Saturday, October 30, 2021

The generational wealth gap

I believe it might be the insane level of housing wealth that mostly-white people hold in America which finally woke me up to the issues of structural racism that is embedded so deeply in our country.

This post is going to focus on Black history and its consequences. Obviously, other people of color, particularly indigenous communities (and some white folks, too), have been totally screwed-over as well.  There's caste and class and race, and it is a complicated story. Can't write about it all! I will just show you this partial chart for a snapshot of the problem in terms of wealth. 


The wealth gap is continually growing larger–it's doubled since 1989.

The film that really set me down the path of diving into this Bob Herbert film about the making of the Black middle class, Chasing the Dream. I know I posted it several years ago at the time it came out. I was struck at the time–and remain struck–by how heroic every single Black person who clawed their way into the middle class in the mid-20th century was, given the so-called racial discrimination of the time. 

I say “so-called” because that is just too weak a term. It was very close to South African apartheid or the Nazi Nuremberg laws against the Jews. I am not just talking about the beyond-horrific Jim Crow South. I mean the nation-wide federal, state and local governments' efforts–and success–to maintain the Black population as a lower caste, trapped within urban ghettos or in poor rural areas with extremely poor schools, with virtually no access to credit, no access to mortgages, little access to higher education or well-paying jobs. The suburbs, or "exclusive parts" of cities were planned and executed to be white, with well-funded schools, parks, trees, etc.–with plenty of access to credit and mortgages and good jobs. The plan was–and succeeded in being–to keep whites as the dominant caste. 

If you don't know the history how forced segregation happened, I strongly urge you watch the 17 minute film I posted yesterday on Facebook, or watch it here: Segregated by Design 

The ending of these laws and practices happened gradually as the civil rights movement grew in the mid-20th century. The tide started to slowly turn with Supreme Court cases in the late '40s and '50s and  through the Civil Rights legislation in the mid to late '60s. But the damage had been done already, via slavery followed by the caste-based apartheid. And there was little help at all after the recognition of our grievous transgressions (except for a brief period of time during which there was “affirmative action”). There were no reparations for slavery (or even an apology!). No promised 40 acres and a mule. No remedies for the unconstitutional and unconscionable government policies that ensured and enshrined urban ghettos in the first half of the 20th century. Given the scope of the wealth stolen from Black people, this is an outrage.

White people have much more wealth than they should because of this history. It's called historically accumulated white privilege–and I have it for sure. Currently 86% of the household wealth is held in white families, who make up 60% of the population. To dismantle it, we need to start with big tax initiatives such as ending the stepped-up basis for assets at death, reinstating estate taxes at lower levels, eliminating the social security cap, increasing the tax on capital gains, and other such policies that currently keep the rich richer. This will help all poor people, regardless of color.

That said, we seem a long way from fixing it through our government. But I can, at least, do my part and encourage others to do theirs. We are in the process of the “great wealth transfer” as baby boomers offload their money to their heirs. I believe we need to rethink inheritance, which by law and custom is designed to keep the “haves” with a disproportionate share of wealth. I already blogged about that here.




 

Tuesday, October 19, 2021

Moral Change Number One

As I said in my facebook posts, I have had a change in my focus in life for personal moral reasons. For most of my time with Leslie, my focus was to invest our money so we could have a comfortable retirement. I have never been a fan of capitalism, but my desire for early retirement led me to use the tax laws and investment opportunities that existed for wealth acquisition. (I feel compelled to point out that those laws and opportunities are available only for those in a position to take advantage of them, which many are not). And,  of course, it is the only game in town. Without investments, there is no way we would be retired today.  And I do like being retired very, very much.

So, what has changed?

Climate change is one of the two big drivers of my change of heart about what I should be doing with my life and money. Even though I have certainly been aware of the science, and the dire situation we are in, for decades, I really didn't change anything in my behavior to reflect that. A lot of it is my deep pessimism about people–that most would not do the right thing, so why should I sacrifice myself when I was already better in carbon-using behaviors than many–maybe even most–equally well-off folks? And what would denying myself possibly do in any case, given that it would be like a drop of water in an ocean? And of course, I know that change primarily has to come from governments and corporations.

Leslie and I have never been big consumers–some of that is just in our nature, but a lot of that was related to our desire to retire early, which we accomplished. But, my decisions were never driven with climate change as a key factor.

Then I read–upon (my brother-in-law) Doug Peterson's suggestion–The Story of More by Hope Jahren.

Basically, she just made me wake up to the fact that it is the morally responsible thing to do to use less, fly less, drive less, eat less “bad” food like meat that has a big carbon footprint, and so forth. I have no illusion that individual action is the key to solving climate change. What can I say? I just now feel compelled to consume less for moral reasons.

The big reason I came to this moral underpinning is the innocent victims of our capitalism run amuck–the world's poor–who did absolutely nothing to create the problem, but whose lives are now greatly affected due to the effects of climate change–be it ocean level rise, increased flooding or increased heat and droughts. Real people have suffered greatly while I had just floated through life in a world of plenty. And, clearly, it's going to get much worse for them. I will, it's true, continue to float.

Let me say, I am not trying to be holier than thou. Leslie might disagreed as I have done some arm-twisting with her, but she is my partner in life. We had to come to an understanding. That said, this is a personal thing, and I get totally why other people (including Leslie, to some degree) say “fuck it.”

And it doesn't mean that I will become a hermit and give away all my worldly possessions. I am just a selfish Westerner like most of the rest of us. It's ok to think I am a hypocrite! I think I am. That said we are doing less. Less meat. Less gasoline. Less flying. In other words, I do sacrifice things that I did not used to. It is now a conscious factor on my mind in a way it did not used to be.

The thing that I feel most bad about, but am keeping it as it is, is having a second home where flight is necessary. I was–I said to Leslie–willing to sacrifice having a second home here in Hilo to align my morality with my actions. I was hoping, I am afraid to admit, that she wouldn't call my bluff as I love Hilo so much. (And she did not.) Now, I would leave Santa Cruz and just live in Hilo, but I know Leslie would never do that. So, for now, I will fly twice a year–and try to keep any other flying down to once every, say, five years.

So, obviously, if I travel less, and consume less–I will need less money, right?

I realize all posts need at least one picture.  So, here is the used Prius we bought from our friend Julie when she left the island.  Less gas!



The other big driver of my life change next time...

Sunday, May 10, 2020

On "believe the women"



First, before you all trash me - I am a lesbian-feminist who was a founding member of Santa Cruz Women Against Rape in 1972. I wrote my thesis on rape in 1976. I have studied the issues of accusations - and false accusations - for over four decades. Originally, I totally bought into the "believe the women" or "believe the children" mantra as so many women and children were not heard or believed when they reported sexual assault. But, then, I kept reading. And realized that the attitude of belief without proof was leading us down a horrible, unjust path for many accused people (generally men, but sometimes women).

My conclusion: there has to be proof beyond a reasonable doubt, or we feminists are THE problem. And the longer the time between the event and the accusations, the more we need to be skeptical of the accusation due to the reality of memory science, and the inability of the accused to fairly defend themselves.

First, do no harm. I knew I did harm when I "believed the children" without critical thinking when I read an article in the now-defunct New West magazine about the McMartin case - how the children were led through manipulation to develop false memories of bizarre sexual and other acts. The manipulator, the unrepentant Kee McFarlane, did the deed. I realized my world view was tilted against justice at that moment in time. It was a life-changer. So I start to think more critically.

Believe the women. Except for the many black men lynched due to false accusations of rape - dozens if not hundreds of them, such as the Scottsboro boys or the alleged rape that led to the Rosewood massacre. Or, in more modern times, the Duke lacrosse case or Rolling Stone's recent Jackie Coakley bogus accusations. 

There are many more, of course. One just has to read individual cases of what happened when the Obama administration created new campus rules re Title IX - the accusations of sexual assault came pouring in. I read about many mouth-gaping Kafkaesque injustices to guys (or, sometimes, accused women). If you don't have knowledge of this problem, a good starting place is to read Emily Yoffe's three-part series in the Atlantic.  You remember the mattress woman at Columbia? I don't believe her; I believe the guy - as did the school, rightly.  If you want to know exactly how this mess happened, this excellent law review article from UC Berkeley "Sex Bureaucracy" explains it very well.

Believe the children. Except for the accusations in the McMartin case, or Country Walk, or Wenatchee, or against Bee Baran, or Kelly Michaels or the San Antonio Four and many more. Virtually all the day care abuse cases of that era were based on false accusations, which became clear to many, and the courts, only with time. 

Believe the women. Except for the many completely unproven charges that women leveled at their fathers or brothers and others under therapist guidance of "recovered memories". I have read extensively on these cases, and many of the charges were later retracted. Basically, our memories are very easy to manipulate. Here is just one article, but there are a library of false accusations from recovered memory, and there are several well-researched books on the subject.

So, I don't. I don't believe the children. I don't believe the women. Except with proof - clear evidence that the accusation happened. And, yes, this equally applies to Kavanaugh as well as Biden.

Women, men and children who accuse someone of sexual assault should not be disbelieved.  This has been the historical - and often current - problem.  The wonderful, three-part Netflix series Unbelievable (based on a true event) shows how that presumption can twist the investigative process. But each accusation has to be compassionately vetted if we care about justice for both the accuser and the accused. 

The statute of limitations exist because it is virtually impossible to prove your innocence from a person-on-person crime (sexual assault being the clearest example) past a reasonable time frame. I believe it is essential protection for an accused person. Therefore, that alone, makes me give Biden the benefit of the doubt.

If the accusation had been within the statute of limitations, presumably there would be a date and time attached. Then, given that he was a Senator, it would be fairly easy to prove if he wasn't there at that date and time, or if others were with him then. He can't do that now. There is nothing he can do except to say "it didn't happen". You tell me - how can he prove the event didn't even happen now or, if some version did, it wasn't as she now recounts??

Whether she is telling the truth or not, I am saying I don't trust her memory (or anyones from 27 years ago - brains don't work that well!!) and I can never know Biden's side of the story because it is lost to history.

The problem with the discourse on accusations is that the assumption is one person is lying, while the other is telling the truth. Reality can be so much more complicated than that. Women often say that they had signaled or said that they were not interested when a man made a sexually aggressive move, while men retort that they were absolutely encouraged. Both could be - some certainly are - telling the truth as they remember it. Now, of course, many men are perfectly well-aware that the woman isn't interested and ignores the lack of consent (Weinstein, Cosby, et. al.) and they are lying.  But some men truly just misunderstood.  It happens all the time and is the reason for the evolution of the "yes means yes" consent standard that is now the law in some states. (Not that I am for that - but it's beyond the scope of this post.)

Then there are just false memories. Again no liar. I think Dylan Farrow is an example of a case in which she believes a false memory. You just needed to read about the case when it was current as I did, and the evidence was all there. It certainly helps to understand memory science and to understand how suggestible kid's (and adults) memories are to realize she was coached into her memories by Mia Farrow, as the investigations concluded. The trouble is - the memories remain (for Dylan and any other such kid whose memory has been tainted in this way, such as the McMartin, et. al. kids).  

And then there are just liars. People like the aforementioned Jackie Coakley. I am not positive about Tara - but I lean to that she is probably telling "her truth" as she remembers at this moment in time.  (Edited to note - time has passed, more evidence has come to light, and I no longer lean to the feeling like she is telling the truth.) Though, she may have made up - or exaggerated something - from the get-go or later as well. I am troubled by various things in her life. Like the fact that she continually praised Biden over the years - on his actions against sexual assault notably - which is just damn odd. I am most troubled by her accusation timing.  So, why not have done this at the beginning of the primaries when it really mattered? Why lie just months earlier, and say there was no sexualization of anything Biden did?

If you believe her and loathe him for this or anything else - just remember he is a tourniquet. Maybe, not the best tourniquet ever. But he will stop the bleeding.  There will be no recovery in our lifetime, if ever, from four more years of Trump.

But, again, since it is impossible for Biden to "prove the truth",  I think in matters of justice, he has to be assumed to be innocent without far more definitive proof.

Monday, April 13, 2020

My Contemplative Conclusions

Anyone who knows me well has probably guessed or assumed that my contemplation on Easter Sunday was aided by a drug.  Indeed it was.  LSD can be a wonderful aid to deep contemplation and profound feeling. I was trying to find a way forward, given my belief that the best part of the America project is, to me, in its death throes. Of course, that project was built on a frail and twisted foundation, but progress seemed to come with every decade since the 1930s--until it stopped. And now we are hurtling backward.  I hope, of course, that I am wrong.  But this contemplation is about what to do if I am right.

Anyway, I did my day: Music for the first five hours. Comedy for the next five hours.  I cried, I laughed.  I grieved.  I came to these conclusions.

1. The centrality of love, person-to person love, as the building block to all good in the world. My favorite orchestral piece makes this point beautifully. 

2. Homogenous communities work best. (Just look at the nations who have dealt with Covid-19 the best - and I include Sweden, even though it is following a completely different path, but the society seems ok with it.) But if you are built, like America, as a nation of disparate immigrants, pluralism must be our guiding light. We need to accept and celebrate true diversity of opinion.  This is what is failing now.

3. The forces on left and right that want to impose cultural hegemony and political hegemony are driving us apart and both sides are resorting to autocratic means to do so. Pluralism is no longer holding us together. 

4. History shows, generally, that those who crave power win over those who put love, justice, kindness and fairness first.

5. I don't want to be them.

6. I want to be like the Jews - specifically secular or lightly religious Jews - who just have my favorite culture in the world, and yet they still integrate beautifully into the broader culture. They are a model for how to survive and thrive in spite of whatever happens. While I am not a MOT (member of the tribe, for those who might not know), I am most definitely a FOT.  I posted this yesterday but if you think you don't know Jewish culture well, this is a great place to start:


7. Side point: at this moment in time, the LDS church should be viewed as a strange-bedfellow ally. While they have differing views about many things, they do believe in the American project in its best sense, they support science and the arts, and they integrate into the wider community. We need to start cross-evangelizing. (I have actually being doing this for years...)

8. How we should be if things go south? The answers are all in the Dave Chappelle Mark Twain award show. (Thanks, Linda for this tip! - you have to have Netflix to see it.) 

But let me quote two things from the show. 

First, I aspire to be what Jon Stewart says Dave Chappelle is:  "I don't know anybody who cares more deeply, and anybody who gives less of a fuck." 

Secondly, what must be done in this time comes from Toni Morrison (Chappelle quoted it to the Saturday Night Live staff right after Trump's election): "This is precisely the time when artists go to work. There is no time for despair, no place for self-pity, no need for silence, no room for fear. We speak, we write, we do language. That is how civilizations heal." I am not much of an artist, but I will support all you true artists. Get to work.

9. The first artistic masterpiece of the Covid-19 era is absolutely this, which you have already seen, but see it again.  This guy's entire career led to this perfect moment.  It's awesome.


Broad conclusion: Go forward with more love. No hate. Limit anger. Be brave but kind.  Brace for "your side" losing. Do art.

I feel more content.

Monday, December 11, 2017

We are doomed - 103 reasons why

 [Ed note - this was written a few months after Trump's election, with occasional editing in brackets since then to update and add more reasons!  It started with 99 reasons.)

103 reasons we* are doomed in America (and I fear for other democratic countries, too.

(For the optimists out there, please give me your 103 reasons we are not doomed! Specific to America, not things like "the sun", "the earth", etc. ) Bless the optimists...

After the first ten, the list is random.


1. Capitalism - it just isn't sustainable in any way, but boy does it lead to a lot of great stuff and some really scary stuff. And way too much trash and waste. (Which totally relates to number 2 and 3 below which are certainly the most scary outcomes of capitalism.)

2. Climate Change (ocean rise, glaciers melting, heat, cold, flood, droughts, stronger hurricanes, more intense fires, et. al. and refugees in the tens of millions)

3. The rise of the AI - 3.  massive disruption and we are not aligned! (This is totally integrated with #1 and should probably be in the #2 position now since Chat GPT 4 came out.)

4. Supreme Court is going down - particularly that the Republicans stole a seat (and also stole about 50 appellate court seats) [edited to add - and another one]

5. The electoral college

6. Gerrymandering brought by the right (and occasionally the left)

7. Congress: particularly the Republicans refusal to compromise on most everything important

8. Trump/Republicans and the fact that so many Americans - about 43% - think Trump is great

9. The coming refugee crisis (as if the one that exists isn't already very bad) as climate change forces migration

10. Voter suppression efforts of the right

11. Most people thinking they have the truth and do not want compromise - left and right

12. Fake news - left and right (and see #23)

13. The internet: GAFA (google, amazon, Facebook, apple) - the dystopian future described in sci-fi works has arrived - the death of privacy, the rise of social media bullying, easy-as-pie mass surveillance, deepfakes, hacking - Russian and malicious, malware, ransomware, ad nauseam.

14. Seeing the past through today's eyes - this is particularly strong tendency on the left. The logic of this will lead us to reject every single person in the past for being "not woke". This thoughtless ahistorical perspective warps the entire past and, more so, the present.

15. Overuse of toxic chemicals like pesticides - and they are everywhere

16. Big pharma

17. NIMBYs

18. Death of public education as we used to know it

19. Bail, traffic tickets, payday loans, parking ticket/impound, lack of access to inexpensive food, decent housing, health care, etc. for poor people - which helps to keep them poor.

20. Fear of black people, particularly black men - which has warped our criminal justice system. A very significant portion of black Americans who are incarcerated are there because of prosecutorial misconduct and mistaken identity.

21. Prisons in America - way too many people incarcerated, way too little rehabilitation

22. College debt

23. Stupidity - remember 100 is the average on IQ tests.

24. Tribalism left and right

25. Guns and gun laws

26. Planned obsolescence

27. Consumerism

28. Smart phones being way too important in too many people's lives

29. Household debt - there is more than there was before the 2008 crash.

30. The increasing threat of violence, right and left

32. The criminal justice system is really the criminal injustice system where truth and fairness take a decided back seat to prosecutors zeal for winning - particularly against the marginal in our society.

33. National flood program makes it worst (and insurance companies benefit.)

34. Critical thinking is not part of our K-12 system in general

35. Paranoia and conspiracy madness (Sandy Hook isn't real, [edited to add QAnon] et. al. - though JFK was killed by our govt! Trust me on this.)

36. Fox news, Breitbart, Drudge and talk radio like Limbaugh.

37. Nuclear capability in crazy hands - and hey, just nuclear capability.

38. Testosterone (it's always been both a blessing and a curse; I think the curse portion is winning now)

39. Racism, sexism, xenophobia and homo and trans phobia

40. Religious extremists of the Muslim, Christian, Buddhist, Jewish, et. al. variety

41. Extremists of the right and left who are not motivated by religion, but by some belief that they have "the truth".

42. The coming pandemic [edited to say: one came; more are on the way]

43. Public transportation infrastructure

44. Our horrible tort system

45 The fact that we have not come to terms with, apologized for or made amends for our history (slavery, genocide and land theft of Indians, imperialism, overturning regimes we don't like, supporting horrible regimes, theft of land from Mexico, Hawaii, and others, et. al.)

46. The decrease of social mobility

47. The sixth extinction is nigh

48. Crazy, crazy amount of spending on defense

49. Bureaucracy

50. Scientific ignorance

51. Factory farming, processed food and the whole industrial food complex

52. Anti-vaxers

53. Cops getting away with murder

54. The fact that human beings often seem to love or need revenge

55. The split of the Democratic party into two warring factions, which is why we have Trump today (and it is going to get worse before it can possibly get better - remember the 60s and 70s people???) To put it another way: The left is cannibalistic. They eat their own. The right somehow manages to come together while the left doesn't.

56. Reality shows

57. The rise of China (authoritarianism seemingly working as well as - perhaps better than - democratic capitalism)

58. The Putin rise in Russia (horrible provocateurs even if their country is screwed)

59. Mental health/ mental resilience getting worse - and few resources to help

60. The feeling of entitlement on the left and the right

61 Housing prices in desirable weather/ cultural areas going crazy. Homelessness exploding. Not enough housing in many markets in the West and South.

62 The inability of so many to delay gratification

63 Internet and gamer culture (it's horribly sexist even though many, many folks who are into the internet and gaming are just fine, of course)

64. The decline of unions

65. The already existing, but soon exploding, pension crisis

66. The death of employer-sponsored pensions and health care without good alternatives

67. No way to die easily when your time is done (adding to our huge debt and a lot of unnecessary suffering)

68. Income inequality and, yet, the richest 20% want even more even though they already have 76% of American's wealth. [edited to say 86% in 2022]

69. Lobbyists

70. Lack of campaign finance reform - rich people buy what they want.

71. Blue state white folks are generally fat and happy so they aren't going to be rising up

72. Red state folks don't seem to give a damn about having competent leaders

73. A nation of immigrants is increasingly anti-immigrant (though other times have been like this.)

74. The insect apocalypse.

75. Violence, sexual assault and disrespect against women

76. Addiction to various things

77. The left not supporting free speech

78. Massive overuse of plastic

79. Venezuela is one precautionary tale

80. Brexit is another precautionary tale

81. People hating and fearing refugees - and there are going to be millions of them

82. The fact that leftists can't tell rightist apart (and think they are all Nazis or white supremacists)

83. The fact that rightist can't tell leftists apart (and think they are all Venezuela-style socialists or communists)

84. The left equating physical violence with language violence – giving intellectual justification for physical violence against verbal violence

85. The fact that the right has all the guns and physical power: the left will be crushed in a civil war

86. The lust for power and money

87. The fact that neither the left nor the right can take a joke

88. Over-regulation

89. Anti-science and anti-intellectual movements

90. The rise of Dominion Christians like Pence and Moore

91. The fact that, increasingly, people stick to their own kind, read their own kind, live with their own kind, marry their own kind, get entertained by their own kind, etc.

92. Coral bleaching, mercury in fish, a huge amount of plastic in the ocean, overfishing, etc.

93. The health care mess in America

94 The infrastructure mess in America

95 Drought in the West, the draining of aquifers many places, dried wells and land subsistence.

96. Medicare/social security crisis - aging boomers

97. Identity politics on the left, which serves to divide us - plus all the over-sensitive stuff like cultural appropriation, trigger warnings, safe space - the left as victims.

98. Republicans cutting taxes - particularly on those who can easily pay way more taxes so all the messes can't be fixed

99. The overdose crisis

100. Nuclear waste - fear Hanford.

101. Too many people with too little resources. (I actually think there will be many less people in a few generations so the population will top off and and, through water scarcity, pandemic disease, famine, refugee death, flooding, heat waves, etc, it will actually start decreasing but still! However, Africa's population is booming. Nigeria is projected to overtake China in population by 2100, with a size 10x smaller. )

102. Soil erosion.

103. Resistance to chemicals - whether antibiotics or pesticides - in which the problems explode exponentially as new ones can't be made fast enough - or are too toxic - to help.

104. Multiple issues with the press!



• "We" is defined here to mean those who feel we are the sons and daughters of the enlightenment. While I think we are doomed, I do think America and Americans have many fine qualities. This is just not that list. Feel free to make that list!!


Saturday, May 20, 2017

Colonoscopy tips plus should you even have one?



PART ONE

On my Facebook page, I said I had some tips for colonoscopy prep. So I will start with the tips in Part One. But, in Part Two, I want to give you info on an easy, inexpensive and effective alternative - the FIT fecal-test.

For context, the last time I did a colonoscopy, I used Moviprep and had to drink it all in one day. I became very bloated and got worried that it would NEVER work. It did, finally, but it was a pain, physically and mentally.

I changed to Kaiser this time, and their prep is longer, but way easier - WITH ALTERATIONS. (Their instructions are here if you want to read the full thing.) The idea is that you switch to low-fiber - aka low-residue - foods three days before the procedure. You have a liquid diet the day before and drink half a gallon - Gavilyte-g was the stuff I used - starting at 6 pm. Then, the next morning, you drink the rest of the half-gallon.

I think preparing over three days really made it much easier, but I wasn't looking forward to the all-liquid diet for a full day (though I did know that as soon as I drank the stuff, my appetite would be gone...)

Tip One: Screw the all-liquid diet on the day before. You can eat low-residue food in small amounts. There are a whole lot of scientific studies about this that have come out in the last few years, and they all agree: the all-liquid diet is not necessary, and absolutely not better. Here is an article about one of those studies. Therefore, I ignored Kaiser, and ate two eggs and some toast in the morning the day before the procedure. That was enough for me to feel good until I drank the stuff. Basically, medical organizations haven't caught up to the science on this one. Here is an article on low-residue diets - though there are abundant articles about them on the internet.

Tip Two: Do your own timing of when to drink the stuff. I used their timing on the day before - that is to drink it at 6 pm - but that is a stupid time for me. It took until about midnight to get rid of the first wave. I would have liked to gone to bed earlier. Clearly, I should have started at 4pm - and would have been ready for bed by 10PM.

Similarly, the next day they wanted me to start 5 hours before, have the second gallon done by 3 hours before - and take no more liquids after. I totally ignored that and started about 7 hours before, and drank about half the remaining stuff. Within three hours, I was "piss-pooping" clear (and slightly yellow, which is what they expect) and threw the remaining prep down the drain. Yes! If it hadn't been clear, I still had another hour to drink more.  I then drank clear liquids until the three hour mark.

If you have an early morning colonoscopy, they expect you to wake up in the middle of the night to do this. If you are a rule follower and want sleep - truly you should get a mid-afternoon appointment with this regime (as I had). Or, decide to make changes based on the time...

Tip Three. Drink it down fast and make sure it is chilled! This is one that most people know - and manufacturers of the stuff advise.  I didn't flavor it - but lots of people swear by that. But whatever you do, have a chaser. The taste (which isn't all that bad) only lasts as long as it takes to drink your chaser. I used tea sometimes and chicken broth other times. But anything you like will work that is in the ok-liquid column.

Others can feel free to put other tips below in the comments. You can do so anonymously if you like.

PART TWO

In the United States - unlike any other place in the world - colonoscopies are the go-to for colon cancer screening beginning at the age of 50. The rest of the world uses much less expensive but, perhaps, just as effective screening techniques such as the fecal-test FIT. This test must be done every year to be effective.

The fact is that colonoscopies - as yet - haven't been proven to be more effective (or as effective, for that matter) than this test in detecting cancer or reducing mortality. Now, the logic is that colonoscopies should be the most effective - after all, you get rid of the polyps before they have time to become cancerous. But, the fact is there has never been a randomized controlled trial - the most rigorous type of study - of colonoscopies to see if they, in fact, reduce colon cancer mortality more than other methods. (Though there are three studies in process, and in about seven years we might know for sure!) That does not mean there haven't been other types of studies that are very encouraging about them, such as Baxter et al.  and Nishihara et al 2013, which certainly indicate a colonoscopy is pretty darn good, though it has risks such as perforation of the colon, infection, and bleeding.

But, there is no proof, as yet, that it is better - or as good as - a simple, inexpensive fecal test.

So, if they haven't been proven to be better, scientifically, than the alternatives, why are we so colonoscopy-crazy in the United States? Could it be $$$$? Check out this NY Times article on this.

Bottomline: you don't have to get a routine colonoscopy for cancer screening - unless the fecal test shows a problem. For most people, it's probably the best way to go. Kaiser, for instance, emphasizes FIT tests as the basic screening test, and colonoscopies are only recommended for people in a higher-risk group, such as people who always get polyps - like me!  

Anyway, as they say - ask your doctor if the FIT test is right for you instead of doing this rigmarole. Colon cancer is the second leading cause of cancer death in the United States. So whichever screening method you use - don't skip it!



Monday, January 11, 2016

Watch Crazy Ex-Girlfriend

The cultural thing that has made me the happiest recently is the new TV series/ musical Crazy Ex-Girlfriend. I like it so much that I thought I would resurrect my moribund blog to praise it. And, hey, the star and show creator, Rachel Bloom, just won the Golden Globe last night for acting, so I know I am not alone in my love for the show. It is simultaneously silly and serious, broad and brainy.


If you love musicals, then absolutely and without fail watch it. Its full of heart and very sharp. If you sometimes like musicals, I urge you to give it a chance as its totally original, very funny and also quite romantic in its own twisted way.

Its about Rebecca, played by a woman of many talents named Rachel Bloom. (No matter what happens to this show, you will be reading that name again.) The character is a smart, Harvard-trained corporate lawyer who is unhappy and unfulfilled in her life in Manhattan. By happenstance, she runs into an old summer camp flame, Josh, who is retuning to his hometown of West Covina, California. She still carries a large torch for him, which is reignited upon their chance meeting. She makes the bold move to give up her very large six figure paycheck to move to where Josh just happens to live, as she oft repeats. This buoyant song sets up the situation beautifully (but my blog cuts off some of the right, and doesn't allow for full screen.  Better to watch them all here.):


I admit I was a little worried about the premise. Is this going to be a stalker musical? Is she going to continually make a fool of herself in a cringe-inducing way? While there are a some cringe-inducing moments - particularly in the earlier episodes - the answer is no. Our heroine is complicated, it is true. She is crazy in love - havent we all been there? - and she also seems to have some real problems with mood disorder: anxiety and some degree of manic/depressive issues. She was abandoned by her dad, her mom is overbearing, and she was a social misfit in school. However, she actually starts to blossom in West Covina even through doubts, fears and occasional depression. What starts as a seemingly crazy move is slowly, but surely, turning out to be a truly great decision. While chasing love, she is actually finding herself and her place in the world. 

This is the first musical I have ever seen in which women - and issues important to women - are at the center of the story. 

Now, if you are someone who loves musical parody but you are allergic to human emotion, perhaps you should stick with Trey Parker/Matt Stones musicals (South Park, Team America and Book of Mormon). Like in this show, Parker/Stone write parodies in different musical styles which are often very funny and musically great. But unlike Crazy Ex-Girlfriend, they essentially dont give a damn about women or, for that matter, people. A good example is their love song, The End of the Act, from Team America. Its a great tune, ostensibly about the love the man feels for a woman, but is really just a way to say nasty things about the director Michael Bay, the movie Pearl Harbor and the acting of Ben Affleck (all of whom richly deserved it!).  Its funny, brilliant and perfect it its own way. But it says absolutely nothing about the character or love in general and barely furthered the plot – to the degree that Team American had a plot, which was quite limited.


Crazy Ex-Girlfriends musical numbers, on the other hand, always give insight into the characters and their conflicts, and are often crucial to understanding their fears, motivations and feelings. The songs are just as good musically and just as funny as the best of Parker/Stone, but with so much more insight into their characters, and the songs are brimming with wit and full of humanity in all its complexity. But don't get me wrong, while they deal in human emotions, they are not sentimental in any traditional sense. Many numbers are truly twisted. and as raunchy as the network allows. (Explicit versions of many of the numbers can be found on YouTube.)

And they manage to make a great musical weekly!! It truly is a miracle.

The show is stacked with great characters played by very talented singers and dancers. Primarily, there is Rebecca's best friend Paula, who becomes her accomplice in snagging Josh. Then there is the sarcastic grump, Greg, her sometime-suitor. There is her clueless but sweet boss, Darryl. And, in the most recent episode, we meet her overbearing Jewish mother in spectacular musical style: 



And, of course, Josh happens to be here. Each major character has had - through the first eight episodes - songs of their own to show their considerable chops. It is very hard to pick my favorite number from the show as they are all great in their own way. However this blogger - after only five shows - didn't have any reluctance to give the “Definitive Ranking” of all the songs to that point. 

If you dont want to travel to YouTube land, then just check out a couple here:

For a perfect parody - and a fantastic song simultaneously - of old-time Astaire/Rogers type musicals, this is Gregs proposition to Rebecca.



And here is a very funny, "inspiring" song from Paula to Rebecca. 



Since the childrens chorus responses are sometimes hard to hear, here are the lines from that portion:

Follow your dreams (Follow your dreams)
Stare at the sun (Stare at the sun)
Play in the street (A busy street)
If you’re scared of bees, (Scared of bees)
Get stung (Don’t have an EpiPen®‎ ready)
Reach for the stars (Literally touch the stars)
Face your fears (Stars aren’t that hot)
Face your fears (Face your fears)
Join the Marines (Join the Marines)
Swim right after eating (Don’t wait 30 minutes)
Cause you are amazing (So amazing)
Wipe back to front (Don’t wipe front to back)
Drop out of school (School is stupid)

And, though the holiday season is over, I am in love with their ode to "California Christmastime," and find myself humming it constantly.




You can catch up with the show here or on Hulu.  It returns January 25 on The CW.  


Before Crazy Ex-Girlfriend, Rachel had made a number of satirical YouTube videos, most famously - at least in geek circles - "Fuck Me, Ray Bradbury."  It's a catchy number.  You can see more of her videos at her website Rachel Does Stuff.