The Last Straw: Ableism in Environmental Campaigns

Recent environmental campaigns have focused on the use of plastic straws as an easy way to eliminate/decrease plastic waste. Harmless in theory, this campaign is actually detrimental to a wide range of persons with disabilities. The mechanics of lifting one’s arm to drink is not universally able; many people with mobility impairment, chronic pain, or other issues are unable to drink without the aid of a straw. This issue extends to a variety of products and items that are labeled as “convenience items” for able-bodied people, but are critical to the health of persons with disabilities.  

Convenience items, for abled people, can include things like pre-chopped veggies in plastic cartons at the supermarket or disposable plates and cutlery. Baby wipes are another critical example; environmentally damaging (heard of fatbergs?) but can make an incredible difference in helping persons with disabilities have control over their own hygiene. One may respond to this by saying, “Why can’t they just take a shower?” Unfortunately, shower is not “just a shower” when you have one or more disabilities. It can be a dangerous, isolated environment – a race against your own body’s limits, where even if you win (i.e., don’t pass out, fall, or injure yourself), you still end up exhausted. Baby wipes, despite a terrible environmental impact, allow persons with disabilities to bypass that exhaustion and exert control over their own hygiene.  Essentially, convenience items are any item that saves time/energy at the expense of extra waste and often, a higher price tag. “Convenience” is a misleading term though, since these persons with disabilities depend on these products to function.

A concrete cylinder sits on the right of the shot, in front of ocean waves. The cylinder has "plastic kills! El plastico mata !"
“El Plastico Mata / Plastic Kills.” Source: Rasande Tyskar, Creative Commons.

Let me explain the dependent relationship between those products and persons with disabilities. For those of you familiar with spoon theory, just bear with me for a moment. Spoon theory is a metaphor for the difficulties of persons with disabilities, where spoons represent a unit of energy / ability to accomplish a task. The theory itself is credited to Christine Miserandino, a blogger with Lupus.  Able-bodied people, in this metaphor, have an indefinite amount of spoons, while persons with disabilities often wake up each morning with only a few, maybe a dozen. Every activity that seems mundane and forgettable (like putting on your clothes, taking a shower, driving to work) requires the use of a spoon. Persons with disabilities have to be careful and deliberate in every action to conserve spoons for the most important activities throughout the day — otherwise, we’ll be out of spoons before lunch, immobilized by exhaustion or pain.  

I say “we” because this issue has personal impact for me. I have Ehlers-Danlos Syndrome (as I’ve discussed in earlier blogs), which is a multi-systemic connective tissue disorder that causes chronic pain and joint instability among hundreds of other symptoms. Yes, hundreds! Cardiovascular, gastrointestinal, immune, respiratory, and nervous system dysfunctions galore. My WebMD history is the stuff of nightmares. It’s an invisible disability, which means that I often appear to be perfectly healthy — even though that couldn’t be further from the truth.

Due to my joint instability, I run the risk of painfully dislocating my shoulder every time I lift my arms. Lifting a heavy water bottle and tilting my head back can leave lingering nerve pain for weeks, depending on the severity of my condition that day. Chopping vegetables can make my hands, wrists and shoulders hurt for days, so pre-chopped packages of veggies save me at least one metaphorical spoon. Even getting a glass of water can be a labor-intensive process. If you have indefinite spoons, you may not even notice the effort involved. What feels like a quick trip to the kitchen for able-bodied people can be actually an arduous, multi-step experience. Standing, walking, lifting my arms, filling a cup with water, opening the freezer for ice — there are deliberate mechanics requiring strength and mobility that go into each of those tasks. Those mechanics are impossible for some and exhausting for many others.

 

“Sara and Nils Wedding Spoons.” Source: Marcus Metropolis, Creative Commons.

So grabbing a water bottle and a straw can save me the spoons that would be wasted in the process of making a glass of water. And no, I’m not exaggerating. Every single step is intentional for persons with disabilities, because our mobility is not a given. Our daily functioning is a result of years of grueling practice. We build routines that we depend on, filled with little things that are just “conveniences” to other people, but absolutely crucial for us.  I have said before that my body operates like a stick-shift vehicle, while most people have the convenience of having an automatic. Able-bodied people are so used to having an automatic that they assume it feels that way for everyone, but any action or movement requires conscious, concentrated effort for people like me who are the human equivalent to a 1971 Ford Pinto (exploding gas tank included).

With that in mind, it’s no wonder that persons with disabilities become so frustrated when their “convenience” items are attacked. With my environmentally conscious friends, I often feel alienated and shamed for my use of plastic bottles and straws. I wish I did not  depend on those items, but should people with disabilities have to choose between their immediate, personal health or contributing to global plastic waste?  The fact that we have to even make that choice is appalling. Persons with disabilities genuinely care about the environment but we have an obligation to ourselves as human beings to secure our personal wellbeing over anything else.

A man in dark clothing crosses a city street with the aid of a walking stick / mobility device of some sort.
“Streets for all.” Source: Mathias Ripp, Creative Commons.

What about alternatives to plastic? That’s a great question, but it comes with some complex answers. Biodegradable products are typically less accessible, more expensive, and rarely offer a genuine replacement for their plastic predecessor. Biodegradable baby wipes are difficult to find and can be seven times more expensive than regular baby wipes. After a quick search of popular shopping sites, I found that regular wipes costs about 1 cent per sheet, while the most popular biodegradable option costs 7 cents or more per sheet. Disability activist Penny Pepper points out the issues with biodegradable alternatives in an opinion editorial for the Guardian.

Take for example, paper straws. According to Pepper (who is a published author, punk-rocker, and wheelchair burlesque dancer), paper straws lack flexibility, which is critical to achieve a safe drinking angle. The angle of one’s straw is important when you are unable to hold a cup yourself, or need someone to hold it for you.  Metal and bamboo straws have the same issue, and are often too wide, which is not ideal for people with biting issues. Reusable straws run the risk of collecting bacteria, which is dangerous when autoimmune disorders are a factor. 

A homeless man with disabilities sits on the ground with his dog. His wheelchair is next to them, along with all his items and an American flag.
“Tommy & Scrappy, Jensen Bridge, Houston, Texas 1207021123BW.” Source: Patrick Feller, Creative Commons.

Even if all of those factors are somehow minimized, cost is still an issue. Most persons with disabilities are already at a disadvantage economically. “Research consistently finds that disabled people are less likely to be in employment than non-disabled people and when employed they receive, on average, lower pay” (Equality and Human Rights Commission). In the most recent annual compendium of national disability statistics, individuals with disabilities had a poverty rate of 26.7% – considerably higher than the national poverty rate of 11.6%. Not only that, but the cost of living with disabilities is substantially higher. Accessible housing is difficult to find. Medical expenses can be astronomical. Adequate health insurance can be hard to come by without a full-time job, and full-time jobs are often impossible for persons with disabilities. With all that in mind, persons with disabilities have little room to afford higher-priced products.

I have personally faced harsh disdain from environmental activists on the wastefulness of the above products. Yet, for people like me who depend on those products, it feels like a knife in the gut to be shamed for choosing your own health over environmental welfare. That knife twists when it is made apparent that the health of persons with disabilities comes second to the health of marine animals. I care about sea creatures just as much as the next person does – maybe even more – but hear me out: the rights of persons with disabilities should be prioritized over the rights of sea turtles.

A sign that says "Drowning in Plastic" is hung on a fence surrounded by a string of empty plastic water bottles.
“Marrakech Climate March.” Source: Takver, Creative Commons.

So how do we bridge this gap? How can persons with disabilities engage in environmental activism without compromising their own health? The burden is not on us. Rather, it falls on the leaders of environmental campaigns as well as product manufacturers. Persons with disabilities already do what they can with the products that are available to them, and daily life is enough of a struggle. Most of us actually want to be included in environmental causes, but it has to fit into our daily spoon allocation. The solution? Make environmentalism more accessible. Manufacturers create the problem with the mass production of environmentally damaging products; individuals and environmental NGOs shape the narrative, focus, and reaction. Both ends must commit to an inclusive paradigm shift.

Environmental NGOs and their leaders must do a better job at listening to persons with disabilities in order to create a more inclusive approach. The focus of environmental campaigns matter – instead of demonizing plastic straws, find another plastic product that is more universally able to boycott. Remember that consumer activism isn’t limited to boycotting; try buycotting instead, which encourages consumers to spend their dollars on a company that shares their concerns and values. If you have the financial flexibility, spend a few dollars more on a sustainable product over a cheaper, less responsible option. You can read more about strategies of political consumerism here in a journal article by Lisa Neilson.

Alternatively, encourage the innovation of products that persons with disabilities depend on. If you have the skill and ability to develop an environmentally conscious product to genuinely replace items like plastic straws and baby wipes, do it! We can’t just give up our dependence on those items, but most of us would gladly make a more environmentally responsible choice if it were both available and affordable. Ideally, the environmental movement will develop a commitment for inclusivity so that persons with disabilities can fully engage without compromising their integrity. After all, we want the world to be better, too. We need the world to consider the human dignity of persons with disabilities as a co-requisite for environmental justice.

#MeToo’s Moment of Reckoning: Sexual Assault in the Spotlight

by Dianna Bai

Disclaimer: This blog post focuses primarily on women and girls who are victims of sexual assault and harassment, though the author acknowledges that both men and women are survivors.

a protest sign that reads "Can you hear me now? #MeToo
Can You Hear Me Now? #MeToo. Source: Alec Perkins, Creative Commons

The nation was transfixed on September 27 when Dr. Christine Blasey Ford appeared in front of the Senate Judiciary Committee to testify about her memories of sexual assault, she alleges, at the hands of Supreme Court nominee Judge Brett Kavanaugh when they were both teenagers. Hailed as a “cultural moment” that is couched in the grander chorus of the #MeToo movement, Ford’s quiet, emotional, and powerful testimony serves as a reckoning for women who have suffered in silence for so many years. After Dr. Ford’s testimony, women and men across the country used the hashtag #IBelieveHer to show their support. Two sexual assault survivors confronted Senator Jeff Flake in an elevator on Capitol Hill, possibly the reason why he decided to call for an FBI investigation before the Senate vote on Judge Kavanaugh.

Whether or not Dr. Ford’s testimony changes the Senate vote, she will be a positive example for legions of women who have been afraid to tell their stories. The #MeToo movement is about women taking back their power. As the movement founder Tarana Burke said, “Everyday people…. are living in the aftermath of a trauma that tried, at the very worst, to take away their humanity. This movement at its core is about the restoration of that humanity… They have freed themselves from the burden that holding on to these traumas often creates and stepped into the power of release, the power of empathy and the power of truth.”

Sexual Harassment and Sexual Assault

The prevalence of sexual assault and sexual harassment is staggering in the United States and worldwide.

  • Sexual assault is any sexual activity that the victim does not consent to, including rape and sexual coercion. It can happen through force or the threat of force or if the perpetrator gave the victim drugs or alcohol as part of the assault.
  • Sexual harassment is unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature in the workplace or other social situation.

Scores of men in power have recently been exposed for sexual assault and sexual harassment by the #MeToo movement. Sexual assault and sexual harassment are problems that penetrate every level of society and every industry: politics, business, the media, and academia among them. These are only the industries in which women have been most vocal as part of the #MeToo movement. Workers in low wage industries face the most exploitation and are less likely to go public with their stories. According to the National Women’s Law Center, sexual harassment is most severe in low wage industries, including the service industry. In the fast food industry, for example, around 40 percent of women have experienced unwanted sexual behaviors on the job and 42 percent of those women felt that they could voice a complaint for fear of losing their jobs. In the #MeToo era, men in high profile industries have been publicly exposed by the media. In the industries that do not dominate the imaginations of the public, employers are even less likely to take sexual harassment and sexual assault seriously because they do not fear a public relations crisis.

Sexual Assault

The National Crime Victimizations survey estimates that there were over 320,000 incidents of rape and sexual assault in the United States in 2016. Two-thirds of them will go unreported. It is a social phenomenon according to many scholars. The human rights organization, Stop Violence Against Women, puts it this way, “Social conditions, such as cultural norms, rules, and prevailing attitudes about sex, mold and structure the behavior of the rapists within the context of the broader social system, fostering rape-prone environments…”

Culture is pervasive and omnipresent, creating a powerful influence over the everyday behaviors of people. Gendered norms are ingrained ideas that help define the role of men and women in society and what is acceptable or not. Gender studies scholar Melissa Berger argues that despite being a highly developed country, “American culture and society is imbued with gendered norms relating to domination, over-sexualization, violation, and power and control over women and girls. In fact, violence against women is so pervasive that some scholars have argued that America has a culture of rape, domination, and victimization of women.”

Some of these attitudes include:

  • Men are dominant
  • Male are entitled to sex
  • Manhood is tied to sexual conquest
  • The woman’s body is a sexual object
  • Women should be pure

Even if a country denounces sexual violence against women on the surface, implicit biases may render such behavior acceptable. These prevailing attitudes, whether implicit or explicit, contribute to the continued oppression of women in American society. A Yale law professor pioneering research on the #MeToo movement emphasizes that sexual assault and harassment are typically manifestations of sexism rather than sexual desire. Some men attempt to prove their manhood or worth by denigrating women.

The controversy over sexual assault has left an indelible mark on college campuses in recent years. From student complaints filed at Columbia University for systematic mishandling of sexual assault allegations to the rape convictions of student athletes at Vanderbilt University, Baylor University and Stanford University in the past five years, universities have had to come to terms with their campus cultures. Twenty to twenty-five percent of college women have been victims of forced sex. A researcher who conducted surveys of college students over two decades found that between 16 to 20 percent of men said they would commit rape if they were certain to get away with it. That number rises to 36 to 44 percent if the question was reworded as “force a woman to have sex.” Many colleges are actively trying to change their culture as it relates to sexual violence, spearheading campus wide campaigns to educate students about sexuality, consent, and intervention.

New laws can affect the culture of sexual assault in a significant way, changing how university administrators respond to sexual assault and encourage or discourage victims from coming forward. Legally, it’s been a delicate balancing act between protecting the rights of victims and the accused. The Obama Administration required the lowest standard of proof, a “preponderance of evidence” in deciding whether a student is responsible for sexual assault. A “preponderance of evidence” means that universities must find the accused to have more than likely committed the crime. The Trump Administration’s Education Secretary Betsy DeVos has enacted new policies that require a higher standard of “clear and convincing evidence,” meaning that it is must be highly probable that the assault occurred. These new guidelines certainly send a signal that there will be less protection for students who report sexual assault. Critics of the Trump Administration argue that the new policy will discourage students from reporting sexual assaults and give universities the opportunity to drastically decrease its attention to sexual assault without retribution from the government or legal systems.

Sexual Harassment

Sexual harassment is not about sex but the abuse of power. The social psychologist Dacher Keltner writes in the Harvard Business Review that feeling powerful can lead to an increase of sexual harassment. “Powerful men, studies show, overestimate the sexual interest of others and erroneously believe that the women around them are more attracted to them than is actually the case. Powerful men also sexualize their work, looking for opportunities for sexual trysts and affairs, and along the way leer inappropriately, stand too close, and touch for too long on a daily basis, thus crossing the lines of decorum — and worse.” Institutions where systems of power are in place are fertile grounds from which abuses of power arise.

The EEOC reported in 2016 that approximately 1 in 4 women have been sexually harassed in the workplace. Think about the implications of that statistic. Everywhere, women (and men) are wearing the invisible scars of abuse whether in the workplace or school. The National Women’s Law Center estimates that 70 to 90 percent of these cases go unreported since victims do not want to derail their careers, cause themselves embarrassment, or believe that nothing will be done. The attitudes of powerful men and victimized women reveal that sexual harassment is clearly very much a cultural problem. We live in a culture that can denigrate the dignity of women at work and in school.

a #metoo sign
Source: GGAADD, Creative Commons

The consequences for women

The most distressing aspect of the widespread, societal problem of sexual assault and sexual harassment is the destructive effects it can have women’s physical and mental health in the long run. Aside from the physical pain and discomfort, victims of sexual assault frequently suffer from post-traumatic stress, depression, suicidal thoughts, and low self esteem, among other consequences. One important aspect of Dr. Ford’s testimony was how she described the impact it had on her life. A trained psychologist, she said the trauma caused by her sexual assault “derailed her life” for four or five years and affected her academic performance in the first two years of university. Decades later, she still needed to talk about the incident in therapy and suggested to her husband that they install a second front door — an escape route — for their home.

For women who have experienced sexual harassment on the job, it often means that their careers will suffer. It can lead to a loss of wages from taking leave for physical or psychological distress and sometimes voluntarily leaving the job for a better environment. One recent study showed that about 80% of women who have been harassed leave their jobs within two years. A recent case from the #MeToo movement, the case of Stanford political science professor Terry Karl, is an example. As an assistant professor at Harvard University in the 1980s, she had been sexually harassed by a senior faculty member who had the power to give her a promotion. Although she filed a formal complaint with the university, it was ultimately she who decided to leave Harvard while he stayed on as faculty and gained increasing renown.

#MeToo Around the World & the Inevitable Backlash

The United Nations estimates that 30 percent of all women worldwide have experienced physical or sexual violence from intimate partners or sexual violence by a non-partner at some point in their lives. The sheer number of women who have experienced sexual harassment across the globe is also astonishing. Here is only a sampling: 57% of women in Bangladesh, 79% of women in India, 99% of women in Egypt (from a survey carried out in seven regions), 40% of women in the U.K. have experienced harassment in public places.

Addressing a problem of global proportions, it’s no wonder the #MeToo movement has spread quickly to other countries. In the United Kingdom, France, Spain, Italy, India, Africa, and the Middle East—creative variations of the #MeToo hashtag have caught on and in some cases caused the downfall of men in power such as British Defense Secretary Michael Fallon.

But the successes of #MeToo have been met with plenty of resistance, even giving birth to the hashtag #GoneTooFar. A Bucknell poll in 2018 revealed that Americans are deeply divided about the impact of the #MeToo movement, with 41 percent believing that it was “just about right” vs. 40 percent believing that it had “gone too far.” Many people believe that the #MeToo movement has gone too far in creating a culture where men are publicly shamed and presumed guilty until proven innocent. It can also create an environment where men are increasingly wary of women and more likely to exclude women from social and mentoring opportunities because they fear the consequences of sexual harassment accusations. We can hear echoes of this sentiment in one of the last lines of Brett Kavanaugh’s opening statement: “I ask you to judge me by the standard that you would want applied to your father, your husband, your brother or your son.”

From state capitols to the technology companies of Silicon Valley, men are becoming reluctant to meet behind closed doors with women and thinking of segregating themselves. The counter narrative was especially poignant in France, where the actress Catherine Deneuve published an open letter with over 100 other notable French women in the arts denouncing the #MeToo movement for infantilizing women and denying their sexual power. They argued that seduction is a sexual freedom and that women could discern between sexual aggression and an awkward pickup. Have we empowered women so much with the #MeToo movement that we are now persecuting men? Who is really the victim here and who should decide the fate of the men accused?

The moment of reckoning for Brett Kavanaugh and #MeToo

The question now becomes whether there has been real change in our culture. The current #MeToo narratives and counter narratives are reflected clearly in the partisan atmosphere that permeates American politics. Twenty-seven years ago, Anita Hill made her allegations about the sexual harassment she endured from then-Supreme Court nominee Clarence Thomas in an eerily similar “moment.” In the end, he was confirmed in spite of her testimony. Will Judge Kavanaugh be confirmed for the Supreme Court? Will more women be inspired to speak up after hearing Dr. Ford’s testimony? Will a new generation of young men who have grown up watching the #MeToo movement unfold think differently about their relationship with women. Or will there be a “chilling effect” in offices, schools, and boardrooms across the country as men react defensively? Is this the “cultural moment” that women everywhere have been waiting for?

To learn more: Tarana Burke, founder of the #MeToo movement, will be speaking at UAB on Tuesday, Oct. 9, 2018 at the Alys Stephens Center.

 

Dianna Bai is a Birmingham-based writer who currently writes for AL.com. Her writing has been featured on Forbes, TechCrunch, and Medium. You can find her portfolio here.

What Does a Cave Rescue Have to Do with Statelessness?

In July of this year, I was a student in a graduate level study abroad program, Conflict Transformation across Borders, in Quito, Ecuador, through the University of Massachusetts in Boston. It was an intensive three weeks of learning about transnational conflict transformation, with an emphasis on the unique challenges of border zones. My intention was to mostly ignore the outside world while in Ecuador, to focus on my studies, but I continued to closely follow developments in a situation that had begun before I traveled to Ecuador. On June 23, 2018, twelve boys, members of the Moo Pa (Wild Boars) soccer squad, along with their coach, were trapped by flood waters in the Tham Luang Nang Non cave system, near Chiang Rai in northern Thailand.

I was keenly interested in this cave rescue situation from day one, because I am a long-time cave explorer, trained in cave rescue, and I lived in Chiang Mai (in northern Thailand) from 2012 – 2013. Also, some of my caving friends and acquaintances were involved in the rescue operation. Ultimately the entire world became captivated by the rescue effort which reached a successful conclusion on July 10, 18 days after the group became trapped in the cave. (Sadly, one of the rescuers, Saman Kunan, an ex- Thai Navy SEAL diver, lost his life during the rescue.) It was quite possibly the most difficult and technically challenging cave rescue operation ever conducted, and its success was due to an unprecedented level of international cooperation, with hundreds of expert volunteers from at least 20 nations including Australia, Belgium, Canada, China, Czech Republic, Denmark, Finland, Germany, Israel, Japan, Laos, Myanmar, Netherlands, Philippines, Russia, Singapore, Spain, Sweden, Ukraine, the United Kingdom, and the United States.

As the rescue and its aftermath unfolded, details about the boys and their coach emerged, and the international community learned that the coach and most of the boys are from ethnic minority groups, or “hill tribes,” and three of the boys as well as the coach are stateless. The area is in close proximity to the Thailand-Myanmar border, and is home to many stateless ethnic minorities. Around 500,000 stateless people are registered in Thailand – members of ethnic groups who for generations have moved across borders in the mountainous regions between Thailand, Laos, Myanmar, and China.

The high profile nature of the Thai cave rescue has served to raise international awareness of the plight of stateless people in Thailand, who cannot travel outside their home provinces, and are not eligible for basic government services such as healthcare and higher education. After the successful completion of the cave rescue, the Thai government promised citizenship to the three boys and their coach within six months, assuming there are no complications. Will this promise become a reality? It’s a powerful symbolic gesture to fast-track citizenship for the three Moo Pa soccer team members and their coach, but how does this help the rest of the 500,000 stateless people in Thailand who are waiting to start the process, or struggling to get through the process (which is often lengthy and complex)? Statelessness is a difficult problem to address, and can only be handled one case at a time. It took a massive cave rescue operation requiring international cooperation among 20+ nations to speed up the citizenship process for just four stateless individuals.

In partnership with the UNHCR, Thailand has pledged to end statelessness by 2024, and more than 27,000 stateless individuals have become Thai citizens since 2011. There are many reasons that people might be stateless, but typically it happens because of discrimination – religious or ethnic, for example. Those who are stateless have no nationality, and are denied basic human rights. The UNHCR estimates that there are 10 million stateless people worldwide, and UNHCR’s #IBELONG campaign seeks to end statelessness in the next decade. Everyone has the right to a nationality!

My hope is that the increased awareness of statelessness generated by the Thai cave rescue will help to bolster international support for the UNHCR’s #IBELONG Campaign to End Statelessness, not just in Thailand but worldwide. As individuals, we can help by signing up to support the campaign at http://www.unhcr.org/ibelong/ . Will you do it today?

 

Angela Morgan works for UAB Health System as a database administrator, and is a student in UAB’s Anthropology of Peace and Human Rights graduate program. Outside of school and work she has many interests including traveling, caving, hiking, backpacking, and photography.

No More No Less: Basic Human Rights are Transgender Rights

a photo of Brianna Patterson
Me

I am a person who is transgender.

Transgender is an umbrella term that includes those that identify on the gender spectrum. It is the term used to describe an individual whose gender identity and expression are different from expected societal norms. Gender identity is the personal sense of one’s own gender, and for the majority, it correlates to the sex assigned at birth. Gender expression is a person’s behavior, mannerisms, interests, and appearance that are associated with gender in a particular cultural context. The social normative gender spectrum in most western cultures has been for centuries, binary: male and female. The basis of this binary was the presence of sexual organs at birth. When I was born, the doctor, based upon the presence of a penis, assigned me male at birth, in accordance with the binary gender spectrum. However, internally I was female.

I identify as female. As a transwoman, I continually fight a battle against erasure of my life and existence. Since transitioning I have suffered erasure by losing a career of 23 years, health insurance that will not cover medically necessary treatments, been refused treatment by medical professionals, and the state will not acknowledge my identity.

To live my life, I had to do this without acceptance from others including family and friends. I did not live on the streets because I remained hidden. I understood from growing up with my deeply religious grandparents that if I were different—my true self, I would be disowned. I made many poor choices, started drinking at age 11 and dealt with anger issues up until I got ordered to anger management counseling by the United States Marine Corps (USMC). It must have been bad for the USMC to think I was too angry to deploy. I grew up before access to the internet (no old jokes), and I had no names for what I knew about myself, so like many I suffered in silence until I figured it out much later in life. I want to make it better for the young transgender and non-binary individuals that are coming out today.

Social-Ecological Factors

Every level of the social-ecological model, from individual or intrapersonal level, all the way up to the societal or structural level in the transgender community fights against identity erasure. Many, including myself, suffer from internal transphobia. Tran individuals encounter internal transphobia as a byproduct of absorbing negative messages about not following the societal norms. Internal transphobia can occur with something as simple as not using the preferred name or pronouns, and/or through the attempt by family members to “correct” the behavior through abusive methods. For example, if society continued to identity Caitlyn Jenner as Bruce Jenner, then society contributes to the manifestation of internal transphobia she might seek to overcome. Additionally, by not employing gender pronouns like he/him: female transitioning to male (FTM), or she/her: male transitioning to female (MTF), and encouraging abusive practices like conversion therapy or berating about dating/sleeping with members of the opposite sex, society infringes upon the rights of Trans individuals to dignity and personhood.

The feelings associated with internal transphobia are the result of many years of discrimination, rejection, and ignorance about the rejection of gender norms. Depression can result in dangerous behavior. At the interpersonal level, family and friends reject many trans folk when they come out as transgender or gender non-conforming, mainly due to the preconceived notion of a binary gender system. The rejection becomes isolating and often leads to homelessness. In addition, some receive abuse from programs designed to rid individuals of these kinds of thoughts. The non-conformance to traditional gender norms of male and female can lead many to demonize transgender people who are out and trying to live their life. As a marginalized community, members of the transgender population are subjected to violence, harassment, discrimination, and vilification by society as a whole. The National Center for Transgender Equality (2011) survey found that those individuals that are gender non-conforming in grades K-12 were 78% more likely to be harassed, while 35% report surviving assaults. The current situation in the U.S. in regards to which bathroom transgender individuals should use leads to increase harassment. Transgender people are viewed as perverts, and being attacked for wanting to pee in peace. These types of attacks create high levels of anxiety, depression, and isolation.

The constant threat of discovery lead many to remain in hiding, leading to increased suicidal ideology. For example, the Transgender population suffers from an abnormally high suicide rate of 41% compared to 1.6% of the general population in the US. The murder rate of transgender continues to climb each year here in the US. Since 2013, an average of 25 trans women have been murdered, and there have been 18 killed this year. According to Bauer et al., a high social support network showed a 48% decrease in suicide ideation and of those with ideation, 82% decrease in attempts of suicide. The population suffers from many forms of social exclusion, and one of the main determinates is that this population is rarely counted; thereby, resulting in the marginalization of the transgender population.

the transgender flag
Baltimore Pride. Source: Ted Eytan, Creative Commons

At the societal level, this population is highly marginalized, even within the LGB community and the “T” not well represented. Due to fear, many of those who identify as transgender, are unable or unwilling to make their voice heard. This discriminatory practice reinforces an individual’s ability to care for one’s self. Few policies provide protection for, and individuals gender identity or expression. The lack of protections at the local, and state level allows discriminatory practices to continue, contributing to the overall marginalization of the transgender community. The use of conversion therapy to cure this non-compliance with gender norms is only illegal a few states and the District of Columbia.

The current data suggests there are about 1.4 million adults within the US that identify as transgender. This estimate is double the widely used previous estimate, and many organizations believe this number remains far too low. The lack of research and information on transgender issues is a direct result of this form of social exclusion and leads to incorrect assumptions about the population. Individuals suffer from social exclusion by losing family and friends when they “come out,” or being bullied at school, work, or on social media sites because they are different and challenge the gender norms. Most Trans folk keep their identity private due to discrimination and harassment. Ninety percent of Trans adults report experiencing attacks or discrimination because of their identity. In the workplace, 47% of Trans folk are fired, denied a promotion, or not hired. I lost my career of 23 years when I transitioned.

I lost my job as a fire department captain/paramedic. When I began my transition I believe that my history of good performance and exceptional results over the years of service would provide a buffer for any negative concerns that were raised. However, this was not the case and upon my coming out to the fire chief and deputy fire chief it was clear they did not wish to continue my service to the community. Things were rocky, but the mayor and personnel director had taking my side in the arguments that developed. But, to my dismay the chief had work with the city council and gathered enough votes to begin my termination. I had 23 years in public safety and two more years till retirement. Due to the lack of protects for transgender workers, there were not many options available at the time. However, I had returned to school to build my education, fearing that this might happen I wanted to be prepared.

Despite the setbacks, I have accomplished what many transgender individuals are unable to do. I returned to school, completed my undergraduate and graduate coursework, and graduated with a Master’s in Public Health. Now, I work at UAB which has been accepting and minus a few speed bumps been inclusive of my gender expression/gender identity. I hope to make a difference in the local transgender community here in Alabama by starting the conversation and showing that Tran men and women positively contribute to society and only want to live their lives just like everyone else. So please come join the conversation with UAB’s Institute for Human Rights and Department of English as they present “A Human Rights Approach to Transgender Issues.”

I am just a woman trying to leave a better place than what I found and live my life authentically.

 

The Voting Rights Act Today

by Pamela Zuber

What Is the Voting Rights Act and Its Legacy?

August 6, 2018 marked the fifty-third anniversary of the signing of the Voting Rights Act. U.S. president Lyndon B. Johnson signed this legislation in the hopes that it would end discriminatory practices that made it difficult for African Americans and other people to vote.

As idealistic as it was, the legislation did not stop such difficulties. Like other laws, the Voting Rights Act has produced mixed results.

But, given recent developments, it appears that the legislation has done more good than harm. Enforcing its measures has supported the voting efforts of many people, while suppressing its measures has had the opposite effect.

America-themed converse sneakers depict the word "VOTE"
Source: Theresa Thompson, Creative Commons

What Is the History Behind the Voting Rights Act?

Ratified in 1870, the Fifteenth Amendment of the U.S. Constitution stated that the “right of citizens of the United States to vote shall not be denied or abridged by the United States or by any state on account of race, color, or previous condition of servitude.”

But, for decades, authorities still found ways to disenfranchise African Americans, immigrants, and the poor. They issued literacy tests under the pretense that only the educated should allowed to vote. They levied poll taxes that charged people fees to vote. U.S. women, of course, faced blatant discrimination, too, since they did not have the right to vote until 1920.

Protests against disenfranchisement and other violations of human and civil rights, especially in the 1960s, shone spotlights on these injustices. This publicity sometimes came at great costs to the participants.

Protesters sometimes needed medical care due to the brutal treatment they received at the hands of police or civilian vigilantes. Vicious beatings, attacks from police dogs, blasts from fire hoses, and death threats were common tactics used against the protesters.

Some attacks were even worse. Some people lynched or shot protesters who questioned the status quo.

James Chaney, Andrew Goodman, and Michael “Mickey” Schwerner traveled to Mississippi in June, 1964 to advocate for educational and voting opportunities for African Americans. The Ku Klux Klan (KKK) murdered them. The KKK members did not face criminal prosecution for the crime at the time.

Decades later, in 2005, a local newspaper investigation produced evidence that helped lead to the conviction of a local Klansman. But, even then, justice was muted, since the Klansman’s conviction was on charges of manslaughter, not murder.

People thus used both discriminatory legislation and outright illegal intimidation to prevent African Americans from voting. The Voting Rights Act aimed to end these tactics.

What Did the Voting Rights Act Do?

Partly, at least for a time. The Voting Rights Act significantly increased the number of African American voters in some areas. In Mississippi, six percent of African Americans voted in 1964. Just five years later, sixty-nine percent of African Americans voted in Mississippi.

Because of the Voting Rights Act, states and local governments are no longer able to issue tests that restrict some people from voting. It is no longer legal for authorities to intimidate people physically, mentally, or financially in order to prevent them from participating in government affairs.

To enforce the act, Section 4 of the Voting Rights Act created a coverage formula to determine if jurisdictions complied with the act. As part of this formula, the federal government monitored jurisdictions that had discriminated against voters in the past.

The formula required that jurisdictions

  • Suspend literary tests or other tests used to determine whether people were eligible to vote.
  • Submit themselves to review by the U.S. attorney general or Washington DC’s district court if the jurisdictions made voting-related changes.
  • Agree to be under the review of federal examiners who would prepare lists of eligible voters.
  • Work with federal observers in jurisdictions with federal examiners.
  • Allow people who have attended foreign-language elementary schools to vote.
  • Provide information and voting opportunities for non-English speakers.

Many of the stipulations in the coverage formula required federal oversight if jurisdictions wanted to change election procedures or laws, a process known as preclearance. Preclearance was the law of the land for decades, but it was not without its criticism.

The criticism prompted many challenges and lawsuits, which culminated in the 2013 U.S. Supreme Court decision Shelby County v. Holder. This decision invalidated the coverage formula and said that the U.S. Congress could create new coverage formulas, but Congress has not done so.

What Do Voting Rights Look Like Today?

Less oversight has eroded the Voting Rights Act and voters’ rights in general. Despite this legislation and the gains it brought, people are finding an increasing number of barriers to voting.

A growing number of jurisdictions have added requirements for voting or are asking voters to consider such requirements:

  • Many states require people to possess specific forms of identification, such as driver’s licenses, in order to vote. Many older or disabled adults do not have such identification, so it can make it difficult for them to register to vote.
  • Alabama closed thirty-one offices that issued driver’s licenses in 2015 even though the state had strict laws that required voters to show identification, such as driver’s licenses, in order to vote. Many of the offices were located in areas with high African American populations and were reopened due to criticism.
  • North Carolina residents will vote in November 2018 to determine if the state should add an amendment to the state constitution stating that voters will need photo identification to vote in future elections. A federal court struck down a similar North Carolina law in 2016.
  • New Hampshire passed a 2018 law that required people to be permanent full-time residents if they wanted to vote in the state.
  • Wisconsin residents at a 2018 hearing testified that changes in their voting districts had spread Democratic Party voters across such a large geographic area that their votes were rendered less powerful. Critics also claim that the state has excessively strict voter ID laws that disproportionately affect Democratic Party and African American voters.

Wisconsin residents voted for Republican Party candidate Donald Trump over Democratic Party candidate Hillary Clinton in the 2016 U.S. presidential election. Trump’s narrow victory in Wisconsin helped him win the Electoral College and the presidency.

If Wisconsin’s Democratic Party voters were in fact suppressed, voter suppression could have decided the outcome of the 2016 presidential election. Voter suppression thus could have wide-ranging consequences.

After being shot, a black American man sprawls on the ground
Source: Cliff, Creative Commons

Why Are Voting Rights Important?

As the case of Wisconsin indicates, changing the voting districts can muffle citizens’ voices – and those are people who are allowed to register and cast votes. Voter suppression laws also make it difficult for people to even register to vote in the first place.

But, voting is a fundamental tool of citizenship. It enables people to express their opinions through their ballots. In the words of Ajanet Rountree, voting invites people to join the “political and social narrative.”

If people cannot vote, they cannot join this discussion. If disabled people lack certain types of photo IDs in states that require such IDs, or if they are not able to arrange transportation to the polling places, they will be unable vote or even to register to vote.

The disabled people might miss opportunities to vote for candidates or issues that have direct bearing on their lives. For example, they might miss the opportunity to vote for a candidate who consistently votes in favor of expanded Medicaid coverage.

The suppressed voters might rely on Medicaid to pay for their considerable medical expenses. But, if they do not have adequate Medicaid coverage, they could experience problems with their physical and mental health. This lack of Medicaid coverage could even affect the people’s finances and living situations if their rent/mortgage money has to be reallocated to pay for their rising medical costs. Not being able to vote could thus directly impact people in several ways.

Proponents of strict ID laws say that the requirements can help prevent voter fraud. But, observers note that voter fraud appears to be more common among people who use absentee ballots, people who are predominantly white. ID requirements do not typically address absentee ballots.

Voter identification laws disproportionately affect nonwhite voters. Writing in Newsweek, Mirren Gidda noted that “the turnout gaps between white and ethnic minority voters are far higher in states where people must show ID during or after voting.”

Others commentators echo these findings. “[R]esearchers found that strict ID laws doubled the turnout gap between whites and Latinos in the general elections, and almost doubled the white-black turnout gap in primary elections,” wrote Vann R. Newkirk II in The Atlantic.

Because of this disparity, organizations such as the National Association for the Advancement of Colored People (NAACP) have worked to challenge discriminatory laws and enforce the provisions of the Voting Rights Act. The NAACP sued Alabama after the closure of many driver’s license offices and was active in the Shelby County v. Holder case.

Organizations such as Let America Vote are hoping to invite more people to join the civic discussion. The organization includes information about registering to vote and voter guides to different elections. It supports candidates in different states who have worked to uphold voter rights.

The NAACP and Let America Vote join other organizations that promote enfranchisement. The American Civil Liberties Union (ACLU) website includes a wealth of information about its advocacy and other efforts to promote voting rights.

Voter suppression currently exists. But, if we utilize the provisions of the Voting Rights Act and other efforts that support voting, we can work to restore and enforce this fundamental right of democracy.

About the author: Pamela Zuber is a writer and editor interested in current events, history, health, business, and a wide variety of other topics.

Child Marriage Threatens Human Rights

by Nicole Allen

a picture of wedding rings
Rings. Source: Ted Rabbitts, Creative Commons.

Child marriage is an institution of the past, only existing when life expectancies were short and women’s rights were nonexistent, right? It no longer happens in the United States. Surprisingly, both statements are false. Your grandparents might have married when they were teenagers, and you might think that they were so young to be taking such a major, life-changing step. But, did you know that your neighbors might be doing the same thing? That’s because child marriage is a current practice in both the United States and abroad. Legislation and organizations are working to end it. They hope to make it a practice our own grandchildren might hear about but never witness. In May 2018, John Carney, the governor of Delaware, signed a law that requires people to be eighteen years old or older to marry. This made Delaware the first state in the nation to outlaw child marriage. The state of New Jersey followed Delaware’s lead when governor Phil Murphy signed a bill in June that banned marriage for participants under the age of eighteen.

What Is Child Marriage?

Most U.S. children who marry under the age of eighteen are sixteen or seventeen years old;  however, some are as young as twelve. Some states do not even have a minimum age for marriage. This article follows the definition of the United Nations, which defines a child as an individual under the age of eighteen. The organization’s Convention on the Rights of the Child states: “For the purposes of the present Convention, a child means every human being below the age of eighteen years unless under the law applicable to the child, majority is attained earlier.” According to the UN, “the child, by reason of his physical and mental immaturity, needs special safeguards and care, including appropriate legal protection, before as well as after birth.” The United Nations hopes that these safeguards shield children from a number of harmful factors, such as child marriage and even certain government policies. The UN high commissioner for human rights, for example, decried the U.S. federal government policy of separating immigrant children from their parents in 2018.

Child marriage is common worldwide. How common? Some statistics estimate that in the next decade alone, 140 or 150 million girls will marry before their eighteenth birthdays. Some children marry as young as the ages of seven or eight. While some people claim that child marriage is the product of a specific culture, it is common across many cultures, ethnic groups, religions, and countries. India has many child brides in its large population, but the rates of child marriage are also high in African countries near the Sahara Desert, such as Niger.

What Are the Risks of Child Marriage?

Most of the people entering child marriages are female. Proponents of child marriage state that the marriages exist to protect girls from violence and sexual predators. They state that child marriage offers girls better economic futures. But, child marriage often exploits girls instead of protecting them. It often decimates the girls’ futures. Child marriage often makes girls victims of sexual predators instead of protecting them from such violence. Many child brides are forced into marriage to adult men. These marriages might help the men avoid arrests and prosecution for statutory rape. Human Rights Watch and other opponents against child marriage state that the practice perpetuates the continued sexual abuse of minors and gives legal permission for their abusers to do so without criminal repercussions.

If the child brides have children themselves, it can lead to medical and social problems. Sandra L. Hofferth states that teenage pregnancy can cause “low birth weight, complications of the mother’s pregnancy and delivery, and health problems associated with poor perinatal outcomes; greater risk of perinatal death; lower IQ and academic achievement later on, including a greater risk of repeating a grade; greater risk of socio-emotional problems; a greater risk of having a fatal accident before age one; and finally, a greater probability of starting one’s own family at an early age.” Marrying young can also wreak havoc with the young brides’ mental health. Le Strat, Dubertret, and Le Foll have found that females who marry in childhood are “more likely to seek and access health services.” These mental health conditions can include depression or drug addiction, two illnesses that can affect the mind and the body and can require extensive treatment. These studies both illustrate how child marriage can create mental and physical problems for young brides and their children.

Child marriages often prevent girls from furthering their educations or starting careers. These limitations, their often-limited legal statuses, and their young ages often make it difficult for young spouses to act as equal partners in their marriages. Often, child brides (and grooms) suffer physical, sexual, and/or emotional abuse from their older and more powerful partners, yet, their lack of personal agency and physical power renders them helpless and powerless to stop spousal abuse and seek divorce. They might not be able to legally divorce their spouses if they are under the age of eighteen, even though they were legally permitted to marry them in the first place. Child marriage, then, often creates victims who continue to be victimized for years, sometimes for their entire lives. Children when they marry, these brides encounter limitations that could keep treating them as children economically and legally.

How Are Politicians Addressing Child Marriage?

Politicians have voiced different opinions about the practice. Former New Jersey governor Chris Christie said banning child marriage entirely would “violate the cultures and traditions of some communities in New Jersey based on religious traditions.” His successor as governor, Phil Murphy, signed the bill to end the practice in 2018, however. Many U.S. states have provisions that allow people to marry under the age of eighteen, especially if they have parental or judicial consent. Some states allow girls to marry under the age of eighteen if they are pregnant and will allow children to marry whether they want to or not. Pregnancy is another reason some legislators use for supporting child marriage, arguing that marriage can help end the stigma sometimes associated with teen pregnancy (even regardless of whether this pregnancy is the result of rape). Legislators in other states, meanwhile, are echoing Delaware and New Jersey’s actions and establishing a mandatory minimum age for marriage. In 2018, the state of Florida passed legislation requiring a minimum age of seventeen to marry if the participants have parental consent and their prospective spouses are no more than two years older than they are.

New Hampshire passed a law that requires all participants to be at least sixteen years old to marry. Previously, boys had to be at least fourteen to marry and girls had to be at least thirteen years old. This law came after the New Hampshire House of Representatives failed to pass a law that would have raised the legal age of marriage to eighteen for both sexes in 2017. Other U.S. states allow minors to marry under the age of eighteen, often with specific requirements. The state of Virginia, for example, allows emancipated minors to marry. It also allows sixteen-year-olds or seventeen-year-olds to marry if they have parental consent. Different laws, thus, exist in different states. Could these differences create confusion and assumptions about child marriage? People might assume that children under the age of eighteen are prohibited from marrying everywhere in the United States, yet that is clearly not the case.

Girl wearing a wedding dress. Source: Amy Ann Brockmeyer, pixabay.com

How Are Organizations Addressing Child Marriage?

Many organizations are also addressing child marriage. Unchained at Last is a U.S.-based nonprofit organization provides emotional, legal, and social support to girls and women forced into marriage. The website allows legal and mental health professionals to apply to offer their pro bono services to help females impacted by child marriage. The organization was also instrumental in the creation and passage of New Jersey’s law to end the practice. Given that child marriage is a global problem, it makes sense that international organizations also work to combat it. The International Women’s Health Coalition (IWHC) has partnered with two Cameroon-based groups that help females forced into early marriage, the Association pour la Lutte contre les Violences Faites aux Femmes (the Association to Combat Violence Against Women, ALVF) and the Association pour la Promotion de l’Autonomie et des Droits de la Jeune Fille/Femme (APAD). The APAD provides skill-building programs and literacy to help victims of forced or young marriage. The organization educates the girls and women in these marriages and their communities about human rights. The ALVF also supports girls in Cameroon, stating on its homepage that “Our Association fights against all forms of violence against women and girls in the Far North of Cameroon.” The two organizations share goals and a common lineage, as members of the ALVF formed the APAD.

Girls Not Brides: The Global Partnership to End Child Marriage (Girls Not Brides) is another international coalition of organizations working to end forced marriages for girls and other forms of child marriage. The organization developed a theory of change in 2014. According to its website, this theory includes strategies its organizers believe can end child marriage, such as

  • Giving girls power and agency, including educating girls about their rights to refuse marriage and helping them develop the tools they need to make their own decisions.
  • Working with communities and parents to raise awareness about the risks surrounding child marriage and the benefits of supporting the human rights of girls and women.
  • Developing programs and organizations to ensure that girls have access to education, health services, and other resources so they can refuse child marriage or thrive after they enter such marriages.
  • Creating and developing policy and legal structures, such as legislation to close loopholes that permit people under the age of eighteen to marry.

Girls Not Brides hopes that these strategies will help girls lead happier, more successful lives as well as end child marriage.

How Can You Help End Child Marriage?

Organizations are enlisting the help of others to address child marriage. Girls Not Bride suggests that people can

  • Share facts and infographics to help educate others about the issue.
  • Use social media to discuss child marriage.
  • Sign petitions to generate attention about forced marriage and child abuse.
  • Donate to organizations around the world who work with affected young people.

Although many citizens of Western countries may not be aware that child marriage is a problem, it does in fact exist and often in their own communities. Child marriage has far-reaching, lifelong consequences. Ending it can improve the lives of girls and women worldwide.

A LGBTQ+ Perspective on Today’s World

picture of a gay pride rally in Leeds, England
Leeds Pride. Source: Bryan Ledgard, Creative Commons,

LGBTQ+ youth today may look at the world around them and think all hope is lost. It is understandable because the possibility of an entire community losing their civil rights at any moment is creating a looming fear. As human beings, we all come to terms with ourselves in our own ways; whether it is simply growing into yourself in order to find out who you are, or growing into someone you never imagined. The process of coming to terms with identity is completely different when your sexuality is not the “social norm.” Growing up, I felt scared of myself, and fearful of what the future might hold for people like me. However in 2015, when marriage equality became law, I thought to myself, “We are finally getting to a place where children will not have to grow up like I did.”

My story is not the same as every LGBTQ+ individual around the country, and certainly not across the globe. Every day, I wake up hoping that I do not hear of another story about a Matthew Shepard or Pulse Nightclub tragedy. To live as an open member of the LGBTQ+ community is to live in a constant state of worry. You may not always feel it, but the hum of it, however quiet it may be, still echoes through the back of your mind. It is a worry for your brothers, sisters, others of your community, and for yourself. This infringes upon our right to security, as we are afraid to be ourselves in public spaces. This fear even extends to private places because for many, our families are the main aggressors. For youths who suffer through the pain of oppression at the hands their family, there is never a true sense of peace.

I have faced discrimination throughout the course of my life. Based on my rumored sexuality, I experienced exclusion from many of things. It is a pivotal moment in one’s life when they choose to come out. It is a time that you accept all the ridicule, the torment, and the imminent threat of attack. I have emotional scars from peers and family that still haunt me to this day. Yet, what hurts me most is the look in another person’s eyes when they become aware of my sexuality; it is that look—from people whom I have never met—which is devastating. How can someone who knows nothing about me, judge me?

While the future for American LGBTQ+ youth seems frightening and uncertain, it is nothing compared to those of the LGBTQ+ community across the globe. A LGBTQ+ youth in the Middle East and Northern Africa has a different perspective based upon cultural experience and a belief that there is no hope and fear that there never will be–an upbringing filled with trials comparatively different to those I suffered as a youth. Living as an open member of the LGBTQ+ community in a Muslim country can potentially turn into a life threatening choice. Imagine that: telling your friends and family who you are, and then fearing that your life could end at that exact moment. That fear, no matter how far from home, affects us all.

Turkey is one of the few Middle Eastern countries where homosexuality is legal. Unfortunately, homophobia is still very prevalent so when a group of members from the community tried to initiate their own Pride festival, local authorities shot them with water cannons, rubber bullets, and sprayed them with tear gas. Across the Middle East, there are standing laws to persecute those of the LGBTQ+ community, including imprisonment for up to 10 years. In Ancient Egypt, being gay or lesbian was a godlike quality; however, in modern times, homosexuality is viewed as sin and punishable by death. When the White House went up in rainbow colored lights in 2015, the authorities in Saudi Arabia went on the hunt. Children face death around the country for “deviant” behavior by their own governments. A privately run school in Riyadh was fined $26,500 (in U.S. dollars) for painting the rooftop in rainbow stripes, and one of the administrators for the school was jailed for allowing such a “monstrosity”. Afghanistan banned the decorating of cars with rainbow stickers because it “may be misinterpreted.” In Iran, Yemen, and other Middle Eastern countries, many face execution for engaging in sodomy.

 

a picture of a city hall building, lighted with rainbow colored lights in honor of gay pride
City Hall. Source: Tom Hilton, Creative Commons.

An assembly was called on in 2015 by the United States and Chile to bring light to the attacks on the LGBTQ+ community that are prominent in the Middle East, specifically by the Islamic State. Syrian refugees who fled their war-torn homeland spoke to the United Nations about what their life and the suffering they endured. One man admitted to hiding his sexuality his entire life, saying, “In my society, being gay means death.” Another man told of his witnessing of an al-Qaeda affiliated group taking control of his hometown and began torturing and murdering men that others thought to be gay. Cheering audiences attended the executions of gay men. Some men, tossed from building ledges, meet their death; however, for those who do not die upon impact, the hateful crowd stoned them to death.

Institutionalized discrimination is a prominent threat no matter where one may look across the globe.

In the south and in the US, we feel criminalized; in the Middle East, we are criminalized. 

Being a part of a marginalized community has affected me in many negative ways, but also in positive ways. I feel a commonality with people I have never met and will likely never have the luxury of doing. As a part of the community, I am “branded in rainbow”, which is the most fulfilling feeling that I had experienced. I chose to take all of the negativity that surrounded me and channel it into positivity. This community and a shared experience has made me stronger, more confident, and allowed me to channel my anger by turning it into passion. As a member of this community, I implore you to become more accepting of the people around you, no matter where you may be from or what you may practice. It is powerful to feel human, and it is a feeling we all deserve.

 

 

The History of Pride

Pride Flag flying
Rainbow Pride Flag. Source: Benson Kua, Creative Commons.

The month of June is known as Pride Month for the LGBTQ community. Pride means more than its dictionary definition to the LGBTQ community and has a long history.

The fight for marriage equality began in 2010 with United States v. Windsor. This case challenged the constitutionality of the Defense of Marriage Act (DOMA). This Act stated that only marriages between a man and a woman were recognized by the federal government, but allowed for state governments to recognize them. Edith Windsor was widowed after her spouse, Thea Clara Spyer, who passed away in 2009. She was the sole survivor of their estate. Windsor and Spyer were legally married in Canada in 2007, and their marriage was recognized by their home state of New York. Spyer left in her will that the estate would be left to Windsor, but because their marriage was not recognized by federal law, over $350,000 in estate taxes was issued to Windsor. If their marriage would have been recognized by the federal government, no taxes would have been issued.

Windsor filed a lawsuit against DOMA and its constitutionality in 2010. At that time, DOMA was upheld by the government; however, in 2011 President Obama and Attorney General Holder announced that they would no longer defend DOMA. The House of Representatives then created a provisionary group to defend DOMA but the district court found the group to be unconstitutional. Windsor was given a refund for the estate taxes she was forced to pay and DOMA was declared unconstitutional by the Supreme Court of the United States (SCOTUS). States were then allowed to issue marriage licenses to same-sex couples if their governments chose to allow such.

Efforts for marriage equality continued with James Obergefell and John Arthur James, who were residents of Ohio. They decided to go to Maryland to get legally married after years of being together when James was diagnosed as terminally ill. The couple wanted to designate Obergefell as the surviving spouse on the death certificate, but Ohio’s laws allowed for refusal of same-sex marriages and their recognition even if the couple was legally married in another state. Obergefell v. Hodges was brought to the South District Court of Ohio to challenge the state’s discrimination against same-sex couples. The Ohio Registrar agreed that the law was unconstitutional but the Ohio Attorney General decided to uphold the state’s same-sex marriage and recognition ban. The case continued through the fourth, sixth, seventh, ninth, and tenth circuit courts of Ohio. All but the sixth circuit court agreed that the state-level ban on same-sex marriage was unconstitutional. Because all of the courts did not rule the same, a Supreme Court intervention was inevitable. While the case was going through the circuit courts, James passed away.

During two years of appeals, Obergefell v. Hodges became larger. Plaintiffs of Bourke v. Beshear from Kentucky, DeBoer v. Snyder from Michigan, and Tanco v. Haslam from Tennessee were added. The plaintiffs in each of these cases had been denied marriage rights from their home state, even if their marriages happened in another, just as Obergefell had. It was in April of 2015 when Obergefell v. Hodges, which now consolidated the cases from all four states, presented oral arguments to the Supreme Court of the United States (SCOTUS) to challenge the states’ same-sex marriage bans constitutionality. Two months later on June 25th,  SCOTUS ruled that marriage is a constitutional right and ruled in favor of marriage equality. This allowed for same-sex marriages to be legalized by the government.

While the historic ruling by SCOTUS happened in 2015, June has been Pride Month for decades before marriage equality. We know Pride Month today as a month-long celebration full of parades, events, and parties. It did not begin that way. The first Pride Parade was a riot at the Stonewall Inn, which is known as “the place that Pride began.”

The Stonewall Inn. Photo by Tyler Goodwin

Stonewall Inn, New York City, 1969

It was illegal to engage in homosexual behavior, giving the police the “right” to attack anyone thought to be gay and arrest them. A majority of the gay bars and clubs had been raided and shut down by the New York City Police Department (NYPD). On the evening of June 28th, a group of people gathered at one of the few gay bars that remained open, The Stonewall Inn. The police barged in shouting, “We’re taking the place!” The patrons then began to resist. As those who were at the Stonewall Inn were arrested, a large crowd formed outside of Stonewall. Marsha P. Johnson, a transgender woman of color and LGBTQ activist was outside. She threw the first brick in protest and ignited the Stonewall Riots. The riots were eventually doused that evening by police reinforcements but protesters returned the next night with over 1,000 people filling the streets. The people of Stonewall emerged victorious by fighting back. As a result of the riots, the police ceased to interfere with LGBTQ safe spaces and no longer attacked them on the streets; and by making headlines across the country, LGBTQ issues were brought to the forefront, organizations were started, and the community began to fight for their rights. The Stonewall Riots began the LGBTQ movement.

Marches, today known as Pride marches, sparked across the US when news spread of the riots. The Stonewall Riots were violent; however, they ignited a nonviolent movement across the nation and world. June has been deemed Pride Month in honor of the riots.

A Symbol of Unity, Hope, and Safety

The first Pride Flag was designed by Gilbert Baker in 1978, in San Francisco. It was in honor of Harvey Milk, who was elected to the San Francisco Board of Supervisors. Milk tasked Baker with drafting up a design for his campaign. His platform was hope for the young gay people, saying, “The only thing they have to look forward to is hope, and you have to give them hope.” Thus, the Pride Flag was born. Milk was the first openly gay person to hold public office in a major US city and was later assassinated for that same reason. After his death, the Pride Flag production increased. Businesses all over San Francisco were flying them proudly in remembrance of Milk. “The flag is an action – it is more than just a cloth and the stripes. When a person puts the Rainbow Flag on his car or his house, they’re not just flying a flag. They’re taking action,” Baker said, “I am astounded that people just got it…that this was their flag. It belonged to all of us.”

The original Pride Flag had seven colors, with fuchsia, which represented sexuality, at the top. However, due to a shortage of fuchsia in the factory where it was reproduced, it was condensed to the six-color flag that flies today. The remaining six colors also represent something powerful and meaningful to the LGBTQ+ community. Red stands for life. To some people, coming out as LGBTQ can mean life or death. In a lot of scenarios, when one comes out their family shuns them, kicks them out, and/or verbally abuses them. This pushes a lot of youths to suicide. Suicide is the 2nd leading cause of death among young people, and LGBT youth are four times likelier to attempt than straight youths, according to Innerbody Research. Red represents the importance of life, and how giving up on it is never the answer. Orange represents healing powers of love in the community. Yellow is for sunlight. It is a metaphor for being yourself rather than hiding in the shadows. Green stands for nature and everyone’s ties to it. Blue represents serenity, which is defined as a state of being calm, peaceful, and untroubled. Finally, violet stands for spirit, which is the most important of all the colors, as the spirit unique and inalienable.

Other symbols of Pride and safe-spaces have also emerged in the past few years. Organizations like the Human Rights Campaign have trademarked the yellow equal sign with a blue background. This symbol is known in the United States but the Pride Flag remains the prominent international symbol.

Human Rights Campaign. Source: Ron Cogswell, Creative Commons

Progress has been made for the LGBTQ community, but there have been large setbacks as well. During Pride Month last year, 49 lives were taken at Orlando’s Pulse Nightclub in the deadliest mass shooting in modern-US history that took place during Orlando’s Pride celebrations. Sean Kennedy was another hate-crime victim. In 2007, he was leaving a bar in South Carolina when he was attacked for his sexuality and died as a result of it. In 1998, Matthew Shepard made headlines across the nation when he was found beaten, tortured, and left to die while tied to a fence in Wyoming.

The United Nations Universal Declaration of Human Rights (UDHR) sets fundamental human rights to be universally protected. During Stonewall, the Pulse Shooting, and the individual murders, many rights declared by the UHDR were violated:

  • Article 3: Right to life, liberty, and security of person. The Stonewall Riots happened because queer folk had been attacked by the police without cause, violating their security of person. The Pulse Shooting and the Kennedy and Shepard murders were violations of the right to life.
  • Article 5: No one shall be subjected to torture or to cruel, inhuman punishment. Shepard was tortured and brutally beaten before he died.
  • Article 7: All are entitled without any discrimination and equal protection to of the law. In the case of Stonewall, NYPD had not only been attacking the LGBTQ community, they were being denied justice by not having their attackers persecuted.
  • Article 9: No one shall be subjected to arbitrary arrest. The LGBTQ folk were being arrested for being LGBTQ in New York.
  • Article 19: Everyone has the right to freedom of opinion and expression. Throughout history and in modern times, the LGBTQ community is targeted simply for existing.

There were many countries that gave same-sex couples the right to marry before the US. The Netherlands, in 2001, became the first country in the world to allow same-sex marriages. Many countries joined the Netherlands, including Canada, Belgium, France, and Ireland to name a few (You can see the timeline of when countries allowed same-sex marriage here). Today, June 30, German Parliament voted to legalize same-sex marriage. That makes 22 countries in the last 16 years allowing same-sex marriages, which is important as it shows that the world is growing to be more accepting of the LGBTQ community. Countries that allow same-sex marriage gives validity to its citizens that identify as LGBTQ and promotes a more accepting environment. According to Forbes, when same-sex marriage is legal, LGBTQ youths are less likely to commit suicide and hate-crimes decrease.

In contrast to the 22 countries that allow and support same-sex marriage, there are 76 countries that have anti-LGBTQ laws in effect today. Last week, Turkish police shot rubber bullets at Pride Parade attendees and proceeded to detain who they could. In Chechnya, reports of a concentration camp for those who identify as homosexual made headlines as more than 100 men were abducted, tortured, and few were killed in a systematic purge of the LGBTQ community. 

The world can be a scary place for someone who identifies as LGBTQ. It is imperative that those of us who can remain resilient and visible by not being afraid to show who you are. Showing up at Pride celebrations are easy ways to let the world know that the LGBTQ community exists, and gives comfort to those who cannot “come out”.  That is exactly what Pride Month stands for. It is a time for us to unite and show our pride. Pride means strength, unity, and acceptance.

A Peculiar Request: The Right to Life

the beginning of the March for Our Lives. A group of girls holding signs of some of the victims of gun violence
photo by Ajanet Rountree

Paducah, Kentucky.

This is the first school shooting I remember. All these years later, I still remember what I thought once I saw the photos: “How did this happen? Surely this is a random tragedy that will never happen again.” The writing of this blog comes just over five weeks on the memory side of the Marjory Stoneman Douglas High School shooting in Parkland, Florida and on the same day as the Great Mills High School shooting in southern Maryland. The shooting at Heath High School is a distance memory, eclipsed by Columbine High School in Littleton, Colorado, Sandy Hook Elementary in Newton, Connecticut, and Huffman High School in Birmingham, Alabama.

Many conversations and references, in recent weeks, center on the complicated nature of the gun control debate in the United States (US) due to the Parkland shooting and uncharacteristic demands of the teenage survivors. This blog does not directly address those conversations or references. There are many sides to the issue and other blog writers this week gave voice to some of those issues. Therefore, this blog explores the peculiar request of the teenage survivors, which is, seemingly lost among the defense of the Second Amendment.

The right to life.

It seems peculiar that children are demanding adults to protect their lives, to look out for their best interest, specifically when many in the US pride themselves on their pro-life stance. They champion every bill, legislative act, or protest which positions them as the protector of the “rights of the unborn”. As protectors of the unborn, they label women who choose to have abortions and the medical practitioners who perform the abortions as murderers. Some pro-life advocates stand outside Planned Parenthood centers, shouting vile, hurtful words and phrases at patrons and workers. They object to numerous women’s rights issues. All this occurs because of their belief in protecting the innocent, unborn baby who deserves the right to live.

Where are the pro-life advocates joining the protests initiated by the Parkland students who are demanding the protection of their right to life? These children lost their innocence when their classmate murdered their friends and teachers in hallways and classrooms on Valentine’s Day. Many pro-life advocates are standing on the sidelines, protecting their Second Amendment constitutional right to bear arms. Yet, at what point did adults abdicate their responsibility to protect the lives of children to protect their rights to own weapons? Does the “pro-life” label still apply when there is a willful and complicit allegiance to a hobby and lobbying group than to children?

Perhaps a reclassification needs to occur wherein we label pro-birth rather than pro-life.

The Convention on the Rights of the Child (CRC), in accordance with the Universal Declaration of Human Rights (UDHR) asserts, “A child means every human being below the age of eighteen years… [and] in all actions concerning children, whether undertaken by public or private social welfare institutions, courts of law, administrative authorities or legislative bodies, the best interests of the child shall be a primary consideration.” When the best interest of the child is the primary consideration, how has the brutal transformation of schools and universities continued? It seems implausible that for the last 20 years, parents across the US have sent their children to school with hopes and dreams for the future, only to have to bury their 5-18-year-old days later. The Children’s Defense Fund (CDF) reports “children are learning there is no safe place in America.”

a picture of a sign that reads "Human rights not guns: Right to Life"
photo by Ajanet Rountree
When No Place is Safe and Those Who Can/Should Help, Don’t

The US is the ONLY member of the United Nations to not ratified the CRC.

The cliché ‘no parent should have to bury their child’ seems redundant considering needless tragedies of gun violence. Its redundancy comes from the very real reality that pictures and videos from schools, universities, and playgrounds, as well as the rhetorical thoughts and prayers of government officials has yielded minimal results. Unlike natural disasters like tornados and earthquakes, controlling the impacts of gun violence is possible as evidenced in Australia, Great Britain, and Switzerland. Therefore, it is the normalization of violence in the US which continually isolates us from the rest of the world. Data reveals the hypocrisy of the ill-spoken narrative that children are the future of this country. CDF reveals

  • Children are forced to witness tragic mass shootings that occur with regularity in public spaces including schools, churches, concert venues, community centers, nightclubs and movie theaters.
  • Since 1963, the number of children and teens killed with guns on American soil was more than three times higher than the number of U.S. soldiers killed by hostiles in wars abroad. Nearly 180,000 children and teens died from guns in the U.S. between 1963 and 2015.

With less than 5% of the global population, American civilians own 310 million guns (35-50%) of the global civilian gun-ownership, whereas the US military and law enforcement possess nearly 4 million. The US spends considerably more on defense than on early childhood and education, than every other country with smaller federal budgets.

Children are not a priority in the US.

 Who’s doing the shooting?

Brown et al. analyzed two cases, identified four characteristics, and concluded “school violence is a somewhat distinct form of aggression that should not be viewed through standard lens.” The typical mass shooter is a white male who exacts revenge on those he deems dishonored him in some way. Research identifies this cultural phenomenon as “culture of honor”. In a culture of honor, people favor the death penalty, more tolerant of expressions of aggression as a response to threats/insults, and conflate a high degree of connection with status or reputation. This culture fuels the overall feeling of slight through a lack of interpersonal conflict resolution skills. The culture of honor creates a cultural standard wherein brutality becomes the recommended response to a perceived affront to one’s dignity or reputation; thus, a misguided sense of justice.

This misguided sense of justice positions whites as unapologetic for the behavior of shooters. Mingus and Zopf studied four mass shootings: two with white shooters (Columbine High School and Northern Illinois) and two with non-white shooters (VA Tech and Fort Hood). Using “Racial Formations” by Omi and Winant as a key text on racial projections, Mingus and Zopf assert, “The historical significance of race is important in understanding the way in which race affects any interpretation of shooting rampages.” They find that white privilege allows for the addition of race as a factor when identifying the “abhorrent behavior of non-whites” and the subtraction of race when redirecting “focus away from whites as a distinct population by pathologizing their aberrant behavior”. They conclude that non-whites groups often advocate for themselves as a means of not facing retaliation, even offering an apology in the VA Tech tragedy, whereas being white means never having to say you are sorry.

a picture of a boy holding a sign which reads "books not bullets" during the March for Our Lives
photo taken with permission by Ajanet Rountree
“If they’re old enough to be shot, they’re old enough to have an opinion about being shot”

Reports occur daily of the ‘perceived threat of children’ when confronted by white people who feel a threat to their power or status. These reports extend beyond the scope of school shootings, and the requests to “stop killing us” commenced long before the Parkland shooting. The #NeverAgain movement includes the voices of the seemingly voiceless by including students from Chicago, Newtown, and 11-year-old Naomi Walder of Alexandria, VA. Walder, who highlights the deaths of Black girls forgotten by the media, organized her classmates during the National Walkout Day.

Political satirist and late-show comedy host Trevor Noah challenged the notion leveled by Fox News talking head Tucker Carlson after last week’s student walkout campaign. During a segment, Carlson questioned the validity of students making demands of lawmakers regarding guns by stating, “They’re not citizens; they’re children.” What’s interesting is that children are too young to make demands for gun control but not to find themselves in adult prison or forced into child marriage. Noah responded brilliantly stating, “…if kids are old enough to be shot, they’re old enough to have an opinion about being shot.” When processing the numbers provided by the CDF, it is time someone said something.

  • 7,768 children and teens were killed in the US to gun violence during 2013-2015
  • 113 children under five (5) died from guns in 2016, compared to 65 law enforcement officers killed by guns in the line of duty. Guns were used in criminal acts to kill 62 law enforcement officers while three (3) were killed in gun accidents.
  • In 2016, 43% of gun deaths were among Black children and teens, although they made up only 14% of all children and teens.
  • 1,335 Black children and teens were killed by guns in 2016, one every 6 hours and 34 minutes.
  • The gun death rate for Black children and teens was nearly 4x that of White children and teens and more than 8x that of Asian and Pacific Islander children and teens.
  • Most gun deaths among Black children and teens were by homicide. Most deaths by White children and teens were by suicide.
  • Guns are more often used to cause harm than in self-protection. A gun in the home makes the likelihood of homicide 3x higher, suicide 3-5x higher, and accidental death 4x higher. For each time a gun in the home injures or kills in self-defense, there are 11 completed and attempted gun suicides, seven criminal assaults and homicides with a gun, and four unintentional shooting deaths or injuries.
  • More than half of youth who committed suicide with a gun obtained the gun from their home, usually a parent’s gun.

Given the fact adults consistently prove children are not a priority in this country, children have made an opportunity to make themselves a priority.

a picture of sign with names of some of the victims of gun violence
photo by Ajanet Rountree

Today, millions of children and adults domestically and internationally, participated in the #NeverAgain movement by joining the March for Our Lives protest. The campaign is not to initiate a disarmament; however, it is to reinstate the ban on assault rifles like AR-15 used in several mass shootings, including Las Vegas and Orlando. Additional demands include an expansion of background checks and a rise of the minimum age to purchase. At the core of the demands and the purpose of the protest lies a peculiar request for the most important human right: the right to live.

A right to a life without fear and terror.

A right to a life where adults apologize for hurting, neglecting, and not prioritizing children who are reliant upon them.

A right to a life without the trauma of relieving the horrors of running to save myself.

A right to a life that does not include witnessing my friends and teachers die before my eyes.

A right to a life by enjoying the full scope of childhood and adolescence which includes mistakes that should not end life because of a perceived threat

A right to a life because adults believe that I and my future are worth fighting for… just as they do for the unborn.

March for Our Lives is a pro-life movement.

We Beretta Do Something: Gun Violence, Public Health & Their Discontents

 

doctor-gun. Source: spacecoastdaily.com, Creative Commons

Continuing the Institute for Human Rights’ blog series on gun violence, this contribution illuminates a public health lens, offering an evidence-based analysis and pragmatic solutions to the U.S. gun violence epidemic.

Following the February mass shooting at Marjory Stoneman Douglas High School (Parkland, FL) that resulted in 17 fatalities, mainstream fervor on U.S. gun violence has, once again, returned. Parkland Students have utilized their recent tragedy as a platform to demand an end to gun violence and mass shootings, stressing why their lives matter. According to Amnesty International, the world’s largest grassroots human rights organization, U.S. gun violence is a human rights crisis. Human rights are protected and enforced by international and national policy, and with the U.S. government marshalling many of these treaties and laws, it is, too, culpable of upholding such rights.

The nation’s leading science-based voice for the public health profession, the American Public Health Association (APHA), claims gun violence is one of the leading causes of premature death in the U.S., killing over 38,000 people and injuring nearly 85,000 annually. Gun violence can not only affect people of all backgrounds but disproportionately impacts young adults, men and racial/ethnic minority groups. Recently, Parkland Students teamed with students in Chicago to address inner-city gun violence, a phenomenon commonly overlooked by the media while addressing its threat on young lives. Though most gun violence is not an agent to mass shootings, the APHA claims, in 2017, there were 346 mass shootings in the U.S., killing 437 as well as injuring 1,802.

Furthermore, the American Medical Association (AMA), who leads innovation for improving the U.S. health care system, labeled gun violence “A Public Health Crisis”. At their 2016 Annual Meeting of House Delegates, the AMA actively lobbied Congress to overturn legislation that averts the Centers for Disease Control and Prevention (CDC) from researching gun violence. The CDC is one of the leading institutions of the Department of Health Human Services (DHHS), working 24/7 to protect Americans from foreign and native health threats, whether they be chronic, acute, curable or preventable, accidental or intentional. Ultimately, the CDC protects U.S. national security and critical science is imperative to addressing health threats.

According to the Union of Concerned Scientists, a 1993 CDC-funded study published by the New England Journal of Medicine found that firearms in the home increased the risk of homicide in the household, as opposed to home protection. This galvanized the National Rifle Association (NRA), a major force in U.S. gun rights and education, to campaign against the CDC and its “anti-gun propaganda”.

In response to this 1993 publication and the NRA’s support, Congress in 1996 passed an appropriations bill known as the Dickey Amendment, named after former Arkansas congressman and NRA member Jay Dickey, which states, “none of the funds made available for injury prevention and control at the Centers for Disease Control and Prevention may be used to advocate or promote gun control.” Almost two decades and thousands of tragedies later, Dickey renounced these restrictions in 2015 by claiming, “Research could have been continued on gun violence without infringing on the rights of gun owners, in the same fashion that the highway industry continued research without eliminating the automobile.” Despite this humility, the Dickey Amendment persists, curtailing efforts to address gun violence in the U.S.

a picture of a Beretta handgun
Beretta 9000S. Source: James Case, Creative Commons

In the U.S., a common method to circumvent the argument that guns extrapolate acts of violence is to scapegoat people with mental illness. The American Psychiatric Association (APA), the leading voice and conscience of modern psychiatry in the U.S., recently published a book on gun violence and mental health. Specifically, they address the topic of mass shootings and mental illness.

Some popular misperceptions are:

  • Mass shootings by people with serious mental illness represent the most significant relationship between gun violence and mental illness.
  • People with serious mental illness should be considered dangerous.
  • Mass shooting will be effectively prevented with gun laws focusing on people with mental illness.
  • Gun laws focusing on people with mental illness, or a psychiatric diagnosis, are reasonable, even if they perpetuate current mental illness stigma.

On the other hand, it is evidence-based that:

  • Mass shootings by people with serious mental illness represent less than 1% of all annual gun-related homicides.
  • People with serious mental illness contribute to an overall 3% of violent crimes. An even smaller percentage of them are found to involve firearms.
  • Laws for reducing gun violence that focus on the previously mentioned 3% will be extremely low yield, ineffective, and wasteful of resources.
  • The myth that mental illness leads to violence is perpetuated by gun restriction laws focusing on people with mental illness, as well as the misunderstanding that gun violence and mental illness are strongly linked.

However, a significant caveat related to mental illness and gun violence is suicide. The American Foundation for Suicide Prevention (AFSP), who funds research and offers education on suicide, claims depression is one of the most treatable psychiatric illnesses yet is seen in over 50% of people who die by suicide. Suicide lays in the shadow of repetitive, media-frenzied mass shootings, while representing nearly two-thirds of gun-related deaths in the U.S. Harvard University T.H. Chan School of Public Health indicate a number of factors that define lethality of suicide methods, including inherent deadliness, ease of use, accessibility, ability to abort mid-attempt and acceptability — all attributable to gun ownership and usage, specifically in the U.S.  To strengthen civil discourse on gun-related deaths and injuries, we must uphold a national platform for suicide prevention, too. If you or a loved one is experiencing a suicidal crisis or emotional distress, the National Suicide Prevention Lifeline is 1-800-273-8255 (available 24/7).

Last year, researchers at Johns Hopkins University School of Medicine analyzed data from the Nationwide Emergency Department (ER) sample between 2006-2014 and concluded the U.S. accumulates an annual $2.8 billion in hospitals bills from gunshot wounds, with an average ER cost of $5,254 and approximately $96,000 in follow up care per patient. This study was limited because data was only used for gunshot victims who arrived at the hospital alive; people who did not seek medical treatment or were dead on arrival were not counted. Furthermore, after accounting for lost earnings, rehabilitative treatment, security costs, investigations, funerals, etc., a 2015 Mother Jones report estimated gun violence cost Americans $229 billion annually.

The APHA insists gun violence is not inevitable but preventable, and suggests core public health activities are capable of interrupting the transmission of gun violence. Notable ways to curb gun violence are:

  1. Better Surveillance
    • Increased congressional funding of The National Violent Death Reporting System which is currently employed in 40 U.S. states, D.C. and Puerto Rico.
  2. More Research
    • Lifting restrictions on federal funding for research on gun violence. There is barely any credible evidence on the effect of right-to-carry laws.
  3. Common-Sense Gun Policies
    • Criminal background check on all firearms purchases. This includes gun show and internet purchases.
  4. Expanded Access to Mental Health Services
    • Funding for mental health services has declined, so increased financial support for the Substance Abuse and Mental Health Services Administration (SAMHSA) is advised.
  5. Resources for School and Community-Based Prevention
    • Intervention and preparedness programming to prevent gun violence and other emergencies in communities, namely schools.
  6. Gun Safety Technology
    • Innovation that prevents illegitimate gun access and misuse such as unintentional injuries.

If the above prescriptions are not followed, the tragedies will likely continue. So, it is imperative we support leaders who will encourage gun policy that protects public health and our right to life. Tomorrow, March 24, 2018, people across the world will March For Our Lives, demanding the lives of kids and families, amidst the controversy circling around gun violence, become prioritized.

A march for our lives, your life and mine is exactly what the doctor ordered.