Category: Arts & culture

Why you should seek out a nonprofit hospice provider

It turns out private equity firms are buying up hospice providers. And it turns out the for-profit hospices do not, in general, provide as much care for dying patients as the nonprofit hospices, according to Kaiser Heath News:

“Patients in nonprofits had more nursing, social worker, and therapy visits. For-profit hospices, the report found, had longer lengths of stay by patients, discharged more patients before death, and had profit margins nearly seven times higher. Other studies have found that for-profit hospices have higher rates of complaints and deficiencies, provide fewer community benefits, and have higher rates of emergency room and other hospital use.”

Why are private equity firms buying up hospices? Obviously, they want to make money, and they are not particularly concerned with the details of providing hospice care:

“With the U.S. population rapidly aging, hospice has become a boom industry. Medicare — … which pays for the vast majority of end-of-life care — spent $22.4 billion on hospice in 2020…. That’s up from $12.9 billion just a decade earlier. … But with limited oversight and generous payment, the industry is at high risk for exploitation. Agencies are paid a daily rate for each patient — this year, about $200 — which encourages for-profit hospices to limit spending to boost their bottom lines. For-profit hospices tend to hire fewer employees than nonprofits and expect them to see more patients.”

Read the article, and I think you’ll be convinced that if you ever need a hospice provider, you’ll really, really want to find a nonprofit.

The mood in England

JB, a friend from high school, has been living in London for a number of years. His essay titled “The Mood in London” helps explain to us Yanks what it’s like to be in England right now. More interesting to me was his account of what it was like to stand in line to view the Queen lying in state. Like this ritual that he witnessed:

“Rather than a walk-past (when visiting the Crown Jewels you’re actually standing on a moving conveyor belt), each person was allowed a moment or so to contemplate or bow, as many people did. It was just as I was paying my respects that I was asked to move on, to make way for the changing of the guard. This was an extraordinary spectacle with a new team of sentinels marching to the catafalque (the platform that held the coffin), and positioning themselves directly behind the waxworks. Then, by clockwork, the petrified figures displayed their sentience, seeming to lurch alive and step forward, as their replacements took their positions and powered down to a fugue state. The rescued team then marched, like wind-up soldiers, to a stone staircase, which they ascended in military precision and before disappearing through a door. This ceremony was repeated every 20 minutes, and whatever its origins, it was a remarkable sight.”

What I did on my summer vacation

Back in July, Carol and I drove to the Cumberland County Fairgrounds in Maine.

We sang Sacred Harp, in a pulling shed, with forty other Sacred Harp singers. There were horses trotting around the race track next to the pulling shed.

Click on the image above to view the video on Youtube

The pandemic shut down in person singing for a long time. It felt really good to sing with other people in person.

I was glad to see that someone posted videos of us singing, so I could be reminded of one of the highlights of my summer vacation.

More on electric cars

Rabbi Yonatan Neril, founder of the Interfaith Center for Sustainable Development and co-author of the Eco-Bible, adds another reason why electric cars won’t solve the ecological crisis:

“The ecological crisis is a spiritual crisis. It’s not just about nature and bees and the birds and the trees and the toads. It’s also about human beings and how we live as spiritual beings in a physical reality. And so, you know, with all due respect to Elon Musk and everyone buying a Tesla, we’re not going to curb climate change with Teslas alone — when the operating system of billions of people is consumer-driven.”

As Rabbi Neril points out, we’re not going to stop climate change by buying something new. In fact, buying an electric car is really just part of consumerism, the ideological myth that buying something new can solve our problems. Consumerism is the problem, not the solution. Rabbi Neril continues:

“The only force in the world that changes this operating system of consumerism is religion and spirituality. The root issues we’re talking about are greed, short-term thinking, egoism, seeking pleasure in the physical. The spiritual solutions to those are humility, long-term thinking, caring for other people and creatures. The only institutions in the world that can deliver that are religious institutions.”

Electric cars are not the solution to the world’s problems

Science fiction author and Scottish nationalist Charles Stross opines:

“I’m going to suggest that American automobile culture is fundamentally toxic and aggressively hegemonizing and evangelical towards other cultures, and needs to be heavily regulated and rolled back.”

Not to belabor the point, but while electric cars may help us address climate change, they still emit toxic substances (tires spewing microplastics into the environment, for example), and they also enable habitat destruction. Even when it comes to climate change, their carbon footprint is not zero.

(Why mention that Stross is a Scottish nationalist? Because that means he apparently hasn’t bought into the American mythos.)

Mandatory pronouns

Joshua Pederson, professor at Boston University, makes a good point in today’s Boston Globe. Several years ago, Pederson began all his classes by having students introduce themselves by saying their names and pronouns. But, Pederson says, at the end of that first class:

“As my students began filing out of the classroom, one lagged behind, visibly distraught. They asked if they could talk to me about the way I ran introductions. They identified as non-binary and used they’them pronouns, but they felt exposed and vulnerable when I told them to share that. I din’t make them feel included; I made them feel unsafe.”

Now, Pederson gives his own pronouns, and invites but does not require students to share their pronouns. I think he’s on to something. In part, he’s addressing the power imbalance between teacher and student. And also, as he notes, “mandating that students share pronouns can force those who are unsure of their gender identity to pick one, even if they don’t feel ready.”

Those of us who spend time in religious organizations might think about following Perderson’s lead. In congregations, ministers, Sunday school teachers, committee chairs, youth leaders, etc. can share their own pronouns, but there’s no need to make it mandatory for everyone to share their pronouns. In other gatherings, denominational staff, volunteer denominational leaders, workshop leaders, etc. can do the same thing — share their own pronouns, but not make it mandatory for everyone to share pronouns.

In the past, I’ve asked various Unitarian Universalist groups to share pronouns. I won’t be doing that any more. I might share my own pronouns, but I’m not going to ask anyone else to share theirs. Invite, maybe; ask, nope.

Three books on Transcendentalism

Three recent books provide new insights into the nineteenth century Transcendentalist movement.

The Transcendentalists and Their World by Robert A. Gross (New York: Farrar, Strauss and Giroux, 2021).

Robert Gross is perhaps best known for his brilliant use of social history techniques in his 1976 book, The Minutemen and Their World. Social history was a mid-twentieth century intellectual movement that, rather than focusing on elite powerful figures, focused on the mass of people in a given historical era. In The Minutemen and Their World Gross and his research assistants pored through historical documents like voting records, deeds, tax rolls, and the like. Using both quantitative techniques, like statistical analysis, and qualitative techniques, he was able to tell a much richer story about the Minutemen of Concord, Massachusetts, and why they decided to take up arms against His Majesty’s troops.

After completing that book, Gross extended his research into nineteenth century Concord. He wanted to figure out why such a small town became the home of both Ralph Waldo Emerson and Henry David Thoreau, two major Transcendentalist figures. He also wanted to find out more about the social and cultural milieu of Emerson and Thoreau, as a way to better understand their intellectual accomplishments.

Continue reading “Three books on Transcendentalism”

Going to have to work for peace

Peace is not the absence of war,
it is the absence of the rumors of war and the panic for war and the preparations for war.

Peace is not the absence of war,
it is the absence of the threats of war and the rumors of war and the preparations for war.

There’ll be no freedom without peace.

— Gil Scott-Heron, “Work for Peace” (2001)

Gen Z activism

BBC News has an article today on how Gen Z is an activist generation. The article has the usual platitudes, like Gen Z activists are different because they’re digital natives — um, we’ve heard the same thing about the Millennials. And Gen Z activists are different because they feel like there’s not much hope for the future — um, when I was a teenaged peace activist in the late 1970s, there was a high level of hopelessness among my peers around the high probability of a nuclear holocaust, and the certainty of environmental disaster. So yes, there are differences between Gen Z and previous generations, but I think journalists are playing up the differences more than reality indicates.

One thing I think the BBC piece gets absolutely right is that Gen Z is energizing older generations. I feel energized by Gen Z activism. And not internationally famous Gen Zers like Greta Thunberg, but rather the Gen Zers I’ve met face to face. Like the teens I got to know in California who organized Silicon Valley Youth Climate Action. Like the college music major I met this summer who’s using their music to promote activism. On the other hand, I’m not so thrilled with, for example, Gen Z anti-abortion activists. Yet I have to admit that those Gen Z anti-abortion activists also energize me, by making me more committed to regaining legal access to abortion.

Coaches

I thought I overheard someone say, “The Supreme Court backed coaches preying on the field.” Preying? You mean, preying on children and teens…?

It took me a moment to realize that the Supreme Court was not supporting child-molesting coaches, but was instead allowing coaches to offer supplication to their deity before and after sports games.

Sadly, given the ongoing sexual abuse crises in some conservative Christian denominations, my momentary confusion is somewhat understandable. Even I — and I should know better — subconsciously associate organized religion with unsavory unethical actions of male leaders.