care, they regularly guide clients into finding affordable insurance – will encounter a speedbump. Acknowledging that many in the room probably voted for Mr. Trump, and that politics would be inappropriate to the event, Gibbs said she still had wanted to find a way her remarks could be relative and upbeat.

So she turned to the story of Abraham. Gibbs is a serious student of the Torah, and would not have had to spend extra time on recalling that story. She noted that Abraham’s narrative was not incrementally always upward, but had its own speedbumps.be-a-blessing

“God told Abraham to be a blessing,” she said. “And I realize that’s what we can do. You are all a blessing to (the Free Clinic.) We can all go out and be a blessing.”

For election week in California, it was a reassuring thought.

 

Age, Agility and National Stamina

It is a little known but verifiable fact that this writer is a graduate of Circus 101. Well, I completed the course, that is, some five or six decadespast my turning-cartwheels-in-the-backyard days.

The author and sister Mimi, circa 1940
The author and sister Mimi, circa 1940

This comes to mind because of all the recent stamina talk. At the time of my circus experience I was several years younger than the current candidates for president of the United States. I am still the age of Ruth Bader Ginsberg, and frankly, Justice Ginsberg and I (I am not officially authorized to speak for my 1933-babe sister) resent the stamina talk. She, of course, is making her debut (speaking only, opening night) with the Washington National Opera this year; I’m afraid opera performance is not on my bucket list. But still.

Stamina-wise there is at least the circus thing. As I recall, my late-life circus experience began with an article in the San Francisco Chronicle about a class offered by the San Francisco School of Circus Arts (now Circus Center) titled Circus 101. It sounded interesting, and at least worth undertaking for a good story. So I called the Circus School.

“Could a reasonably flexible 60-something woman be eligible to take your Circus 101 class,” I asked the nice lady at the other end of the line? She replied, essentially, if you’ve got the money we can work you in. “You can set your own limits,” she said.

So I showed up for the first class, raising the median age by two or three decades, and quickly learned my limits: upside-down is not for 60-somethings. Oh, I could still do upside-down, headstands with my feet on the wall or the occasional cartwheel; but then I tended to get dizzy and throw up, which is not in the curriculum. I found I was very good, though, at balancing the peacock feather on my chin and at being part of the human pyramid; I always got to be the top of the pyramid because nobody wanted to step on the little old lady. I was also quite good at the Ooze – a sort of backward roll-over with a collapse at the end.

In my class was a lovely Chinese-American girl named Yvonne, who measured approximately 24-18-24 and could juggle three balls before we even started. By the second class her husband Ken had been talked into joining. Ken and Kit, another husky young man who showed up at the same time, could perform great feats of strength and skill, but because they had all those muscles getting in the way I could beat them at grabbing my ankles and doing bend-overs and such that they couldn’t even approximate – which made me feel initially quite superior.

Rola-bola performer, not the author
Rola-bola performer, not the author

All feelings of superiority quickly disappeared. We learned the egg roll, the diablo and the rola-bola, that last being a balancing act on a board set on a large pipe, which when circus people do it looks easy as pie. It is not. (Nor is juggling four balls.)

I did discover that I really shone at the human caterpillar. This begins with a base person on all fours (hands and feet, not knees.) The next person rests on top of the base person, feet crossed, hands on the floor, and additional caterpillar people are similarly arranged. The rear legs and all hands move in unison, theoretically, until somebody giggles.

Is any of this relevant to today’s world, nearly two decades later? Well, it provides food for thought and some great metaphors.

One can only hope that everyone on the political spectrum will have the stamina – not to mention agility – required for running the country at all levels and branches of government. And that our collective community can master the rola-bola without turning into one great Ooze.

 

Nuclear-free World? Possibly. Some Day

Aaron Lobel (r) and Philip Yun at Ploughshares event
Aaron Lobel (r) and Philip Yun at Ploughshares event

Ploughshares Fund supporters – Americans committed to reducing nuclear stockpiles, preventing new nuclear states, and increasing global security – recently got some encouraging words from a few of those on the front lines. Not that the goal of a nuclear-weapons-free world is near, but that it’s a lot closer than 35 years ago.

It was 35 years ago that Ploughshares founder Sally Lilienthal, a 62-year-old sculptor, human rights activist, mother and wife, gathered a few friends in her San Francisco living room to discuss what could be done to stop the proliferation of nuclear weapons here and abroad. This was the year (1981) when Ronal Reagan unveiled a “strategic modernization program” which called for – among other things nuclear – thousands of additional warheads, a significant increase in bomber forces, including 100 B-lBs and the development of stealth bombers, a new land-based 10-warhead strategic missile (the MX), and new intermediate-range missile deployments in Europe. In addition, he proposed deploying more than 3,000 air-launched cruise missiles on bombers.

There may not be a lot of peace on earth today, but there are far fewer nuclear threats to that eventual possibility and Ploughshares Fund is one key reason why.

A group of longtime Ploughshares supporters gathered recently in San Francisco to hear about ongoing work in South Asia, where India and Pakistan have a combined total of 250 nuclear weapons at the ready – enough to create a catastrophe in the area and long-term distress across the planet if that conflict were to escalate. America Abroad Media, a Ploughshares grantee, is working to prevent such a catastrophe.

Nuclear weapons test
Nuclear weapons test

AAM founder and president Aaron Lobel was interviewed by Ploughshares Executive Director and COO Philip Yun on how media fits into the complex efforts to reduce global conflict, specifically in South Asia. “You can go back to the origins of Pakistan as a Muslim state,” Lobel says, “and the question of whether India even recognizes Pakistan’s legitimacy” to get a picture of the enormity of the problem. But media in the area gets large audiences and builds human bonds. AAM works through public radio, international town halls, documentary and news programming and other avenues to build a civil society.

“We continue to believe that a civil society ultimately makes a difference,” Lobel says; “media is just one part of it.” And can such a society exist, and make a difference, in areas like South Asia today? “Absolutely yes,” says Lobel. “The lawyers’ movement in Pakistan did make a difference; and there are people in the civil society (there) involved in moving the ball forward.”

Lobel spoke at length of AAM’s work in Afghanistan, where its media following included the president of the country for at least one program. “If the president watched,” one questioner asked, “how many others actually saw the program?” “A lot,” says Lobel. “People gather around a satellite TV in the villages – this is not like having dozens of channels and TV sets in every home.”  world-peace

Ploughshares president Joseph Cirincione addressed the gathering on the broader issues, and the global outlook today. “In order for these guys (countries with smaller nuclear stockpiles) to give up nuclear weapons” Cirincione says, “they’re going to have to see the big guys doing it – and that’s not happening. We have to address the underlying issues (such as) water issues and religious issues. We also have to address the fundamental distrust. It’s important to recognize the power of media in addressing these issues to create a more peaceful world.” (“We fund the smartest people,” Yun adds, “with the best ideas.”)

Despite the discouraging prospects for global peace just now, Cirincione had a few nuggets of good news for the Ploughshares supporters:

“There were 70,000 nuclear weapons when we started,” he said; “there are 15,000 now. I believe the Iran nuclear deal has prevented war there for a generation. We can continue to work to make things better.”

Vin Scully Leaves Us With a Smile

Vin Scully
Vin Scully

What’s not to love about Vin Scully?

Born and raised in the Bronx, where he delivered beer and mail, pushed garment racks, and cleaned silver in the basement of the Pennsylvania Hotel in New York City. Lost his first wife – of 15 years – to an accidental medical overdose. A year or so later, married Sandra, to whom he remains married 40+ years later. At the age of 8 – this would’ve been in 1935 – he decided he wanted to be a sports broadcaster. And in 67 seasons of broadcasting Dodgers baseball games he has accumulated a long list of awards – without ever being profane, boorish, self-serving or fodder for the scandal mills.

This writer cannot claim to be any reputable sort of baseball fan. But admirable public figures are in short enough supply that one has to be grateful for Vin Scully.

Giants fans loved having Scully wind up his illustrious career in San Francisco recently, in a stadium with more “Thank You Vin!” signs than orange rally flags. Several signs in the stands read “This Once We’ll Be Blue” – in honor of Scully’s beloved Dodgers. (The Giants went on to win the game.) But it was up to the New York Times to publish the entire transcript of his narration of the top of the ninth inning – his final words to the listening baseball public, headlined Vin Scully’s Final Call: I Have Said Enough for a Lifetime. Enough to include a few nuggets in between the calls (“And the strike . . .”)

“There was another great line that a great sportswriter wrote, oh, way back in the twenties,” Scully ruminated on air. “A. J. Liebling. And it said, ‘The world isn’t going backward, if you can just stay young enough to remember what it was like when you were really young.’ How about that one?

“Ground ball foul. 0 and 2 the count to Yasiel Puig . . .”  And later –

“That was awfully nice. The umpire just stood up and said goodbye, as I am saying goodbye. Seven runs, sixteen hits for the winning Giants, 1-4-1 for the Dodgers. …I have said enough for a lifetime, and for the last time, I wish you all a very pleasant good afternoon.”

It was an elegant departure for a good man, ending a long and distinguished career. But this writer’s favorite snippet, among all the short tales and one-liners that wound through the reportage, was this:

“I’ve always thought it was attributed to Dr. Seuss, but apparently not. It’s still a good line, and it’s one certainly I’ve been holding onto for, oh, I think most of the year. … ‘Don’t be sad that it’s over. Smile because it happened.’”

What a treat to have something – someone – to smile about on the national stage today.

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