COVID Proved Social Conditions Largely Determine Our Health

In the past year, it has been heavily impressed upon Kansas Citians that one’s health is to a significant degree determined by factors beyond one’s control. The COVID-19 era is a key moment to further break down the reactionary notion that personal health choices are all that stands between an individual and optimal physical and mental well-being. It’s broadened our understanding of how health is also a product of social conditions.

The first and most elementary fact to note is that viruses, while often focusing on vulnerable populations such as the elderly, are not often entirely discriminatory. They end the lives of the young and healthy as well. Regardless of one’s habits of eating, exercise, or not smoking, random exposure to illnesses new or old as one shops for groceries or rides in an Uber helps introduce the point: The environment often makes a mockery of our personal choices, as important as those are.

The family you are born into, where you grow up, and other factors beyond your control — and often your own awareness — have a large impact on your development and health as a child, which in turn impacts your health as an adult. (And the environment you happen to be in continues to affect you.) Poverty, extremely stressful on the mind and body in many ways, is the ultimate destructive circumstance for children and adults alike. Take the disturbing life expectancy differences between the poor and the better-off, for instance. In Kansas City’s poorest ZIP codes, which are disproportionately black, you can expect to live 18 fewer years on average compared to our richest, whitest ZIP codes, as Flatland reported on June 22. Poor families are less likely to have health care offered by an employer or be able to afford it themselves. They live in social conditions that include more violence or worse air and water pollution. They can at times only afford housing owned by negligent landlords slow to take care of mold, and cope with a million other factors.

During the pandemic, what serious observers of the social determinants of health predicted came true: Black Kansas Citians were hammered by COVID-19. Here we feel, today, the cold touch of slavery and Jim Crow, which birthed disproportionate poverty, which nurtured worse health, which resulted in Black Kansas Citians being more likely to catch coronavirus and die from it, as The Star reported even in the early stages of the pandemic. Worse still, on Feb. 24, the paper noted that richer, whiter ZIP codes — the areas of less urgent need — were getting disproportionately more vaccines than poorer areas with more Black residents. The vaccines were first shipped by the state to health centers that were convenient for some but distant from others.

Imagine history and race playing a role in your health, how soon you could get a shot. Imagine transportation options and where you live being factors. Likewise, imagine the kind of job you have doing the same: Lower-income workers are more likely to have front-line jobs at restaurants and grocery stores, where you can catch the virus. The privileged, better-off often work from home.

Whether it is drinking water you don’t know is unsafe or working at a job that requires much human contact during a pandemic, the determinants of health stretch far beyond exercising, eating right, and choosing not to smoke. To reflect on this fact is to understand a moral duty. If social conditions affect the health of individuals and families, it is urgent to change social conditions — to build a decent society, one without poverty and the many horrors that flow from it.

In this moment, one important way to help move toward this goal is to urge the U.S. House to pass the reconciliation budget that just passed the Senate, to extend the direct child tax credit payments to families, boldly expand education and health care, and more. Onward, a better world awaits.

This article first appeared in The Kansas City Star: https://www.kansascity.com/opinion/readers-opinion/guest-commentary/article253638658.html or https://edition.pagesuite.com/popovers/dynamic_article_popover.aspx?artguid=1ce78851-fef4-4f5d-b7a4-448618c1526c.

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Proof God is a Liberal Atheist

Sometimes natural disasters are presented as proof of God’s judgement, as when George Floyd’s mural is struck by lightning or hurricanes arrive because of the gays. God exists, and he’s an angry conservative. Naturally, this line of thinking is dreadful, as the weather also provides clear signs God is a Leftist and a nonbeliever.

What else could one make of God sending lighting to burn down statues of Jesus, such as the King of Kings statue in Monroe, Ohio? Or to chip off Jesus’ thumb? Or to strike Jesus-actor Jim Caviezel while he was filming the Sermon on the Mount scene in The Passion of the Christ? What of the bible camps destroyed by wildfires? The solitary crosses in the middle of nowhere erased by flame, or those on church steeples eradicated by lightning? These incredible signs can be interpreted any way you like — that’s the fun of making stuff up. God prefers statues of Christ smaller than 62 feet, he doesn’t like Caviezel’s acting, the camp kids didn’t pray long enough, these were all just innocent weather events with no supernatural power or mind behind them, like lightning or fire scorching an empty field or a tree in the woods, and so forth. Perhaps God doesn’t want you to be a Christian, he wants you to be a traditional omnist, recognizing the truth of all religions, not taking a side with one faction. Perhaps he wants you to be an atheist because he’s a big joker and only skeptics get into heaven. Perhaps the Judeo-Christian god does not exist, and Allah or Zeus is displaying his wrath against a false faith. That’s the problem with taking natural disasters and assigning meaning and interpretation as proof of something — other people can do it too, and their interpretation, their “proof,” is just as solid (read: worthless) as your own. No critical thinker would engage in this sort of argumentation.

Not only do such remarkable miracles prove God is anti-Christian, others clearly reveal he’s a liberal, and with a delightful sense of humor to boot. How else to explain the pastor who declared natural disasters to be God’s punishment for homosexuality seeing his house destroyed by flood? Was the pastor secretly gay? Or just collateral damage, an innocent bystander, in God’s wrathful fit against LGBTQ people? No, most obviously, God was telling him to cut it out: God has no problem with homosexuality. This is like the pastor who thought COVID was brought about by sex outside marriage and then died from the virus: it wasn’t that the preacher was right, falling victim to a plague caused by others, it’s that God has no issues with premarital intercourse and thus did not send a calamity as retribution. Even more amazingly, religious conservatives like Anita Bryant once blamed a California drought on gays, but the dry spell ended, it began to rain, the day after Harvey Milk, a gay icon, was elected to San Francisco office. What a sign! Same for when an Alabama cop was struck by lightning a week after the Alabama house passed a restrictive bill against Black Lives Matter protests and while the Alabama senate was considering doing the same. And wasn’t the U.S. hit by COVID, double-hurricanes, and murder hornets soon after Trump was acquitted by the GOP-led Senate in early 2020? That can’t be a coincidence. Hurricanes, by the way, tend to hit southern conservative states of high religiosity — perhaps that doesn’t have anything to do with U.S. history and proximity to the gulf, but rather it’s punishment for rightwing policies, not queerness and abortion. Finally, recall when a Focus on the Family director asked everyone to pray for rain during the Democratic National Convention in 2008 so God sent a hurricane to disrupt the Republican National Convention? Finding signs and proof that God is a liberal isn’t difficult, given how weather functions.

Although, admittedly, the stories proving God is a leftwing, anti-religious fellow are not as common, given that it’s mostly religious conservatives who turn off their thinking caps, see providence behind every tornado, and write stories about it. When the Left or skeptics do this, it’s usually tongue-in-cheek, as with here.

Now, it’s true that some events and their interpretations align better with what’s in holy books. The gods of the bible and Qur’an want you to be a believer, not an atheist. Other things rely on human interpretation and choosing which parts of the book to take seriously: is gay marriage intolerable because being gay is an abomination, or just fine because we are to love one another and do unto others? Yet degree of alignment doesn’t actually make a claim that X disaster is proof of God or Allah and his rightwing judgement more convincing. The holy books could easily be fictional, as bad as the weather at proving a deity exists and revealing what its values are. Thus, one is free to imagine any supernatural being one wishes, and ascribe any values to him or her based on natural disasters. Any idea is just as valid as the next.

The point is made. Not only can a weather event be interpreted in countless ways (was the George Floyd mural struck because God is racist, because he heartlessly approves of Floyd’s murder, because he dislikes the Black Lives Matter movement in general, because he finds street art tacky, and so on), but it’s also obvious that various weather events will give contradictory messages about what the higher power believes and favors. The faithful can see and believe any sign they like, but bad arguments garner few converts.

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Is Time the Only Cure for COVID Foolishness?

As August 2021 began, 50% of the U.S. population was fully vaccinated against COVID-19, over 165 million people. There have been 615,000 confirmed deaths — the actual number, given the national excess mortality rate since the start of 2020, is likely double official figures. Over a 12-month period, since last August, 2.5 million people were hospitalized, many leaving with lasting medical problems. All the while, protests and foaming at the mouth over mask and vaccine mandates continue; half the population has refused or delayed the vaccine, this group disproportionately (+20%) Republican.

Attempting to convince the conspiracy theorists, bullheaded conservatives, and those concerned over how (historically) fast the vaccine breakthrough occurred is of course still the moral and pressing thing to do. This piece isn’t an exercise in fatalism, despite its headline. However, great frustration exists: if the hesitant haven’t been convinced by now, what will move the needle? With over a year and a half to absorb the dangers of COVID, deadly and otherwise, and eight months to observe a vaccine rollout that has given 1.2 billion people globally highly effective protection, with only an infinitesimally small percentage seeing any side effects (similar to everyday meds), what could possibly be said to convince someone to finally listen to the world’s medical and scientific consensus, to listen to reason? People have been given a chance to compare the disease to the shots (the unvaccinated are 25 times more likely to be hospitalized from COVID and 24 times more likely to die, with nearly all [97, 98, 99%] of COVID deaths now among the unprotected population), but that requires a trust in the expert consensus and data and trials and peer-reviewed research and all those things that make American stomachs churn. Giving people accurate information and sources can even make them less likely to see the light! There is, for some bizarre reason, more comfort and trust in the rogue doctor peddling unfounded nonsense on YouTube.

It may be of some comfort then to recognize that the insanity will surely decrease as time goes on. It’s already occurring. The most powerful answer to “what will move the needle?” is “personal impact” — as time passes, more people will know someone hospitalized or wiped from existence by the disease, and also know someone who has been vaccinated and is completely fine. There will be more family members who get the vaccine behind your back and more friends and acquaintances you’ll see online or in the media expressing deep regret from their ICU hospital beds. You may even be hospitalized yourself. Such things will make a difference. States currently hit hardest by the Delta variant and seeing overall cases skyrocket — the less vaccinated states — are also witnessing increases in vaccination rates. Even conservative media outlets and voices are breaking under the weight of reason, finally beginning to promote the vaccine and changing viewers’ minds, while naturally remaining in Absurdsville by pretending their anti-inoculation hysteria never occurred and blaming Democrats for vaccine hesitancy. Eventually, falsities and mad beliefs yield to science and reason, as we’ve seen throughout history. True, many will never change their minds, and will go to their deaths (likely untimely) believing COVID to be a hoax, or exaggerated, or less risky than a vaccine. But others will yield, shaken to the core by loved ones lost to the virus (one-fourth to one-third of citizens at least know someone who died already) or vaccinated without becoming a zombie, or even by growing ill themselves.

To say more time is needed to end the foolishness is, admittedly, in part to say more illness and death are needed. As stated, the more people a hesitant person knows who have grown ill or died, the more likely the hesitant person is to get his or her shots. A terrible thing to say, yet true. That is why we cannot rest, letting time work on its own. We must continue trying to convince people, through example, empathy (it’s often not logic that changes minds, but love), hand-holding, and other methods offered by psychologists. Lives can be saved. And to convince someone to get vaccinated is not only to protect them and others against COVID, it suddenly creates a person in someone else’s inner circle who has received the shots, perhaps helping the behavior spread. Both us and Father Time can make sure hesitant folk know more people who have been vaccinated, the more pleasant piece of time’s function.

Hopefully, our experience with coronavirus will prepare us for more deadly pandemics in the future, in terms of our behavior, healthcare systems, epidemiology, and more. As bad as COVID-19 is, as bad as Delta is, humanity was exceptionally lucky. The disease could have been far deadlier, far more contagious; the vaccine could have taken much longer, and been less effective. We’ve seen four million deaths worldwide, but even with this virus evolving and worsening, we’ll likely see nothing like the 50 million dead from the 1918 pandemic. Some see the rebellion against masks, lockdowns, and vaccines as a frightening sign: such insanity will spell absolute catastrophe when a deadlier virus comes around. This writer has always suspected (perhaps only hoped) that view to be a bit backward. A deadlier virus would likely mean less rebellion (as would a virus you could see on other people, something more visually horrifying like leprosy). It’s the relative tameness of COVID that allows for the high degree of madness. Admittedly, there was anti-mask resistance during the 1918 crisis, but there could be a correlation nonetheless between the seriousness of the epidemic and the willingness to engage in suicidal foolishness. That aligns with this idea that the more people you lose in your inner circle the more likely you are to give in and visit your local health clinic. Let’s hope science and reason reduce the opportunities to test this correlation hypothesis.

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Famous Bands That Sang About Kansas City

One’s city pride quickly swells upon perusing Spotify for songs about Kansas City. There’s much to hear, from the gems of local talent (“Get Out – The KC Streetcar Song,” Kemet the Phantom) to the fantastic artists from afar (“Train From Kansas City,” Neko Case) to the biggest names in music history:

The Beatles sang of Kansas City beginning in 1961 with “Kansas City / Hey-Hey-Hey-Hey,” which they took from Little Richard’s work of the late 1950s, itself a version of the 1952 classic “Kansas City” by Leiber and Stoller (“I’m going to Kansas City / Kansas City here I come…”). Other famous musicians to record Leiber and Stoller’s song include Willie Nelson, James Brown, and Sammie Davis Jr.

Frank Zappa performed the “Kansas City Shuffle.” Van Morrison had “The Eternal Kansas City”: “Dig your Charlie Parker / Basie and Young.” Yusuf (Cat Stevens) sang “18th Avenue (Kansas City Nightmare).” Clearly, and sadly, he did not have a pleasant stay.

Jefferson Airplane was “gonna move to Kansas City”; for Rogers and Hammerstein, in their 1943 musical Oklahoma!, everything was “up to date in Kansas City.” More recently, The New Basement Tapes, The Mowgli’s, and of course Tech N9ne have joined in.

I have created a public playlist on Spotify of four hours of songs about KC. It has a bit of everything, from the jazz and blues of yesteryear to the folk and Americana and hip hop of today. It includes famous artists and the obscure, and everyone in between, with some repeats so one can hear different artists tackle the same song. “Kansas City Hornpipe” by Fred Morrison and “Kansas City, Missouri” by Humbird are particularly enjoyable. Some songs, naturally, are better than others, but the most subpar or campy of Spotify’s selection have been excluded (many local artists go nowhere for a reason). Finally, and unfortunately, one of the best hip hop songs about the city, Center of Attention’s “Straight Outta Kauffman,” is not available on Spotify, so it must be listened to elsewhere.

Find some of that “Kansas City wine” (Leiber and Stoller) and enjoy.

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If Your Explanation Implies There’s Something Wrong With Black People, It’s Racist

Conservative whites who consider themselves respectable typically do not use the explicitly racist causal explanations behind higher rates of black poverty, violent crime, academic struggle, and so on. Ideas of blacks being naturally lazier, more aggressive or deviant, and less intelligent than white people are largely unspeakable today. Instead, these things are simply implied, wrapped in more palatable or comfortable language so one can go about the day guilt-free. This isn’t always conscious. It’s startling to realize that such whites, probably in most cases from what this writer has observed, do not realize their beliefs imply racist things. This is simply cognitive dissonance; it’s people believing with every fiber of their being that they are not racist, and therefore any explanation they believe cannot be racist, no matter how obviously it actually is to observers.

A few examples:

The problem is black culture. You don’t want to say there’s something wrong with black people. Instead, say there’s something wrong with black culture! This black culture is one of violence and revenge, of getting hooked on welfare instead of looking for work, of fathers abandoning mothers and children to create broken, single-parent homes, and so on. But obviously, to say there’s something wrong with black culture is to say there is something wrong with black people. Where, after all, did this “culture” come from? To respectable conservative whites, who should always be asked that very question immediately, it comes from black people themselves. Such whites won’t include an educated explanation of how history, environment/social conditions, and public policies produce “culture” — how recent American history birthed disproportionate poverty, how poverty breeds violence and necessitates welfare use, how a government’s racist War on Drugs and the crimes and violent deaths bred by that very poverty might mean more families without fathers. They surely won’t point out, as a nice comparison, that the white American culture of yesteryear that placed the age of sexual consent for girls at 10 years old, or a white European culture of executing those who questioned the Christian faith, obviously did not stem from whiteness itself, having nothing to do with caucasian ethnicity — so what does “black culture” have to do with blackness? Are these not human beings behaving in predictable ways to the poverty of the place or the theology of the time? People who think in such rational ways wouldn’t use the “problem is black culture” line in the first place. Nay, it is black folk themselves that create this culture, meaning something is terribly wrong with the race, with blacks as people, something linked to biology and genetics — as uncomfortable as that will be for some whites to hear, it is the corner they have readily backed themselves into. After all, white people do not have this “culture.” Why? Are whites superior?

It’s all about personal choice. Another popular one. The problem is black people are making the wrong choices. They have free will, why don’t they choose peace over violence, choose to look harder for a job or a higher-paying gig, study harder in school, just go to college? The response is again painfully obvious. If racial discrepancies all just boil down to personal choices, this is simply to say that blacks make worse personal choices than white people. This is so self-evident that the temptation to throw this article right in the garbage is overwhelming. To whites, blacks are making choices they wouldn’t personally make. There is no consideration of how environment can affect you. Take whether or not you flunk out of college. You hardly choose where or the family into which you are born, and growing up in a poor home affects your mental and physical development, typically resulting in worse academic performance than if you’d been born into a wealthy family; likewise, children don’t choose where they are educated: wealthy families can afford the best private schools and SAT tutoring, black public schools are more poorly funded than white public schools, and so on. Such things affect your ability to graduate college, or even gain admission. Nor is it considered how environment impacts your decisions themselves. For instance, witnessing violence as a child makes you more likely to engage in it, to choose to engage in it. Nor is there a thought to how social settings affect the choices you’ll even face in your life — if you live in a wealthy area without much crime, for instance, you are less likely to experience peer pressure from a friend to commit an illegal act (just as you’re less likely to see violence and thus engage in it later). One can be more successful in life with fewer opportunities to make bad choices in the first place! But none of that can be envisioned. For respectable conservative whites, there is something wrong with black people, something defective about their decision-making or moral character. White people, in contrast, make better choices, the right choices, and are thus wealthier, safer, better educated, families intact. Again, the implication of inferiority is front and center.

Good parenting is really the key. It all comes down to parenting. If black parents stuck together, emphasized to their kids the importance of education, a hard work ethic, the family unit, and turning the other cheek, all these racial disparities could come to an end. The disgusting implications are no doubt clear to the reader already, meaning we need not tarry here. To pin social problems on poor parenting, without any consideration of outside factors, is to simply say black humans are inherently worse parents than white humans. Whatever the problem with black moms and dads, white ones are happily immune.

These implications must be exposed whenever one hears them, and the conversation turned away from race and biology and toward history and socio-economics. Toward the truth.

The racial wealth gap in the United States was birthed by the horrors done to blacks: slavery meant black people, apart from some freemen, started with nothing in 1865, whereas whites began wealth accumulation centuries before, a colossal wealth gap; Jim Crow oppression meant another century of being paid lower wages, denied even menial employment and certainly high-paying jobs, hired last and fired first, kept out of universities, denied home loans or offered worse terms, taught in poorly funded schools, kept out of high-value neighborhoods through violence and racial covenants, and more; studies show that even today racism still affects wealth accumulation in significant ways. By studying history in a serious manner, we begin to understand why the racial wealth gap exists and why it has not yet closed — not because there’s something defective about black people, but because, beyond today’s challenges with racism, there simply has not been enough time for it to close. People who lived through the Jim Crow era, some mere grandchildren of slaves, are still alive today. This is hardly ancient history; it’s two or three generations.

The poverty that persists does to blacks what it does to human beings of all races. It exacerbates crime (not only theft or the drug trade as ways of earning more income, but from the stress in puts on the brain, equivalent to sleep deprivation, causing people to act in ways they simply would not have had they been in more affluent settings), it hurts the performance of students, it leads to more men confined to the cell or the coffin and thus not at home, and other challenges. Bad public policies, from city underinvestment in the black parts of town to the War on Drugs, make things worse. It is right to be a good parent, to make wise choices, and to value a positive culture — but for whites to imagine that some abandonment of these things by our black neighbors is the root cause of racial disparities, with no discussion of history and social conditions and how they persist and affect human beings, is racist and rotten to the core. Respectable conservative whites (and some black conservatives who focus exclusively on parenting, choices, and culture) may not notice or be conscious of such implications, but this can be made temporary.

If we consider ourselves to be moral creatures, it is our responsibility to give these rosier modern framings of old racist ideas no quarter.

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