Change comes, but never easily
Plus ca change, plus c’est la meme chose, as French novelist Alphonse Karr so aptly noted a long, long time ago. The more things change, the more they stay the same.
A career in journalism really brings that home. I think I’d been a reporter for less than a year when I first experienced that sense of déjà vu that would eventually become so familiar to me.
I was flipping through the newspaper archives at the time, looking for one of those “25 Years Ago Today” items (hey, somebody has to write them). I came across a long string of stories about the regional district’s struggles to fix the outdated and underperforming hospital laundry system plaguing the Thompson Valley Regional District at that time.
Having just finished up a story that very afternoon about the district’s outdated and underperforming hospital laundry system - which everyone was still worrying about 25 years later - I wondered if my archival find was just an amusing coincidence.
It wasn’t. With many years of journalism now under my belt, I can assure you there’s definitely a lot of Groundhog Day in the things we call “news.”
That’s not to say that the daily news is always the same, or that nothing ever changes - if that were true, I’d still be pecking out stories about the annual stud auction in Kamloops on a typewriter, using hand-me-down carbon paper from the accounting department to satisfy our cheapo corporate owners.
But the big, difficult issues of this world - well, they do have a tendency to drag on.
Some assume a kind of mythic proportion, looming so large that mortal man is brought to his knees at the very thought of trying to find a resolution. I put sewage treatment for the Capital Region in that category, because nothing new has been added to the debate in the 21 years I’ve lived here and yet we still can’t sort it out.
Others present as problems that in fact end up getting fixed, at least for a while. But then everybody mistakenly takes that as meaning they can quit worrying about the issue. And then the money dries up, because nobody’s paying attention anymore.
And then the problems re-emerge, and you find yourself back at the beginning again as if nobody ever did anything.
The Victoria Health Project was a sad example of that. It was a fabulous three-year pilot project to test whether seniors with health and mobility problems could be maintained in their own homes with a few key homecare services, thus avoiding ending up in expensive hospital beds that they didn’t really need.
The pilot worked really well. And for a while, we all lived happily with the programs that grew out of the project - at least until one tight community-health budget after another over the next 20 years starved most of them to death.
Barely 10 years after the Victoria Health Project had identified a better way, health administrators were back grumbling to the media about old people blocking hospital beds. I started calling them to find out how this could be, and discovered not only that the programs were a shadow of their former selves due to funding erosion, but that most of the people now in charge of the health system had never even heard of the project.
That lack of institutional memory is clearly a major factor in why we spin our wheels over problems that we’ve already solved. But inertia strikes me as the primary reason for why the news repeats itself.
An example: Assisted suicide. Sue Rodriguez fought a hard battle in the early 1990 for the right to have someone help her die.
She was a perfect “poster child” for the issue: Smart, young, well-informed, and tragically dying of ALS with no cure in sight. If anyone was going to make us change the laws, it was her.
But nothing happened. Nearly 20 years passed, and all of a sudden my dear friend Bernice Levitz-Packford materialized in the local media earlier this year trying to resurrect the issue. Fortunately for her (but sadly for us), she died at home not long after at the fine age of 95, freeing us to ignore the issue for another couple of decades.
We can’t give up, of course. Inertia and institutional amnesia aside, some things are simply worth fighting for. Change is possible, but what’s striking is how difficult it is to make it last.
Sunday, May 02, 2010
No magic to weight loss - just eat less
One of my friends is an avid reader of the TC’s “Celebrations” section, that Saturday feature where people turning 50 or marking double-digit wedding anniversaries send in photos of themselves from back in the day. She says nobody is ever overweight in those photos.
It’s true. People weren’t nearly so likely to be heavy in those years. Children were virtually never overweight.
But that was then. Nowadays, the kids are getting fat and the adults are getting fatter, and the many health ailments and societal costs related to obesity just keep stacking up higher around us.
What happened to change things? A lot. Still, there’s only one key difference that matters: While previous generations consumed the right amount of calories for their energy needs, ours doesn’t.
True, there were many things about life in the 1950s or ‘60s that made it easier to keep your weight down.
For starters, everybody smoked. (Sure, nicotine is evil, but it does have an effect on body weight.) People were also much more likely to have jobs that required physical work.
Families were more inclined to order their children out of the house to play, which meant children were more active. There was less money for eating out, and far less “fast food.”
Moms didn’t work outside the home as much, so families sat down for regular meals together more often. Most families had only one car, which meant a lot more walking for everybody in the household. Everything was just a little more physical, even changing the TV channel.
In food terms, it’s all just calories burned. People in those years burned as many calories as they ate, so they didn’t accumulate fat.
Our generation’s calorie intake, on the other hand, is profoundly out of whack with our activity levels.
Blame it on societal change. Blame it on corporate food production. Blame it on poor parenting, higher levels of anxiety, and food science manipulating our taste buds, because it’s about all those and more.
But for all that, it’s a simple enough problem to resolve. We just need to eat much less.
How many of us even know how many calories we eat in a day, let alone how many we burn? Until I got my first Big Book of Food Counts a few years ago, I didn’t have a clue about the caloric content of most of what I ate and drank.
I don’t imagine our thin predecessors were particularly well- informed either. But for all the reasons listed above, they didn’t have as much need for awareness. They kept busy enough to burn off the calories they ate, and didn’t have anywhere near the access that we do to cheap, high-calorie foods.
The Vancouver Sun provided a marvellous public service late last year with the creation of the “Fatabase,” a searchable database of 64 restaurant chains operating in B.C. If you haven’t given it a try yet, visit http://www.vancouversun.com/life/food/rate-your-plate/fatabase.html for a disturbing insight into your favourite restaurant meals.
As you might expect, the most horrifying counts are at fast-food chains. A Burger King Triple Whopper with cheese, for instance, weighs in at a whopping 1,240 calories - representing more than half the calories and all the fat that an average person needs for a whole day. Throw in a large order of fries and a 12-oz pop, and that’s pretty much your daily caloric max in a single meal.
But don’t think that eating more upscale will save you. A dinner of parmesan-encrusted sole at the Macaroni Grill is 1,710 calories. It contains almost enough fat to meet two days’ worth of dietary needs, and more sodium in one meal than you should eat in an entire day. God help you if you finish things off with a cheesecake dessert.
Maybe humans needed calories like that in our hunter-gatherer days. But we’re a long way from those days. Pecking away at my computer for a full eight hours only burns a scant 240 calories. That’s one piece of buttered toast and an apple.
People like to think that their exercise programs are taking care of their caloric indulgences. But I’d have to run for two full hours just to burn off the calories from a single Triple Whopper with cheese.
Buy a food-count book. Browse the Fatabase. Learn the caloric content of the foods you and your family eat, and how that number stacks up against the calories you burn in a typical day.
That’s how we’ll get a grip on global obesity. One smaller mouthful at a time.
One of my friends is an avid reader of the TC’s “Celebrations” section, that Saturday feature where people turning 50 or marking double-digit wedding anniversaries send in photos of themselves from back in the day. She says nobody is ever overweight in those photos.
It’s true. People weren’t nearly so likely to be heavy in those years. Children were virtually never overweight.
But that was then. Nowadays, the kids are getting fat and the adults are getting fatter, and the many health ailments and societal costs related to obesity just keep stacking up higher around us.
What happened to change things? A lot. Still, there’s only one key difference that matters: While previous generations consumed the right amount of calories for their energy needs, ours doesn’t.
True, there were many things about life in the 1950s or ‘60s that made it easier to keep your weight down.
For starters, everybody smoked. (Sure, nicotine is evil, but it does have an effect on body weight.) People were also much more likely to have jobs that required physical work.
Families were more inclined to order their children out of the house to play, which meant children were more active. There was less money for eating out, and far less “fast food.”
Moms didn’t work outside the home as much, so families sat down for regular meals together more often. Most families had only one car, which meant a lot more walking for everybody in the household. Everything was just a little more physical, even changing the TV channel.
In food terms, it’s all just calories burned. People in those years burned as many calories as they ate, so they didn’t accumulate fat.
Our generation’s calorie intake, on the other hand, is profoundly out of whack with our activity levels.
Blame it on societal change. Blame it on corporate food production. Blame it on poor parenting, higher levels of anxiety, and food science manipulating our taste buds, because it’s about all those and more.
But for all that, it’s a simple enough problem to resolve. We just need to eat much less.
How many of us even know how many calories we eat in a day, let alone how many we burn? Until I got my first Big Book of Food Counts a few years ago, I didn’t have a clue about the caloric content of most of what I ate and drank.
I don’t imagine our thin predecessors were particularly well- informed either. But for all the reasons listed above, they didn’t have as much need for awareness. They kept busy enough to burn off the calories they ate, and didn’t have anywhere near the access that we do to cheap, high-calorie foods.
The Vancouver Sun provided a marvellous public service late last year with the creation of the “Fatabase,” a searchable database of 64 restaurant chains operating in B.C. If you haven’t given it a try yet, visit http://www.vancouversun.com/life/food/rate-your-plate/fatabase.html for a disturbing insight into your favourite restaurant meals.
As you might expect, the most horrifying counts are at fast-food chains. A Burger King Triple Whopper with cheese, for instance, weighs in at a whopping 1,240 calories - representing more than half the calories and all the fat that an average person needs for a whole day. Throw in a large order of fries and a 12-oz pop, and that’s pretty much your daily caloric max in a single meal.
But don’t think that eating more upscale will save you. A dinner of parmesan-encrusted sole at the Macaroni Grill is 1,710 calories. It contains almost enough fat to meet two days’ worth of dietary needs, and more sodium in one meal than you should eat in an entire day. God help you if you finish things off with a cheesecake dessert.
Maybe humans needed calories like that in our hunter-gatherer days. But we’re a long way from those days. Pecking away at my computer for a full eight hours only burns a scant 240 calories. That’s one piece of buttered toast and an apple.
People like to think that their exercise programs are taking care of their caloric indulgences. But I’d have to run for two full hours just to burn off the calories from a single Triple Whopper with cheese.
Buy a food-count book. Browse the Fatabase. Learn the caloric content of the foods you and your family eat, and how that number stacks up against the calories you burn in a typical day.
That’s how we’ll get a grip on global obesity. One smaller mouthful at a time.
Friday, March 19, 2010
Hi, blog readers. I'm away travelling now until May 1. I've left behind some columns that will be running in the Times Colonist during that time but won't be posting them to my blog until my return. Hope you'll continue to read me at the TC site - you'll find my columns here.
NDP: Please don't leave us with no one who gives a damn
With all due respect to a woman who I personally like, there’s a burning question I need to get off my chest: Where the heck are Carole James and the NDP?
I get that a party has to change with the times. The New Democrats know that if they’re to stand a chance of getting elected in 2013, they’ll need to convince the electorate they care as much about the economy as the Liberals do.
But the party’s attempts to morph into Liberal lite have left no one in the legislature to champion the cause of human beings - not just as units of production, but as regular people trying to get through their lives.
It ought to be pretty obvious to us that we all need to care about such things if we’re genuinely going to build B.C.’s economy. The essence of a healthy economy is a skilled, healthy populace who can provide all the brains, brawn and investment capital needed to ensure prosperity long into the future.
Virtually all of us will find ourselves outside the economic machine at some point in our lives, for any of a thousand different reasons. Where is the voice in the legislature for that group, now that so much of the messaging from both sides of the House excludes them?
People get sick. Their children are born with disabilities. A workplace accident changes their lives forever. Their parents get old. They struggle to find decent, affordable daycare. A loved one develops a mental illness, or an addiction to drugs or alcohol.
Such are the events of life for all of us. Nobody escapes.
Yet in our legislature right now, we have one political party that has been busy eroding social supports and preventive services for almost 10 years now, and another that appears to have checked out of the debate entirely. Yikes.
Of course, a 35-member Opposition can’t possibly stay on top of everything the government is doing. MLAs in Opposition also seem to feel a greater duty of care to their constituents than do those in power, which explains the highly local nature of many of the 18 press releases the NDP has issued since the budget came down March 2.
The party has clearly looked into the crystal ball and decided it needs a broader base of support in B.C., which I guess is why it has made the Harmonized Sales Tax its biggest issue of late.
But when the Liberals cut almost $12.4 million out of services to non-aboriginal B.C. children and families and the story is gone from the media in the blink of an eye - well, that’s a pretty big sign that something’s up with the NDP. There was a time when the New Democrats could have whipped up a media frenzy for weeks over a development like that.
When a whole heap of trouble comes raining down on the province’s poor and the only thing that emerges from the NDP is a mediocre press release repeating the government’s own confusing information on the grim list of cuts to basic health care and birth control, you just have to know that the old fire in the belly that was once a party hallmark has faded to a dim flicker.
Is it because the NDP just don’t want to get into these issues anymore? Or are they having trouble engaging the media, and thus have no vehicle for getting their howls of indignation heard?
I don’t know, but I sure hope they figure it out. I don’t adhere to a particular political ideology or voting pattern, but it’s a very sad day when the only party that has ever talked in a meaningful way about caring for people appears to be losing interest in the subject.
"For the NDP to be successful, it needs to have stronger relations with all sectors of the business community," Moe Sihota told Province columnist Mike Smyth last fall, not long before Sihota’s election as the new president of the B.C. New Democratic Party.
"People need to see that the party is attentive to both business and social concerns. You need to reach out so that people feel comfortable."
True enough, Moe. But you can’t have forgotten your own time in Opposition in the 1980s, when every day was another opportunity to stick it to the Socreds over one poorly considered cut and deception after another. Remember how good it felt to hold the government accountable?
Please get back at it, New Democrats. Your new corporate look is scaring me.
Saturday, March 13, 2010
Crazy-making cuts instantly increase government costs
The funny thing about the current government is that I often agree with what they say. It’s what they do that makes me crazy.
For instance, here’s the premier in an interview with the Times Colonist last week: "I think it's really important for people to understand that the costs of our health-care system are staggering, frankly.”
Indeed. Health eats up 42 cents of every dollar the government spends. Premier, you’ll get no argument from me on that.
But on the very day that Gordon Campbell was saying that, his government was preparing to eliminate birth-control options for women and men living in poverty, who will soon lose access to IUDs and condoms. It was taking away $50 glucometers from people on income assistance who have diabetes, needed to measure their blood sugar every day. It was cancelling funding for a little plastic adapter that makes it easier for people with asthma to use their inhalers.
And I’m left to wonder: Hey, guys, what the heck are you thinking? And how on Earth did your talk ever come to be quite so far away from your walk?
“Who did they consult? Certainly not a doctor I could ever imagine,” says Dr. Danica Gleave, a Cool Aid Health Centre physician who predicts dire repercussions from the health cuts to people on income assistance. “It just baffles me. These are people who have no backup, no other resources.”
Looks like they didn’t fly the plan past the provincial health officer, either. Asked this week about the cuts, Dr. Perry Kendall wondered whether a cost-benefit analysis had been done. “The impact should be monitored, as this may turn out to be counterproductive to health and budgets in the longer run,” he noted.
Hopefully a journalism teacher has latched onto the press release announcing the cuts. It’s a fine example of modern-day propaganda. (As was Budget 2010; there must be a new communications mandate that all bad things are to be restated as good.)
The headline: “Province protects services for low-income clients.” The opening paragraph: Changes will be implemented “in a manner that is fair to all British Columbians and supports children and families.” The cuts to birth control, glucometers and asthma adapters are needed to “ensure these programs will be available to meet the most medically essential needs of clients.”
Well, except for impoverished people in their fertile years, diabetics and asthmatics. And the ones who no longer qualify for “ready-made” orthotics - insoles, braces and the like, which have also been cut. Oh, and the ones with HIV, hanging onto their health with the help of $20 worth of bottled water every month.
Doctors at the Cool Aid centre typically prescribe IUDs to at least a dozen women on income assistance a week, says Gleave.
“We see all kinds of women who benefit from an IUD - sex workers, people with developmental disabilities, people who have behavioural issues that make it hard for them to be compliant with taking a pill every day. These cuts are being made on the backs of the most vulnerable people,” she says.
“The cuts will result in an increased number of unwanted pregnancies. It will increase emergency-room visits for people with asthma. Every diabetic needs to have a glucometer - it’s a huge safety issue for insulin-dependent people. We’re robbing Peter to pay Paul.”
There are no savings to be had by denying access to IUDs, says Island Sexual Health executive director Bobbi Turner.
“The IUD is the most cost-effective form of birth control out there. Something like the Copper T costs $60 and lasts three to five years,” says Turner. “IUDs are not part of the ‘compassion program’ that drug companies have to provide free birth-control pills to these women, so this change cuts off a really effective form of birth control.”
I tried to get Health Minister Kevin Falcon to talk to me about this, because it’s obvious that the cuts in Rich Coleman’s Ministry of Housing and Social Development will increase health costs almost immediately. But it appears the government doesn’t like to talk about such things, because I just ended up routed back to the MHSD communications staff.
Maybe I should try for Mary Polak next over at the Ministry of Children and Family Development. The cuts ultimately mean more kids in care for the women who end up pregnant. But she’s probably too distracted right now, what with the $12.3 million in community cuts already going on for non-aboriginal children and families served by her ministry.
Or maybe just straight to the top. Premier, do you really want to get a handle on health-care spending? You have to know you’re never going to get there this way.
The funny thing about the current government is that I often agree with what they say. It’s what they do that makes me crazy.
For instance, here’s the premier in an interview with the Times Colonist last week: "I think it's really important for people to understand that the costs of our health-care system are staggering, frankly.”
Indeed. Health eats up 42 cents of every dollar the government spends. Premier, you’ll get no argument from me on that.
But on the very day that Gordon Campbell was saying that, his government was preparing to eliminate birth-control options for women and men living in poverty, who will soon lose access to IUDs and condoms. It was taking away $50 glucometers from people on income assistance who have diabetes, needed to measure their blood sugar every day. It was cancelling funding for a little plastic adapter that makes it easier for people with asthma to use their inhalers.
And I’m left to wonder: Hey, guys, what the heck are you thinking? And how on Earth did your talk ever come to be quite so far away from your walk?
“Who did they consult? Certainly not a doctor I could ever imagine,” says Dr. Danica Gleave, a Cool Aid Health Centre physician who predicts dire repercussions from the health cuts to people on income assistance. “It just baffles me. These are people who have no backup, no other resources.”
Looks like they didn’t fly the plan past the provincial health officer, either. Asked this week about the cuts, Dr. Perry Kendall wondered whether a cost-benefit analysis had been done. “The impact should be monitored, as this may turn out to be counterproductive to health and budgets in the longer run,” he noted.
Hopefully a journalism teacher has latched onto the press release announcing the cuts. It’s a fine example of modern-day propaganda. (As was Budget 2010; there must be a new communications mandate that all bad things are to be restated as good.)
The headline: “Province protects services for low-income clients.” The opening paragraph: Changes will be implemented “in a manner that is fair to all British Columbians and supports children and families.” The cuts to birth control, glucometers and asthma adapters are needed to “ensure these programs will be available to meet the most medically essential needs of clients.”
Well, except for impoverished people in their fertile years, diabetics and asthmatics. And the ones who no longer qualify for “ready-made” orthotics - insoles, braces and the like, which have also been cut. Oh, and the ones with HIV, hanging onto their health with the help of $20 worth of bottled water every month.
Doctors at the Cool Aid centre typically prescribe IUDs to at least a dozen women on income assistance a week, says Gleave.
“We see all kinds of women who benefit from an IUD - sex workers, people with developmental disabilities, people who have behavioural issues that make it hard for them to be compliant with taking a pill every day. These cuts are being made on the backs of the most vulnerable people,” she says.
“The cuts will result in an increased number of unwanted pregnancies. It will increase emergency-room visits for people with asthma. Every diabetic needs to have a glucometer - it’s a huge safety issue for insulin-dependent people. We’re robbing Peter to pay Paul.”
There are no savings to be had by denying access to IUDs, says Island Sexual Health executive director Bobbi Turner.
“The IUD is the most cost-effective form of birth control out there. Something like the Copper T costs $60 and lasts three to five years,” says Turner. “IUDs are not part of the ‘compassion program’ that drug companies have to provide free birth-control pills to these women, so this change cuts off a really effective form of birth control.”
I tried to get Health Minister Kevin Falcon to talk to me about this, because it’s obvious that the cuts in Rich Coleman’s Ministry of Housing and Social Development will increase health costs almost immediately. But it appears the government doesn’t like to talk about such things, because I just ended up routed back to the MHSD communications staff.
Maybe I should try for Mary Polak next over at the Ministry of Children and Family Development. The cuts ultimately mean more kids in care for the women who end up pregnant. But she’s probably too distracted right now, what with the $12.3 million in community cuts already going on for non-aboriginal children and families served by her ministry.
Or maybe just straight to the top. Premier, do you really want to get a handle on health-care spending? You have to know you’re never going to get there this way.
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