When the rain falls
it gathers in the potholes
the dipped
not so evenly carved out
valleys
deep earth scars
that hold it
more tenderly
than Angel hugs
until unnoticed
drop by drop
they evaporate in a
Sun’s Shine
that can never be imagined
only experienced
so that it wishes
for yet another time
when the rain falls
IT’S IN EVERY ONE OF US
I first saw this clip of
It’s In Everyone Of Us
by David Pomeranz
nearly 30 years ago
and yet
T O D A Y
it feels
new all over again
with one simple message:
LET’S GET ALONG
The seeds of Peace lie within each of us;
but no seed grows that’s not planted,
nurtured,
harvested
and ultimately
s h a r e d. . .
And the tools
are already in your hands
to be used
. . .will you?
W H E N ?
but a realization
waiting for you
to make it happen
It’s TIME to
A C T
like IT
THE POWER OF ONE
Paul Farmer, a physician, anthropologist and humanitarian who gained global acclaim for his work delivering high-quality health care to some of the world’s poorest people, died on Monday on the grounds of a hospital and university he had helped establish in Butaro, Rwanda. He was 62.
The cause was an “acute cardiac event,” according to a statementby Partners in Health, the global public health organization that Dr. Farmer helped found.
Dr. Farmer attracted public renown with “Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World,” a 2003 book by Tracy Kidder that described the extraordinary efforts he would make to care for patients, sometimes walking hours to their homes to ensure they were taking their medication.
He was a practitioner of “social medicine,” arguing there was no point in treating patients for diseases only to send them back into the desperate circumstances that contributed to them in the first place. Illness, he said, has social roots and must be addressed through social structures.
Though he worked in the world of development, he often took a critical view of international aid, preferring to work with local providers and leaders. And he often lived among the people he was treating, moving his family to Rwanda and Haiti for extended periods.
News of Dr. Farmer’s death rippled through the worlds of medicine and public health on Monday.
“There are so many people that are alive because of that man,” Dr. Rochelle P. Walensky, director of the Centers for Disease Control and Prevention, said in a brief interview, adding that she wanted to compose herself before speaking further.
Dr. Anthony S. Fauci, President Biden’s top medical adviser, broke down in tears during an interview, in which he said he and Dr. Farmer had been like “soul brothers.”
Remembering Paul Farmer (1959-2022)
The pioneer of global heath died on Feb. 21, 2022. He was 62.
- Obituary: Dr. Farmer, a physician and anthropologist, sought to bring high-quality health care to some of the world’s poorest people.
- ‘Mountains Beyond Mountains’: The 2003 book by Tracy Kidder told Dr. Farmer’s life story. Read the first chapter here.
- His Writing: In “Fevers, Feuds and Diamonds,” Dr. Farmer examined the inequalities that worsened Ebola’s spread in West Africa in 2014.
In the latter part of his career, Dr. Farmer became a public health luminary; the subject of a 2017 documentary, “Bending the Arc”; and the author of 12 books.
In 2020, when he was awarded the $1 million Berggruen Prize, given annually to an influential thought leader, the chairman of the prize committee said Dr. Farmer had “reshaped our understanding” of “what it means to treat health as a human right and the ethical and political obligations that follow.”
Dr. Farmer, who never settled into the easy life of an elder statesman, was vigorously involved in the response to the Covid-19 pandemic, prodding the Biden administration to drop intellectual property barriers that prevented pharmaceutical companies from sharing their technology.
“It’s not just about health security, in the senses of defending yourself,” he said. “It’s not just about charity, although that’s not so bad. It’s also about pragmatic solidarity with those in need of assistance.”
“When you settle on a problem, devote the resources to it and have at least some ability to incorporate new information, every time, it gets better,” he says. “I don’t have any experience, anywhere, where you just apply yourself, along with others, and then do not see progress. My optimism has pretty honest roots. “Although,” Farmer adds after a brief pause, “I would probably be an optimist even if not.” “I’m going to sound very touchy-feely-ish, but it’s [about] compassion and empathy and fellow feeling,” Farmer says. “You can’t do anything in public health without fellow feeling.”
Paul Edward Farmer Jr. was born on Oct. 26, 1959, in North Adams, Mass. Paul’s mother, Ginny (Rice) Farmer, worked as a supermarket cashier, and his father, Paul Sr., was a salesman and high school math teacher.
When Paul was around 12, his father bought an old bus and fitted it with bunks, converting it into a mobile home. Paul, his parents and his five siblings spent the next few years traveling, mostly in Florida, living for a time on a boat moored on a bayou. He credited this period with giving him “a very compliant GI system,” a knack for sleeping anywhere and an inability to be shy or embarrassed.
After graduating from Duke University, he moved to Haiti, volunteering in Cange, a settlement in the central Artibonite plateau of the country. He arrived toward the end of the dictatorship of Jean-Claude Duvalier, when Haiti’s hospital system was so threadbare that patients had to pay for basic supplies, like medical gloves or a blood transfusion, if they wanted treatment.
In a letter to a friend, he wrote that his stint at the hospital wasn’t turning out as he had expected. “It’s not that I’m unhappy working here,” said the letter, excerpted in Mr. Kidder’s book. “The biggest problem is that the hospital is not for the poor. I’m taken aback. I really am. Everything has to be paid for in advance.”
Dr. Farmer decided to open a different kind of clinic. He returned to the United States to attend Harvard Medical School and earn a degree in anthropology, but he continued to spend much of his time in Cange, returning to Harvard for exams and laboratory work.
Over the years, Dr. Farmer raised millions of dollars for an ever-expanding network of community health facilities. He had a contagious enthusiasm and considerable nerve. When Thomas J. White, who owned a large construction company in Boston, asked to meet him, he insisted that the meeting take place in Haiti.
Mr. White eventually contributed $1 million in seed money to Partners in Health, which Dr. Farmer founded in 1987 along with Ophelia Dahl, whom he had met volunteering in Haiti; a Duke classmate, Todd McCormack; and a Harvard classmate, Dr. Jim Yong Kim.
The clinic in Haiti, at first a single room, grew over the years to a network of 16 medical centers in the country, with a local staff of almost 7,000.
Among them was a teaching hospital in Mirebalais, about 40 miles north of Port-au-Prince, that opened in 2013 and offered chemotherapy drugs, a gleaming new $700,000 CT scanner and three operating rooms with full-time trauma surgeons. There, poor patients with difficult diseases paid a basic fee of around $1.50 a day for treatment, including medication.
Partners in Health also expanded into Rwanda, where Dr. Farmer helped the government restructure the country’s health system, improving health outcomes in areas like infant mortality and the H.I.V. infection rate.
Dr. Farmer died in Butaro, a mountain town on the border of Uganda where he and Partners in Health collaborated with the Rwandan government to build a complex devoted to health and health education. Dr. Farmer had homes in Rwinkwavu, Rwanda; Cange, Haiti; and Miami.
Dr. Farmer also helped develop new public health approaches in Peru, Russia and Lesotho, among other places.
He was particularly proud of the fact that the clinics he helped build were staffed by local doctors and nurses whom he had trained.
Over the years, he kept in touch with many of his patients, as well as their children and grandchildren. He was godfather to more than 100 children, most of them in Haiti, said Laurie Nuell, a close friend and board director at Partners in Health.
Over the weekend, Dr. Farmer sent her a photo of a colorful bouquet of flowers he had put together for one of his terminally ill patients in Rwanda. “Not my best work,” the accompanying text said.
“He had a very tender heart,” she said. “Seeing pain and suffering was very hard for him. It just hurt him. I’m a social worker by training. One thing I learned is about detachment. He wasn’t detached from anyone. That’s the beauty of it.”
As long as poverty and inequality persist, as long as people are wounded and imprisoned and despised, we humans will need accompaniment–practical, spiritual, intellectual.
– Paul Farmer –
CAN ONE PERSON MAKE A DIFFERENCE
CAN ONE PERSON
ACTUALLY BE
A CONTAGIOUS CARING CATALYST. . .
CAN YOU BE
THE CASE IN POINT
OF PROVING IT
(or not)
GOOD HAS COME
We most likely won’t be able to know for years to come
and yet there’s some things we know implicitly every day
since the COVID19 Pandemic has begun nearly 2 years ago. . .
GOOD HAS COME
There are Many Ways We Helped Each Other During COVID
A new study explored what altruism looked like during the pandemic and how we might encourage more altruism in the future.
When the pandemic first came to California and lockdowns were instituted, many of Jill’s neighbors set out to help each other. Some called elderly neighbors to be sure they were OK. Others collaborated with local restaurants to create a low-cost food delivery service, feeding people around the city while helping restaurants find a source of income during closures. Still others began a drive to collect masks for essential workers.
These acts of altruism that seemed to be a common GOOD that spread across the World. But what motivated some neighbors to step up to do this, while others didn’t? And is altruism enough when it comes to disaster relief?
Those were the questions at the heart of a new study published in Analyses of Social Issues and Policy.
To better understand how altruism emerged during COVID-19, the researchers analyzed 104 stories of altruism appearing in major newspapers and blogs that were compiled by Ball State University between April and October 2020. They wanted to see if any themes emerged around who the helpers were, why they stepped up, whom they helped, and what kinds of help they offered. The ultimate goal was to paint a picture of how people ally with each other when disaster strikes and how they expand their sense of community.
“We were trying to understand how people come together,” says lead author Selin Tekin. “We wanted to know what kind of strategies people used to support each other and how the wider community can support those most affected.”
While some of the stories she and her team analyzed came from different parts of the world—India, Australia, and England, for example—the majority came from the United States, so the results are somewhat American-centric. But the stories do give a picture of a phenomenon that’s frequently seen when disaster strikes.
“A sense of community often appears in disasters when there are not adequate responses from the authorities or the government, or when there are contradictory messages from the government,” says Tekin. “Community members come together and share whatever resources they have.”
How people stepped up during COVID
Here’s what Tekin and her colleagues found when analyzing the stories. . .
Who helped. Many people who helped others during the pandemic belonged to organizations, associations, and faith communities that generally provide help to others, although some were volunteers who spontaneously decided to help. And many were economically or physically advantaged.
It makes sense that organizations set up to provide assistance would do so during the pandemic, and many did, including Catholic Social Services of Alaska, for example. When it became clear homeless people in Anchorage would be at risk of catching COVID in crowded shelters, the organization searched for private places for homeless people to live and helped move them into safer quarters.
Others stepped up once they became aware that certain groups were disproportionately impacted by COVID. Those with greater economic resources gave more generously, while younger people tended to offer their labor. As an example, one Yale college student and his friend put together a group of 1,300 volunteers in 72 hours to deliver groceries and medicine to older New Yorkers and other vulnerable people.
Many people volunteered spontaneously, too, after seeing a pressing need. At one petrochemical plant, 43 employees volunteered to work 12-hour shifts for a month just to produce raw materials needed for face masks and surgical gowns. This kind of volunteer spirit was similar to what I saw with my neighbors—a response that is fairly typical, according to Tekin.
“There are always volunteers who are willing to help their communities,” she says.
Why people stepped up to help. The main reasons people chose to help were that they felt an emerging sense of identity with those most affected by COVID, they wanted to be an ally of disadvantaged groups, and they felt grateful for those risking their own health to help.
Research has shown that those who have a strong sense of “we are in it together” are more likely to help in a crisis than those who don’t, and that was true during COVID, too. In many instances, people expressed feeling a sense of identity with those who were suffering. For example, one artist in Los Angeles sent thousands of paintings of flowers to health care workers in New York City to let them know, “You’re loved by millions of people you’ll never meet. You’re not a stranger to anyone.”
There were also many examples of people wanting to help the disadvantaged. One café owner in Australia withdrew 10,000 Australian dollars from his bank and gave out $100 bills to people standing in line for the social security offices. In India, a group of womenbegan cooking extra food for immigrant workers who were suffering during the lockdown.
In other cases, people wanted to express their thanks to those who were doing essential work during the pandemic. One neighborhood in Miami Beach organized an early-morning surprise for their garbage collectors, lining their street with people holding up signs and putting together gift bags, cards, and presents as a token of their gratitude.
Who was helped. The people most targeted for altruistic help were the elderly, those with health conditions or disabilities, essential workers, working-class people, or marginalized social groups.
For example, many store owners created special store hours when only the elderly or disabled could shop to reduce their risks of getting COVID. One woman created a mask that had a clear, plastic window over the mouth so that people who are deaf or hard of hearing could still use lip reading to understand those around them. When food insecurity rose during COVID, the FarmLink Project stepped up to deliver food that was being left unused at farms, delivering almost 240,000 pounds of food to food banks, and paid wages to farmworkers and other workers affected economically by COVID.
How people were helped. People provided material help, support for psychological or physical well-being, and social-emotional support.
Some people donated money, cooked and distributed food, or ran errands for those who couldn’t leave their house. Others distributed masks to those who had trouble procuring them or offered free counseling services to those suffering emotionally. Still others made calls to lonely, isolated folks or participated in rituals aimed at thanking health care workers on the frontlines (like clapping from their balconies).
Of all of these findings, the latter surprised Tekin most. “I was fascinated by how, even if people can’t give any kind of material support, they show their gratitude; they show that they’re aware of the support that they are receiving,” she says.
She notes many working-class and ethnic minority populations were disproportionately affected by the pandemic and didn’t receive an adequate response from authorities. So, it was heartening to Tekin to see that, when confronted with an outside threat, people can choose to help, whether or not government authorities intervene.
“People share an emergent identity, a human identity,” she says. “Here, we saw people with more financial or material resources willing to share with the disproportionately affected. It wasn’t surprising, exactly, because we’d seen this in previous research. But it’s always interesting.”
Lessons for times of crisis
All in all, these patterns show that in a crisis, people do often step up to help one another. This is good news that can be obscured by news reports of less ideal behavior—like hoarding toilet paper or jumping the line for vaccinations. When there is a sense of common humanity—that we’re in it together—it can encourage more people to feel more moved to help.
“Even though the system is not structured in a way that everybody can receive the same amount of resources under the principles of equity, community members can come together and support each other,” says Tekin. “People just need to be aware of that.”
On the other hand, our altruistic impulses are not enough, says Tekin. As the pandemic drags on, people’s enthusiasm to give tends to wane, even though the need continues. To combat that, it’s incumbent upon community aid groups and government agencies to provide support to those who continue to suffer disproportionately, she says.
“You need change at the systemic level—policies that deal with injustice or that help community aid groups to be more sustainable, because they are usually the people who know their communities best,” says Tekin.
In the meantime, it’s good to see that people are usually capable of expanding their circle of care and stepping up to help.
“Though there is a gap between the advantaged and disadvantaged, there’s also support,” says Tekin. “People don’t always know what to do to help, but they’re willing to do something.”\
NEEDLESS TO SAY
usually means
WE HAVE TO SAY IT CLEARER|
L O U D E R
OR NOT. . .
which is the not so subtle difference between
GOOD HAS COME
Or. . .
it’s still far off
on it’s way
JUST A BUS RIDE
W H E N
is a
BUS RIDE
much more than just a
B U S
R I D E. . .
Pssssssssssssssssssssssssssssssssssst:
(not just when you make it one)
WHEN YOU REALIZE
K N O W
that it is. . .
Sometimes the greatest ride
is when you realize
you’re not alone
(and one you love makes it a beautiful journey)
R A W P O E T R Y
Words scribbled across
crumbled paper
read the same way
More than mere thoughts
Thunk
More than expressions
Stated
More than feelings
Shared
More than Adventures
Experienced
More than memories
Not yet created
We are all raw poetry
crumbled up on pieces of paper
with scribbled
sometimes unlegible
sentiments
scratched on stained
scrapped posted notes
not so much to be
re-membered
as much as to live on
Be Found
Read
Re-experienced
when needed most
RAW POETRY
we are more
(so much more)
than scribbled words
on pieces of discarded scrapes of paper. . .
a C t
L i K e
i t
SOME WORDS NOT OUR OWN
THERE ARE SOME WORDS
NOT MY OWN
THAT SAY SO MUCH MORE
THAN I COULD EVER WRITE
OR SAY
B U T
need to read or hear
than any that could bounce around in my head
or spill out of my pen
L I K E:
my brain and
heart divorceda decade agoover who was
to blame about
how big of a mess
I have becomeeventually,
they couldn’t be
in the same room
with each othernow my head and heart
share custody of meI stay with my brain
during the weekand my heart
gets me on weekendsthey never speak to one another
– instead, they give me
– the same note to pass
– to each other every week
and their notes they
send to one another always
says the same thing:“This is all your fault”
on Sundays
my heart complains
about how my
head has let me down
in the pastand on Wednesday
my head lists all
of the times my
heart has screwed
things up for me
in the futurethey blame each
other for the
state of my lifethere’s been a lot
of yelling – and cryingso,
lately, I’ve been
spending a lot of
time with my gut
who serves as my
unofficial therapistmost nights, I sneak out of the
window in my ribcageand slide down my spine
and collapse on my
gut’s plush leather chair
that’s always open for me~ and I just sit sit sit sit
until the sun comes uplast evening,
my gut asked me
if I was having a hard
time being caught
between my heart
and my headI nodded
I said I didn’t know
if I could live with
either of them anymore“my heart is always sad about
something that happened yesterday
while my head is always worried
about something that may happen tomorrow,”
I lamentedmy gut squeezed my hand
“I just can’t live with
my mistakes of the past
or my anxiety about the future,”
I sighedmy gut smiled and said:
“in that case,
you should
go stay with your
lungs for a while,”I was confused
– the look on my face gave it away
“if you are exhausted about
your heart’s obsession with
the fixed past and your mind’s focus
on the uncertain futureyour lungs are the perfect place for you
there is no yesterday in your lungs
there is no tomorrow there eitherthere is only now
there is only inhale
there is only exhale
there is only this momentthere is only breath
and in that breath
you can rest while your
heart and head work
their relationship out.”this morning,
while my brain
was busy reading
tea leavesand while my
heart was staring
at old photographsI packed a little
bag and walked
to the door of
my lungsbefore I could even knock
she opened the door
with a smile and as
a gust of air embraced me
she said“what took you so long?”
~ John Roedel (johnroedel.com)
were spoken first by
Someone Else
and echoing intimately within us
For An Ever. . .
ALL DAY SUCKERS
that deliver more flavor
that can be promised
. . .only enjoyed
S M I L E S
S O M E
say we just don’t do
I T
enough
O T H E R S
say there’s just no reason to do
I T
which means we should all not just try
to do more of
I T
but make it one of our missions
to be the cause that everyone
we meet does
I T
S M I L E
S M I L E
DO WE EVER DO ENOUGH OF
SMILING
AND ARE WE
ALL OUT
SMILE MAKERS
THE CAUSER OF SMILES. . .
Over the years, I’ve come across a few cartoons and pictures that really bring a smile to my face and now hopefully yours:
The World
will give us all kinds of reasons to
NOT SMILE
and even more to make sure
we keep others from smiling, too
SMILE STEALERS
but not now. . .
NOT TODAY
BE THE REASON
Another loses their Frown
. . .BE THAT
Caring Catalyst of You
BRING YOUR SMILE
and be the fault
of giving it to
ANOTHER
YE-HAW
Uhhhhhhhhhhhhh
NO BRAIN NECESSARY
Monster Chasers
I cry
. . .A lot
Movies
Well written passages
Music
Always music
And this time certainly was no exception
It’s more than a cleansing
It’s a renewing
It’s a bare vulnerability
That’s never made me feel more
Naked
And warmly clothed
At the same time.
It makes my heart beat
So much differently
And so much better
It makes me care deeper
Love without limits or any hints
Of conditions
It makes me purely
A Caring Catalyst
And I’m tempted
Always
To ruin
THAT MOMENT
knowing that it can’t last
But here’s the best news:
IT DOESN’T HAVE TO
It’s what makes the moment
THE MOMENT
AND YES,
A Lifetime can be lived in a moment
And ohhhhhhhhh
look at the time
THAT MOMENT
THAT LIFETIME
can can
BE
right now. . .
Especially if I’m about chasing away
A loved one’s monsters
The only thing better than the title of
MONSTER CHASER
is actually
BEING ONE
Join me
You lifetime-in-a-moment-Liver
BROKEN PIECES
Our Broken Pieces
never cut
wound
or cause scarsThey are incisions
in the soul
that never need a
stitch or a stapleThe closing
would be the
worst injury
of all
S h A t T e R e D
escapes it
IT SO IMPORTANT
TO KNOW
RE-LEARN
S H O W
to be more of
A CARING CATALYST
than ever before
(EVERY BROKEN PIECE OF YOU)
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