Tag Archives: AIDS

The Value of a Single Human Life: Personal Responsibility during the COVID-19 Pandemic

Friends of Padre Steve’s World,

I have grown tired of the deniers of science and those who when occupying high positions in the Federal and State governments prepare to add to the death and economic disaster we are already experiencing in the COVID-19 pandemic. Likewise I have grown very tired of trying to confront their cultish followers with history, science, and facts, especially those who should know better. The sad thing is that I can certainly determine that they have left their conscience, and medical knowledge behind simply to support the policies of President Trump which began with denial, deflection, and outright lies between December 2019 and now.

I have a unique perspective to offer on what is going on now. I am a historian, an ethicist, as well as a Priest and Navy Chaplain. I have served in the military for over thirty eight and a half years, as a Medical Service Corps Officer and Chaplain. I have served in combat, and as an ICU, ER, and Critical Care Chaplain during the height of the AIDS pandemic when there were no drugs to even mitigate the symptoms of HIV, and the H1N1 pandemic of 2009.

As a historian I have studied pandemics, eugenics, and the sterilization, or extermination of people whose lives were considered Life Unworthy of Life, a condition more influenced by eugenics to purify the race, and the economic costs of keeping such people alive. Sadly, many American Christians who lean toward Libertarianism, and Conservatism, even those who claim to be Pro-Life, which should be more accurately termed anti-abortion because once a child is born into this world they couldn’t give a damn if it lives or dies. By their budgets you shall know them. The poor, the disabled, or those with chronic medical conditions are not worth spending tax dollars on, especially if that money keeps the rich from getting richer. As Alfred W. Crosby wrote in his book America’s Forgotten Pandemic, the Influenza of 1918 about the businesses leaders that pressured San Francisco’s board of supervisors to lighten up on Medical and public health and restrictions that had led to a decline of infections and deaths: “The dollar sign is exalted above the health sign,” said Hassler, referring to the influence of the merchants on the supervisors’”

As a Medical Service Corps officer in the Army while commanding a Medical Ambulance Company stationed in Germany during the height of the Cold War I was school trained as a Nuclear, Chemical, and Biological Warfare Defense officer. I can describe in detail what radiation poisoning at different amounts will do to a human being, as well as what kind of shelters provide the greatest protection from radiation exposure.  I can tell you what various chemical agents, blood, choking, and nerve will do to a person if they are not properly equipped, or fail to use their provided protective gear as they were trained to do, the same is true of militarized biological agents. Unlike, chemical agents, there is little defense against a biological agent. I was also trained in combat triage in a contaminated environment. I have written about that in the last month so I won’t go into detail here, but it turns normal triage upside down.

Finally, as a young Medical Service Corps Captain helped write the Army’s regulation on personnel policies for HIV infected soldiers, and then because officers senior to me, I had to counsel all of our HIV infected personnel on their career options, and legal restrictions if they violated the commanders order which closely corresponded to the Physicians Medical order, but had the authority of the Uniform Code of Military Justice behind it, if the soldier failed to warn a sexual partner that he or she was HIV positive or did anything else to intentionally spread the virus. That was back in 1987. At that time I met and talked with then Major Robert Redfield, now head of the CDC about how HIV could spread and that it would enter the general population. Before effective policies and treatments to mitigate its effects HIV spread like a fire around the country and the world. While we do not yet have a vaccine for it, education, preventive measures, and effective drugs to mitigate its lethal effects have blunted its spread. That being said, HIV is far harder to spread than airborne viruses like influenza and Coronavirus. HIV has to be spread by direct contact and intermixing of bodily fluids, like blood, semen, or other bodily excretions.

At of the time of the writing of this article, the Coronavirus 19 has now killed over 55,000 Americans and infected almost a million according to official tallies, which are probably low since very few health agencies were testing for it before March. Testing in the United States has continued to lag on a per capita basis with only about 1.5% of the population tested. Currently there are over 813,000 active cases in the United States. The United States government leadership knew of the threat through reliable intelligence sources that the virus was raging in China In December 2019  long before the Chinese Communist leadership admitted it, or took action to contain it. Instead the President did nothing until he instituted a travel ban from China at the end of January. However, by then, it was too little and too late. The virus was already spreading and killing in the United States.

The lack of  any action defied the warning of President George W. Bush in a speech to the National Institute of Health on 1 November 2005:

“A pandemic is a lot like a forest fire: if caught early, it might be extinguished with limited damage; if allowed to smolder undetected, it can grow to an inferno that spreads quickly beyond our ability to control it.” 

However, President Trump, a man who prides himself in not reading, and despises the counsel of experts in any field, could not heed the warnings of President Bush or any other responsible member of his administration, or the medical and scientific community at large. Instead he denied the threat, blamed others, and took no decisive action to protect the people of the country or economy from it. instead of being like Harry Truman who had a sign on his desk that said “The Buck Stops Here,” the President refused to take any responsibility for the earlier lack of action or distribution of public warnings, and said “I take no responsibility at all.” But that is no exception to anything he has done in his life. He loves to claim credit when times are good, but when his decisions result in multiple failed divorces, failed businesses, and serial corporate bankruptcies, he refuses to take any blame. But still, his cultish followers refuse to abandon him even as he abandons them to poverty and death.

in 1918 and 1919 before he suffered a stroke that left him incapacitated and unable to lead the country, President Woodrow Wilson said nothing about the pandemic that was then killing hundreds of thousands of Americans, and threw the responsibility to respond on under funded and unready state and local authorities. As Albert Marrin wrote in his book Very, Very, Very, Dreadful The Influenza of 1918:

“Throughout the pandemic, the nation lacked a uniform policy about gathering places, and there was no central authority with the power to make and enforce rules that everyone had to obey. Each community acted on its own, doing as its elected officials thought best.”

As a result over 667,000 Americans died, the economy was hit hard, and the stage was set for policies that help bring about the Great Depression a decade later, and would take the leadership of Franklin D. Roosevelt to overcome. John Barry wrote in his book The Great Influenza:

“So the final lesson of 1918, a simple one yet one most difficult to execute, is that those who occupy positions of authority must lessen the panic that can alienate all within a society. Society cannot function if it is every man for himself. By definition, civilization cannot survive that. Those in authority must retain the public’s trust. The way to do that is to distort nothing, to put the best face on nothing, to try to manipulate no one.” 

Unfortunately, that has been the case today. For every responsible citizen there are those who would preserve their lives and fortunes even if they had to sacrifice the lives of others to do so. They are little different in their morality to the Germans who turned away from Nazi atrocities to maintain or enrich themselves without ever lifting a finger to kill or help anyone. The issue reminds me of an episode of Dr. Who where the leader of a colony on Mars tells the doctor that he would do anything to protect his people and family. The Doctor asks “even if that meant killing innocent men?” Unmoved, the leader reiterated his point, to which the Doctor replied:

“Well then, that’s the difference between us. I’d give up my ownlife without hesitation; it’s mine to give. Just don’t ask me to give up anybody else’s. … This is how evil starts: With the belief that the ends justify the means. But once you start down that road, there’s no turning back. What if you can save a million lives, but you have to let ten people die? Or a hundred? Or a hundred thousand? Where do you stop?”

Truthfully we have to ask the question posed by the Doctor. But for many committed to the dollar, their position, and their loyalty to a President that shoes no loyalty to them the current crisis has proved that they are selfish and more interested in their creature comforts and lifestyle than they are of the deaths and suffering of hundreds of thousands of people. I am reminded of the words spoken in the film Judgment at Nuremberg by Judge Haygood played by Spencer Tracy in the fictionalized account of the Judges Trials at Nuremberg:

But this trial has shown that under a national crisis, ordinary — even able and extraordinary — men can delude themselves into the commission of crimes so vast and heinous that they beggar the imagination. No one who has sat at through trial can ever forget them: men sterilized because of political belief; a mockery made of friendship and faith; the murder of children. How easily it can happen.

There are those in our own country too who today speak of the “protection of country” — of “survival.” A decision must be made in the life of every nation at the very moment when the grasp of the enemy is at its throat.  Then, it seems that the only way to survive is to use the means of the enemy, to rest survival upon what is expedient — to look the other way.

Well, the answer to that is “survival as what?” A country isn’t a rock. It’s not an extension of one’s self. It’s what it stands for. It’s what it stands for when standing for something is the most difficult!

Before the people of the world, let it now be noted that here, in our decision, this is what we stand for: justice, truth, and the value of a single human being.” 

So, that being said, what do we stand for in 2020? It is something that all of us all have to answer for, not just political, or business  leaders, but all of us.

If we are nor willing to protect and care for the least, the lost, and the lonely, what use are we? As Dietrich Bonhoeffer wrote:

“God loves human beings. God loves the world. Not an ideal human, but human beings as they are; not an ideal world, but the real world. What we find repulsive in their opposition to God, what we shrink back from with pain and hostility, namely, real human beings, the real world, this is for God the ground of unfathomable love.”

As a Christian and humanitarian I cannot speak otherwise. If I cannot stand up for truth regardless of the cost, I am not worth the powder to blow me to Hell.

Think about that. Until tomorrow,

Peace,

Padre Steve+

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Filed under christian life, Coronavirus, Diseases Epidemics and Pandemics, ethics, euthanasia, faith, film, History, laws and legislation, national security, nazi germany, Political Commentary, Religion, US Presidents, world war one

Coronavirus 19: Just the Facts

Friends of Padre Steve’s World,

I have been working on this article for two days in order to check sources and facts and to try to find the best sources of information for my readers.

The novel Coronavirus, or COVID 19 is now spreading at a rapid rate around the world, after beginning in and wreaking havoc in China, especially Wuhan City and Hudei Province where it began. The first death was reported by China to the World Health Organization on December 31st 2019. By the end of January the total number of infections numbered nearly 12,000, with 259 deaths. The Chinese Communist leadership tried to minimize the outbreak in its official communications, and finally, after delaying, enacted draconian measures to contain the spread of the virus, slowing its advance and buying time for other nations to take action. Even so the outbreak was declared a Public Health Emergency of International Concern on 30 January 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

Coronaviruses can range from the common cold to more serious diseases, This is a new form of Coronavirus, which can be transmitted from animals to humans. Two of the more recent Coronavirus are  were the Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS).

Since the World Health Organization declaration at the end of January the total number of cases number nearly 110,000, with over 3800 deaths. Cases have been reported in 103 countries on every continent. However, the numbers are certainly under the actual totals, as many countries, including the United States do not have enough testing kits to detect every case and the incubation period where an asymptotic infected person (someone not showing symptoms but who  is infected) can be up to 14 days, and in a few outlying cases 19 days or more. Depending on the country the average incubation period is 5-6 days. https://www.worldometers.info/coronavirus/

Politics and inept actions in Washington, beginning with the President’s refusal to treat the outbreak as anything serious, and the administration’s initial response to ban non-U.S. residents from China from entering the country helped squander the time bought in China, despite that travelers from the infected region had been traveling around the world for weeks.

This was compounded by flaws in the CDC’s test kits which were discovered by clinicians which led to inconclusive results. It took most of February to troubleshoot the issue and begin deploying the CDC kits. The administration promised a million kits by the beginning of March, but fewer that 100,000 have been issued. Likewise, outside of the CDC the only a dozen research medical centers had the capability to produce their own kits, and the FDA, which is in charge of quality control standards for commercially produced kits and medicines was not brought into the effort until the end of February.

The delay meant that a very stealthy and hard to discover virus, 1/70th the size of a human blood cell, was loose in the United States without means to test for it in the midst of cold and flu symptoms, many of which it mimicked. It is highly contagious and there is no vaccine for it, and most experts don’t believe that there will be one for some time.

The only way to stop the spread is to keep people apart, for weeks because of the slow incubation period. The draconian measures to contain the virus by quarantining a large province have been the only thing that has slowed the rate of new infections. Italy, which has seen a massive spike in infections and deaths has quarantined Lombardy and the 12 nearby provinces. This is the industrial heartland of Italy, and the effect on the Italian economy will be great, as well as on companies which rely on the region for vital products.

As of today the United States has tested less than 2000 people for the virus, but the CDC  removed numbers tested from their website on March 2nd. This was probably a political move as it occurred shortly after Vice President Pence was designated to lead the fight against the virus. Shortly after Pence was named, it was announced that no Federal Government Health agency, civilian or military should release any information without clearing it with the Vice President first. The optics of this make it look like the administration is deliberately withholding information that could prove damaging to it and the President.

Even as the virus spread exponentially over the past week the President and the CDC are underplaying it. According to EU data, COVID-19 has been confirmed in 32 American states. According to CDC, it’s 19. According to Johns Hopkins tracker, there are 516 confirmed cases and 21 deaths. This is in large part due to the few tests conducted in the United States. https://coronavirus.jhu.edu/map

However, according to the CDC there have only been 164 cases and 11 deaths. https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html

The President still speaks as if there is no threat and downplays warnings from scientists and doctors. He surrounds himself with yes men who dare not cross him. He has done that in almost every branch of the Executive Branch, and now lives are at stake, as he, as he always does, knows more about the subject than experts. On Friday, Trump commented at Mar-a-Lago:

“I’m not concerned at all,” the president said when asked about Coronavirus getting closer to White House. “We’ll hold tremendous rallies,” he said — rallies will continue.“

Such rallies, while they boast the President’s ego, will endanger the lives of his supporters.

A report by a research group in Washington State suggested that based on genetic similarities between the first person diagnosed in the state and the United States, who had traveled to China, and a teenager in the same county who tested positive recently, that the virus could have been spreading undetected in Washington for up to six weeks. They considered their results “statistically significant.”

The spread of the virus has not been good for the global economy, and after over a month and a half of living in denial the world financial markets have taken major hits. The Dow Jones is down almost 4000 points; and other U.S. and foreign exchanges are losing similar amounts of their value. Likewise, bonds are down, oil is down, and the Federal Reserve dropped the Prime Rate by a quarter of a point to try to prop up the economy and prevent a recession, but there is little else they can do. The rates are nearly as low as they can go, and the Trump tax cuts when the economy was good have ballooned the budget deficit and national debt, so there is little wiggle room to pump up the economy.

However, the real problem is that we now live in a global economy, which is linked via supply chains dependent on the rapid movement of parts, materials, and manufactured goods, because most companies now rely on “just in time” supply systems rather than maintaining large inventories. Supply disruptions will be a major part of any recession, because they will lead to closed factories, stores, and put many people out of work. It will be a recession unlike any other we have experienced. Commerce is based on people coming together, and if governments “pull out all the stops” to contain the virus as the World Health Organization has urged, countries will have to do what China did and Italy is doing. Factories will shut down, entertainment venues will close, stores dependent on delivery of goods from across state or international boundaries will shutter as interstate travel and movement is banned with exception of absolutely essential items, and people will stop going to restaurants. Based on his actions so far I cannot see President Trump taking those kinds of actions.

There are also national security concerns, the virus could hurt American military readiness, and ability to train and deploy forces. Depending on how bad things get, it could cause social and political disruptions in countries where economies are on the edge, and where race based populist movements enjoy significant influence. Such movements often repress racial and religious minorities at home, and seek conflicts with their neighbors to settle old scores, or to take control of contested areas.

Hard decisions have to be made if this outbreak is to be stopped from becoming a major epidemic. The number will certainly be safe.

I will write about my experiences during the AIDs outbreak and dealing with it as both a Medical Service Corps officer in 1987-88, as a civilian hospital chaplain at Parkland Memorial Hospital in Dallas from 1993 to the end of 1995, as well as as an ICU Chaplain during the H1N1 flu pandemic in 2008-2009.

So until tomorrow, be safe, stay informed, and prepare. If you are sick, try not to expose others and seek medical treatment, and by the way, wash your hands.

Peace,

Padre Steve+

 

 

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Filed under Diseases Epidemics and Pandemics, News and current events, Political Commentary

An Accidental Activist 


Friends of Padre Steve’s World,

I would have never thought that I would become a civil rights activist. I’ve been in the military my entire adult life and grew up in it as a child. I was raised with the concepts of loyalty, obedience, and honor as being central to my life. Likewise I have been a Christian pretty much all of my life, and a minister, priest, and chaplain for a quarter of a century. Typically when you mix military, Christian, and clergy the combination does not lead to one becoming a civil rights activist. 

But the long strange trip that has been my life to dates has thrust me into places that people like me seldom experience, much less live.  When I was in high school I was part of a school district that desegregated. There was a lot of opposition to it in the community, but my class at Edison High School, Stockton California, was as racially diverse as anyone could imagine and unlike many other places where the experiment went wrong, our class came together and made it work. Many of us have stayed in contact throughout the decades and our reunions are always well attended, we were, and still are, Soul Vikes. 

When left active duty to go to seminary and went into the National Guard, came to know what it is to be poor, to wonder where the next meal, rent payment, tank of gas, or money for prescription medicine might come from. I know what it is like to have a home foreclosed on, to have a car repossessed, to have bill collectors harass one day and night. To work full time with a college degree and not make a living wage because “good Christians” didn’t think seminary students deserved a living wage because they were not going to stay around after they were done with seminary. I know what it is to have lived in a crime and drug infested area in a rented house that did not have heat during the winter. I know what it is like to lose a job when mobilized to serve overseas, and have those that did it blacklist me among my profession when I complained to the Department of Labor when I returned home. 

Likewise, my profession as a military officer, first as a Medical Service Corps officer, and later as a Chaplain in the military and as a civilian hospital chaplain brought me into contact with people and experiences that I would not have had otherwise. I was assigned to help write the Army’s personnel policy for people with HIV and AIDS in 1987 and because I was the junior personnel officer I because the point of contact for every officer diagnosed with that dread disease. The experience made me realize that the people who got it, regardless of whether they were gay or straight were real human beings faced what was then a certain death sentence. So I started speaking up for them. 

When I was in seminary I worked for a social service organization working in the slums and barrios of San Antonio before moving to Fort Worth and for a time working as the administrative coordinator for a homeless shelter. 

When I finished seminary I ended up doing my hospital chaplain (Clinical Pastoral Education) residency at Parkland Memorial Hospital in Dallas. While most of my time was spent in the trauma-surgery department and the emergency rooms, I still dealt with many AIDS patients, some whose families rejected them, and if they were Gay, were also condemned by their families, pastors, and churches. While at Parkland I dealt with death every day, much of it violent, and I saw the vast disparity between those who had insurance and those who had to rely on charity or some kind of minimal government provided heath care program. 

When I came back from Iraq suffering from full-blown PTSD I came to understand what it was like to suffer depression, hopelessness, struggle with faith, and contemplate suicide. I also came to know what it was like to be ostracized and then kicked out of my church, and be sidelined by other Navy chaplains. 

As I struggled during the early stages of returning home and dealing with the craziness of PTSD my first therapist asked what I was going to do with my experience. I told him that regardless of the cost I would be honest and speak out. I started doing that with PTSD but soon as I was struck by how unjust I felt that I had been treated, and seeing others being treated the same way because of prejudice, whether it dealt with mental health, race, sexuality, religion, social or economic status, I began to speak up for them as well. Speaking up for the LGBTQ community, women, and Muslims, got me thrown out of the church I had served for 14 years as a Priest, but that only hardened my resolve to fight for others, even in my own neighborhood. 

That has continued now for almost a decade since I returned from Iraq. All of the experiences I had before then came more sharply into focus, and if you read this site regularly or scroll through my vault of over eight years of articles you will see how over the years I have continued to become more of an advocate for civil rights. But I think that this is something that my faith as a Christian and oath as an officer to the Constitution demands I do. The German pastor and martyr to the Nazis Dietrich Bonhoeffer wrote: “We are not to simply bandage the wounds of victims beneath the wheels of injustice, we are to drive a spoke into the wheel itself. That means that I have to fight the battle. 

Many of the causes that I fight for are not popular in Donald Trump’s America, but one cannot give up and be silent just because it is unpopular. Mahatma Gandhi said: “It’s the action, not the fruit of the action, that’s important. You have to do the right thing. It may not be in your power, may not be in your time, that there’ll be any fruit. But that doesn’t mean you stop doing the right thing. You may never know what results come from your action. But if you do nothing, there will be no result.”

I have become an activist, I didn’t plan to become one, it just happened as a part of a very long long strange trip; one that is continuing in ways that I could never had imagined. When people ask how that can be when I am still serving as an officer I believe that my answer is found in the words of the German General, Ludwig Beck who died in the attempt to remove Hitler’s from power in July 1944. Beck wrote: “It is a lack of character and insight, when a soldier in high command sees his duty and mission only in the context of his military orders without realizing that the highest responsibility is to the people of his country.” 

So anyway, here I am an accidental activist. 

Until tomorrow, 

Peace

Padre Steve+

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Filed under christian life, civil rights, ethics, faith, healthcare, LGBT issues, Political Commentary, PTSD