Health & Health Care Feed

My Mother's Curse: A Journey Beyond Childhood Trauma

My Mother's Curse: A Journey Beyond Childhood TraumaMy Mother's Curse: A Journey Beyond Childhood Trauma by Christine Nicolette-Gonzalez
My rating: 4 of 5 stars

I met Christine in 2003 during my first week as a youth minister at Royal Lane Baptist Church. She was a parent with two children in my youth group. I vividly remember the first time I met her, she was excited for my arrival, and greeted me with a big smile, warmth, and curiosity. She was a devoted and proud mother. As a teacher she set for herself high professional expectations, and I felt she expected the same of others who worked with teenagers and kids. I remember when she praised a program I had created, and I received it as a great stamp of approval.

And of course I had no clue of the childhood trauma she was carrying. As a pastor I have learned that everyone is carrying some pain, often privately, which is one reason we should be kind and charitable to one another.

In this brave memoir, Christine provides details of her mother's severe mental illness and how it deeply affected her childhood. But the memoir also contains the story of how Christine built a different life as an adult, as a wife, mother, and school teacher, and the emotional and spiritual work of dealing with her own anxiety.

I recommend the book to everyone developing resilience in the face of trauma. Or those trying to better to relate to those who are.

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Brave Woman

The Guardian today published a story on Julie Burkhart who has bravely worked to maintain access to abortion in Kansas after the assassination of Dr. George Tiller.  

I met Julie in 2011 at a reproductive justice conference at Oklahoma State University.  She was one of the main featured speakers and I was an invited panelist and participant.  All of us invited guests hung out socially after the academic events.  Julie was then still deeply grieving Dr. Tiller but bravely organizing a response.  


After the Wrath of God

After the Wrath of God: AIDS, Sexuality, and American ReligionAfter the Wrath of God: AIDS, Sexuality, and American Religion by Anthony M. Petro
My rating: 5 of 5 stars

This is one of the best written non-fiction books I've read. This is the author's first book, so I look forward to reading what he writes in the future. According to his bio at Boston University his next two book projects look equally as interesting.

This book is about the religious rhetoric used during the early years of the AIDS crisis and how that rhetoric shaped public policy. This is a fascinating study exploring how left, right, and center developed moral language to grapple with the crisis. The study refutes any reductionistic notions of religious conservatives versus secular leftists.

The final two chapters discuss Cardinal O'Connor and ACT UP's confrontation of him. Reading those chapters made me very angry at the Cardinal.

In the final section the author explores how AIDS and gay activists developed their own religious and moral language, but he left me wanting more. I hope that comes in subsequent books.

Also, while he does treat of progressive Christian responses, they don't get as much discussion as conservative responses. This is probably because conservative responses dominated much of the public health debates at the time.

Petro is a keen intellect and engaging writer.

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The Exchanges

Yes, many of the ACA exchanges are failing, but multiple studies show that this result is not because of some inherent flaw in the law, but because of policy decisions of the states that didn't fully implement the law. This article in The Atlantic, for instance, details some of the study results.  If a state expanded Medicaid, didn't allow grandfathered policies, set up its own exchange, and did all the marketing and recruitment work to enroll people, then their exchanges are operating with lower risk.


Darkness Is My Only Companion

Darkness Is My Only Companion: A Christian Response to Mental IllnessDarkness Is My Only Companion: A Christian Response to Mental Illness by Kathryn Greene-McCreight
My rating: 4 of 5 stars

In 2015 our congregation became the third in our denomination to adopt a WISE (Welcoming, inclusive, supportive, and engaged) for mental health. Mental health issues had long been something we talked about, received training in, included in worship and educational forums, and advocated for. Yet we always felt we needed to do more. Then, in the summer of 2015 a young man who was a beloved member of our congregation killed himself. He lived with a schizo-affective disorder. His husband desired that we use the opportunity of Felix' death to talk more openly about mental illness, and so the Sunday following the funeral I preached on Psalm 88, from which the title of this book is derived, and shared details of Felix' illness that Felix had shared with me. That Sunday we also shared resources on mental illness. In preparing the funeral and the following Sunday, I consulted the therapists and social workers in my congregation, who provided great help. In the weeks following Felix's death, we learned that the 2015 General Synod of the United Church of Christ had called for church's to become WISE for Mental Health, and so we eagerly went through the process.

Last autumn when I saw this book in Christian Century I knew I wanted to read it in order to further my own education and understanding. The author is a priest who lives with bipolar disorder and the book is part memoir and part theological reflection. Deeply rooted in Trinitarian theology and the rich resources of scripture and the Christian tradition, here is an express of Christian identity and faith in the midst of illness.

I highly recommend the book and will use it often in my ministry.

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Faith & Pregnancy

My good friend Greg Horton has posted a response to the Hobby Lobby case that I found to be very good.  His main purpose, as Greg usually does on his blog, is to discuss the role of language.  In particular here he is discussing whether faith-talk can define medical categories like "pregnancy."  He concludes, of course, that it cannot.  Which leads him to conclude that "The Hobby Lobby decision is a hydra-headed clusterfuck."  Amen.

Two parts of this post also get to issues that I had with the majority decision, but haven't written about yet, as I also didn't want to jump into the fray before but wanted to read, listen, and mull things over.  Here is issue one, as described by Greg:

To be clear, the case rested on the Green family being allowed to define pregnancy in a way that is counter to how medical professionals define pregnancy. I have no idea why I should take the word of business owners who specialize in selling imported crap for display in middle class homes around evangelicaldom when the American Medical Association seems a far more reliable source of information about medicine, but it's America, and as my students regularly inform me with scalable—depending on their level of offense at my cultural blasphemy—levels of indignation, "Everyone has a right to their own opinion."

In reading the majority decision I was horrified by the line of Justice Alito's that the court was protecting the Green family's belief that four of these contraception methods were abortifacients.  Despite the fact that the scientific and medical communities, including the FDA, don't categorize them as such.  Justice Ginsburg was shocked that the Court now will be adjudicating religious beliefs in a way it never has before, determining if they are sincerely held in order to apply this ruling in other cases.  It is, of course, shocking that the Court is protecting a claim that is empirically false.  I'm not sure how an empirically false medical claim becomes a religious belief, but it did on Tuesday.  And that is Greg's problem, as he concludes his post:

Faith in god does not imply the ability to define non-theological terms, like pregnancy, so that they are consistent with a particular brand of theism. The object of faith is not definitions or meanings that are only tangentially related to words in a sacred text; the object of faith is god. This will necessitate that theists believe certain things are true or false, but extracting categories from the text and then insisting testable truths be understood in light of those categories is not helpful in communicating with members of various tribes who do not share those categories. Pregnant means, for all tribes, a fertilized egg is implanted in the wall of the uterus. To equate faith with the belief in definitions that are contrary to known scientific realities is to impose an anti-intellectual burden on believers that makes meaningful, intertribal communication impossible.

The second big issue I had with the ruling, is also something Greg addresses tangentially.

That the SCOTUS majority opinion specifically said the decision could not be used for precedential purposes related to blood transfusions and other medical realities about which different faith traditions have differing beliefs is a strong indication that they know this was a perilously bad decision. Either the principle applies or it doesn't, and in this case, they treated a comprehensive application of principle as an ad hoc application of principle, but the box is still open and the five justices in the majority will be living with their decision in the form of litigation for years to come.

First, as a practical matter, you cannot claim that the ruling is not a precedent, for clearly lower court judges will be compelled to use it as a precedent when adjudicating similar cases.

Second, the ruling defies the laws of logic that most people learn as an undergraduate in college.  According to those laws it is the basic form of the argument that is valid, regardless of what the particulars are.  The particulars in this case had to do with contraception coverage under the Affordable Care Act.  But if the argument itself is valid, then you can change that particulars and get the same conclusion.  That the Court in point of fact says that the form of argument is not valid when applied to other particulars entails that it is not valid when applied to this particular.  This part of ruling must be making every logicians head spin.

So, we'll be living with this "hydra-headed clusterfuck" for some time.


An different perspective on the birth control case

A rabbi writes that in Judaism the use of birth control is often required by religious faith, such that the ruling on Tuesday may make it more difficult for some Jewish women to fulfill their religious obligations, thus harming their religious liberty.

If other closely held corporations follow suit, we may have hundreds of thousands if not millions of people who will not have access to basic health coverage that helps them to uphold the religious and ethical principles that guide them in building their families.