Choose Life

February 28, 2017

I want to focus on a serious issue that is being ignored in favor of all kinds of fake news and grandstanding. In college, I took a course on demography. That means we were looking at the explosion of population in parts of the world, which then leveled off, but at much higher levels than before. Everything we are struggling with in this twenty-first century is related to that explosion of population.

The most significant advances in our longevity were the result of public health advances, precisely the things that people don’t want to spend on right now, on our water and sewer systems. I remember my dad asking every owner of places where we stopped for the night whether the water was potable, meaning it was drinking water from which we would not get sick. That was new in his lifetime. And by the way, my dad grew up in Brooklyn, in New York City, using an outhouse. Sure many of us have used outhouses at one time or another but they are not the best protection for public health in large communities – septic systems take lots of space.

After water and sewer systems, penicillin probably made the biggest difference – it’s probably why I’m talking with you today but never met my sister who died at the age of three before the discovery of penicillin. Those advances added decades to our lives by comparison to very short advances from modern medicine and surgery.

And they are a large part of the problem of global warming. There are lots more of us burning things, driving cars, using electricity, getting what we need for business or pleasure from the furthest corners of the world. That takes energy. Energy has been produced by burning things. And so the world gets hotter, the oceans expand, tropical diseases proliferate, and life threatens to get nasty, brutish and short once again. And efforts to mitigate that will be overtaken if population continues to expand – worldwide it’s doubled in my lifetime.

So when I hear about advances in medical science, like the possible elimination of malaria, I think how wonderful for the likely victims, and then I wonder about the global impact. There is no free lunch. We can make lots of advances. But the world has its limits. More people will put more stress on the environment. And stress on the environment is already heading us toward the next major extinction – us, human beings, our children and grandchildren.

And so I think there is a trade-off between our health and our numbers. There is no human life after we are extinguished – only death and tears. So let’s be clear, I am very pro-life, but to be pro-life demands support for birth control, especially the kinds that prevent conception.

There is no so-called pro-life position that is not also a position about death. It seems to me that The Church and all houses of worship, must rethink their positions about death and destruction along with their positions about conception. The two are intertwined by laws well-beyond our ability to control. Yes the Bible says choose life, all our bibles say that in some form. But are we choosing life if we ignore the reality of death, destruction, and extinction?

— This commentary was broadcast on WAMC Northeast Report, Feb. 28, 2017.

Advertisements

Yalda and a Healthy New Year

December 23, 2014

I’m writing this after a party for what Persians call Yalda, the winter soltice. There is a significant Persian community in this area, refugees, immigrants and students. This group was put together by the Alaei brothers. They are the doctors who were imprisoned in Iran for the temerity of trying to treat people with Aids and discussing the best techniques for doing it with other doctors around the globe.  When he was released, Kamiar came here to Albany to finish his doctorate at the School of Public Health. We spent the better part of a year praying for the release of his brother Arash and as soon as he was released he joined Kamiar here in Albany. They have now been joined by their sister and Kamiar by his bride.Medical res

And as soon as they landed they started to work to set up an international program in health and human rights. Both brothers became globe-trotters, working to set up allied programs all over the world. Many institutions here in Albany, including Albany Law where I teach have joined the effort. Kamiar and Arash worked with governments, UN agencies, large foundations and universities wherever they could. I can’t begin to say how much respect I have for their effort – and I am certainly not alone, as international medical organizations and others have honored them for their work. Most of us have dreams. They are making theirs become reality.

But – I told Kamiar there would be a “but,” – the biggest health problems around this world are not medical, but political.

Africa is suffering from the lack of government – good government that could stop the wars that have killed millions there and are still killing, pillaging and selling girls into slavery. Good government that could provide sanitary services and vaccinations.

Governments around the globe are allowing industry to poison their workers with toxic gases and chemicals in the plants, and poison the people outside by dumping toxic chemicals into the air and water, or by destroying the land and forests that keep the waters clean.

We are relatively healthy in the US because of government – because government did supply the clean water and sanitation and the public health and disease control systems and the medical research to make that possible. Don’t be fooled by labels, a very large share of the research dollars have come from the government, a very large share of the medical systems until very recently were public – without government few of us would have had decent medical care.

We need to upgrade the water supplies. We need to maintain and upgrade sewage disposal and landfills. We need to fund basic medical research, research that is fundamental to the health of all of us. It is increasingly clear that we need government to continue adequate vaccination programs. And we need government to deal with the spiraling problems of global climate change that will sicken all of us if government doesn’t get out ahead of them.

So what I wish people here and abroad for the new year, is good responsible government that keeps the peace and protects the health of their peoples. That’s a real holiday gift and a happy, healthy new year.

— This commentary was broadcast on WAMC Northeast Report, December 23, 2014.


%d bloggers like this: