Outburst Over Immigrant Health

Wednesday night at Obama’s speech, several shameful acts occurred.  Rep. Louie Gohmert from Texas wore a sign around his neck reading, “What Bill?”, as the President spoke on healthcare reform just a day after his speech to America’s schoolchildren raised protests from certain school districts as well.  As Obama finished stating that his health plan would not insure undocumented immigrants, Rep. Joe Wilson from South Carolina shouted, “You lie” in one of the most overtly disrespectful acts of uncivil discourse seen in political discourse.  While many politicains rightfully spoke out against Wilson’s sad outburst, they all centered on the disrespect it directed at the Executive office. [CNN.com]

There was “no place for it in that setting or any other and he should apologize immediately.”  – John McCain on Larry King Live

“It was crude and disrespectful. I think the person who said it will pay a price.” – Senate Majority Whip Dick Durbin

“I was always taught that the first sign of a good education is good manners. I think that what we saw tonight was really bad manners. And having a spirited debate is one thing, exercising bad manners is another. That was beyond the pale — and I would hope that he would publicly apologize on that same floor to the president of the United States for that insult.” -House Majority Whip Jim Clyburn, D-South Carolina –

While it is  certainly a sad day in our nation’s history when civil discourse devolves to hateful, warrantless vocal fussilades, it is even sadder when the more than 12 million undocumented immigrants Obama was talking about go completely ignored.  Wilson has defended his nativist stance by stating that he has been an immigration attorney and that he is all for “legal immigration,” yet his xenophobic comments exhibit a powerful antagonism toward our nation’s immigrant community.  The current plans being discussed would require “resident aliens” under tax law to buy health insurance, though it would not provide federal subsidies to undocumented immigrants.  It is bewildering to try to decipher Wilson’s vehemence.  Was his “You Lie!” comment directed at the fact that immigrants would be paying into a healthcare system largely targeted at providing healthcare to our nation’s aging, largely native-born population? Is Wilson frustrated that immigrants, legal or otherwise, pay their taxes and therefore have been supporting Social Security for years while never receiving an M.D. dime for it?

Surely everyone watching Wednesday night’s charged speech felt a repulsion at watching a civil debate turn into a heckler’s vaudeville act.  The saddest thing, however, is that nativism once more got publicity on national television.

Dia de los Muertos, Dia de los Vivos

On the Dia de los Muertos, just days before the Day of the Living (November 4^th), students from the University of Minnesota, Augsburg College, and Minneapolis Community & Technology College marched to remember the 1,954 border-crossing deaths the Border Patrol estimates occurred between 1998-2004. Those numbers continue to rise every year, with increased militarization and border barriers redirecting immigrants to more dangerous regions. (http://www.mndaily.com/2008/11/01/d%C3%AD-de-los-muertos-procession-honors-immigrant-deaths)

500 students marched in South Minneapolis as part of this event by Minnesota Immigrant Rights Action Coalition. Beginning at the Holy Rosary/Santo Rosario Catholic Church and finishing at El Milagro: The Miracle Lutheran Church, these protestors tried to publicize the fact that annual border crossing deaths have doubled in the ten years since 2005. As the participants read these names aloud, the air grew chill with the realization that our country’s policies are directly causing deaths.

Our new President-elect is inheriting an office faced with a teeming host of problems. American policies are causing deaths, both American and global, in far-reaching places like Iraq and Afghanistan and Somalia, but our legislation is also leading to deaths as close as Arizona, California, and Texas. Immigrants lured by employers and kept in a dependent work-relationship die every year, failing to get the health benefits and insurance they need. Hospitals like Saint Joseph’s in Phoenix repatriate about eight uninsured patients a month. While Vice-President Sister Margaret McBride said this is just a part of them trying to “be good stewards of the resources we have,” hospital El Centro Regional Medical Center in California refuses to forcefully deport immigrant patients. CEO David Green of that hospital said, “We don’t export patients. I can understand the frustrations of other hospitals, but the flip side is the human being element.” (http://www.nytimes.com/2008/11/09/us/09deport.html?_r=1&scp=1&sq=immigrant%20hospital&st=cse&oref=slogin)

Although healthcare is distant fourth on the upcoming President’s agenda and immigration a distant fifth or sixth, our lack of universal healthcare and lack of immigration reform creates a “perfect storm” which establishes bizarre incentives for hospitals to rid themselves of uninsured patients. Illegal immigrants are only partially covered by emergency Medicaid or, for the last few years at least, through the Medicare Modernization Act of 2003 (expired in October). Infants, even legal citizens like Elliott Bustamente who was born at University Medical Center in Tucson, are often ordered to be transferred to a Mexican hospital regardless of his heart defect or Down Syndrome. Dr. Stephen Larson, migrant health expert at the Hospital of the University of Pennsylvania, states that, “You’re given an out by there not being formal regulations. The question is whether or not litigation, or prosecution, catches up and hospitals start to be held liable.” Dr. Robert Margolin of the California Medical Association, confessed that, ““While we empathize with hospitals that must provide uncompensated care to undocumented immigrants, we overwhelmingly oppose the practice of repatriating patients without their consent.” (http://www.nytimes.com/2008/11/09/us/09deport.html?_r=1&scp=1&sq=immigrant%20hospital&st=cse&oref=slogin ). For hospitals that refuse to repatriate patients without their consent, though, this incurs prohibitive costs which are only partially covered by the State.

Hospitals are put between a rock and a hard place, when 12 million extralegal immigrants are not allowed to acquire employer-based or private insurance and our current healthcare system doesn’t pick up the costs. Being married to a hospital administrator and being the son of a healthcare executive, I uniquely understand the plight of hospitals as it gets harder and harder for them to survive financially. However, the forced repatriation of people based on racial profiling and lack of insurance certainly does not solve immigration issues nor does it adequately address the needs of hospitals. As President-elect Obama prepares to take the Oval Office, it is our duty as citizens to keep these issues in the forefront of his mind.

Moving Toward the One

Always, we begin again toward the One…

At this morning’s Friends Meeting in Rochester, MN, one woman felt inspired to share these words. Its truth could not have more evident after a week which saw Minnesota sadly moving toward division and disunity.

The Republican National Convention was held in St. Paul this past week. George Bush, leader of the GOP and the nation, was noticeably absent from the Xcel Center, the first time in 40 years that the incumbent President was not present at his party’s convention (Von Drehle, David). An entire country looked to the capital of Minnesota to witness the celebration and inauguration of the Presidential race in earnest. After a graceful Democratic convention the previous week, everyone’s eyes were tuned to see how newly chosen Vice-Presidential candidate Sarah Palin would compare to Obama’s running mate Joe Biden. The United States looked calculatingly toward St. Paul to see how the Republicans would celebrate their past successes, apologize for their past missteps, and prepare for a hotly contested Presidential campaign.

What the nation got was the worst kind of rhetoric. To watch Palin’s first speech as a Vice-Presidential running mate was to watch a vicious personal attack (New York Times). In a night that should have been full of celebrating, Wednesday’s speeches were concerned primarily with jabs and uppercuts. Rather than tout her party’s successes or laud John McCain’s many admirable qualities, she instead focused on demonizing Obama and Biden and the entire Democratic party. Her speech was less about accepting her nomination and more about rejecting commonality and unity. It saddened Republicans and Democrats and Independents alike to see an entire speech devoid of civil discourse, brimming with violence and overflowing with disunity.

While John McCain’s speech was graceful and stately, it was overshadowed for many by the speech Palin gave the night before. In stark contrast to the Democratic Convention the week before, the Republican speakers rarely used the words proud, together, thanks, and grateful. Whereas Hillary Clinton used her speech to bridge gaps and convert opposition into unity, Palin’s speech, and Giuliani’s before hers, widened differences, infused hate into the rhetoric, and filled the public sphere with negativity. It was sad to see a race which had been surprisingly cordial and civil take a decided turn for the worse.

Always we begin again toward the One…

Sadly, the protests of the Republican National Convention ended little better. While most demonstrators were peaceful, the presence of many physically and verbally violent protestors drained its potentially positive impact. Nonviolence is not simply the absence of violence but rather the presence of something positive. These protests, then, failed to live up to the high standard of nonviolence. Few were edified by the anarchists’ riots of Monday, and Martin Luther King, Jr. would not have recognized the Poor People’s March on Wednesday. Signs reading “Eat the Rich, Feed the Poor” and chants calling for the National Guard troops on downtown buildings to “Jump, Jump, Jump” would have horrified Gandhi or John Lewis (Minnesota Independent).

As Dr. King and all nonviolence philosophy holds, we are caught up in an inescapable network of mutuality. Therefore, violence towards some is violence towards all. And as Gandhi reiterated throughout his life’s work, the end is necessarily preexistent in the means. If we strive for peace, we must do it in peaceful ways. If we yearn for unity, we must seek reconciliation with those who oppose us. The protests of this past week were ineffective toward that end. When anti-war protests are verbally abusive or physically violent, then they can only help to create a more disunified world of violence.

So begins a new week. Hopefully this week Minnesota and the entire nation can begin to move away from the “us versus them” mentality. Perhaps we can abandon the idea of the “other,” a philosophy which has produced slavery, imperialism, colonialism, nativism, xenophobia, and war in all its guises. Always we begin again Toward the One…