Archive for June 12th, 2008

Take a deep breath as you’re going to cry or laugh at this next post.

“Ben Jones figures he drank 43,000 beers, 2,000 jugs of whiskey, wine, gin and vodka, and smoked pounds of pot in the 20 years he was out of control.


“”A year later,” he said, “I walked into an audition and was cast in what was to become one of the greatest television shows in the history of entertainment.” That was “The Dukes of Hazzard.” Jones would play the wisecracking mechanic Cooter on the popular TV series from 1979 to 1985.”

Read the rest here.

If this doesn’t tell you about behavior and how our culture of character flaws and cause and effect is way inaccurate as a description of how the world works, I don’t know what will.

In light of my last post on health care and consequences, can you correlate a value system in health care with the one above –  guy drinks 7 beers + 2-3 shots a day gets thrown in jail bloodied a bunch ends up in Hollywood then in politics.  (yes, he gets cleaned up… we know)

If he ended up killing a guy instead of on “the greatest show in entertainment history” we’d talk about him as a flawed alcoholic destined for death or failure.  Instead, the consequences of his behavior end up differently and we report his fate as a story about “getting back up.”  And now we’ll talk of blessings and spiritual redemption. {note, that I couldn’t find in any of his writing that he, himself, attributes any rewards or punishments to his own credit.]

My point isn’t that it’s good or bad or anything.  My point is that you cannot form a logically consistent explanation of a lifetime of behavior based on our current ways of talking about cause and effect.  You also cannot take full credit or blame for what you do or don’t do in life.  Really, environment and selection by consequences shape you completely.

There’s certainly more to his story and his life, further showing just how damn complicated behavior can be.


Now the laughing part comes when you consider the statement that Dukes of Hazzard is one of the greatest shows in entertainment history.  Ponder that.

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Here’s a speech given by my mother.  Aside from any political values, I think it exposes an interesting language (concept) problem we have in our culture – the idea of inherent character flaws.  I don’t always agree with my mom’s language or her conclusions, but I do agree that attacking our many difficulties in society by labeling groups by some absolute characteristics gets us no where.  It leads no where because there’s no such thing as a character flaw.  We are our behavior.  We behavior based on our values.  Values are established via selection by consequences.  

So when my mom responds to the “What Do We Do With These People?” with the answer that “these” is you and me and everyone else, she’s talking the truth.  

How to improve health care? Big discussion and we certainly should start by getting rid of language and labels that take us further from improving healthy behavior, setting up healthy environments, and talking about the value systems that keep the status quo in place, for the healthy, sick, rich, poor… all of us.


Susan Neibacher Address, delivered at the National Health Care for the Homeless Conference

Phoenix, Arizona

Thursday, June 12, 2008

By Donna Smith



The Experience of Exclusion: What Do We Do With People Like You?



     Good morning.  I can scarcely believe I have been asked to deliver this address to all of you, and I am so honored to be doing so.  Thank you for including me in this experience and for helping bring me back from the depths of despair and exclusion.


     For those of you who have seen Michael Moore’s movie, SiCKO, you know that my husband and I lost our home in South Dakota after suffering through years of healthcare related financial trauma and finding no way to hang on.  We are filmed moving into our daughter’s small storage room or computer room or spare office or whatever you’d like to term it.  And you see our youngest son confronting us about our situation.  He asks us: ‘What Do We Do With People Like You?’


     ‘What Do We Do With People Like You?’ 


    The words seered my heart and my soul then and they still do now as I recall the fight to maintain what little dignity we had left at that point. You see the moments you see on the screen came only after many years of fighting and falling and fighting and crawling our way back again.  Moving in with our daughter wasn’t our only homeless moment over the past 20 years of healthcare struggle, we had lived in a motel for a while after one of my husband’s surgeries, in a double-wide trailer house that we actually fought to keep as our last vestige of home owning freedom, and when we finally gave up the home you see in SiCKO, it was the deepest and darkest instant of that struggle when I heard the baby boy I brought into this world, the young man who I protected and loved and honored with my life’s work ask me, ‘What do we do with people like you?’


     My own son excluded me from the people like him.  Successful people.  People with good jobs and good benefits. Healthy people.  People with enough money to pay the rent, the utilities, the insurance premiums and all the rest of the things people like me could not.  He believed that if I had just tried harder or worked smarter or reached deeper, I could have patterned for myself a different outcome. Being homeless was, in fact and in his mind, my fault.  If only I had made other choices.


    Yet, I knew somewhere in my heart he was simply expressing what we have created in our society.  A attitude of exclusivity in which one group feels more worthy than another and in which those of us who cannot afford a home or healthcare or brand-name toothpaste are placed in a category outside of the mainstream. I grieved not for the loss of my home but for the cruelty even in my own family and felt deeply that as a mother I had not taught him that sometimes no matter how hard you try or how hard you work or how hard you believe, sometimes you cannot alone lift yourself from the depths.


     Over the years prior to that moment, it is true we struggled up and down and in every way.  Most of the time we did so quite privately, not admitting to anyone how bad things had become.  Sometimes we tried borrowing money in ways that were not the wisest or in the only ways we could, and our situation simply got worse.  We followed the pattern many, many families and individuals do in our nation — fighting to make it work somehow.  But there we were.  Standing in line at the food pantry every month, asking churches to help pay utility bills, selling anything we could to stay afloat — Did you know you can actually cook — well sort of — Ramen noodles in lukewarm motel room tap water?  I’ll bet some of you do know that.  And it’s sometimes 10 cents a package. That’s the way things were for a while.


    After finally accepting the offer to move in with our daughter, we began the emotional and mental unraveling you saw on the screen in SiCKO.  We begged people to know that we were trying hard to pull things out.  It was so painful to have family and friends change their tone of voice when we’d call — they were terrified we were calling to ask for money.  And sometimes we were.  And I took an office job I hated just to get the benefits and earn enough for a security deposit, and first and last month’s rent to get an apartment again.  And we moved into the place with a broken futon, some $5 lawn chairs from the evil empire — WalMart — and our clothes and the dog.


    It seemed that everything we had worked to do in our lives was now distilled down to the measure of our financial failure and loss of our health.  For me, having cancer was not a time when my diagnosis afforded me great support and love.  I worried about losing time from work and spending money and losing benefits.  Now in recent news reports, we all heard about this: we all want Sen. Ted Kennedy to win his battle with cancer, but I’ll guarantee you his first thought was not about finances.  And he never wished to die quickly rather than bankrupt his spouse — like I did on that lonely August day when I heard the words, ‘You have cancer.’ 


     So, how do we survive the exclusion and the pain and the anger and the withdrawal it takes to simply survive being viewed as a person with so little value?   It seems to me that how I survived was a miracle.  I am always acutely aware that more than 25,000 people who told their stories of health care horror to Michael Moore are not in the film… And those 24,988 people and families did not get to know the dignity that came along with simply having someone care enough to let us speak our truth.   


    But over the next several months after SiCKO was released, I have come to see another side of what it means to be ‘people like me.’   Some of you know I spent two months this fall and early winter traveling on a 1980 school bus telling the healthcare reform message in 12 states and 17 Congressional districts.  From Gary to Nashville — where I first met John — to Huntsville and down into New Orleans, from Florida and back up through the Carolina’s and on into Pittsburgh.  I spent Thanksgiving in Birmingham, Alabama where other homeless people embraced me in ways I never knew I could be embraced. They thanked me and wished me a happy Thanksgiving. 


They held my hand as they told me their health care stories and we cried together about the pain we are all suffering.  I was finally with ‘people like me.’  And I met veterans of our armed services who are most assuredly deserving of homes and healthcare, food and our deepest thanks and respect.


     So, my young son asked, ‘What do we do with people like you?’ 


     Well, after visiting 28 states and the District of Columbia this year speaking about healthcare reform, I can finally answer him. 


We give people like me healthcare — always and freely.


We give people like me warm shelter and food.


We give people like me credit for having as brain and will power that did not break but enduring a system that did.


We give people like me the dignity to choose what they will do next in life with the tools we can together provide and that are given with joy.


We give people like me a voice — the way Michael Moore did for me and U.S. Rep. John Conyers, author of the National Health Insurance Act, HR676, did for me when he had me testify before a sub-committee in Congress, or the way the California Nurses Association and National Nurses Organizing Committee wrapped us in decency and welcomed us into their fight for single payer healthcare for all —  and the way a civilized people do for one another.


We embrace people like me in the fight for a better nation — people like me are the people who built this nation and we are the people who will rebuild it into a more just and peaceful and compassionate society once again.


We will include people like me and we will call one another to task when any one of us is excluded — people like me are  people like you.


Thank you so much.

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