Fortunately we don’t have a state religion, or religion by majority rule. Our Governor seems to misread his role and duty. The Catholic Church has his ear, and gives him its support, but the Bishop does not speak for all Catholics, let alone all Rhode Islanders, and there are other churches and religious bodies that do not endorse denying a bereaved person the right to make arrangements for a decent funeral for their loved one.

My minister has this to say.

My church blesses same-sex unions and I am tired of having my religious feelings disrespected by politicians who have forgotten the lesson of Roger Williams.

Happy Veterans Day to all who served, all their families and friends. May we find the way to peace. Happy Veterans Day to my Dad and Father in Law, and all the people I meet in elder care who have stories to tell.

It’s off to work today. I’m watching the health care bill move through Congress with one eye closed and my hands over my face. It’s looking less like sausage making than sausage digestion. But I have to hope that we will make things better. Remember that the Veterans need to come back to a home where there are jobs and where their families will not be dumped in some emergency room for lack of anyone who values the health of working people.

We’re all connected. We all serve. We are all needed.

Many of us have been waiting Looooooong time for the restoration of the Park Cinema, and now it has finally come to fruition.

From the Projo:

CRANSTON, R.I. – The newly renovated and renamed Park Cinema (now the Rhode Island Center for Performing Arts at the Historic Park Theater) will present its first film premier on Saturday, Nov. 28.

The newly opened Cranston landmark in Rolfe Square will screen “Lumberjacking” an independent feature comedy that was filmed in Rhode Island. It was made by Rich Camp, Frank Iacobucci, Joe Agresti and Matt Zuena. The movie is about a lumberjack in the 1960s who refuses to give up his axe for a chainsaw, a kind of “Paul Bunyan” story.

The cast and crew will be attending the event at the center, which now includes a restaurant, a lounge, a cybercafé and a 1,150-seat theater.

The show begins at 8 p.m. For tickets, $10, visit lumberjackmovie.com. The movie is not recommended for those younger than 13.

I’m totally bummed. On the Happiness Index Rhode Island is 37th out of the 50 states.

Not only that– if you drift over the border into Seekonk or Attleboro you enter a state that made the top ten. What could possibly make Massachusetts happier than Rhode Island? We have snotty colleges, beaches and brick buildings, just like they do. What have they got to be so chipper about?

The happier states also tended to have a greater proportion of residents with advanced educations whose jobs were considered “super-creative,” such as architecture, engineering, computer and math occupations, library positions, arts and design work, as well as entertainment, sports and media occupations.

The number of bohemians (such as artists), gays and foreign-born residents also boosted happiness scores. Take California, Minnesota and Massachusetts, which had higher inclusiveness scores and also made it to the top 10 list for well-being.

Maybe that’s why they call them, ‘gays’. I’ve got an idea. Let’s recruit gay bohemians with advanced degrees into Rhode Island by making our marriage laws apply to same-sex couples equally. They’ll be lured to Providence by our ‘Creative Capital’ orange ‘P’ logo, which should be irresistible considering how much it cost. And think of how much more depressed our state would be without immigrants. It would be like West Virginia, number 50 on the list, where whiskey and country music are all they have to soothe a broken heart.

The news is that the Fort Hood shooter is conscious and speaking. Who cares what he has to say? It’s just another angry man who had access to guns buying himself instant fame with other people’s lives.

I once saw a man in the IMH–he was lying on the floor and wetting his finger. He picked up little bits of dirt and ate them. He was insane.

Mass shooters aren’t crazy like that. They have a script, they have the props, they know the outcome. Yes, they are ill, but this is a particular cultural expression of illness.

I don’t care what any one of them has to say. I want to know why we watch this pattern play out over and over, and what we can do to unravel it.

Channel 6 had coverage of an anti-health reform protest outside the office of Sen. Whitehouse. There were about eight protesters. I have to say that the pro-reform demonstrations I attended all last month were larger, had a positive message, and more attractive signs. So there.

I used to work in elderly high-rise buildings, and I’d urge the residents to be careful. Maintenance workers were getting stuck with discarded needles. This was earlier in the AIDS epidemic. A needlestick is a nasty injury now, but even more frightening then, because there was no prophylactic treatment and people who got stuck were getting blood tests for a year.

Workers would find needles clogging toilet drains, or stashed in high cupboards where they couldn’t be seen. There were many diabetics, some IV drug users, and a few who were both. Scary. Some people don’t realize that everything we throw away goes somewhere…

There has been a sharp increase in needles showing up with recycled bottles and cans at the Central Landfill in Johnston. That puts workers at risk and is causing the assembly line there to be shut down as often as 10 times a day.

The state departments of health and environmental management have now agreed to advise individuals to put needles into strong containers such as bleach bottles or coffee cans, and dispose of them in the trash in a way that limits the opportunity for them to come in contact with people.

When I go out to a home, I ask about sharps disposal. Most people want to do the right thing. ‘I always cap the needles’, they say.

(Interestingly, OSHA forbids health care workers to re-cap on the job, because so many got injured that way. In hospitals there are sharps containers handy, and the drill for nurses is to give the injection and drop the needle into the container immediately. Works for me.)

In the home, a person handles their own needle, so any germs on it are their own. It’s purely my opinion that re-capping is not unreasonable. ( If I’m wrong about this, someone please set me right. The DOH says don’t, but they don’t say why. ) But it’s not enough to ensure safety. The next step is to drop the needle into an impermeable container like a detergent bottle or coffee can, and to label the container so that no one mistakes it for anything else. And if it’s a coffee can, tape it so it stays closed. Don’t forget the lancets– they are pointy too. Put them in the can. The can can go out in the regular trash, “in a way that limits the opportunity for them to come in contact with people.” I would suggest in a bag of garbage, closed up and in the city trash can so that no one will even have to touch it.

We used to have a plan for collection, but that fell apart. Needles in the landfill– not the best thing but that’s what we’re left with. Have a thought for the hard-working people who keep our environment from becoming unlivable, and don’t even think about putting anything into the recycling that’s not on the list.

And our state has to stop being vague and unhelpful to all the good people with diabetes who want to do the right thing. Get the collection program going again. It’s a lot cheaper than dealing with dangerous trash at the Johnston Recycling Center.

I’m on this weekend, so it’s off to work today. I’m looking to see what will happen with health care reform here on the ground. The House has passed a bill, now it goes to the Senate for debate.

It’s not the reform I would have chosen, given my first,second or third choice, but I believe in harm-reduction as a strategy. The Dickensian vision of the anti-reform people I met at the Town Halls, in Warwick, West Warwick and Johnston is not my America. Hearing people say that some who were unlucky or made ‘bad choices’ would just have to die– it’s God’s way– was very discouraging. And this is from a conversation with a man who was holding a ‘pro-life’ sign. Hearing people say that dumping uninsured people on our emergency services was the answer was bad enough–but right wing politicians were saying it too.

If you talk to the good people who work in the emergency rooms, or to people who had no other recourse and are now looking at huge bills for what could have been treated in a doctor’s office–you know. We are already breaking the back of our emergency response, and breaking the spirit of our fellow citizens who lose jobs and security every time the economy ‘corrects’ itself.

From here on the ground the reform effort looks like slow, incremental change. Too slow for many, still leaving in place many of the inefficiencies and inequalities that drain the value from our health care dollar. But I believe in harm reduction as a strategy, and I won’t disparage change for the better. Extending insurance and curbing some of the worst abuses of insurance corporations will help many Americans who have been denied access to health care.

I’m not expecting any fast changes here on the ground, but I’m hoping, and watching.

Fort Hood has been in the news all today, on my radio as I drive from house to house visiting patients. It’s a tragedy I have no comprehension of, no way to make sense of. But the people who serve, who live on the bases, who suffer the wounds of war– they know. Max Cleland, who lost three limbs serving in Vietnam, and in peacetime served as a powerful advocate for veterans in Congress, has written a short op-ed in the New York Times…

“EVERY day I was in Vietnam, I thought about home. And, every day I’ve been home, I’ve thought about Vietnam.” So said one of the millions of soldiers who fought there as I did. Change the name of the battlefield and it could have been said by one of the American servicemen coming home from Iraq or Afghanistan today. Wars are not over when the shooting stops. They live on in the lives of those who fight them. That is the curse of the soldier. He never forgets.

The entire essay is here. Excerpts can’t do it justice, so go on over to NYT and read it in full.

So I’m reading Margaret Atwood’s ‘Year of the Flood’,– a dystopia that is all too real. If Atwood doesn’t turn me vegetarian, she might at least put me off fast food. ‘Oryx and Crake’ had ‘chickie-nobs’. They looked like something deep-fried you would buy at the Colonel, and were efficiently produced by fowl that had been genetically modified to grow tumors all over their bodies.

In ‘Year of the Flood’, Secret Burger franchise has no problem with supply. Any mammal unwary or unlucky might end up on the menu, they have grinders on site. But don’t ask about that–remember their slogan– ‘Everyone Loves a Secret’.

In related topics, we say that in politics we love transparency. Secret meetings closed to the press happen all the time, but not usually on a large scale. Sarah Palin, the former governor who took TMI to new levels when she gave the Anchorage Daily News a detailed account of her labor with her youngest son– (incidentally setting off a number of conspiracy theories by people who were incredulous that any mother could be so reckless) has something to say to Wisconsin Right to Life. But it’s secret. No press, no cameras, not even any strollers. I really wonder about that. I’d think that parents would be welcome to bring their little ones to such an event.

I wonder what went into the grinder to cook up that speech. Isn’t it funny? If the text were on the front page I wouldn’t even bother to read it. But there’s something about a secret.

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