Sexual Abstinence-Only Education Fails

Ken AshfordSex/Morality/Family ValuesLeave a Comment

In fact, it is counterproductive.

As today’s L.A. Times reports:

Young adults who as teenagers took pledges not to have sex until marriage were just as likely to contract a venereal disease as people who didn’t make the promise, according to a study in the Journal of Adolescent Health.

Why? 

"The study found that 88% of sexually active people who took the pledge had intercourse before marriage. Sexually active pledgers were less likely to use condoms the first time they had sex, Bruckner said."

Sex education programs that teach only about abstinence are "outside the reality of most adolescents and young adults," Bruckner said.

Fuck "just say ‘no’".  Let’s educate these kids properly, and keep the moral agendas out of it.

How Many 5 Year-Olds Could You Take On At Once?

Ken AshfordRandom MusingsLeave a Comment

As discussed here….

How many 5 year-olds could you take on at once?

The specifics:

You are in an enclosed area, roughly the size of a basketball court.

There are no foreign objects.

You are not allowed to touch a wall.

When you are knocked unconscious, you lose. When they are all knocked unconscious, they lose. Once a kid is knocked unconscious, that kid is "out."

I (or someone else intent on seeing to it you fail) get to choose the kids from a pool that is twice the size of your magic number. The pool will be 50/50 in terms of gender and will have no discernable abnormalities in terms of demographics, other than they are all healthy Americans.

The kids receive one day of training from hand-to-hand combat experts who will train them specifically to team up to take down one adult. You will receive one hour of "counter-tactics" training.

There is no protective padding for any combatant other than the standard-issue cup.

The kids are motivated enough to not get scared, regardless of the bloodshed. Even the very last one will give it his/her best to take you down.

So, under those circumstances, how many 5 year olds could you take on?

Me?  I’m going to say, oh, 30 of the little bastards.  I’m not worried about all 30 swarming me, because only a certain finite number will be able to get to me (the others will block their way).  Accordingly, I can systematically knock out the ones in my immediate vicinity.  The thing that will eventually do me in is fatigue, and at some point, they will be able to overpower me.  So I say thirty.

Starving to Death? The Calculated Inflammatory Rhetoric of the Christian Right

Ken AshfordAssisited Suicide/Schiavo, Godstuff, Health CareLeave a Comment

As one might expect, the American Journal of Bioethics is following the Schiavo case closely. 

One recent bioethicist/commentator took to task those who like to insult the hospice industry, under the false assumption that caring nurses and doctors would allow Terri Schiavo to experience pain and discomfort.  She writes:

One of the more disturbing aspects of the political rhetoric is the hyperbole of the politicians and the Schindlers (Terri’s parents) talking about how Michael is intent on “starving” Terri to death, as if she were a person who was totally healthy and fully functional. Is it possible that none of these persons have ever witnessed a hospice death? And hospice organizations have explained time and time again that someone at the end-of-life doesn’t experience thirst and hunger in the same fashion that healthy individuals do. The language the politicians and the Schindlers are using is intended to provoke and inflame.

What also puzzles me is that these devout Christians seem to be ignoring the fact that, according to the Christian doctrine, death is not the ultimate evil, but eternal damnation is; to allow Terri to die would be to allow her to join with God in eternal life. Perhaps the Schindlers and the politicians don’t really believe in an afterlife? But this case is no longer about Terri’s wishes, or her husband attempting to honor her wishes, or a family dispute. It has become a political battle reflecting the torn state of the nation, about “being right and looking good” and who has control.

Linda Glenn (emphasis added).

And then there is this from the New York Times:

To many people, death by removing a feeding tube brings to mind the agony of starvation. But medical experts say that the process of dying that begins when food and fluids cease is relatively straightforward, and can cause little discomfort.

"From the data that is available, it is not a horrific thing at all," said Dr. Linda Emanuel, the founder of the Education for Physicians in End-of-Life Care Project at Northwestern University.

In fact, declining food and water is a common way that terminally ill patients end their lives, because it is less painful than violent suicide and requires no help from doctors.

Terri Schiavo, who is in a persistent vegetative state, is "probably not experiencing anything at all subjectively," said Dr. Emanuel, and so the question of discomfort, from a scientific point of view, is not in dispute.

So before we “assume” that Terri will suffer and starve, let’s make sure that is, in fact, true.  After all, if you claim to care about her, don’t we at least owe it to become well-informed ABOUT her fate?

GOP Rapes Terri

Ken AshfordAssisited Suicide/Schiavo, RepublicansLeave a Comment

It does.  There is no better way to say it.  Republican politicians don’t care about HER — but about their agenda and Election Day 2006.  In fact, they are so concerned about getting re-elected that they will trod over a dying woman, a dead child, and their own values.  Doubt me?  Read on.

First of all, let’s read a little from bioethicist Art Caplan, who sets the stage:

Ever since the New Jersey Supreme Court allowed a respirator to be removed from Karen Ann Quinlan and the U.S. Supreme Court declared that feeding tubes are medical treatments just like respirators, heart-lung machines, dialysis and antibiotics, it has been crystal clear in U.S. law and medical ethics that those who cannot speak can have their feeding tubes stopped.  The authority to make that decision has fallen to those closest to the person who cannot make their own views known. First come husbands or wives, then adult children, then parents and other relatives.

That is why Michael Schiavo, despite all the hatred that is now directed against him, has the right to decide his wife’s fate. The decision about Terri’s life does not belong to the U.S. Congress, President Bush, Rep. Tom Delay of Texas, Florida Governor Jeb Bush, the Florida Legislature, clerics in Rome, self-proclaimed disability activists, Operation Rescue founder Randall Terry, conservative commentators, bioethicists or Terri’s parents. The decision is Michael’s and Michael’s alone.

Remember the recent debate about gay marriage and the sanctity of the bond between husband and wife? Nearly all of those now trying to push their views forward about what should be done with Terri Schiavo told us that marriage is a sacred trust between a man and a woman. Well, if that is what marriage means then it is very clear who should be making the medical decisions for Terri — her husband.

But, isn’t it true that tough questions have been raised about whether he has her best interests at heart? They have. But, these charges against Michael Schiavo have been heard in court again and again and again. And no court has found them persuasive.

Okay.  So, as a result of the Quinlan matter, we have rules in place now.  Rules which are called "laws".  The laws have been followed.  The courts have decided.

Does this stop the GOP?  No.  As I write this, the GOP-led Congress is meeting to write an emergency bill, something unprecedented.  Why is the bill unprecedented?  Here’s the long term impact of the bill, as explained by Andy Cohen:

Anytime Congress doesn’t like the result in a particular case, it could swoop in and call a “do-over,” which is essentially what this legislation represents. And this from a Congress that has for a decade or so tried to keep all sorts of citizens — including disabled employees — out of federal court. If this law is declared valid, no decision in any state court in the country will be immune from Congressional second-guessing. It would throw out of whack the entire concept of separation of powers. The constitutional law expert Tribe calls it “trial by legislation” and he is right.

Now, the good news is that this "Schiavo bill" is unconstitutional (since it upsets the constitutional separation of powers), and the courts will no doubt conclude so.  The bad news is that it will take years, probably, for the courts to make that decision (assuming the law is passed).  And the GOP, many of whom already know this is an unconstitutional law, can still vote for in favor of it, and blame the judiciary later on when the law gets struck down.  That way they can score political points.  Meanwhile, the wishes of Terri will be thwarted yet again.

Think I am being too cynical?  I’m not.  A GOP memo specifically urged Republicans to vote in favor of the "Schiavo bill".  Not because it is the "right" or "moral" thing to do.  Not because the GOP "values life" or whatever.  No.  They wanted Republicans to vote for the bill because "the pro-life base will be excited…” and “This is a great political issue… this is a tough issue for Democrats".  (Read more about the memo here).

Okay.  So I’ve established that the GOP is using the Schiavo case to score political points.  But the outrage really lies in this:

Suppose I told you that there is a state law out there which permits a hospital to take a child off of life support even if it is against the wishes of the parent.  Under this law, if the parent is unable to pay for continued life support, the hospital can decide to pull the plug on a terminally ill patient.

If such a law existed, don’t you think the right-to-lifers would be up in arms about it?

Well, such a law exists.  In Texas.  And guess who signed it into law?  That’s right — the governor of Texas at the time, George W. Bush.  The law that Bush signed is known as the Texas Futile Care Law.

Don’t believe me? Read this story about a baby named Sun Hudson:

The baby wore a cute blue outfit with a teddy bear covering his bottom. The 17-pound, 6-month-old boy wiggled with eyes open and smacked his lips, according to his mother.

Then at 2 p.m. today, a medical staffer at Texas Children’s Hospital gently removed the breathing tube that had kept Sun Hudson alive since his Sept. 25 birth. Cradled by his mother, he took a few breaths, and died.

“I talked to him, I told him that I loved him. Inside of me, my son is still alive,” Wanda Hudson told reporters afterward. “This hospital was considered a miracle hospital. When it came to my son, they gave up in six months …. They made a terrible mistake.”

Sun’s death marks the first time a hospital has been allowed by a U.S. judge to discontinue an infant’s life-sustaining care against a parent’s wishes, according to bioethical experts.

That was only a few days ago.

What does President Bush—or the GOP for that matter—have to say about Sun Hudson’s death?  Nothing.  Probably because it was Bush’s law which allowed Sun’s life to come to an end.

And where were the right-to-lifers in Sun’s case?  [Cricket’s chirping].

Where’s the outrage?  Could it be because Sun was a poor black child of a poor black woman?

This is all very telling, for it reveals the motivation behind the GOP efforts to re-insert the feeding tube in Terri.  It’s not about concern for life, because the GOP was conspicuously absent in Sun Hudson’s case (among others).  It is about winning elections.

By the way, for those still unsure about Terri’s condition, the CAT scan on the left is Terri’s brain.  The dark blue areas represent THE ABSENCE of brain matter — instead, it is just fluid.  On the right is a normal brain. (Source)

Terri

Understand that we are not talking here about damaged parts of her brain.  We are talking about ABSENCE of brain matter.

For God’s sakes, let her die in peace.

UPDATE:  The GOP may be wrong about this, politically as well as morally.  Even a Fox News poll shows that most Americans think Terri ought to have her tube removed.

Read More

Those Of Us Who Read Liberal Blogs

Ken AshfordAssisited Suicide/Schiavo, RepublicansLeave a Comment

Digby says:

Those of us who read liberal blogs are also aware that Republicans have voted en masse to pull the plug (no pun intended) on medicaid funding that pays for the kind of care that someone like Terry Schiavo and many others who are not so severely brain damaged need all across this country.

Those of us who read liberal blogs also understand that that the tort reform that is being contemplated by the Republican congress would preclude malpractice claims like that which has paid for Terry Schiavo’s care thus far.

Those of us who read liberal blogs are aware that the bankruptcy bill will make it even more difficult for families who suffer a catastrophic illness like Terry Schivos because they will not be able to declare chapter 7 bankruptcy and get a fresh start when the gargantuan medical bills become overwhelming.

And those of us who read liberal blogs also know that this grandstanding by the congress is a purely political move designed to appease the religious right and that the legal maneuverings being employed would be anathema to any true small government conservative.

Those who don’t read liberal blogs, on the other hand, are seeing a spectacle on television in which the news anchors repeatedly say that the congress is "stepping in to save Terry Schiavo" mimicking the unctuous words of Tom Delay as they grovel and leer at the family and nod sympathetically at the sanctimonious phonies who are using this issue for their political gain.

I might add Gravatarthat those of us who read liberal blogs know that the only POSSIBLE treatment in the future for people like Terri is one which will allow for regeneration of brain cells. Such medical breakthroughs — while a long way off — can only come about as a result of stem cell research, the very thing opposed by the supposed "Christians" now praying for Terri on the misguided belief that she will get better with therapy.

Schiavo Protesters

Ken AshfordAssisited Suicide/Schiavo, Right Wing Punditry/Idiocy6 Comments

050318_schaivo_hmed_1110ph2Look at the picture on the left of people opposed to the Schiavo tube removal.  This is the kind of protest that, if done by the liberals, would have the right wingers rolling in the aisles, making fun.

But I think it is a perfectly fine protest — after all, they got their pictures taken, which means they got their message out.  That’s what protests are designed to do.

The problem is . . . I don’t get quite understand what their message is.  What does the tape with the word "life" symbolize?  Why is the tape over their mouths?  Are they trying to say "we are not allowed to talk about life"?  Or does having a life prevents them from exercising their First Amendment right to speech?   And what does that have to do with Schiavo? 

Maybe it has something to do with being unable to eat.  But then, certainly, "death" would be a better word to use, rather than "life".

Oh, well.  It’s a powerful message.  Too bad it is an ambiguous one.

Oh, And While We’re On The Subject

Ken AshfordPersonalLeave a Comment

Me, being of sound mind and body pretty much (as well as can be expected, I mean — I’m having joint problems and my cholesterol count is high …. but I digress) want the following to be known:

(1) If I become brain dead like Terri Schiavo (or like Michelle Malkin) and I am adjudicated as such by whatever reasonable system the courts or hospitals have to make such a decision, then don’t screw around — yank the plug, pull out the tube, fire a couple of dum-dum bullets into my head, whatever it takes.  Make me dead.  Seriously.  I’m not kidding. Do it.  Make my death as honorable as I hope my life has been.  More honorable, in fact.

(2) Sue the M-F’ing ass off of everyone who tries to delay or impede #1.  I’ll even give you the legal cause of action: intentional infliction of emotional distress.  And don’t forget to seek punitive damages, too.  And give whatever money that is leftover (after legal and medical expenses) to some pro-choice group.  That’ll show ’em!

So say I on this datestamp, at this timestamp, with this can of Pepsi in my right hand, in all seriousness, even though I appear to be just goofing around.

Which I’m not.

Yet Even More on Terri

Ken AshfordAssisited Suicide/Schiavo, Sex/Morality/Family ValuesLeave a Comment

Right winger Neil Boortz has the courage to see what this is is about, and he ain’t afraid to say it:

At the center of the Terri Schiavo tragedy is America’s anti-abortion movement.  Notice, please, the presence of Randall Terry.  The fact is that the anti-abortion movement has seized Terri Schiavo … figuratively kidnapped her .. and they intend to use this woman to further their anti-abortion agenda.  They will entomb the soul of Terri Schiavo  in her now-useless body as long as it suits their agenda. 

The language of those who would continue the imprisonment of Terri Schiavo is odd, if not amusing.  She’s referred to as disabled, in a coma or just brain damaged.  She is not "disabled" in the normal context of the word.  Her body is, for all practical purposes, dead … being kept alive solely through extraordinary artificial means.   She’s not in a coma.  People recover from comas.  Her condition is diagnosed as a "persistent vegetative state."   There is no medical record of someone  recovering from a persistent vegetative state.  This is not a state of brain damage.  It is, for all practical purposes, brain death. 

The absurdities of this case would be funny if they weren’t so pathetic.  Terri’s family said last year that they wanted to take her to the mall, and for other field trips.  Of course, those trips never happened; just as Terri will never testify before a congressional committee.  We also have the blatant attempts to turn the attention away from Terri’s condition and to her husband.  His crime?  He says, and the courts have agreed, that he is merely carrying out wishes expressed to him by his wife.  Listen to the Schiavo family and you will hear that her husband her condition was caused by a beating at the hands of her husband.  It wasn’t.  You’ll hear that her husband stands to rack up huge piles of money as soon as Terri dies.  He won’t. 

Now put yourself in this position. You’re watching TV with your spouse one night and see a show about someone on life support. You tell your husband or wife that you don’t want to ever be in that state, and would they please pull the plug should you ever become incapacitated. However, you don’t write it down, and apparently don’t tell your parents. Tragedy strikes, and only your spouse knows your true wishes. Should your spouse be ignored in favor of your parents who want to keep you alive at all costs?

Michael Schiavo has turned down $10 million to terminate his rights in this case. He says he just wants to do what Terry wanted. Who’s right? Doesn’t the spouse come before the parents in any marriage? Time for everybody to write down what their wishes are, so this doesn’t happen to you.

I’m sure that there is no shortage of people who think that I’m possessed by some evil spirit.  No.  I’m just sad that Terri’s spirit or soul .. whatever you want to call it … is trapped in this useless body.  Her parents’ love has clouded their judgment.  This can be understood and excused.  What can’t be excused is the cruelty of the so-called "right to life" movement that will allow this woman to continue to suffer s long as their own needs are met.

Now, a question.  How many of you can honestly say that you would like to be kept alive, for 20, 40, 50 years or more like this? If you wouldn’t want this for yourself, why do so many of you work so hard to force this reality on Terri Schiavo?  Oh .. I forgot.  You’re pro-life.  Well isn’t that special.

Isn’t It Ironic, Don’t You Think?

Ken AshfordAssisited Suicide/Schiavo, Sex/Morality/Family ValuesLeave a Comment

One of the most ironic statements about the Terri Schiavo case can be found in one of Judge Greer’s opinions:

Perhaps one of the few  agreements between these experts is that stem cell research is currently at the experimental stage and is years away from being accepted either medically or politically. It would not appear from the testimony that this is a viable treatment option at this time.

Too bad.  If only the "pro-life" people who want Terri to live would allow stem cell research so that she COULD live, they might have a better argument.

Meanwhile, Tom at Corrante is far more blunt:

If these folks really cared about life, they wouldn’t have all so blithely signed on to this disaster in Iraq that has probably already killed more than 100,000 people, including more than 1,500 American soldiers.

Two Heads Aren’t Better Than One

Ken AshfordRandom MusingsLeave a Comment

From Germany:

Man with two penises loses wife

A German who persuaded doctors to give him a second penis has lost his wife after he showed her the result.

Biker Michael Gruber, 40, lost his original penis in a motorbike accident and doctors built him a second one using a mixture of skin, bone and other tissues from his own body.

The penis worked so well that he was even able to father a child with his wife Bianca, 25, and their son Etienne was born last year.

But Gruber was still not happy and asked doctors to repeat the operation and build him a better organ, to which they agreed.

However, before removing the first penis doctors said they needed to make sure the new tissue transplant was a success, and had to leave the first penis in place.

Dr Markus Kuentscher, a plastic surgeon at Berlin’s Accident Hospital, said: "We left the old one attached until the new one is properly supplied with blood."

But when Gruber showed his wife his double penis, she went home, packed her bags and left.

From his hospital bed he said: "I’ve got two penises but no wife, but I am hoping when I get rid of one of the penises I will get her back."

Write your own punchline.

More Thoughts on Terri

Ken AshfordAssisited Suicide/Schiavo, Sex/Morality/Family ValuesLeave a Comment

Okay.  I wanted to write a lengthy response to Professor Volokh’s bombshell in which he advocates torture (you’re never going to get on the Supreme Court that way, Eugene!), but I guess I better focus more on Terri Schiavo since — I’m told — my analysis of the case was rather amateurish and undetailed.

To which I plead guilty.

Guilty with an explanation.  The Schiavo case has over a decade of factual evidence, much of which is disputed by the parties directly involved.  On top of that, there is a lot of DISinformation being put out by proponents of both sides.  And if that is not bad enough, there are ethical issues which spill over into the realm of religion, philosophy, etc. . . . and that always gets people’s dander up.

My interest in Schiavo is not simply whether she should live horribly or die with dignity.  It is about the process by which we decide, rather than the decision itself.

So here I go.

One of the reasons that civilized countries have legal systems is to establish repose.  In other words, we have to get on with our lives (or perhaps, in cases like Terri’s, our deaths) and a legal system is civilized society’s way of resolving disputes so that the wheels may turn.

As a lawyer — and every lawyer will tell you the same thing — I see clients who are so convinced that they are right and the other side is wrong, even though the other side is equally so convinced that they are right and you are wrong.  And obviously, both cannot be right.  Be we have to make a decision, and that’s what courts are for.  That’s how it works.  Otherwise, we end up like the characters in ST’s "Let This Be Your Last Battlefield", destined to spend eternity in a neverending struggle.

Now, to be sure, the legal system is flawed.  O.J. gets away (probably) with murder, and so on.  I won’t deny it.  But it is the only system we have, and nobody has yet to come up with a better one.

Both sides in the Schiavo debate have had full and complete access to the courts.  In fact, more than enough access.  They have opportunity after opportunity to have their evidence heard.  And reheard and reheard.  The battle of the experts has been played over and over and over and over again.  And the various judges and courts have made their decisions.  The process has been played out:

There have been at least 11 applications to the Florida Court of Appeal in this case resulting in four published decisions; four applications to the Florida Supreme Court with one published decision (Bush v. Schiavo); three lawsuits in federal district court; three applications to the U.S. Supreme Court and nearly untold motions in the trial court. (Source)

And while many may feel that the courts have decided wrongly, it is folly to say that the courts were unaware of the evidence presented by both sides. 

So, even though I am pretty well-read on Schiavo, I don’t claim (as the Terri-torturers seem to do) to be omniscient about every aspect.  And unlike them, I think I do have the high ground of objectivivity, if only because I recognize that I am NOT omniscient; i.e., I am NOT in her head.  Nor do I pretend to be.  I am also more objective because I do not cloak myself solely in "evidence" that points to the outcome which I would desire in the first place.

So while reasonable people unconnected with Schiavo can, based on what they have read, still debate about consciousness and vegetative states and rehabilitation possibilities and allegations of abuse and yada yada yada, there is one thing that is most certainly undisputed: the courts have been through these arguments before time and time again

And unless there is a specific allegation that the various judges and commissions and other factfinders are all "on the take", I have to believe that they weighed the evidence — all of it — impartially and reasonably. 

And the ruling is to let Terry’s life end with dignity.

So that day has come.  The arguments have all been made and heard, and the Johnny-Come-Latelys to the Schiavo case — many (on both sides) who have their own political agenda — should just pack their bags and go home.  Terri’s wishes won out, you lost.  It’s time to restore some dignity to her, and that can only happen when the circus leaves town. 

That includes the clowns in Congress (you know, the Republicans who used to think the federal government should keep away from states’ rights), who shouldn’t be sticking their nose in this issue in the first place (unless they intend to do it in EVERY case, which is not within their mandate).

UPDATE: My girl Majikthise has a good roundup of Terri myths here.  It’s a good balance to the well-financed special interest groups who put out misinformation in furtherance of their own (anti-choice) agenda.  Follow her links, too. 

Abstract Appeal also has a pretty neutral site, with plenty of links to source documents from the courts.

MORE UPDATE:  I think Atrios has the correct final word:

Living Wills
Just go write them, now. That is all.

Gun Safety

Ken AshfordGun ControlLeave a Comment

This is a remarkable video.

A police officer is in a school, giving a talk to kids on the subject of gun safety.  And he accidentally shoots himself in the foot.  Trying to pass it off as nothing, he then asks his assistant to show a rifle to the kids.  The kids, scared to death of being accidentally shot, ask the assistant to put the rifle down.

Both funny and disturbing.  Give the video a chance to load…

Fish Tales

Ken AshfordWeb Recommendations1 Comment

Animal supersititions, alpabetically arranged.  Here’s a sample:

Fish

Throw back the first fish you catch then you’ll be lucky the whole day fishing.

It’s bad luck to get married when the fish aren’t biting, according to the custom of some fisherfolk.

A fish should always be eaten from the head toward the tail.

Dream of fish: someone you know is pregnant.

If you count the number of fish you caught, you will catch no more that day.

It’s bad luck to say the word "pig" while fishing at sea.