Health Justice Now by Timothy Faust

In this book, Timothy Faust surgically cuts through the complicated mess of the American health care system, gives his diagnosis and prescription for a solution:  a single payer system.  In an acerbically articulate and well-researched argument, he outlines the defects in our current systems, which are many.  The ways in which the insurance companies overcharge and deny their customers, the ways in which hospitals and pharmaceutical companies play the system to reap enormous profits at the expense of patients and patient care, and the ways in which even public insurance programs are fallible are all explained in full. And Faust also broadens the definition of health care to include those factors that contribute to one’s health, such as housing, food, poverty, environmental safety, etc. that are often systemically limited by race, gender, class, and ability.  HIs answer?  The single payer.  A single payer system pays for all, regardless of race, gender, class or ability and pays for all needs.  In this scenario, primary care is accessible to all, so that health care is accessed early, when disease may be either preventable or caught early enough to be inexpensive or less expensive to treat.  It makes sense.  And while those who profit from the insurance fraud game and the pharmaceutical industry sham will fight tooth and nail and lobby with every dollar you spend on your medications, it really would bring health care to all and make it the right it should be and not the privilege it has become in our country.

I think this is a timely and crucial reading for us all at this moment in our country, when we are about to embark on the next presidential election, when many of the democratic candidates are supporting a singe payer system.  I think it is incumbent upon us all to learn why this might be a good thing for our country and how this actually might be the only equitable way to provide health care.  I think we have to move away from seeing health care as a commodity and see it as our obligation as humans to care for one another, to allow for the dignity of others, no matter what their medical (or financial!!) situation is.

That said, I do think the tone of the writing might be a bit too angry.  While I agree with all that he’s written here, and I’m probably as angry as he is, I worry that his tone might be too polarizing – a problem that has plagued dialogue in this country on both sides.  If we are to speak to each other, we need to temper ourselves just a bit, in order to open up and let others in.  There are many solid arguments in this text and I worry that someone might not appreciate them because they’ve been alienated by the outright hostility toward the establishment.  Again, I agree with the author in his opinion, but if I didn’t, I might be put off.

I think this is an essential text in this political moment.  it’s dense, it’s not a fun read, but it’s our obligation as American citizens to open our minds and our hearts to learning how we might provide health care to everyone in this country.

Reasons to Stay Alive by Matt Haig

If you have ever wondered what it feels like to be depressed or to have a panic attack – read this book.  In it, Matt Haig shares his experience with depression and anxiety and invites you straight into his brain.  You sit there with him at the brink of suicide,  you hold your breath as he wrestles with his demons and you ache with his pain. He chronicles his years of experiencing depression and anxiety and actually comes to a sort of peace with it, ultimately, seeming to acknowledge that it has led him to feel things more deeply in both directions, whether toward pain or toward joy.

I think this is an important book to read.  While nothing can ever really give anyone a perfect picture of what it feels like to have depression – and I’m sure it feels different for each individual who experiences it – this does, I believe, give a vivid, repetitive, and detailed description.  There are analogies, lists, comparisons, images, and examples of ways in which the author’s life was impaired by his illness that go beyond what most expect from what we think of depression.  His was particularly severe.

And I think it’s important that we as members of our society, such as it is today, familiarize ourselves as much as possible with the symptoms of depression and anxiety because it is, sadly,  so prevalent.  We need to be aware of how severe it can be, how invisible it can be, and how crippling it can be.  We also must learn how to help someone who is suffering with it.  There are suggestions in this book, which are quite helpful.

On the negative side, I believe this book was not well edited.  I found t grammatically lazy, somewhat repetitive, and missing large chunks of the story.  How does Matt actually get better?  Just time?   When does he get married?  And where do the two kids come in?  What role do his parents play really in his recovery?  There is so much that is glossed over  How has he been able to write through the depression?  What does he write about?

I like the philosophical tangents – there is a great amount of wisdom and helpful advice for others with depression and anxiety and for those who may be around those who suffer.  And I do think this book is an important read.  I wish the actual writing  had been given a bit more attention…

Body Kindness by Rebecca Scritchfield AND Intuitive Eating by Evelyn Tribole

These two complementary books are revolutionary in their importance.  Dieting and dieting culture has overtaken most developed countries and has become a billion dollar industry.  Most importantly, however, it has probably been what has contributed most to what is known today as the “obesity epidemic” among health care providers, and yet, what do most health care providers prescribe as an antidote?  More diets!

The newest and best science is pointing toward the fact that diets cause more harm than good, and just about every diet counts.  Whenever you tell someone not to eat something, what does that person then, instinctively crave?  Whatever it is you’ve forbidden them, of course!  And after restricting whatever it is you’re restricting – calories, carbs, fat – it doesn’t really matter – after losing weight, the body seeks to regain the weight, by doing whatever it takes.  So people tend to regain the weight, plus!  And yo-yoing is worse for you than just being a bit overweight, in terms of causing more inflammation and heart disease, diabetes, hypertension, and the unwanted health consequences of the overweight in the first place.

Because let’s face it, if we’d just accept ourselves in the less-than-“Twiggy”-as-ideal-bodies, we’d not have to worry about the dieting.  Our priority should really be about health.  And if it’s really and truly about health, then we’d throw away the scales and talk about fruits and vegetables and whole foods and exercise and that would be that.  We’d not be supporting Weight Watchers, and NutriSystem, and Jenny Craig and all the others who are making millions and preying on those of us who have fallen for these very smart business models.

So what do these books say?  Basically, that we were born with the internal cues that tell us when we’re hungry and when we’re full and we have to try to reach back in to find those signals and respond again to them.  To do this, we must trust that our bodies are really good at this and it’s ok to respond to them, even if they sometimes tell us that it’s ok to have a slice of cake because it looks delicious and we love this kind of cake and even if they tell us not to finish everything on our plate because we’re actually full.  The books also encourage movement of any kind, not just punishing workouts at a gym and give guidance on how to avoid emotional eating which many find quite challenging.  And they also encourage one to dig deep and find a way to care for oneself – that is, to carve out time to really see to one’s own needs that are being superficially cared for by food but that if tended to more deeply, then food won’t need to serve as a pacifier.

I think that almost every woman I’ve met has dieted at some point in her life.  So many would find either of these interesting and helpful.

Let’s try to move our conversations away from how we look to what we can achieve!!

Bad Blood: Secrets and Lies in a Silicon Valley Startup by John Careyou

bad blood

This is the fascinating tale of one of the most outrageous scams in Silicon Valley – and the most outrageous part is that it is true!  It is the story of Elizabeth Holmes and her startup, Theranos.  Elizabeth Holmes started out at Stamford, as an engineering student, but impatient to get started earning her first millions, she  quickly decided to drop out and start her own company.  She had in mind that because she had a fear of needles, she would develop a laboratory testing device that could run multiple tests on a small drop of blood from a finger stick specimen, taken by a device that would be relatively painless.  However, what began as a good idea, ballooned into a project that because of blind arrogance, deaf ears to any guidance or advice, paranoia, and pure irrational greed, broke laws and broke lives and caused irreparable harm to so many.  And it appears that, like most narcissists,  Elizabeth Holmes was completely unrepentant, seeing herself as the victim.

What is wonderful about this story is that it is told by the investigative reporter who broke the story for the Wall Street Journal, which gives both credibility and an insider’s perspective.  Careyou writes with vivid detail, laying out the gradual development of the background on Elizabeth Holmes, how she came to start the company, and how she ruled it, along with her henchman (and apparent lover) Sunny Balwani, with an iron fist, firing immediately anyone who disagreed with anything she said or did (even if they were looking out for her benefit and the welfare of the company).  He tracks her ascent to stardom, and it was nothing short of that.  People worshipped her – just as she worshipped Steve Jobs and took on much of his persona, even adopting his notorious black turtlenecks and deeper voice.  And because she had their attention, she was able to convince so many to invest in her dream.  Unfortunately, that is all it was.  She could not make it a reality, and because she could not face this, she faked it and lied to the world that it was.

This is a tragic story of how greed and ego took precedence over peoples’ health and welfare, and lawyers, Silicon Valley giants, politicians, and others bought right into it, swindled by a young, polished liar.  And, as Careyou acknowledges, the true heroes of the story are those who stood up to her and her pit bull lawyers and despite being tormented and hounded, told the public the truth. It is because of these brave people that these crackpot lab testing facilities were not expanded and put into more locations throughout the country and led to hurt even more individuals than they already did.

The details will just astound you!

 

 

 

My Name is Mahtob by Mahtob Mahmoody

my-name-is-mahtob

Many years ago, I watched a movie called Not Without My Daughter, with Sally Field.  Have you seen it?

It was a true story about an American woman married to an Iranian man and together they had a 5 year old daughter named Mahtob.  They lived in Michigan and were happily married, until he suggested they take a 2-week vacation to visit his relatives in Iran.  This was just after the Iranian revolution during which the Ayatolah Khomeini overthrew the Shah.  Once they were in Iran, it became clear that Sayyed, the father, had no intention of taking his family back to America.  He embraced the law of the land, which claimed that women and children were the property of the man of the family, and he held them hostage, watching their every move and threatening them with their lives if they disobeyed him.  They lived like this for almost 18 months, until Betty, Mahtob’s mother, was able to earn his trust enough to be allowed to go shopping in the market and make secret contact with an underground network of people who were able to help her and Mahtob finally and miraculously escape.

I remember having had nightmares about this movie for months after seeing it.  And now here is the epilogue…

This is the story from Mahtob, the daughter, herself.  She recounts her story, as the daughter of these two very different parents.  She shares her early memories of America, in a very loving home, with tender memories of her father at the start.  She recalls a subtle shift in his attitude toward his culture and religion just before their leaving for Iran.  But the change in his attitude was like a tidal wave once they landed in Iran, and the loving father that she knew essentially disappeared, replaced by a monster, in her eyes – one who beat up her beloved mother, who threatened her mother, and who separated Mahtob from her mother for days at a time.  And that’s when she learned to hate.

What I did not realized was that the story did not end with their escape from Iran.  This mother and child had to endure years of terror, fearing a kidnapping by her father – or worse! – their whole lives.  And the impact spread to everyone around them.

Betty Mahmoody coped by using their experience  to advocate for others in this situation.  She fought for federal laws that protected children against international parental kidnapping, which President Clinton passed.  And she travelled around the country and around the world, personally supporting  many families who were in the same situation that she had been in.

This is a very, very hard book to read emotionally but it is an important one, I believe.  It serves as a portrait of the convergence of mental illness and religious fanaticism, which is a  terrifying combination.

It  brought it all back for me, but it also brought closure as well.  It seemed to have done so for Mahtob herself.

Becoming by Michelle Obama

becoming

When Michelle Obama was quite young, she began to learn to play the piano, taught by her very strict aunt who lived downstairs.  The piano on which she studied and practiced had chips and imperfections that enabled her always to find the middle C, sort of grounding her and guiding her.  When she had her first formal recital, she suddenly found herself seated at a perfect, symmetric and distinctly un-chipped piano, and had to pause and figure out what to do to find her way.  With the help of her teacher/aunt, she managed to steady herself and to play her piece with great success.  This became a sort of metaphor for her life.  Michelle Obama has always worked hard, relied on important mentors to guide her, and whenever she encountered obstacles, she leaned on those she loved and who loved her to help her regain her center of gravity and succeed in a dramatic fashion.

Mrs. Obama’s story is a rags to riches story in some ways, but in many ways it is not.  It is true that she was raised in a poor neighborhood in Chicago and she may not have had much in the way of what money could buy.  On the other hand, however, she was rich in the ways that really mattered.  She had a loving family with mother, father and brother and many extended family members who were quite close and affectionate.  Her mother strongly advocated for her so that she was able to access an excellent education, which enabled her to attend Princeton and Harvard Law School, where she was able to raise her financial standing, in spite of where she came from.  She acquired an incredibly strong work ethic and was generous about helping others come along with her, rather than stepping on others to get ahead.  Her constant mission was to find mentors to assist her with moving forward, but also to then pay it forward and mentor others in return.  And each position that she held after her first job out of law school helped her to dive deeper and deeper into fields in which she could do good for others, which seemed to always be her driving force.

The discouraging part for me, of course, is the contrast between what was then and what is now.  The Obama’s were devoted to their country, both working so very hard to try to make things better for the people they were serving, both working to expand human rights, to give access to health care, to create jobs and improve the environment and to promote peace.  Barack Obama surrounded himself with wise advisers and listened to the advice of others and was thoughtful and respectful to others and read incessantly to learn as much as he could about an issue so that he could make the most informed decision.

Sadly, this is not what is happening in our White House now.

So while this book was inspiring, it was also quite sad, as it reminded me of what we’ve lost since 2016.

The Obamas were smart, dedicated to our country and to humanity, and were a class act.   I hope we find our way back to this again.

 

Under Pressure: Confronting the Epidemic of Stress and Anxiety in Girls by Lisa Damour, PhD

under pressure

Working exclusively with young women over the past 15 years, I have seen a frightening trend of increased anxiety among them.  There are many explanations of why this is so, but there are few answers as to how to help them cope.  In this concise, articulate, and surprisingly upbeat book, Lisa Damour guides primarily parents in how to gently and supportively help their daughters to confront the sources of their stress and anxiety and in doing so, to combat them.  As she points out, quite aptly, when one shies away from the cause of the anxiety, most often that anxiety only builds.  Significantly, too, Damour does not demonize stress and anxiety.  She points out that without stress, we might not push ourselves to do our best to achieve our goals; likewise, without the anxiety response, we might not be alert to dangerous situations.  Stress and anxiety are only bad when they reach such high levels as to interfere with our normal functioning – that is when we need intervention.

The writing is insightful, readable, and filled with vignettes that engage the reader.  Damour relates experiences with her clients as well as her own daughters, which make the issues she discusses come alive and tangible.  She divides the issues into those that relate to girls in the home, girls in relationships with other girls, girls in relationships with boys, girls at school and girls as they are portrayed in our culture – and each of the stressors that are inherent to each of these realms.  There are helpful tips along the way, lots of analogies, and very wise, concrete suggestions.

One takeaway I loved was her response when a young woman wasn’t sure how to respond to a conflict.  Our culture conditions women to be agreeable and girls are expected to be and generally are particularly sensitive to others’ feelings.  She summarized peoples’ responses to conflict as being either a bulldozer, a doormat, a doormat with spikes (passive aggressive responder), or (the desirable response) a pillar (stands up for herself without stepping on anyone else).  I thought this was a great way to think about how we respond to conflict and and how we can guide others to do so in a constructive way.

I don’t think all of the advice in this book is exclusive to only girls.  Some of it is generalizable to boys as well.   But there is certainly plenty of evidence that girls experience more stress and anxiety than boys and that it is taking its toll on this generation of girls.  Here are, finally, tools to utilize to help them resist this scourge and be resilient.