Men’s Lives Matter?

I’m on a mail list with a few local guys. Mostly, the point of the mail list is about motorcycles, but one of the guys is growing some kind of facial hair for the Movember organization. Supposedly, this organization is looking for the magic bullet to slow up the rate of deaths by male suicides (white men are 70% of the 35,000 suicides in the US) and prostate and testicular cancer. I can only say, “Good luck.”

Humorously, the organization claims to "know what works for men" and somehow they expect to reduce male suicides by 25% in 2030. I prowled the organization's website following all of the "how we're going to win the fight" links to the expected proclamations of doing something and I didn't see any evidence that Movember knows more about what they are doing than do the so-called healthcare and mental health "professionals." In fact, as WebMD reports "One doctor commits suicide in the U.S. every day -- the highest suicide rate of any profession. And the number of doctor suicides -- 28 to 40 per 100,000 -- is more than twice that of the general population . . ." And, as you’d expect, for every female doctor who commits suicide there are seven men offing themselves. "Male anesthesiologists are at highest risk," for some reason. If doctors don’t have access to solutions to depression mental healthcare, how will Movember manage to reach everyone else? They won’t. As for Movember, H.L. Menken once said something like “For every complex problem there is a simple solution . . . that won’t work.” I didn’t see anything on the Movember website that looked like they even had a simple solution to propose.

The problem is not just a US-thing, either. Men and doctors and male doctors kill themselves at a higher-than-average rate all over the world. If there isn’t a solution, at least there ought to be some attempt to find the reasons for suicides. One of the most interesting insights I heard recently, when a European psychologist was responding to an American right wing pundit crowing about how societies with the highest quality of life and general satisfaction are also among the countries with the highest suicide rate; again, particularly high among men. The response was that there seems to be some connection to the fact that, in a generally happy society, people who are depressed feel particularly miserable about not being part of all that joy. The distance between the average person living their lives and someone with mental illness may feel exaggerated in a country where the average person is more-than-typically happy.

In the US, mental “healthcare” is pretty much getting a drug prescription for anxiety, depression, or “tiredness” from your doctor. All of the available health insurance plans pay more for pills than for therapy; if they pay for therapy at all. For starters, there is a severe shortage of mental health professionals in the US. The reason is that insurance companies don’t cover that kind of “healthcare.” For example, in my home area, Goodhue County, Minnesota, there is one psychiatrist for every 15,000 residents. Since estimates of the country’s mental health assume about 7% of US citizens have suffered depression at some time and 3-4% suffer long term depression and another 18% suffer from some form of anxiety, that leaves a lot of people out in the cold; even if they were inclined to put themselves on a decades-long waiting list to see a mental health professional. So, the answer is “take a pill” and call me in a year or two if you aren’t feeling better about yourself; if you are still alive.”

Men and boys are in heavy denial, insisting that the problem with us isn't from the outside. Wrong. It's us and our cultural training. There is a video on YouTube from a trans-guy who commented on how he hadn't realized how inhumane male culture is until he became one. There wasn’t much information in his speech, but the comments were informative. There was a crowd of guys pretending “inhumane” means “inhuman” and lots of nitwits imagining that being a macho bully has a place in normal, rational society. My takeaway from the comments was that the people who comment on YouTube videos are not very insightful.  

40 years ago, a friend and I were swimming out to scuba dive on San Clemente reef on a stormy day with 8' waves and 2' visibility and he wondered what we'd be doing with our lives; since we'd clearly outlived our design parameters. His thought was that guys like us were evolved to die with an axe in our skulls or a sword in our guts at about 22. At that moment, we were both in our early 30’s. Since we’d failed in our evolutionary purpose, his question was “What the hell are we supposed to do with the 30-50 years evolution has unprepared us for?” Obviously suicide is the answer about 30,000 US men pick. It is pretty obvious that there is an oversupply of men on the planet and war just isn't doing the job it used to do with rectifying that imbalance. The overwhelming majority of terrrorists and suicide bombers are men and they are just following nature’s coding to try to take themselves out of the gene pool.

Society provides plenty of cues, too. There wouldn't be OSHA labor laws if those rules were only intended to protect men from work injury and death. The whole concept began when women ended up in factories during WWII. As part of researching noise-induced hearing damage for material in one of my Acoustics classes, I found more information about how quickly work noise rule enforcement vanished once women were back out of the munitions factories. The whining from companies about OSHA's rarely-enforced or obeyed hearing protection rules is pretty hilarious when you learn that those guidelines came from 1944 and they are so obsolete (useless when it comes to protecting your hearing for a lifetime) that the rest of the industrialized world (outside of China) has a whole different set of standards and objectives. Again, if the point is in protecting men, it’s pointless to worry about it.

Likewise, a big reason men die from prostate cancer is men don't see doctors nearly as often as women. When we do we just want to get the hell out of there as fast as possible. I know I do. Many men (and women ) live those lives of "quiet desperation" and just want to get it over with as soon as possible.

As for men and mental health, forget about it. This country decided long ago that the wealth of a few is far more important than the health and quality of life of the many. It's one of the many awful things we adopted from the UK. I don't see that ever changing. It was something Alexis de Tocqueville commented on in "Democracy in America" in 1835. The rich will have all the healthcare they can choke down and everyone else will be victims of our "wealth extraction" healthcare practical joke. All of that adds up to the obvious fact that we don’t care about any of this, as a nation. The only time mental health gets into the national conversation is after some idiot has shot up a school, church, restaurant, or some other public place. Then, it's just to distract us from wondering why gun manufacturers are so well-insulated from product liability. And we are one really easily distracted public. The NRA and their gangster-owned politicians and pundits quickly go into a “don’t regulate guns, regulate crazy people” song-and-dance that is increasingly ineffective at distracting the majority of Americans. So far, it’s working well enough, though. It will always be true that “you can fool some of the people all of the time.”

#163 The Really Good Die Young and Unnoticed (2006)

[This is the last of the Rat reprints. All of the stuff I wrote after 2006 went to the blog and the website, simultaneously. This essay was also posted to the blog when I first wrote it, but I think Dr. Jeevan Paul deserves all the notice he can get. He is missed and was an American hero. If I'm still alive in 2016, I'm sure I'll still miss him. If I'm not, this will be the last thing I intended to post on this blog. Either way, we all win.]

All Rights Reserved © 2006 Thomas W. Day

NPR's Prairie Home Companion fans will be disappointed to here that, regardless of what NPR's Garrison Keillor says, Saint Paul is an armpit of a city, compared to Minneapolis, St. Cloud, Rochester, or any other city in Minnesota. Like every state in our nutty nation, the state capitol is the state's official embarrassment; the most corrupt, the most degenerate, the most poorly managed, and the one place in the state that most adversely affects the state's average IQ. Think Topeka, Kansas or Albany, New York or even Sacramento, California and you'll know what I'm talking about. Austin, Texas is an exception, but that city is surrounded by an armpit of a state. You could be forgiven in thinking that we've decided to put all of the worst people we know in a common location so that, if we ever decided to be a rational nation, it would be easy to identify where most of the problems reside. I stumbled into more evidence of our national capitol perversion this week when I decided to see a doctor for a ailment that has been persecuting me for the past month. 

To build a little background, I spent a decade in medical devices during the 1990s and the most valuable thing I learned from that experience is that Ted Sturgeon's rule ("90% of everything is crap") more than applies to medicine. In fact, Sturgeon is optimistic. Most of the physicians I met were mediocre talents, barely involved in their profession, disconnected to the pain and suffering of their victims, and almost as principled as Enron executives (or any other company's executives, for that matter). From that experience and my history of minimal medical difficulties, I hoped to avoid contact with doctors whenever possible.

At the end of that miserable career path, I found myself exactly where I'd hoped never to be: looking for a competent doctor. Our of necessity and through a referral from someone who's opinion I valued, I met Dr. Jeevan Paul in August of 2001. I was in terrible shape and had been in and out of a dozen doctors' offices since May, with no result other than continued degeneration of my condition and increased frustration. Dr. Paul gave me a complete physical, his complete attention and empathy, and identified the source of and several possible solutions for my problem in a single visit. 

Unfortunately, my corporate insurance did not include his clinic, so I was forced to return to the other 90%, armed with the information Dr. Paul had provided. The cost of the tests he'd performed was high, since the laboratories he used were the usual suspects of medical practice. So, he helped me negotiate with my insurance company and, eventually, they paid for a portion of the lab costs. He stayed in touch with me for several months, through e-mail, to follow-up on the treatment I received from my insurance provider. 

Like most Americans, I've been uninsured or under-insured for the last four years, so my contact with doctors has been limited to desperate times only. Once freed from my medical problems, I haven't had much cause to hang out with doctors, even the one I actually liked and trusted; Dr. Jeevan Paul. A couple of months ago, I decided to get back in touch and discovered that Dr. Paul died in 2005. He was thirty-seven years old. Typically, his brief memorial, buried in the back pages of the Minneapolis Star Tribune, requested that any memorials be sent to his favorite "hobby"; Medicins Sans Frontiers (Doctors Without Borders). 

Since I last saw Dr. Paul, he had moved to a different facility and a new specialty; chronic pain. He was active in the Minnesota Medical Association and constantly worked to provide medical services to low income patients and other disadvantaged citizens who are typically unprotected by our current profit-driven medical system. He posthumously received an award from a Minnesota physician's organization which described Dr. Paul in this simple statement, "Increasing access to care for under-served communities was the cause closest to Dr. Paul's heart, said Dr. Tooker. A general internist, Dr. Paul spent most of his career working at a community health center in St. Paul, where he worked to break down barriers to care for low-income patients."

Now, back to my original premise, the one that stated my opinion of St. Paul's low status as a city. Dr. Paul was active in local and state politics. He regularly participated in a physicians' outreach program that annually attempted to inform our state legislators of critical issues regarding the state's health care systems. I doubt that anyone in the state did more to promote community, compassion, or sacrifice than did Dr. Jeevan Paul. 

In recognition of his life and death, the St. Paul Pioneer Press didn't even bother to post a notice of his passing. No mention was made in the state legislature of the loss of this great man. If it weren't for the Minneapolis Tribune's brief mention in the obituary column. 

Maybe this makes sense to you. Maybe you really believe that the piddling activities of professional athletes warrants a seven page section of the newspaper? Maybe you think movie reviews are critical to the progress and outcome of civilization. Maybe you think government is wisely spending its time jabbering about gay marriage, abortion, finding more ways to reduce the tax burden of the wealthy, and slipping more corporate tax loopholes? I, on the other hand, think all this crap is wall-to-wall signs of a decadent society that has no moral guidelines, no purpose, and is so intently concentrated on greed and corruption that we won't even have Nero entertaining us with a violin solo when the walls crumble down on our heads.
October 2006

Mixed Motives

In his book, Why We Get Fat (and What to Do About It), Gary Taubes points out a terrible truth and a massive flaw in the for-profit motive in all things critical when he describes the slippery slope the medical profession slid down when it bought into and began to promote the flawed argument that saturated fats are bad and carbohydrates are good. "We are told to eat less fat and more carbohydrates, and rather than avoid heart disease and get thinner, as the authorities had hoped we would, we've had as much heart disease as ever, and dramatic increases in obesity and diabetes.

"A more insidious problem is that all involved--the researchers, the physicians, the public-health authorities, the health associations--commit themselves to a belief early in the evolution of the science, arguably at the stage at which they know the least about it, and then they become so invested in their belief that no amount of evidence to the contrary can convince them that they're wrong."

It turns out almost everything on this chart is wrong.

This is the great flaw in all bad ideas that have the unintended consequence of generating a lot of easy profits. Literally, everything from junk food to our military industrial complex is based on some kind of poor science and misunderstood information. Once the "experts" put the nation on the wrong high-carbohydrate path, they created a two-headed monster of obese citizens and a mindless, amoral corporate empire of carb-and-sugar loading fat-people-producing industries. Now, we have a public that is convinced that red meat is unhealthy and sugar coated processed-flour cereals are "part of a balanced breakfast." We are a public that has been fed the grossly erroneous FDA "food pyramid" for 50 years and, now, nobody from the doctors who screwed this one up to the health research organizations who bought into the persuasive but unproven arguement too early and with too much vigor to the real gorilla in the room--the fat factory junk food manufacturers who are pretending to be "heart healthy" and upstanding corporate citizens--wants to turn this ship around and admit they were wrong, but we should believe them now.

Americans love bashing "experts," from the television weatherman to real scientists, and medicine is going to have to take a beating for a while to change this direction. Like most Americans, doctors have become smug, self-righteous, lazy, overfed, overpaid, and sensitive about all of that.  If they begin to contradict the advice they gave us, so confidently, just last week with data that iis nearly the exact opposite, today, the majority of Americans will run to witchdoctors and evangelists for moral support and their usual pile of bullshit and bacon. Turns out, the bacon is good, but the bullshit is still bullshit.

Food isn't the only place where this irrational behavior, at both ends of the information spectrum, takes place. For more than 200 years, Americans have been fed the lie that a strong military is a defense against the forces that threaten freedom and democracy. All of the world's history proves this to be more bullshit. Almost every instance in human history when a democratic government has been overturned, overrun, and/or corrupted the core to the rot has been that country's military. When Richard Nixon and his pet neofascist, Henry Kissinger, wanted to wreak Chile's democratic government, they knew where to spend our money to do that job; on Chile's naturally corrupt military. The ancient Greek semi-democracy found its ruin through a series of idiotic military invasions on their neighbors and the resulting retaliation that spelled the end of that brief period of democracy and an empire.

In American history, every war we've fought to "protect the American way" has resulted in lost civil rights and a more militaristic society. The more we invest in our military, the less stable our nation becomes. The stronger we make our military forces, the more likely it is that the government will turn against the citizens and impose martial law. It has been true for every other civilization in human history and, contrary to delusion, we are no different than any other humans. The thing to be proud of as an American was our feeble attempt at democracy and the thing to be most ashamed of is allowing that democracy to fade and be replaced with a military dictatorship.

Like the doctors who will eventually be the ones to bite the bullet and admit to 50 years of delusion and error when they slowly try to turn the Western diet around toward something that actually works, those American citizens who "served" in the military will be the ones who will have to do the hardest work in correcting the American military delusion. The doctors are at the bottom of a huge food chain that is purely profit driven and as cold as Willard Romney's shriveled little heart. There is plenty of blame and more than enough pain to be shared by all of the culprits in the American heart health scandal, but the American SYSOP is always to blame the privates while rewarding the generals for every kind of treason or incompetence.

The same rules will apply to America's citizen-soldiers. If we are going to face the fact that our huge, brutal, incompetent military is the greatest threat to our democracy, that realization will have to be driven by ex-soldiers who tell the truth. Guys like John Kerry, Bob Kerrey, James Webb, Al Gore, Daniel Ellsberg, Bradley Manning, Paul Markin, Liam Madden, Jonathan Hutto, and the 72% of American soldiers who believed that we should get out of Iraq two years before that happened are the people who are going to force this direction change, if it ever happens. Or, at least, if it happens before we see the end of the American Empire and the economic and social collapse of this nation.

The damage done to these soldiers is permanent. Their lives will forever be contaminated by what their nation asked them to do in the name of "freedom" but in the service of profits. As Bob Kerrey said about his Vietnam experience, "You can never, can never get away from it. It darkens your day. I thought dying for your country was the worst thing that could happen to you, and I don't think it is. I think killing for your country can be a lot worse." This needs to be said by every intelligent soldier who hopes to represent and honor his country, the United States of America, until the fear mongers, weapons dealers, and bought-and-paid-for politicians are afraid to raise their heads out of their sewers.