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Welcome to these regular musings, meanderings, wonderings and wanderings by Wendy Priesnitz. 

Archives - July, 2005

Avoiding Institutions at Both Ends of Life – July 19, 2005
My 96-year-old mother has, until recently, been living independently. But over the past few months, she has become increasingly frail and confused, to the point of making herself ill by overdosing on her medications, not eating and refusing relief from a major heat wave that we’ve been experiencing. A few weeks ago, in spite of her stubborn opposition, I sought medical help for her. She has been in the hospital ever since, with her awareness degenerating to the point that she no longer recognizes me. Her doctor says she has experienced a series of small strokes and more are probable. Clearly, she cannot return to her apartment and the hospital’s discharge coordinator has begun the process of arranging to admit her into a long-term care facility.

Although many things prevent my looking after her, I have been struggling mightily with this situation. For 30 years, I have been preaching against the institutionalization of both children and the elderly. I succeeded with my children, but I am feeling hypocritical regarding my mother’s situation.

So I have begun looking for a home that is as un-institutional as possible. One with plants, animals, maybe even some children. One where they don’t use restraints to immobilize people for the convenience of staff. One where meals are served on china in a dining room. Where respect and dignity trump convenience. The search is making me feel useful and my hypocrisy-fed stress is abating. But more importantly, I am finding a few bright lights in the morass of green walls, antiseptic smells, under-paid staff and bleak surroundings. For instance, a few years ago, PBS did a piece on a project called The Eden Alternative and profiled a home in Utica, New York. (They also have Canadian and Australian projects linked from their website.)

In the piece, Eden Alternative founder Bill Thomas says, “In long-term care, love matters. And the heart of the problem is, institutions can’t love. When we rethink our mass institutionalization of elders, when we do these things, we’re not just making a better life for the elderly, we’re making life better for everybody in every part of society.”

Unfortunately, there are waiting lists and the bureaucracy here doesn’t give families much control over placement. But I guess advocacy for the elderly has just joined advocacy for the young as part of my mission.
Posted: 2005/07/19 10:50 AM

Two-Tier Health and Education – July 15, 2005
There is a big debate ongoing in Canada about the future of our famous but costly public health care system. The Supreme Court of Canada recently struck down a ban on private health insurance in Quebec. And according to the analysts, that opens the possibility that the provinces will have to allow private clinics that offer services not covered by the public health system. That so-called “two-tier” system will, many fear, lead to “pocketbook medicine” where those with money to spend can achieve faster or better access to health care.

Now, I am most certainly in favor of public health care. (And I am currently experiencing it at perhaps its best as my 96-year-old mother becomes increasingly senile and requires around-the-clock care.) However, we already have a two-tier system, which I’ve also been using for years...not because I have more money than other people but because the type of services I want are not covered by the government health care system.  Those who want to use most of the so-called “alternative” therapies must pay for them (or be fortunate enough to have them covered under private insurance plans). Here in Ontario last year, the province even delisted chiropractic treatment, ending more than 30 years of public funding for chiropractic services in the province.

The health care controversy is similar to the arguments I often hear about public versus private education…that families whose kids learn outside the public school system are undermining that system, which is an important foundation of our society, etc. So in order to protect publicly funded health care and education, we’re supposed to be content with mediocre education and  put up with the lowest common denominator of overcrowded hospitals, long waiting times, unhappy staff, etc. And all because our health and education industries are protecting their turf. Providing equal access is just so much rhetoric.

So until public health and education systems provide access to a wide open variety of services, it’s not just the rich who will be looking elsewhere to fill the gaps.
Posted: 2005/07/15 10:35 AM

No Einsteins Here – July 2, 2005
I’m just getting around to reading a month-old issue of The New Yorker, left over from a recent trip. I was fascinated – and horrified – by an article called “Best in Class” by Margaret Talbot (June 6, 2005). She describes the fierce competition that goes on among seniors in American high schools for the supposedly prestigious post of valedictorian (highest ranking graduating student, who gives the class’s farewell address at the graduation ceremonies). Students are studying overtime in order to boost their grade averages a fraction of a mark in order to end up on the top of the pile. Disappointed students and their families are even taking their school districts to court in an attempt to overturn decisions. And some schools are appointing co-valedictorians or even abolishing the idea altogether in response.

A bit of Google research uncovered many more such stories. A 2003 CNN piece described a court case in New Jersey where an 18-year-old (who happened to be the daughter of a state judge) asked a federal judge to intervene, saying that being forced to share the speech with students with lesser grades would detract from what she had accomplished. She filed notice to sue the school district claiming the dispute humiliated her. Interestingly enough for those who favor home-based learning, the school refused to make her sole valedictorian, in spite of her top marks, because she “had to” spend part of her day studying at home due to health issues.

Similarly, a MSNBC piece from last month describes the plight of a Texas student who was refused the valedictorian honor in spite of having the best marks because she missed some school early in the term due to undergoing hospital treatment for anorexia. Huh? If we’re talking marks here, didn’t she earn the valedictory honor even more by being handicapped by an illness and lost school time?

Talbot’s story in The New Yorker cites some 1981 research by professors Terry Denny and Karen Arnold, which studied the lives of 81 high school valedictorians and led to Arnold’s 1995 book Lives of Promise: What Becomes of High School Valedictorians. The students continued to distinguish themselves academically in the post-secondary environment. The group included lots of lawyers, accountants, doctors and engineers, with many Ph.D.s and master’s degrees. And they tended to stay married, exhibited few addictions and were active in their communities. They were, Arnold points out, skilled at conforming to the expectations of school and chose careers that were likely to be socially and financially secure. None of the serious athletes ever pursued sports occupations; most of the high school musicians hung up their instruments after graduating. None of them exhibited that “powerful early interest” that evolves into “lifelong, intensive, even obsessive involvement” in an area of special talent or passion. In short, there were no Einsteins in the group. And that is not surprising. As Arnold notes, “Exceptional adult achievers often recall formal schooling as a disliked distraction.”
Posted: 2005/07/02 1:25 PM

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copyright © Wendy Priesnitz 2007

Topics & Passions:

natural learning
simplicity
environment
parenting
creativity / writing
books

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What I'm Reading:

Healing with Whole Foods - Asian Traditions & Modern Nutrition by Paul Pitchford (2002, North Atlantic Books)
Conscious Seeing: Transforming Y our Life Through Your Eyes by Roberto Kaplan (2002, Beyond Words Publishing)
Coming to Our Senses - Healing Ourselves and the World Through Mindfulness
by Jon Kabat-Zinn (2005, Hyperion)

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What I'm Listening To: 

The Living Room Tour by Carole King (Concord Music)
Careless Love by Madeleine Peyroux (Rounder Records)
Solo
by Yo-Yo Ma (Silk Road/Sony)
Red Dragonfly
by Jane Bunnett and the Penderecki String Quartet (EMI Music)
Slow
by Ann Hampton Callaway (Shanachie Records)

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Fav Bookmarks:

Renewable Energy Access
Junkyard Sports
Council for a Livable World
The Guardian
John Taylor Gatto
Organic Consumers Association
Free2be
Common Dreams
New Scientist
News Link

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