My energetic wife and I retired years ago, and we’re good at being together. A big house helps, and we both like holing up in our own space for long periods.
We genuinely like being together, debating current events, comparing books, taking long walks, traveling, riding bikes, and motorcycling.
She hikes at least twice a week, scaling Appalachian mountains with a close group of friends, and I work out daily and jaw-jack down at the gym and pool. We volunteer frequently and love working outdoors while the sun shines.
But this February, the rain continues to fall in sheets, mud clings to soles, black clings to souls, lakes and rivers are out, and it’s dangerous to travel country roads through low-lying areas.
And we’ve been cooped up far too long.
The canary in the coal mine is Angeline, a British short hair female alley cat rescued fourteen years ago and named after the petulant female in James McMurtry’s sad lament about East Texas.
Angeline, even more ancient then we at seventy-two, gets wound up like a clock spring after days of indoor living, rocketing through the den, springing up on the stereo speakers, diving behind the TV stand, ripping out electrical cords, gnawing on live wires, jumping up onto cane furniture and clawing the seats, climbing into wastebaskets, and splashing water out of the toilet.
My wife runs frantically around the house – cleaning, cooking, ironing, scooping poop out of the cat box, chopping vegetables, whipping up brownies, unloading mousetraps, all that fun maintenance stuff – but after an hour or so her blood gets up and she’s perspiring, and she walks into the den where I’m reading comfortably, peers at the thermostat, pivots like an NBA point guard, jumps up and down theatrically, and screams: “It’s seventy-five degrees in here!”
The gas logs are looping a small flame and my mind instinctively turns to melting Montana glaciers that won’t exist in ten years, and I get up and walk to the kitchen, placing the fireplace remote in a large brown artisan-hand-crafted pottery mug sitting on its lonely shelf. I’d mindlessly chipped it a couple of years ago and was lambasted into cup-phobia; I now use my dead uncle’s sacred brown clay-baked coffee mug. Will break my own heart, and spare my wife’s, when I chip this one.
The benefits of cabin fever are legion.
Most days it takes effort to pry myself out of the chair and jump into gelid over-chlorinated greenish community center pool “water” filled with obese wrinkly-sausage-like septuagenarians, but now I can’t wait to smell those nose-hair-burning locker-room chemicals scorching the soles of my feet as I pad toward the odoriferous urinal. Other benefits of cabin fever include:
• endless cheese sandwiches chased with cups of tomato soup • books, books, books, magazines, books • basketball, basketball, basketball • making up with the wife means … you guessed it. Smile. • drawing
Grape-land never made our bucket list. We assumed it was hot, humid, dirty, overrun with tourists, smelly, and rife with Gypsies rifling pockets.
All that’s true …
Then a life-long friend retired, snagged a timeshare in Cortona, Tuscany, and invited the old gang over for a June holiday. Within hours of our arrival, the people, history, food, wine, and physical beauty of this travelers’ paradise won us over.
Lana and I arrived in Rome and immediately broke European travel guru Rick Steves‘ taxi rule: “If you can, get a taxi from an official taxi rank. It lowers the chance that you’ll wind up in unregistered taxis, which are notorious for not playing by the rules.”
After the ten-hour flight and twenty-hour day torched our brains, we stumbled into Roman sunlight, and a portly middle-aged driver — smiling ear-to-ear so happy to see us — uncloaked at the airport curb, tossed our bags into the back of his grimy black unregistered car, drove twenty minutes in circles, then deposited us in front of our hotel for 20 Euros. We wondered why his happiness doubled with a small tip until we caught a taxi ride for the same destination eighteen days later: 10 Euros.
The gregarious hospitality of the happy swindler story was worth the 15 Euros, we figured, and then we got nailed again a few days later in Florence.
Walking down a lightly populated boulevard, we were approached by a well-dressed middle-aged man asking for change. Within two minutes he had his fingers in Lana’s pocketbook playing the I’ll trade-this-two-Euro-piece for two singles … and when we asked him what he needed the change for, he replied: the telephone.
Although it took reserve to keep my Keen-clad foot out of his Gucci-covered posterior, I laughed at Lana when she said later: “I’d give him another Euro just to show me how he got his hands in my pocketbook.”
Rome at First Glance
We spent the first day walking around the Trevi Fountain , enjoying the shops and restaurants vibrating with international students, noticing Napoleon’s statue in disrepair and disregard, spying armed guards holding military-grade weapons in front of banks and government buildings, dodging ubiquitous motor-scooters swarming around stoplights — Vespas racing wide open from green to red by suited professionals of both sexes — watching homeless folk washing feet in public fountains laced with exquisite statues, seeing graffiti sprayed on architecturally perfect limestone buildings throughout the city, ogling grandiose Vatican wealth walled next to Muslim immigrants selling shawls to bare-shouldered-naked-kneed tourists not minding Guru Steve’s advice:
Entry to the Vatican Museums, the Sistine Chapel, St. Peter's Basilica and the Vatican Gardens is permitted only to appropriately dressed visitors. Low cut or sleeveless clothing, shorts, miniskirts and hats are not allowed.
Once lusty shoulder knobs and bony knees are tastefully hidden, one may enter St. Peter’s Basilica and view roughly 50,000 portraits of naked folk. We discovered this at the end our our adventure. The second day we bused to Sorrento via Naples.
The bus driver stopped and let us stretch our legs at an overlook for ten minutes and then hustled us back inside and barreled through town as though a plague lay in wait.
We didn’t understand his motive as the view out the window was astounding, but days later when our wine tour sommelier told us Naples held the reputation as the drug and crime capital of Europe. Like East St. Louis, West Oakland, and the South Side of Chicago, I reckon Naples contains streets to avoid.
The ocean-hugging romantic getaway across the Bay of Naples was abuzz with tramping tourists, but its lovely weather and cleanliness relative to Rome led to a wonderful stay with unending photographic possibilities, gourmet food, shopping, museums, architecturally unique churches, beautifully maintained walkways, and seaside-views that attract honeymooners from around the globe.
Our friends Mike and Chris — gang of ten members — were in Sorrento with their daughters Bridgette and Cami, so we dined on fresh seafood and pasta and headed back to our respective hotel rooms to gather energy for Capri and Pompeii.
The Pompeii exhibit at the Chicago Field Museum blew my mind back in 2005, but the actual setting places one smack dab in A.D. 79 in one of the prettiest places on earth, and quite modern in its day with running wells, cisterns, toilets, bath houses, shops with “hot plates“, brothels, and a drainage system that cleansed the streets during a rain.
Pompeians — enjoying the ultimate in culture and high living at that moment in history, living on a seacoast and hosting trade from the known world while enjoying the amenities of balmy weather and a robust citizenry — had no idea the hammer was coming down. They didn’t even know that the nearby Vesuvius was volcanic.
On August 23rd A.D. 79 the city celebrated Vulcan, the Roman god of fire.
He rewarded them with a hammer blow the next day,burying the city in six meters of volcanic ash.
The size and scope of the Pompeii site — plus its history and high culture that catch you unaware — make it a must-see, and British friends tell us that nearby Herculaneum, a UNESCO World Heritage Site lying in the virtual shadow of Vesuvius, is even more impressive.
It must be duly noted that Lana spent countless hours planning this trip, picking out the best bus tours based on customer ratings and comments on a half-dozen web sites, coordinating hotels, museums, trains, and airline tickets. She read / compared / looked up / analyzed and put together a vacation that unfolded perfectly with few unpleasant surprises, as she has so many times before. All I do is take pictures, write up the story, and admire her ability.
Waking to rainfall, we feared Capri — just a twenty-minutes from Sorrento via the Tyrrhenian Sea– would be a wasted day, but the sun came out on the voyage over, perfect conditions because only 5,000 tourist scampered around the island instead of the usual 10,000 that swarm the island daily.
Sasha, our red-haired tour guide boasting Italian-Russian parentage, met us at the dock and kept us thoroughly amused with historical anecdotes and insights throughout the day, pointing out an Italian Fascist redoubt from the WWII built on a jutting cliff side, and noting that the Greeks believed Capri was the end-of-the-earth. A siren still sits above the rocks luring vessels to her open embrace.
Capri’s known around the world for its blue grotto, a limestone cave that intrepid tourists take turns entering and enjoying the way sunlight reflects off the white stone.
The day –starting with rain and high seas — negated the blue grotto, but our boat driver poked into several other grottoes-not-so-deep-and-famous and gave us the grand tour of the island.
Another highlight was the tram ride up to Alta Capri (alta = above) where the views not only took my breath away but jolted me with vertigo, a sign of age perhaps.
The Tyrrhenian Sea continuously cycled through different shades of blue as the sun filtered in and out of the clouds. Few people chose the path below, but folks of all ages rode the tram to the top and rubbernecked a 360 degree view that startles the senses with its beauty via changeable light and islands winking in and out of the horizon.
We took the bullet train to this famous hill-town, but beware boarding trains in Rome. The schedule displayed for passengers shows trains arriving at certain sidings. But in reality, high speed trains arrive so quickly they usually beat arrival times, then sit idle on the tracks outside the city while the station assigns them a last-minute arrival siding not listed correctly on the schedule board in Rome. Which means unaware Americans must run like like O.J.’s leaping luggage to the correct boarding spot at the last second. Not so much fun for geriatrics with metal knees.
The word Tuscany is derived from the Etruscan culture, which flourished in mid-Italy from 700 BC until Roman assimilation virtually erased it in 400 BC.
During the Middle Ages, [Tuscany] saw many invasions, but in the Renaissance period it helped lead Europe back to civilization. Later, it settled down as a grand duchy. It was conquered by Napoleonic France in the late 18th century and became part of the Italian Republic in the 19th century.
Orvieto, like Cortona, is a hill town in Tuscany. At first glance, the military advantage of the high ground is obvious, but many of these villages also avoided the swamps covering the low ground, and this is why the region grows such luscious fruit: the bogs were drained a mere 200 years ago.
The city had a love-hate relationship with the Papacy during the Middle Ages, when it reached a population of 30,000. However, five Popes lived here for a time for “political and strategic purposes.”
In other words, they were run out of Rome and had to wait for the heat to die down before they could re-assume the Vatican.
Major Orvieto attractions include: the Duomo di Orvieto 14th century Roman Catholic cathedral is one of the most spectacular in Italy; the Orvieto Underground leads you through subterranean medieval caves, tunnels and Etruscan wells; the Torre del Moro 13th-Century clock tower chimes on the hour, half and quarter hours; and, Pozzo di San Patrizio (St. Patrick’s Well). Dating to 1537, this well is 62-meters-deep and features two spiral staircases.
Is naturally associated with famous homeboy Francis, a.k.a. Francesco Bernardone, who lived here around 1200 AD. This simple friar bridged the gap between Jesus and Martin Luther, calling attention to the materialism of the times and the decadence of the Catholic Church during one of its darker periods.
Today, eight-thousand permanent residents occupy Assisi … while six million tourists stampede through the streets each year. The commercial aspect is a bit daunting, especially when a Saint Francis “statue” springs to life and thanks you for tips.
During his day similar throngs of buyers, sellers, and endless sinners seeking penance crowded the streets and wore out poor Francis. However — like Jesus rowing to the far side of the Sea of Galilee — Francis would walk forty-two miles through the country to Cortona and relax, meditate, and write at Le Celle (The Cell).
Lana didn’t like Assisi due to its intense commercialism, and heavy crowds. But once she understood it was always this way, and beheld the actual monastery near Cortona where Francis retreated into nature, well.
It all came clear.
Tears flood the eyes and hair stands on the back of your neck when you enter Le Celle.
I’m not a jealous person by nature, but Skip mentioned that he often hikes up to Le Celle to read and contemplate. What a blessing!
This vibrant city is best viewed in the late fall as June is rife with tourists. At one point a hundred-plus Mexican students paraded by lustily celebrating their soccer victory over Germany, and every restaurant and cafe hummed with activity late into the night.
Jammed with architecture, sculptures, marching bands, entertainers, the best steaks you’ve ever melted in your mouth, and much more, Florence is a must-visit.
Besides the mandatory hackle-raising view of Michelangelo’s David at the Medici family’s Galleria dell’Accademia, check out the Uffizi Gallery (housing Botticelli’s The Birth of Venus, Raphael’s Madonna of the Goldfinch, and Rembrandt’s Self-portrait as a Young Man.
We loved walking the city at night, watching couples enjoying the romantic atmosphere, seeing the architecture in street light, reveling in the gourmet cuisine, and listening to the street musicians earning their keep into the early hours of the morning.
This ancient hill-town reaching back to 700 BC Etruscans is a jewel in any visitor’s travelogue-memory.
Fetchingly portrayed in Frances Mayes’ Under the Tuscan Sun, the town’s vibrancy, history, architecture, museums, gourmet restaurants, geography, and kaleidoscopic light combine to hold you spellbound for the entire length of your visit.
Our hosts Skip and Virginia propelled themselves into international-living via elbow grease, perseverance, and brains (is there another legitimate path?) and reside on the northwest side of the city facing sunsets, near the Etruscan wall, on a Roman road overlooking the Cimitero della Misericordia (cemetery). The Roman road leads south to city center, or north through an ancient arch down a quarter-mile stroll to our hotel overlooking the Val di Chiana, or Chiana Valley, where Hannibal destroyed a Roman army in the Battle of Trasimene in June 217 BC.
Here’s a ten-second video taken at dusk with bats scavenging mosquitoes on the pink horizon, Lake Trasimino shining in the background, and the gang-of-ten enjoying a gourmet meal at Ristorante Tonino, which featured a series of post-dinner solos by inspired opera singers.
Three couples bunked at the timeshare, while Mike, Chris, Lana and I vacationed at the Locanda i Grifi, a sweet hotel just a quarter-mile down the Roman road, an inn we highly recommend due to the nice rooms, great views of the valley, and the hospitality of chef Cristiano, who held a cooking class for us one mid-morning.
Warning: If you really want to enjoy these Tuscan hill-towns, make sure you’re physically up to the challenge of walking up and down 14% grades. Actually, this applies to any kind of foreign travel as the unexpected always occurs, usually involving a physical challenge. Furthermore, driving isn’t feasible in town center due to the inclines, and there’s little room to park. Only the the intrepid locals attempt it.
We enjoyed a leisurely lap around town one sunny morning, passing by Francis Maye’s famous home and the Roman road next to it that’s a shortcut to city-center, all-of-which overlooks the Chiana Valley.
The Piazza della Repubblica is the heart of town, where we lunched and people-watched while discussing the length of the trip between gnawing on our mother’s ankles under the kitchen table in the late 1950’s … to this spot where Saint Francis hung out for recreation and Hannibal slaughtered the Romans.
Cortona is so packed with delights that it would take a decade of living there to search them all out. We jammed in as much as possible, however, and never lost the idea that we were on parade as well.
Living in a small Italian hill-town, and having lived in a small town in south Georgia, I understand that you can recognize a family gene pool by the lift of an eyebrow, or the length of a neck, or a way of walking.
-- Francis Mayes
The Villa S. Anna
We visited several Tuscan wineries and all were unique, but Villa S. Anna Winery — owned for nearly two hundred years by Simona Ruggeri Fabroni’s family near Montepulciano — tops the list due to Simona’s wonderful personality, storytelling ability, and deep knowledge of the business from five decades of managing all aspects of the enterprise.
After serving a wonderful lunch, Simona lead us through the grounds and cellars, sharing insights other wineries lacked — e.g., instead of removing cellar wall mold, it’s maintained at a certain humidity so the wine ages at a steadier rate. Newer wineries avoid this hassle, but the results are less predictable.
Sometimes the Scottish blood is an inconvenience. For example, sane people toss out most of their wine while sip-sip sipping throughout a day-long wine tour.
But if pinching pennies and looking for dimes on city streets is a natural inclination, then drinking all the wine poured out at wine-tastings is elemental.
Our dream days in Cortona ended with a wonderful lasagna dinner at Skip and Virginia’s followed by several hours of joyful banter, video-making, and wine-tasting. Then it was time to plan for the next gang-of-ten rendezvous, followed by hugs and farewells. The blessing we have in each other is lost on none of us, and a week together in Cortona deepened the bonds even further.
We returned to Rome for the last two days, viewing the Vatican, walking as much as possible for photos, and loving the seaport at Fiumicino, next to the airport.
The Vatican is so vast and full of unending surprises that no blog of this size could explain it. The picture above captures the average reaction upon entering The Papal Basilica of St. Peter, the main hall reaching a height of 448 feet.
Our university-art-school-trained guide lead us through a maze of huge rooms and hallways filled with artwork, spilling thousands of interesting tidbits that my mind couldn’t fully process, but I do remember that during Michelangelo’s work on the Sistine Chapel, Pope Julius II was plagued by some minor official’s poor behavior, so when Michelangelo asked Julius who needed to fill the hell space in the bottom right corner, the Pope suggested the same minor official — and then added that this guy needed a viper attached to his scrotum for all eternity. The sort of thing males remember from art museums.
We spent the last two days strolling arm-in-arm through the streets of Rome and across the beaches of Fiumicino, watching women jostle over sale items, enjoying one last gang-of-eight meal, and watching the fishing boats arrive and unload the day’s catch.
Don’t underestimate this sleepy little city next to the airport as it jumps alive to the sound of fishing boats returning — reminding me of the Hannibal, Missouri of Mark Twain’s youth — and there are dozens of excellent street-side cafés, restaurants, and bars to explore while public beaches allow blue-collar travelers a gander at the blue-collar locals.
Don’t let preconceived notions keep you from enjoying Italy as its pleasures far outweigh the hassles for 52.4 million visitors per year, but go physically prepared for international travel.
Italy provides more to do than several lifetimes of exploration could cover, and the mix of ancient history and current vibrancy intoxicates the senses beyond the legendary food and drink. Enjoy it with old buds if possible, then savor those times together whenever you reunite.
An old friend never can be found, and nature has provided that he cannot easily be lost.Samuel Johnson
Obama picked Janet Yellen to lead the nation out of the an economic depression caused primarily by greed, which the present Orange Tweeter drinks with a ladle.
Regulations continue to die by the handfuls as we drive the economy right back into the 2008 hole hedge fund managers drove us into, a hole now ready for a second suck since we’ve already forgotten the purpose those regulations had in the first place.
Janet Yellen, first female federal reserve director and the leader of the rebound, lost her title to a Trump appointee despite the fact that previous presidents — who exhibited realpatriotism — retained successful federal reserve chairman regardless of party. She’s declining her seat on the reserve now that a sacred white male wears the crown. If it ain’t broke, Trump’s bound to fix it.
Trash talkers assailed Michele Obama because she’s healthy and eats well, yanking veggies from school cafeterias in a fit of misplaced revenge — who needs health care? — while their corpulent spawn returned to the trough, happily sucking pizza and inhaling grease to their diseased hearts’ content. At least they can’t talk trash with their mouths full.
Trash talkers so lazy and greedy they couldn’t drive to their fabulous oaisis, paying Amtrak to haul their sorry butts over to the Greenbrier, lying just a day’s drive from Washington, all transportation and lavish opulence foisted onto the backs of Everyman tax payers.
Enter trash truck.
Note: it was nice to see Republican office holders attempting to revive (unionized?) trash truck employees forking over payroll taxes for fully-subsidized Congressional health care and luxury trips.
This writer salutes all manual laborers across America run over by the government train in uncountable ways each and every day, just as I mourn those lost in the tragedy.
Which is one more reason this monstrous irony requires a spotlight.
You have to hand it to the Grand Old Popinjays.
Democrats remain rudderless because they lack a true leader.
Democratic Congressmen make “suggestions.”
Here's how weak Democrats are at the root level: one of the first things President Obama did after his inauguration was speak to all the school children of America. At the time I taught black and Hispanic high schoolers, so I projected the speech on the big screen and said when it was over:
"I know it's not a level playing field yet, but this has to be encouraging."
After a short pause, one of the black males in the back yelled in reply:
"He ain't black!"
The reason Republicans dominate? They have a simple plan and they are entirely unified around it.
Destroy anything Obama ever did.
(Regardless of the needs of fellow citizens).
It’s something small, and completely contrary to their own perception of patriotism, but at least it’s a semblance of organization, a mighty weapon in the face of none.
Benjamin Franklin had his faults — ask most conspiracy theorists — and it was a known fact that he admired young women.
But when it comes to having a clear vision on accruing wealth, Poor Richard nailed it:
There are two ways of being happy: We may either diminish our wants or augment our means -- either will do -- the result in the same; and it is for each man to decide for himself, and do that which happens to be the easiest.
If you are idle or sick or poor, however hard it may be to diminish your wants, it will be harder to augment your means.
If you are active and prosperous or young and in good health, it may be easier for you to augment your means than to diminish your wants.
But if you are wise, you will do both at the same time, young or old, rich or poor, sick or well; and if you are very wise you will do both in such a way as to augment the general happiness of society.
-- Benjamin Franklin, statesman, author, and inventor (1706-1790)
First, Franklin starts the “American myth” that happiness is tied to the pursuit of property. We have more stuff therefore we win begins here. But it is true that we decide our own financial fates, and Americans differ widely on their pursuit of savings.
The advertising industry raises its ugly head in paragraph three, making stuff a “need” in the hearts of North Americans and fanning the fire of want. Ironically, one of Franklin’s many nicknames was The Patron Saint of Advertising, which he mastered early on.
Apply the last paragraph to your life and its ongoing change of circumstances and good things will happen. The Millionaire Next Door hit home with many who’ve since reaped the benefits of Franklin’s (and Stanley’s) advice. There are now more than twice as many millionaire households than there were in 1996, and 10.1 million US households now report a million dollars worth of assets.
Here’s how to apply Franklin’s commonsense rules to runaway government spending.
We have to ask ourselves, do we need to police the globe? Has doing so improved world peace? Or has it fired up the military-industrial complex to thrive in a Brave New World of Endless War?
It’s obvious that our military wants exceed our taxpaying grasp, especially with new cuts about to favor billionaires and corporations. But does the average American really want to police the globe?
Since endless wars come at such a high cost, shouldn’t we fall back, assess the hot spots, employ better technology — in terms of rooting out evil, not nuking the earth into oblivion — and emasculate the bad guys with focused strikes?
I’m all for rooting out the bad guys, both foreign and domestic. But instead of spending on R&D for pinpoint technology, we’re filling our docks with billion dollar warships and our airfields with million dollar airplanes to fight conventional wars that no longer exist.
On the Other Hand
Here’s how we relate to a few other countries when it comes to saving cash:
What’s made America uniquely bad at saving? Perhaps America’s mix of wealth and diversity, the very staple of the American identity, is the culprit of its spending habits. In 2008, several researchers studied the stereotype that minorities spend more than whites on “visible goods”—like clothes, shoes, jewelry, watches, salons, health clubs, and car parts. They discovered that, even after controlling for income, minorities save less than whites and spend more on such conspicuous consumption goods. But the story wasn’t just about race. White people in poor U.S. states spent more of their income on visible goods than whites in higher income states.
The Atlantic, 2016
Let’s look at that again: ” White people in poor U.S. states spent more of their income on visible goods than whites in higher income states.”
The sitting president, however, is all about lifting up the elite at the expense of the rabble.
The Orange Tweeter, exhibiting bouts of sociopathy mixed with narcissism, seems incapable of focusing on any issue longer than a nano-second, and his sinking popularity now represents roughly 31% of the electorate.
Draw your own conclusions on what percent of this group falls into the “rabble” category (those still smarting from the deplorable slap), and what percent of Trump supporters are billionaires wanting to rake in more loot in the short term.
My personal guess is that moderate Republicans hoping to work across the aisle to solve the many pressing issues of the day would be a minority within that 31%.
Just a guess.
Yet the nation continues to treat world and domestic affairs like a football game — we win, you lose — without considering the simple fact that we’re actually all on the same team.
Yes, we can nuke any nation on earth into oblivion. Then the fallout blows over on us.
Yes, we have conventionally bombed nations into near-oblivion, but then they thrive after we go home, though most of the cash ends up in the hands of the upper-class.
You can’t enjoy small government and big military simultaneously.
But Trump voters aren’t interested in logic. The rabble still believes they’ll grow fat on the scraps tossed down from the elite’s tall table of big tax cuts and military-industrial-complex stock-and-bond windfalls.
They’re throwing commonsense to the wind, these lower-middle-class lovers of commonsense.
Our current health care mess is more a political debacle than a substantial challenge to the intellect when it comes to solvency.
We can do better by providing excellent health care to allAmericans while lowering the overall cost, though it may slightly burden the wealthy and middle-class folks in order to reach the prize of truly affordable health care for all.
In the 90’s I taught at a local community college and one of my students – who was abused as a child and neither fully-supported nor fully-educated – struggled her entire life with health issues, racking up hundreds of thousands of tax-payer-swallowed medical bills over the course of her too-short life.
Multiply this situation by millions – many citizens are now hooked on opiates – and one can see how this particular demographic could force a single-payer Medicare expansion into near-future reality.
While I was researching this article, it was obvious that
the “facts” coming from sites linked – in one way or another – to private insurance companies were quite different from those emanating from neutral sources.
The insurance-linked information sites apprised the cost at $32 trillion while the neutral sites announced it would actually lower costs. The truth often lies at the midpoint, a hefty sum indeed. But our current direction, and the soon-to-be-announced Obamacare Lite are simply untenable.
Limiting Congressional health-care benefits to their own
plan for the rest of us would be a start. But don’t expect a sitting Congressman to write that bill. And now Republicans are replicating the major mistake Obama committed in his first term, which was to push a secret backroom inviable bill into law while briefly holding the majority and babbling they’d better pass it first so “you can see what’s in it” later.
Fast forward to today and it turns out that the ACA is actually a step above what the current Trumpcare plan offers the truly needy, a plan that boils down to “the rich get richer”.
An alternate path – leading away from the debacle of Obamacare/ Trumpcare – is fairly simple and workable: expand Medicare using a single payer plan while dropping Medicaid altogether.
“So what is single-payer health care? Essentially it involves expanding the present Medicare system to cover everyone and eliminating private insurance (with the claimed accompanying savings of hundreds of billions of dollars).
"Additional features would include the absence of means testing, no concern for pre-existing conditions, the restoration of independent doctors and hospitals who negotiate with Medicare and would be chosen freely by consumers and one public agency processing and paying bills.
“Because it would be unneeded with this system in place, the present Medicaid program for the indigent and its associated administrative costs would be eliminated. Proponents suggest that costs could be contained and quality maintained through more efficient review by the single insurer. Costs would be financed through a progressive income tax.”
Sounds good, aye? Well, unless you’re a millionaire and break in to a cold sweat at the clause “costs would be financed through a progressive income tax”.
Like me, you’re probably reading between the lines here.When “eliminating private insurance” pops out, one’s mind – if the slightest bit of pragmatism is embedded there – questions the odds of cash actually drying up in the UnitedHealth, Kaiser, Humana, Aetna, and Cigna Rivers.
“In the 2012 election cycle, the insurance industry contributed a record $58.7 million to federal parties and candidates as well as outside spending groups. Of the nearly $55 million that went to parties and candidates, 68 percent went to Republicans, who have long been the recipients of most of this category's giving.”
Admittedly, private insurance companies may suffer at first with a single-payer plan, but people with cash would buy supplemental insurance beyond Medicare basics and sustain the industry; jobs would shift to government positions aimed at administrating the new system and would therefore mitigate unemployment.
With the GOP in power, we’ll likely get Obamacare Light if they can scrape up the Senate votes, which fattens the coffers of the already-wealthy while neglecting the truly needy.
However, the worm may turn in 2018, and if a new Congress actually functions, we’ll be able to bring down costs and increase quality with a single-payer Medicare expansion while simultaneously closing the income gap.
Today I’m simply re-posting recent articles — written by others — directly related to the opioid epidemic, which is the subject of my recently published novel.
New readers are signing up almost daily to receive this blog, and many are medical students or political science majors interested in the topics and the accompanying research. Perhaps this will help.
Look for original pieces arriving in the next few days.
First, from the St. Louis Post-Dispatch 4/3/17:
Social change and economic disappointment create an epidemic of ‘deaths by despair’
Two years ago, Princeton University economists Anne Case and Angus Deaton disclosed a shocking finding: Between 1999 and 2014, middle-aged (45-54) white Americans with a high school education or less died at a rate never before seen in a modern industrialized society.
Alone among every other demographic group they studied, this group’s life expectancy was shrinking. The group’s annual mortality rate jumped from 281 per 100,000 to 415 per 100,000 during the 15 years studied.
Big reasons: Striking increases in the number of suicides, drug overdoses and liver disease caused by alcohol poisoning. Case and Deaton called them “deaths by despair.”
Now the two scholars have returned to try to explain why this is happening. In a report published by the Brookings Institution, they suggest that while income inequality and wage stagnation may play a background role, a lifetime of “cumulative disadvantage” catches up with this demographic.
They are the slice of the population who hit the job market as low-skill jobs were being mechanized, computerized and globalized. They grew into adulthood as cohesion-building social institutions like marriage, family and churches became weaker. Often they didn’t have spouses, pastors, work buddies or kids to back them up.
They did have opioid painkillers, which Case and Deaton say “added fuel to the flames, making the epidemic much worse than it otherwise would have been.” They cite a study from the Boston Federal Reserve that found that among men not in the labor force, nearly half are taking pain medication, most often by prescription.
Case is a professor of economics and public affairs; Deaton, her husband, was the 2015 Nobel laureate in economics. They admit their research is not a “smoking gun,” but it has ominous implications:
“This account, which fits much of the data, has the profoundly negative implication that policies, even ones that successfully improve earnings and jobs, or redistribute income, will take many years to reverse the mortality and morbidity increase, and that those in midlife now are likely to do much worse in old age than those currently older than 65.”
Obviously the same forces affecting low-income middle-aged whites also affect poor educated middle-aged blacks and Hispanics. But mortality rates are decreasing among those groups and they don’t suffer high rates of deaths by despair. The authors speculate that expectations may be higher among whites, leading to greater disappointment when things don’t work out.
Many of these folks put their faith in Republican promises of help, and the GOP owes them something. Addressing opioid addiction is a place to start. So is keeping the social safety net intact. GOP politicians can boast about bringing back jobs and passing right-to-work laws, but voters must hold them accountable if they make things worse for the people the corporate economy has left behind.
Dallas Morning News 4/6/17
At the heart of our opioid crisis: the doctors who overprescribe them
President Donald Trump held a “listening session” about opioids and drug abuse at the White House last week. The gathering included former addicts, parents of children who had overdosed, top federal officials and others. Trump vowed to make drug treatment more widely available — a worthwhile goal with bipartisan appeal. He also spoke of strengthening law enforcement and dismantling drug cartels.
But there is a cheaper, low-risk tactic for curbing some opioid misuse that was neglected: changing doctors’ prescribing habits and better educating patients. A recent study found that for every 48 patients who receive an opioid prescription in the emergency room, one will likely become a long-term user. A more cautious approach to prescribing could save lives.
Across the United States, health care professionals wrote 249 million prescriptions for opioid pain medicines in 2013. In 2015, about 22,000 Americans died after overdosing on some form of opioid drug, legal or illicit, according to the Centers for Disease Control and Prevention. Of those deaths, 15,000 were attributed to prescription opioid overdoses. In fiscal 2015, Texas pharmacies dispensed almost 7 million prescriptions for the opioid painkillers hydrocodone or oxycodone alone.
There is no medical explanation for the rise in opioid use. Sales of prescription opioids nearly quadrupled from 1999 to 2014, even though Americans don’t report having more pain now. Prescribing rates vary widely among states, even though health conditions don’t. Even among doctors working in the same emergency room, some prescribe opioids much more frequently than others.
The federal government — along with some states and professional associations — has produced extensive prescribing guidelines. Opioid medications are not the preferred option for managing chronic pain; doctors and patients should try other approaches first and carefully weigh risks before starting prescription opioids. For acute pain, such as after surgery, doctors should prescribe the lowest possible dose of opioid for the shortest duration. Prescribers must be especially careful with older adults because opioid painkillers can put seniors at higher risks of falls and fractures.
Pharmacists and patients have an important role. In Texas, lawmakers are considering a bill, SB 316, which tightens the state’s prescription drug monitoring program. The bill would make it easier for pharmacists and regulators to quickly spot patients who fill multiple prescriptions for addictive medications and doctors who prescribe inappropriately.
And the public can help, too. How do most people who misuse prescription pain medications get them? One large study showed that about half obtained them free from friends or relatives. So, if you have pain pills left over from surgery or dental work, drop them in the toilet. Really. These medications are so dangerous when misused that the FDA recommends flushing them down the sink or the toilet if you can’t find an official drug take-back event. That will keep everybody in your home — you and your friends, relatives, kids and pets — safe.
What you can do
April 29 is National Prescription Drug Take Back Day, which aims to provide a safe, convenient and responsible means of disposing of prescription drugs, while providing education about the potential for abuse and medications. To find a drop-off location near you or to learn more about the program, visit dea.gov or call 800-882-9539.
Endless prescription: Suboxone, Subutex plaguing region
For many, they mean nothing. But they are at the heart of a disturbing trend which has seen people move to the area just to obtain them, caused doctors to leave other jobs to prescribe them and left hundreds of drug addicts with an endless prescription.
It is a problem law enforcement has seen explode in the last five years.
“We routinely arrest people for drug offenses and find them in possession of both buprenorphine (Suboxone or Subutex) and some other powerful narcotic (heroin, opiate-based pain pills, etc.) that buprenorphine is supposed to be weaning them off of. This phenomenon directly contradicts their intended purpose,” said Kingsport Police Department Public Information Officer Tom Patton.
“In an ideal world, buprenorphine could arguably serve a legitimate purpose. But we do not live in an ideal world, and we are probably seeing more harm than good out of these drugs at this point.”
The intended use of buprenorphine, the main ingredient in Suboxone and Subutex, is to help people addicted to pain pills achieve sobriety by providing an alternative to their drug of choice. Counseling and therapy are supposed to be provided along with the prescription.
Over time, the dosage should be reduced gradually until the patient is completely drug free.
That is not happening.
“I started going to a doctor in 2006 or 2007, somewhere around there,” said a Suboxone patient who wished to remain anonymous. “The first time you take it and the second time you take it, it feels great. Then it just turns into maintenance.”
He said he is disappointed because he was told by a healthcare professional that a tapering off would occur, but never did.
The patient, who is currently homeless, said he spends $160 a week to visit a doctor and fill his prescription. He readily admits he could spend that money on an apartment if he were not on Suboxone.
It is a cash-only business because his doctor, like many buprenorphine prescribers, does not accept insurance.
And cash only not only applies to patients, but to everyone, including law enforcement agencies that buy the drug for use as health maintenance for prisoners.
“All clinics do cash only,” said Christy Frazier, the health administrator for the Sullivan County Jail. “The ones I worked with here only take cash, even from us.”
Frazier said in just one week, approximately 75 percent of those coming into the jail had abused Suboxone or Subutex. She said at least two inmates told her they moved to Northeast Tennessee for the express purpose of obtaining the drugs.
Sullivan County District Attorney General Barry Staubus said almost every single drug case before a recent grand jury involved the selling of Suboxone or Subutex.
“It’s a real danger to the community,” he said. “I attribute that to overprescribing.”
Patients are not the only ones getting in on the act. Doctors are reportedly leaving their current work to start prescribing buprenorphine.
“Greed is taking over,” said Dr. Randy Jessee, senior vice president of specialty services for Frontier Health. “We are hearing stories about doctors quitting their ER work, quitting their practice and going into the Suboxone business.”
According to the Department of Substance Abuse and Mental Health, there are 94 buprenorphine prescribers in the greater metro areas of Johnson City, Kingsport and Bristol. And that number could be an underestimate because prescribers decide whether they want to be listed in the DSAMH locator, according to the 2015 DSAMH “Medication-Assisted Treatment Substance Use Tool Guide.”
It would never be obvious to anyone driving around town that so many buprenorphine prescribers exist. There is a reason why.
Many of the clinics or prescribers do not advertise the prescribing of Suboxone or Subutex. They also have unassuming names, calling themselves a rehabilitation center or family treatment center. Many users find out by word of mouth.
The Suboxone patient who talked to the Times-News was handed a card directing him to a clinic by a friend nearly 10 years ago.
“My friend at work gave me a card that was $25 off the first visit,” he said. “At my first visit, he (the prescriber) gave us cards to give out. We were pretty much advertising for them.”
He said he’s gone from being able to see the doctor at any time to having to wait up to two hours for a visit. Suboxone and Subutex are being prescribed so much in the area that pharmacies are either running out or reaching their federal limit on buprenorphine.
The patient said he’s had to drive to every Walgreens to try to get his prescription filled, only to be declined. Many smaller pharmacies refuse to accept new patients who are being prescribed Suboxone.
Once someone is given a prescription for these drugs, it becomes very hard to stop using them without tapering off because the withdrawal symptoms are worse than with regular opioids.
The Suboxone patient is stressed out because he was robbed of some cash and his entire prescription four days ago. He has not had Suboxone in three days and is starting to feel the effects. He has experienced withdrawal before and is not looking forward to going through it again.
“I feel like I woke up with the flu,” he said. “For 11 or 12 days, I feel really, really bad. Then I won’t feel right for about 30 days.”
He said he is currently $35 short for his next doctor’s appointment, meaning he needs to find the money so he can get his prescription. That means borrowing money from someone, usually with the promise of giving a pill or two in return.
Subutex is more popular on the street than Suboxone because it does not contain the overdose drug Naloxone. Users can take Subutex and get higher than they could with Suboxone.
Suboxone is going for about $25 to $30 per dose on the street while Subutex is selling for between $40 and $70.
The Tennessee General Assembly passed a bill in 2015 that said only pregnant women and those allergic to Naloxone can get it. Frazier said this had led to women getting pregnant on purpose just to obtain Subutex.
Subutex and Suboxone use on the street has become a huge problem and many blame the prescribers. The patient interviewed by the Times-News called it legal drug dealing.
“We’re giving doctors the money instead of drug lords,” Frazier said.
One of our US senators, Lamar Alexander, once ran for governor and won the hearts of Tennesseans by walking across the state — from Mountain City to Memphis, over a thousand miles — wearing a red and black flannel shirt and meeting with and listening to folks along the way.
Abe Lincoln, reborn.
But now after fourteen years in Congress he replies to personal letters with pre-programmed robot mail because the office in question — secretary of education — was pre-sold to the highest bidder.
A friend of mine wrote and asked me to pen a note begging LA to rethink the DeVos nomination. So I took several hours, researched a bit, and produced a letter.
For security, I cut and pasted the letter into his website, the current way he’s receiving public mail. The paper letter never garnered a response.
And his team was smart enough to not send their robot letter back a nano second after my personal letter hit the server.
Their response drifted back the next day. Savvy. As if they’d read it.
Anyway, it’s interesting to follow the order of events. Here they are: the original letter, the robot response, and my follow up at the end. Let’s set this down for posterity, as Lamar Alexander’s legacy rides upon the way our government is behaving at the moment.
Dear Senator Lamar Alexander,
My favorite American, Ben Franklin, perhaps the most inventive and prescient of us all, made it clear that he trusted neither the elite, nor the rabble. 
You, sir, sit in control of present day American history. With your influence and pen, you may turn a pillar of America freedom – public education – into a pile of desecrated ash.
Or, you may preserve a way of life that has successfully blended the melting pot into the powerhouse of capitalism, prosperity, and equal opportunity known as America, a richly diverse mix of blood, religion, creed, and ambition – all imbued with a love for family and civic pride that sweeps the nation while transcending political parties and narrow ideology.
The egalitarian principle upon which we’ve built our culture – that all people are equal and deserve equal rights and equal opportunities – already cost us the inestimable blood-soaked trauma of the most horrific of all wars, a war where only Americans perished, a war that came to a head at a wall on Missionary Ridge.
And yet, we sit looking on while another wall is erected, a wall pitting the resources of the private education scheme against traditional melting-pot public schools in a land already seething with a discontent for the unending privileges of few at the expense of many.
Senator Alexander, Betsy DeVos is unqualified to serve as the Secretary of Education for three reasons. First, she is a member of the billionaire class who has never worked in a public school, has never earned a degree in education, and never saw her children attend a public school. Experience? Zero.
Second, Betsy DeVos advocates “school choice” privatization schemes. When schools become business-driven for-profit entities mainly rewarding stockholders, they’ll immediately drain resources from public schools, which will wither and become “alternative schools” or in other words, a well-oiled feeder system for the burgeoning for-profit prison system even more than the outrageous present – where 40% of our prison population is comprised of a single racial group equaling only 13% of the general population. 
Which rewards for-profit prison stockholders.
The vicious cash-churning cycle may buy yachts and classy real estate for a few, but it certainly poisons millions of youth while darkening our moral landscape to the point where civil-rights-rebellions are glimpsed on the mall the day after inaugurations.
Lastly, Betsy DeVos is unqualified for the post because she threatens the loss of civil rights and opportunity for those who won’t be able to scale the elite-inspired walls erected by private for-profit schools.
And once schools are effectively re-segregated, the elite will be ensured a never-ending supply of government-created-Soylent-Green-cash in the form of education-deprived public school self-created “rabble” permanently excluded from the egalitarian dream of equal rights, equal opportunity.
Following the Civil War, lawmen in the South rounded up black “vagrants” and funneled them through the penal system and instantly regenerated the once-lost-now-found system of slavery-by-another-name. Incarceration.
So the choice is yours. Ben Franklin’s history is set. Yours is about to be written.
The future of the nation depends upon your decision. May God guide your hand in egalitarian Christian  love for those whose destiny will be determined by that act.
Michael “Gene” Scott
 Walter Isaacson, Benjamin Franklin, An American Life, (Simon and Schuster: 2003), p. 112.
 T.R. Fehrenbach, Lone Star: A History of Texas, And the Texans, p. 629.
Christian egalitarianism (derived from the French word égal, meaning equal or level), also known as biblical equality, is a Christian form of egalitarianism. It holds that all human persons are created equally in God’s sight—equal in fundamental worth and moral status.
Senator Lamar Alexander’s Robot Letter Response
Dear Mr. Scott,
Thanks very much for getting in touch with me and letting me know what’s on your mind regarding President Trump’s selection of Betsy DeVos to become the next Secretary of Education.
Betsy DeVos is an excellent choice. The Senate’s education committee will move swiftly in January to consider her nomination. Betsy has worked for years to improve educational opportunities for all children. As Secretary, she will be able to implement the Every Student Succeeds Act, the new law fixing No Child Left Behind, just as Congress wrote it, reversing the trend to a national school board and restoring to states, governors, school boards, teachers, and parents greater responsibility for improving education in their local communities. Under the new law, the federal government may not mandate or incentivize states to adopt any particular standards, including Common Core.
I also look forward to working with her on the upcoming reauthorization of the Higher Education Act, giving us an opportunity to clear out the jungle of red tape that makes it more difficult for students to obtain financial aid and for administrators to manage America’s 6,000 colleges and universities.
Improving our schools has been one of my top priorities in public service, both as a U.S. Senator and during my earlier service as governor, president of the University of Tennessee, and U.S. Secretary of Education. Better schools mean better jobs, which is why I have worked to support states and school districts in improving education so that our students have the tools they need for success.
We are unleashing a new era of innovation and excellence in student achievement—one that recognizes that the path to higher standards, better teaching and real accountability is classroom by classroom, community by community, and state by state—and not through Washington, D.C. I appreciate your taking the time to let me know where you stand. I’ll be sure to keep your comments in mind as this issue is discussed and debated in Washington and in Tennessee.
Thanks, Lamar. You’ve effectively trampled American-forged melting pot education with your Almighty Buck boots while sporting an old flannel shirt turned inside out.
Your legacy is now set in cement for those future Americans who can afford to read it.
Logically, one should abstain from indulging in news the first thing in the morning.
Soaking up death, stabbings, arson, child neglect, fracking, meth-lab explosions, sex slavery, environmental disasters, racist cops, neglected infrastructure, enduring slave wages, endless CEO profit raking, idiotic politicians blubbering pie-in-the-sky promises with no intention of following through … mixing all those nauseous facts with prodigious amounts of caffeine … well.
That can’t be good for the psyche.
But the routine never varies.
Out of bed, slurp coffee, devour news, cautiously turn to the obituaries, brace for the blow.
A recent law-school grad with a long history of academic success, a loving family, and a promising future. Twenty-seven-years-old. Here’s a brief paraphrase from the obit:
God protected him many times when his parents were unable. His earthly life ended unexpectedly but his everlasting life has begun.
We’ve watched the font-size of our local print paper decrescendo for thirty years to the point where it’s barely readable.
After all, they have our subscription money, and we’ve read the news on our iPhones and internet feeds, old print news takes up valuable paper and ink, so we’ll minimalize it, shrink it with a pissant font, and look for other revenue streams.
To balance the loss of readership and revenue to online outlets, our local newspaper doubled the size of its obituary text, colorized large head shots of the recently-deceased, and unknowing created a daily parade of local folk now leaving eternal digitized images.
If you plan ahead, love to scribble, and can afford to throw even more cash at a local newspaper publisher, up goes your twin column half page manifesto, a.k.a. bird-cage lining.
Obituaries sell local papers. Furthermore, the family of the deceased wanting to run an obituary is billed up to $600— approximately five times an annual subscription price — to purchase the publication of their loved one’s death notice.
And newsprint corporations will continue to milk grieving readers until obituaries naturally migrate whole herd onto the “everlasting” cloud — which is subject to evaporation any second of any day.
So we slurp coffee, wipe crust from our eyes, and suffer the dark parade of endless young-people obituaries — two or three “mysterious passings” per week — digitized head shots projecting health, vitality, and promise … while the shocking dissconnect of truth and image confounds the thoughtful reader.
Cancer victims either declare outright the nature of their earthly battle, or direct donations toward eradicating the scourge, which indicates the cause of their passing.
But prescription or illegal opioid drug deaths — cloaked in self-painted societal shame — lie hidden between the lines of the family-or-funeral-home-produced death notice.
We’re talking perhaps 2-3 opioid-connected deaths per-week in a region supporting a newspaper circulation of 43,000.
National statistics suggest nearly fifty-two Americans perish every day from prescription opioid overdoses — eighty per day if you figure in heroin— so two-or-three deaths a week in such a tiny demographic seems outrageous.
Heroin deaths are linked to the pill trade because recently skyrocketing street-prices of prescription opioids allow cheap heroin to flourish across the land, hitting rural states and Appalachia especially hard due to decades of high unemployment and a culture slow to raise education standards, though the epidemic appears to cross all lines, racial, religious, geographic, and socio-economic.
Many of our locals succumb to fentanyl, fifty times more potent than typical street heroin. They go to a party, try a little, forget how much they’ve taken, dab a little more, and before the dawn appears …. the sun sets on their precious lives.
Opioid availability first soared (in recent history) after 26 states and D.C. legalized weed in some form and jerked market out from under Mexico, who made up the loss by dumping cheap heroin and opioid-laden chemicals on an already addicted North America poised to dull the pain with ever increasing amounts of opioids, a class of drugs that has debilitated us since the Civil War.
One family, six months ago, actually came clean in the second paragraph of their boy’s obituary, saying that the deceased fell victim to prescription drugs after losing his father two years prior. The son couldn’t bear the loss.
That’s the only self-admission I’d seen in thirty years of obituary reading, though I must confess that for twenty-eight years I only skimmed obits for astounding stories of WWII vets who’d conquered the world and returned home to build new lives.
The truth remains: we all wear a mask.
This concept came home to me thirty years ago when I taught Hawthorne’s The Minister’s Black Veilto a class of honors English students in a suburban Chicago high school.
A small village church must deal with their minister, Mr. Hooper, who takes a notion to don a black veil covering his upper face — much like a widow would wear at an old-fashioned funeral. Everything goes south when he chooses to leave it on.
He becomes a better minister after this decision, ironically, and though his fiancé breaks off their engagement, she watches his entire life and comes to be with him on his death bed, where he admits all of us wear a mask. Upon his death, Mr. Hooper is buried with the veil in place.
Let’s look into the mirror.
When we’re at Sunday school, we wear the Sunday school face. Job interviews conjure a competent strong obedient flexible yes-sir face. Thursday night dollar-draft-beer Raccoon Club meetings at the local sports bar requires a special façade.
And since random acts of unprovoked violence occur in this crazy world — say the unexpected death of a child through accident or SIDs — well, that means perhaps even God wears a mask.
No one is immune from the natural instinct to project a happy face while masking reality through omission.
Facebook is simply a party-line on steroids, a party line with enough bandwidth so a billion users may share photos, text, videos, music, and fake news.
For whatever psychological reason, the vast majority of us prefer to keep the laundry in the closet and to project the shiniest image of ourselves and our loved ones, clean photo-shopped textually-tweaked images of success and prosperity.
Let’s face it, we’re all the billboard producers of our archived lives, turned digital and pulsing across the electronic social universe — Google Plus, LinkedIn, Twitter, Facebook, et al. — social media entwined through massive servers grown muscular through carrying an ever-increasing crescendo of porn to the sex-starved masses. Thirst begets thirst.
Irony. Cleanliness afforded by dirt.
As a result, we can now Photoshop and video-edit our pimples and purple lives while projecting sanitized, filtered, smiling, I’m so happy, self-assured-selfies, eternal masks frozen in digital clouds of memories, gigabytes juggled in “perpetuity” for dollars a month.
Even when people freak out, breech social barriers, and reveal their dark sides on social media, it’s often ignored until the post mortems roll in.
When an individual’s mask slips down, the tribe doesn’t WANT to look, or doesn’t want to acknowledge some of us actually DIDlook and failed to respond.
Which brings us back to the Double-O-Demons.
Jellybeaners is a topical novel about opiates and obituaries, and the fact that shame drives many of our decisions.
And until we supplant shame with grace and help people recover from addiction through counseling, financial incentives, and work opportunities, well.