But We're A Peace-Loving Country

My, my, my, the sins that are committed in our name.

Industry Self-Regulation - Another Update

Last week I wrote two posts on the Harper regime's ideological decision not to impose mandatory reporting of drug shortages on the pharmaceutical industry. The government instead has placed its market-driven faith on a voluntary system, with results nearly as disastrous as those in Canada's food industry, which also enjoys a high degree of autonomy from government oversight. Hopefully, the debacle of XL Foods has not yet faded from public memory.

Today's Star reports yet another dire consequence of forsaking the protection of public health in favour of fealty to the private sector:

The last time Alena Rossnagel walked on her own, it was following long-awaited kidney surgery in April 2011.

A drug shortage had forced her to use a substitute antibiotic in the final two weeks leading up to her procedure. But the substitute left her legally blind, caused severe inner ear damage and forced her to rely on a walker.

“I was left with this body that couldn’t do anything,” Rossnagel said from Portage la Prairie, Man. “The new ‘normal’ has become the use of a walker, no driving, being cognitively impaired, hearing loss, visual impairment and myriad of other symptoms.”

The drug that she had been taking to treat a persistent infection was Trimethoprim, but in the weeks leading up to her surgery a shortage developed, and she was given Gentamicin, known for its toxic side effects. Probably the most disturbing aspect of this tale is that neither her doctor nor pharmacist had advised her of an impending shortage of her drug of choice. Says Rossnagel:

...if there had been a mandatory system to report drug shortages in April 2011, “I would be a normal person, I wouldn’t be living in this totally bizarre other world.”

As I wrote in my earlier posts, Health Canada had strongly advised against a voluntary, as opposed to mandatory system of drug-shortage reporting. But due to the inertia/incompetence/ideology of the Harper government, people like Rossnagel must pay the consequences.

The final ugly truth is perhaps best summed up by Health Canada spokesman Sean Upton, who said it was the responsibility of the drug maker to make the post online, but that if they don’t, there is no legislation that can punish a drug company if they don’t.

Just one more indication, I suppose, of how the Conservative Government of Canada really feels about the people it 'serves.'

The Good News: It's a New Year - the Bad News: Expect More of the Same

Best wishes to everyone in 2013. I would like to express my hope that all will enjoy a prosperous 12 months ahead, but given both domestic and international realities, I know that will not be the case for many.

This, despite the self-congratulatory tone Stephen Harper frequently strikes when talking about how Canada is doing so well vis-vis the rest of the world. Yesterday, this boast was placed in its proper context by The Globe's Lawrence Martin, who offers the following observation:

If Canada’s doing well compared with other well-functioning economies, it’s something to boast about. But if the barometer is basket cases, let’s not get out the pompoms. It’s no great measure of success.

He points out, for example, that only a half-point separates our unemployment rate (7.2%) from that of the United States (7.7%).

Martin suggests that our real economic state is hidden:

We have a manufacturing sector that’s in steady decline, leaving an economy overly dependent on staples and their price fluctuations. It’s chiefly our natural resource endowments that have helped us outperform others. Should we pat ourselves on the back for that? What country, blessed with such abundances, couldn’t have done the same?

His piece goes on to adumbrate our myriad failures both internationally and domestically, a few of which I reproduce below:

- On climate change, this great green land has taken on the reputation (Liberal governments share the blame) of a black sheep.

- In regard to first nations, the acute adversities find little alleviation.

- We left Afghanistan with our mission mostly unaccomplished. We now witness the F-35 muck-up.

- On foreign affairs, our long-time open-minded country is now steering closer to a path of unilateralism. Our self-righteousness is striking, and we’ve become a United Nations basher.

- While other jurisdictions move progressively on criminal justice, we renew our emphasis on incarceration. While other jurisdictions move to decriminalize soft drugs, we maintain a war on them.

Martin ends his piece by reminding us of how much our beloved democracy has suffered under the Harper cabal. It does not take a long memory to recall unnecessary omnibus bills, parliamentary prorogation, and the contempt shown both inside and outside of parliament for those who dare disagree with the Tory agenda.

I am well past the age where I make New Years' resolutions, but my resolve is the same as it has been since 2006, when these renegades first came to power: to do everything I can to inform as many as possible about the true nature of this government, and to encourage as many as possible to engage or reengage in the political process.

May it be a productive year.

Noam Chomsky Reflects on Contemporary Education

Despite the fact that it was fraught with a marking load I would not wish on anyone, my career as an English teacher offered many satisfactions, not the least of which was the opportunity to explore issues that are increasingly considered off-limits in the classroom: contemporary politics, the use and abuse of language for manipulative and sinister purposes, environmental degradation, etc., all within the context of the literature we were studying. However, by the time I retired six years ago, thanks to curriculum changes in Ontario, many disciplines became locked in a race to cover the material at the expense of what I would consider an essential part of learning: an open and informed discussion and the concomitant development of critical thinking skills. Structure began to supplant imagination, and I think students became the poorer for it.

I recently came across a very interesting interview on Alternet with Noam Chomsky, the famed linguist, political commentator, activist, and iconoclast. A man rarely heard these days in the mainstream media thanks to his seemingly endless capacity to challenge what passes for conventional wisdom, Chomsky reflects on his own upbringing and education, and has some very pointed observations about the current overemphasis on test results:

...the great educational innovation of Bush and Obama was 'no child left behind'. I can see the effects in schools from talking to teachers, parents and students. It's training to pass tests and the teachers are evaluated on how well the students do in the test - I've talked to teachers who've told me that a kid will be interested in something that comes up in class and want to pursue it and the teacher has to tell them - ' you can't do that because you have to pass this test next week'. That's the opposite of education.

Chomsky suggests that at its best, education is essentially subversive, in that it challenges the corporate demand for trained but passive and submissive workers. The cultivation of such an education model is regarded dimly by the elite, a fact he demonstrates by reference to a report and book produced in 1975 for the Trilateral Commission called The Crisis of Democracy. Its conclusion? ... the problems of governance "stem from an excess of democracy" and thus advocates "to restore the prestige and authority of central government institutions."

Says Chomsky:

[The] commission that put together this book was concerned with trying to induce what they called 'more moderation in democracy' - turn people back to passivity and obedience so they don't put so many constraints on state power and so on. In particular they were worried about young people. They were concerned about the institutions responsible for the indoctrination of the young (that's their phrase), meaning schools, universities, church and so on - they're not doing their job, [the young are] not being sufficiently indoctrinated. They're too free to pursue their own initiatives and concerns and you've got to control them better.

That an independent-thinking citizenry should be regarded as a threat speaks volumes about the power of a real education. I'm glad I was a part of it for 30 years, and while I ardently hope that a reasonable balance can be struck between the needs of industry and the larger needs of society, I must confess that I am not especially hopeful about education's future.

What A Man Must Be

"What a man can be, he must be." - Abraham Maslow

Whenever I taught Mary Shelley's Frankenstein, I also taught my students about Abraham Maslow's hierarchy of needs, his theory of developmental psychology which posits that the final stage of development, self-actualization (the realization of our full potential), can be achieved only after all of our other needs have been met. It is a process that Shelley's amazingly articulate and introspective creature undertakes.

Those who control our broken world, I suspect, have a vested interest in inhibiting the achievement of self-actualization. By keeping wages low, cultivating resentments that keep us sniping at each other (eg. anti-unionism), and empowering oligarchical governments that ensure daily life is a struggle for so many, corporations, in their pursuit of profits at any price, leave a debris field of social, economic and environmental problems in their wake for others to worry about.

It is easy to become discouraged and cynical in such an environment, easy to forget that there is another dimension entirely to our existences, a dimension where the primacy of the self gives way to concern for the other. This broken world abounds with such examples, and every so often we need to be reminded of that fact.

That is why I was pleased to read a story in yesterday's Star by Catherine Porter about actor Sean Penn's ongoing direct and very personal involvement in the rebuilding efforts still underway in Haiti almost three years after its devastating earthquake.

A man who 'has it all' by Hollywood standards, Penn seems to have abandoned that comfortable life to work virtually full-time to help the island nation through the Jenkins/Penn Haitian Relief Organization (J/P HRO) which he formed with funding from Californian philanthropist Diana Jenkins. Hard-headed, pragmatic, and clearly not afraid of hard physical work, Penn understands that the rebuilding process will take many years, and uses a project-based approach to ensure tangible results, including

... two community health clinics, a bakery and, Penn’s favourite, a community centre. “Any day, you can see 50 kids taking judo classes and dance classes while adults are taking computer classes. It’s community, volunteer driven. We staff two supervisors,” he says. “I’d like to see it used as a model.”

And what does Penn get out of all of this? As he explained to Catherine Porter,

“The hardship that’s here allows an individual to feel alive with a clearer lens and more honest perspective” ... “You feel your life while you are living it.”

Has Sean Penn achieved self-actualization? I don't know. But without doubt, he has found real meaning in his life. May we all be so fortunate.

Industry Self-Regulation - An Update

Yesterday I wrote a post about the plight of Ryan Harrington, the young man who, were it not for a drug called Celontin, would suffer upwards of 200 seizures a day. Because the Harper regime opted for a voluntary system instead of a law requiring companies to report drug shortages, Harrington had only a one-week supply of the drug left.

The Toronto Star today reports that his family has been able to secure a one-month supply of the drug from the U.S., no thanks to our government. Says Brigitte Harrington, Ryan's mother:

“It’s a band-aid” ... “We’ve applied another band-aid to the layer. We have not addressed the problem. We have not cleaned up the mess.”

Despite the shortage, Health Canada denied three separate applications from Harrington to acquire the drug from the U.S.

When asked why the first three requests were denied, Health Canada spokesperson Sara Lauer responded, “Initial requests … were not fulfilled because the manufacturer, ERFA, informed Health Canada the product would be on the market until December 2012 and it was working to avoid any potential back-order.”

I would like to think that our political 'leadership' has learned something from this episode, distressing in its wider implications, but experience suggests that in the battle between marketplace ideology, so beloved of the Harper regime, and the public good, we the people are pretty much on our own.

Industry 'Self-Regulation'

In a world rife with the environmental, economic and social consequences of unfettered capitalism, the term 'industry self-regulation' has always struck me as little more than a oxymoron. Examples abound of what happens when government regulatory agencies enter into what turn out to be Faustian bargains with the corporate sector, the sad case of XL Foods perhaps the one most prominent in recent memory.

Today's Star exposes yet another failure of corporate oversight as it reports on the plight of Ryan Harrington, a young man afflicted with a severe form of epilepsy that, without the proper medication, leads to upwards of 200 seizures a day. Unfortunately, he has just a seven-day supply left of the only drug that limits his episodes to three per day, Celontin. The blame for his plight must rest solely on the shoulders of Federal Health Minister Leona Aglukkaq and the ethos that her government embraces

Because she opted for voluntary instead of mandatory reporting of drug shortages by the pharmaceutical industry, Harrington faces his dire situation. This, despite the fact that Health Canada staff warned that a voluntary system would be “susceptible to bad company behaviour.”

Why is this failure to report the drug shortage so crucial in Harrington's situation? Had his family known, they could have applied for special access to the drug, which is still produced in the U.S.

As is so often the case today, it is the journalistic integrity of The Toronto Star that has brought this issue to the public's attention. A followup editorial, which I hope you will take time to read, makes a compelling case for mandatory reporting:

A comprehensive, up-to-date system providing early warning of drug shortages would give hospitals, doctors and provincial health ministries a head start on finding alternatives and developing strategies for coping with what's to come. Forewarned is forearmed. So it doesn't make sense from a public health perspective to give manufacturers a penalty-free choice on whether or not to comply.

Not something those ideologues possessed of 'terminal certitude', to borrow a phrase used by Owen over at Northern Reflections, may want to hear, but nonetheless a necessary measure for the rest of us.