SYNDICATED COLUMN: Still No National Healthcare For Mental Illness? That’s Crazy

TED RALL

STILL NO NATIONAL HEALTHCARE FOR MENTAL ILLNESS? THAT’S CRAZY

BY TED RALL

RELEASE: WEDNESDAY, DECEMBER 24, 2014

The sister of the 28-year-old man who shot his ex-girlfriend in Baltimore the same morning he killed two New York police officers as they sat in their patrol car in Brooklyn said her brother had long suffered from mental illness, but hadn’t received treatment.

“He was an emotionally troubled young man, and he was suicidal,” said Jalaa’i Brinsley. “Clearly something’s wrong. He should have been offered help in the system, right? But he wasn’t.”

Indeed. Something is very wrong.

In the United States, psychiatric care is a luxury that, at $150 an hour and up for counseling that can last for months or even years, only the very wealthiest citizens can afford.

This latest sorry episode serves as yet another reminder that ours remains a country in its infancy when it comes to health care, despite the undeniable turning point marked by last year’s enactment of the Affordable Care Act. As many as one out of four Americans suffer mental health issues in any given year, yet even upper-middle-class “white-collar” workers with relatively high-end health insurance plans receive little coverage for mental illness. The same goes for dental and vision care.

You know the narrative by now: after a particularly heinous shooting or mass shooting, typically ending with the suicide or death-by-cop of the suspect, relatives of the murderer emerge to express their sorrow and anger that they had repeatedly sought help but had been consistently rejected, usually due to their inability to afford expensive treatment and medications for mental illness. For the most part, however, news coverage and political debate emphasizes helplessness – who can predict who will go crazy? – and America’s easy access to high-powered weapons.        Sure, there is a flutter of discussion of the fact that few Americans have access to care for mental illness, but those stories are inevitably overshadowed by the gun control and the “culture of violence” chatter.

Talk about crazy!

As the bodies of the victims – which, if you are fair-minded, must include the killers along with the killed – go cold in their graves, the media and thus the population at large move on, the system putters on the same as always, denying countless millions access to the mental health professionals this country can easily afford to pay on their behalf, and setting the stage for some tiny fraction of them to go haywire and commit the headline-grabbing mass murders of the future.

Two years ago, after Adam Lanza slaughtered 20 children and six staffers at Sandy Hook Elementary School in Newtown, Connecticut, killed his mother and himself, some public officials declared that it was time to get serious about mental illness. According to a report by the Connecticut Office of the Child Advocate, Lanza had never received treatment for years of mental illness, including anxiety, depression and obsessive-compulsive disorder.

But, as USA Today reports, “the drive for change has [since] slowed at the state level and ground almost to a halt in Washington…Only 29 states increased funding this year, however. Seven states reduced mental health spending. In some states, mental health funding is still less than it was before the [2008-10] recession.”

“We’re seeing less attention to mental health, and that’s concerning to us, because we’re still seeing so many tragedies every day,” Mary Giliberti of the National Alliance on Mental Illness (NAMI) told the paper. Although individual tragedies may not make the news, she said, “the suffering is tremendous when people don’t get the services they need. People end up in emergency rooms. People end up in jails and prisons, which is absolutely the wrong place for someone with mental illness.”

Mental illness is one of America’s biggest hidden scourges.

According to NAMI, 1 in 17 adults − about 13.6 million Americans – suffer from a serious mental illness, such as schizophrenia, major depression or bipolar disorder.

46% of homeless Americans in shelters suffer from serious mental illness and/or substance abuse.

20% of prisoners in state and local prisons have a recent history of mental health problems.

70% of children in juvenile prisons have a mental health condition.

People need help, but they’re not getting it. 60% of adults with mental illness received no treatment within the last year.

Mental health treatment is expensive — but so is ignoring the problem. “Serious mental illness cost the economy $193.2 billion in lost earnings each year,” according to NAMI. Think of all the wars we could fight with the taxes from those lost salaries! Or don’t: 22 veterans commit suicide daily.

This year is a perfect example of the system’s inability and/or unwillingness to respond to the mental health crisis. Even after actor-comedian Robin Williams succumbed to suicide after years of alcoholism and depression, and a severely depressed 22-year-old man killed six people and then himself at the University of California at Santa Barbara, you couldn’t even find a single liberal Democrat in either the House of Representatives or the Senate to propose a bill that would expand the ACA to include comprehensive coverage for mental illness.

Santa Barbara shooter Elliot Rodger’s “parents repeatedly attempted to get psychiatric help for their son. By his own account, he was prescribed antipsychotic medication but refused to take it,” CBS News reported at the time.

There is a strong argument to be made in favor of restricting access to the highest powered automatic weapons, as well as philosophical interest in debating the nature of good and evil, but if we as a country truly want to reduce the frequency and severity of shootings in our public spaces, we should start by throwing some serious money at psychologists and psychiatrists.

“About half of these mass killings are being done by people with severe mental illness, mostly schizophrenia,” Dr. E. Fuller Torrey, a leading expert on severe mental illness told “60 Minutes” in 2013. “And if they were being treated, they would’ve been preventable.”

So it wasn’t just “evil,” or random criminality, that killed those two NYPD officers last weekend.

It was us.

(Ted Rall, syndicated writer and cartoonist, is the author of the new critically-acclaimed book “After We Kill You, We Will Welcome You Back As Honored Guests: Unembedded in Afghanistan.” Subscribe to Ted Rall at Beacon.)

COPYRIGHT 2014 TED RALL, DISTRIBUTED BY CREATORS.COM

 

Nanny Journalism

Social media erupted with outrage after some journalists repeated details from the coroner’s report on Robin Williams’ suicide. It seems that many people didn’t want to hear the unpleasant details…er; reality.

SYNDICATED COLUMN: Suicide Kills More Americans Than Gun Violence

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As I waited for the body of a man who jumped in front of my train to be cleared from the tracks — less than a week before another train I was riding struck a suicide victim — it occurred to me that (a) I should check whether suicide rates are increasing due to the bad economy (they are, especially among men in their 50s), and that (b) talking about suicide is long overdue.

With modernity comes depression; depression sometimes leads to suicide. And it’s a global phenomenon. “The World Health Organization reports that suicide rates have increased 60 percent over the past 50 years, most strikingly in the developing world, and that by 2020 depression will be the second most prevalent medical condition in the world,” T.M. Luhrmann wrote in The New York Times recently.

Why are so many people opting out?

Can we eliminate or reduce the number of our brothers and sisters who kill themselves?

Disclosure: my best friend committed suicide when we were 15. Bill’s death, and his inability/unwillingness to find a reason to keep living among his friends and family, left me angry and confused, unable to process an unsolvable equation. No day passes without me thinking about Bill hanging himself. His death makes me question my own daily decisions to go on living. I am not in touch with anyone else who knew him, but I imagine their trauma was not wildly dissimilar from mine.

So, yeah, it’s a personal issue for me. Given that 30,000 Americans commit suicide and 800,000 attempt it every year, it’s personal for 5,000,000 survivors of close friends and relatives too.

Nobody talks about it, but suicide is a national epidemic. Suicide by gun kills more Americans — a lot more Americans — than gun violence committed against others. (Though research shows that having a gun in your house greatly increases the chance that you’ll shoot yourself.) More American soldiers have killed themselves than have died in the war against Afghanistan.

Perhaps public discussion is inhibited by the cultural myth of the rugged individual, personal responsibility, etc. — hey, it’s your choice to live or die — but we’re all in this together. We need to save as many people as we can.

One way to reduce the suicide rate would be to get rid of capitalism. Though not a truly communist state, citizens of the Soviet Union were far less likely to kill themselves before the collapse of socialism in 1991.

There is a relentless tendency toward monopoly, consolidation of wealth and rising inequality under capitalism. Inequality — specifically, awareness of inequality — kills.

Studies show that relative poverty — how much poorer you are than your societal peers — is strongly correlated to mental illness, including depression. Of course, you can find a study to support just about anything; there’s even a theory that country music prompts people to kill themselves. Still, as Lurhmann says: “We know that social position affects both when you die and how sick you get: The higher your social position, the healthier you are. It turns out that your sense of relative social rank — literally, where you draw a line on an abstract ladder to show where you are with respect to others — predicts many health outcomes, including depression, sometimes even more powerfully than your objective socioeconomic status alone.”

Being poor doesn’t bum people out. Being poorer than other people — people whose relative wealth you personally witness — does. Mali, Bangladesh and Afghanistan are poor countries. Yet their rates of inequality are low, similar to those of Germany and the Scandinavian countries. And so are their suicide rates.

“Overall life expectancy also tracks with inequality, with a bigger wage gap meaning shorter lives and worse health — for both rich and poor, though the poor are hit much harder,” Maia Szalavitz wrote in a much-cited 2011 Time magazine article. “Researchers suspect that this gradient is linked to stress caused by our place in the social hierarchy: Stanford’s Robert Sapolsky, for example, has found that even in baboons, lower ranked animals have higher levels of stress hormones and worse health. But when status conflicts are reduced, producing a more egalitarian situation, these differences are also reduced.”

In a famous 2003 experiment with monkeys, the animals refused to accept small food allotments than those offered to neighboring monkeys. They became angry at the researchers, throwing objects at them — apparently because they blamed them for unequal distribution of the treats.

Those monkeys were on to something. Better to turn our rage against those responsible for inequality than against ourselves.

(Support independent journalism and political commentary. Subscribe to Ted Rall at Beacon.)

COPYRIGHT 2014 TED RALL, DISTRIBUTED BY CREATORS.COM

LOS ANGELES TIMES CARTOON: Dems Luv Cali

Don't Do It

 

I draw cartoons for The Los Angeles Times about issues related to California and the Southland (metro Los Angeles).

This week:

According to a new poll, “Californians’ perceptions about living in the Golden State are fractured along political, geographic and generational boundaries.”

Is California one of the best places to live? 53% of Democrats say yes. Only 26% of Republicans do.

Even if you’re liberal, the knowledge that conservatives are bummed out about living in the same state that you consider paradise has to give you pause. After all, you’re liberal. You’re supposed to care about other people — especially other people who tell you that they don’t care about you.

Also, you might ask yourself: what if I’m wrong and they’re right? What if California really is hell on earth? Does that make me…crazy?

What I want to know, and the poll does not and cannot reveal, is why members of the two major parties view the state’s quality of life so differently. Is it political — are Republifornians chafing under Governor Jerry and a Sacramento dominated by his Dems? Or does it reflect different worldviews? When Republicans look at the sky, do they see a different hue? When they hear the words “Miley Cyrus,” do their hearts quiver at an alternate frequency?

What about third parties? How do Greens and Libertarians enjoy/hate living here?

Anyway, this cartoon falls into the “illustrative” category of the political toon genre — a piece that doesn’t take an editorial stance, but rather shows what’s going on for its own sake. I have often been critical of this type of cartooning, but I make exceptions (hey, to be human is to be a hypocrite) for cartoons that highlight minor blink-and-you’ll-miss-it stories that have, or may have, broad implications.

Which this one is.

Now that you know that right-wingers dislike living in California, maybe you should consider being nicer to the dude in the monster truck-sized SUV who cuts you off if it has a Tea Party bumper sticker. Chances are, he’s depressed enough us as it is without you honking at him.

Also, he’s more likely to be armed.

SYNDICATED COLUMN: Murder by Prosecutor

Time to Roll Back Excessive Prison Sentences

If you’re looking for sympathy, it helps to be white, male and media-savvy. Throw in charm and brains—especially if your smarts tend toward the tech geek variety—and your online petitions will soon collect more petitions than campaigns against kitten cancer.

These advantages weren’t enough to save Aaron Swartz, a 26-year-old “technology wunderkind” who hanged himself in his Brooklyn apartment on January 11. But they did elevate his suicide from that of a mere “data crusader,” as The New York Times put it, to “a cause” driven by millennial “information wants to be free” bloggers and sympathetic writers (whose corporate media overlords would go broke if people like Swartz got their way).

Swartz, who helped invent RSS feeds as a teenager and cofounded the link-posting social networking site Reddit, was a militant believer in online libertarianism, the idea that everything—data, cultural products like books and movies, news—ought to be available online for free. Sometimes he hacked into databases of copyrighted material—to make a point, not a profit. Though Swartz reportedly battled depression, the trigger that pushed him to string himself up was apparently his 2011 arrest for breaking into M.I.T.’s computer system.

Swartz set up a laptop in a utility closet and downloaded 4.8 million scholarly papers from a database called JSTOR. He intended to post them online to protest the service’s 10 cent per page fee because he felt knowledge should be available to everyone. For free.

JSTOR declined to prosecute, but M.I.T. was weasely, so a federal prosecutor, U.S. Attorney Carmen Ortiz of Boston, filed charges. “Stealing is stealing, whether you use a computer command or a crowbar, and whether you take documents, data or dollars. It is equally harmful to the victim whether you sell what you have stolen or give it away,” she told the media at the time.

Basically, I agree. As someone who earns a living by selling rights to reprint copyrighted intellectual property, I’ve seen the move from print to digital slash my income while disseminating my work more widely than ever. Info wants to be free is fine in theory, but then who pays writers, cartoonists, authors and musicians?

I also have a problem with the selective sympathy at play here. Where are the outraged blog posts and front-page New York Times pieces personalizing the deaths of Pakistanis murdered by U.S. drone strikes? Where’s the soul-searching and calls for payback against the officials who keep 166 innocent men locked up in Guantánamo? What if Swartz were black and rude and stealing digitized movies?

But what matters is the big picture. There is no doubt that, in the broader sense, Swartz’s suicide was, in his family’s words, “the product of a criminal justice system rife with intimidation and prosecutorial overreach”—a system that ought to be changed for everyone, not just loveable Ivy League nerds.

Swartz faced up to 35 years in prison and millions of dollars in fines. The charges were wire fraud, computer fraud and unlawfully obtaining information from a protected computer.

Thirty-five years! For stealing data!

The average rapist serves between five and six years.

The average first-degree murderer does 16.

And no one seriously thinks Swartz was trying to make money—as in, you know, commit fraud.

No wonder people are comparing DA Ortiz to Javert, the heartless and relentless prosecutor in Victor Hugo’s “Les Misérables.”

As Swartz’s lawyer no doubt told him, larding on charges is standard prosecutorial practice in everything from traffic stops to genocide. The idea is to give the DA some items to give away during plea negotiations. For defendants, however, this practice amounts to legal state terrorism. It can push psychologically delicate souls like Swartz over the edge. It should stop.

It also undermines respect for the law. As a young man I got arrested (and, thanks to a canny street lawyer, off the hook) for, essentially, riding in the same car as a pothead. Among the charges: “Not driving with a valid Massachusetts drivers license.” (Mine was from New York.) “Don’t worry,” the cop helpfully informed me, “they’ll drop that.” So why put it on? Neither the legalistic BS nor the missing cash from my wallet when I got out of jail increased my admiration for this morally bankrupt system.

The really big issue, however, is sentencing. The Times’ Noam Cohen says “perhaps a punishment for trespassing would have been warranted.” Whatever the charge, no one should go to prison for any crime that causes no physical harm to a human being or animal.

Something about computer hackers makes courts go nuts. The U.S. leader of the LulzSec hacking group was threatened with a 124-year sentence. No doubt, “Hollywood Hacker” Christopher Chaney, who hacked into the email accounts of Scarlett Johansson and Christina Aguilera and stole nude photos of the stars so he could post them online, is a creep. Big time. But 10 years in prison, as a federal judge in Los Angeles sentenced him? Insanely excessive. Community service, sure. A fine, no problem. Parole restrictions, on his Internet use for example, make sense.

Sentences issued by American courts are wayyyy too long, which is why the U.S. has more people behind bars in toto and per capita than any other country. Even the toughest tough-on-crime SOB would shake his head at the 45-year sentence handed to a purse snatcher in Texas last year. But even “typical” sentences are excessive.

I won’t deny feeling relieved when the burglar who broke into my Manhattan apartment went away for eight years—it wasn’t his first time at the rodeo—but if you think about it objectively, it’s a ridiculous sentence. A month or two is plenty long. (Ask anyone who has done time.)

You know what would make me feel safe? A rehabilitation program that educated and provided jobs for guys like my burglar. Whether his term was too long or just right, those eight years came to an end—and he wound up back on the street, less employable and more corrupted than before. And don’t get me started about prison conditions.

A serious national discussion about out-of-control prosecutors and crazy long sentences is long overdue. I hope Aaron Swartz’s death marks a turning point.

(Ted Rall is the author of “The Book of Obama: How We Went From Hope and Change to the Age of Revolt.” His website is tedrall.com.)

COPYRIGHT 2013 TED RALL

SYNDICATED COLUMN: Our Contempt is Bipartisan

Both Zombie Parties Too Stubborn To Admit They’re Dead

Neither party gets it.

They both think they won. And they sort of did.

But we still hate them.

Democrats are patting themselves on the back, congratulating themselves for a mandate that neither exists–50.4% to 48.1% does not a mandate make–nor, if were real, would be actionable (Republicans still control the House). “Republicans need to have a serious talk with themselves, and they need to change,” Democratic columnist E.J. Dionne sniped in the Washington Post.

Not likely. If Republicans could change anything, it would be the weather. “If you hadn’t had the storm, there would have been more of a chance for the Romney campaign to talk about the deficit, the debt, the economy,” Karl Rove told the Post. (Which leaves out the fact that the places hit hardest by Hurricane Sandy, New York and New Jersey, are not GOP states.)

“We [Congressional Republicans] will have as much of a mandate as he [Obama] will,” claimed Speaker John Boehner.

The donkeys and the elephants think they’re awesome. Their plan to govern America for the next four years? Keep on keeping on. Why change?

Both parties are insane and self-delusional.

Voters are narrowly divided between the Ds and the Rs–because we can’t decide which one we hate most.

One out of three people think the two-party system is broken, and complain that neither party represents their political views.

A staggering number of people are boycotting quadrennial exercises in pseudodemocracy. Despite the advent of convenient early voting by mail, Election Day 2012 saw a “major plunge in turnout nationally” compared to 2008. About 42.5% of registered voters stayed home this year.

There were a substantial number of protest votes.

In one of the most ignored and interesting stories coming out of Election Day, one and a half million people voted for Libertarian Gary Johnson and Green Party candidate Jill Stein. Since Johnson and Stein were even more thoroughly censored than previous third-party candidates–Johnson and Stein were denied interviews on the major networks and locked out of the presidential debates–many of these votes must have been for “none of the above.”

Democrats didn’t win this election.

Neither did the Republicans.

Give the parties credit: They’ve united us in our contempt. Liberals and progressives hate the Democrats, which takes their votes for granted and ignores them. Conservatives hate the GOP for the same reasons. And moderates hate both parties because they don’t get along.

Who won? Not us.

Since the economy collapsed in 2008, Americans have made consistently clear what their number-one priority was: jobs. Yet the two major parties have focused on anything but.

The Tea Party convinced Republicans to campaign on paying down the national debt. Deficits, the debt and entitlements are important–but those problems are not nearly as urgent as unemployment and underemployment. When you’ve lost your job–as millions of Americans have since 2008–you need a new job now. Not next week. Not next year. NOW. You sure don’t need a job next decade–and that’s if you believe that austerity stimulates the economy. “Romney is not offering a plausible solution to the [unemployment] crisis,” Jonathan Chait wrote in New York magazine back in June. Romney never did.

And that’s why he lost.

Jobs were the #1 issue with voters, Obama never reduced unemployment and Romney had a credible narrative as a corporate turnaround expert. By all rights, Romney should have won. But he never delivered what voters wanted: a credible turnaround plan for the terrible jobs market–one with quick results.

Not that Obama and the Democrats have much to celebrate.

The president nearly lost to one of the worst challengers of all time, a bumbling, inarticulate Monopoly Man caricature of an evil capitalist. Democrats only picked up a few seats in Congress–this to a Republican Party whose platform on social issues was lifted from the Taliban, and whose major political figures included two rape apologists.

Like the GOP, Democrats paid lip service to the economy but never put forward a credible proposal that would have created millions of new jobs next week, not next decade. In 2009, while millions were losing their homes to foreclosure, Obama dwelled instead on healthcare reform. Like the deficits, the healthcare crisis is real and important–but it wasn’t nearly as urgent as the jobs catastrophe. Which, planted stories about fictional recoveries to the contrary, continues unabated.

Four years into an existential crisis that likely marks the final crisis of late-stage capitalism, an economic seizure of epic proportions that has impoverished tens of millions of Americans and driven many to suicide, the United States is governed by two parties that don’t have a clue about what we want or what we need.

Change? Not these guys. Not unless we force them to–or, better yet, get rid of them.

(Ted Rall‘s is the author of “The Book of Obama: How We Went From Hope and Change to the Age of Revolt.” His website is tedrall.com.)

COPYRIGHT 2012 TED RALL

Horror Movie Justice

What if horror movies were real? Perhaps the people who are voting for Obama despite his murderous drone policies, endorsement of torture of Bradley Manning and others, post-foreclosure suicides, etc. would be faces with a terrible vengeance.

The Commander-in-Chief

Suicide has become the number one cause of death for active-duty U.S. military troops, outpacing killings in Iraq and Afghanistan.

Death by Skype

A soldier serving in Afghanistan was killed while Skyping with his wife. (We don’t know whether he was shot or died of some other cause.) How will your death be live-streamed?

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