When your house is on fire, what do you do?
If you’re like most people, you call the fire department and ask for assistance. And they come and put the fire out, and possibly investigate the cause, and at the end, do you get a bill? No. Because fire departments are recognized as an important community service. Putting out fires, in other words, directly benefits the community, and so do other services offered by most fire departments, like inspecting buildings for safety, conducting search and rescue operations, and so forth.
The President seems to have shoved reform of the health care system in America to the side in the interest of handing out free money to banks and American corporations, but Americans haven’t forgotten the need for health care. We are still going bankrupt from medical expenses, and we are still struggling to bear the cost of medical treatment, even for those who are privileged enough to have health insurance.
Why aren’t we viewing health care like we view fire departments?
If a house is on fire, the fire could spread to other houses, that’s what makes fire departments different. Actually, a standalone structure fire might not necessarily spread to homes or properties, but fire departments won’t refuse to go out on a call to such a fire. They also won’t send a bill. And, in fact, health care is a lot like a house fire in a crowded region. If someone has a contagious disease, he or she could spread it. If a disease is caused by environmental exposure, a single patient could be the canary in the coal mine. And even if a disease isn’t contagious, might even be congenital, the patient could suffer from lost work and earnings, and the community would be deprived of the patient’s skills, personality, and services. So, actually, the need for health care is a lot like the need for fire departments.
Some fire departments have volunteers who provide their services free or at low cost. So do some medical clinics and hospitals. In fact, the only way for a lot of Americans to get health care is to use a free clinic staffed by volunteers who are willing to donate time and energy to helping other people feel better.
Controlling fires is necessary for public safety. And so is health care. Healthy communities are safer communities, in addition to being more productive communities. And not just from a public health standpoint.
The fire department model has been working really well in the United States for a really long time. In fact, we pretty much invented the volunteer fire department. Early versions of fire departments were indeed paid, and firemen would either charge after the fact, or refuse to attend fires until they were paid, or if the fire took place in a building that belonged to someone who wasn’t a subscriber to the department.
But that model, it was determined, didn’t work. Providing services only on the basis of ability to pay turned out to be damaging in the long term, and therefore this system was abandoned in favor of a system which provides services to everyone who needed them. Rich and poor alike, people get help from the fire department for free, because some things have an intrinsic value which is too important to wait for money.
People who commit fraud against a fire department can face legal penalties, including fees, just like I think that people who commit fraud against a health care system should. But beyond that, the service is free, and the same level of care is provided to everyone, which I find delightfully egalitarian. Models seem to suggest that the current system is in place because it works, and because it’s cheap.
So why aren’t we adopting a similar model for health care? We need single payer nationalized health care. Call it socialized medicine. Call it whatever you want. But that doesn’t erase the fact that we need it, collectively as a nation and as individuals.
People should not be seeking medical treatment under a false name so that it won’t show up on their medical records. They should not be ignoring medical problems because they know they can’t afford to treat them. They should not be sacrificing everything to pay for health care, or going bankrupt due to inability to pay. The costs of maintaining the current system have spiraled out of control. We need to dismantle it, and start all over again from the bottom.
Doctors need an incentive to practice, and to practice well. They cannot cower under the fears of huge student loan debts and monstrous malpractice premiums. Hospitals should not be making treatment recommendations on the basis of how much they can wring out of patients. Patients should know that when they seek medical attention, they will get attentive, personalized care from a provider who really cares, and will make recommendations based on need, not quotas and billing.
Now more than ever, with the threat of a pandemic flu on the horizon, it’s time to get serious about health in America.
Mr. Obama, it’s been 100 days, and so far I haven’t seen you do a fucking thing for the American people. Time to pony up with all that change you clamored about. Time to put the fire out.

Sharing the Sandbox
One of the things which activists, especially white activists, seem to have a great deal of difficulty doing is accepting criticism and respecting the safe spaces of other people. I notice this issue coming up again and again in the endless wars in the blogging community, and I think that it bears some closer inspection, as I too am guilty of this upon occasion.
The first thing to understand about social justice activism is that it must incorporate intersectionality. Without intersectionality as a starting point, it’s really problematic to advocate for social justice. Feminists can’t just be feminists. They also need to be anti-racists, and they need to think about the racial components of feminism, and the unique situations faced by women of color. LQBQT activists also need to be anti-racists, and feminists, for much the same reason. And so forth. Activism cannot take place in a vacuum.
Activists also need to accept that sometimes they are wrong. They are often wrong out of ignorance. I, for example, didn’t really understand what womanism was until I read more about it and got more perspective, and when I finally did get a clear definition, it was a very eye opening experience. By being open to criticism, I opened myself to correction, and I learned more in the process. I am wrong on a daily basis, and I accept that, and I also understand that I need to be proactive about correcting that, and that when someone corrects me, the response should be “ah, I didn’t know that, please teach me more,” rather than taking a silencing tack which totally ignores very valid criticism.
Silencing is a huge issue, especially with people of colour and people with disabilities (PWD). Silencing is almost always a mechanism of privilege, in which someone with privilege rides roughshod over someone else, often not realizing what they are doing. It is extremely harmful, both to the people being silenced and to activist movements in general, because it puts you in situations where people who could be working together are instead at odds, because they feel like they are not being respected. And silencing can occur between members of marginalized communities, as when a feminist silences a PWD, or when someone in the queer community silences someone in the Black community.
For marginalized populations, safe spaces are critical, and those safe spaces need to be protected. What’s a safe space? It’s a space where people feel comfortable, where they can talk and discuss issues in freedom. Safe spaces can be constructed for people of colour, people with disabilities, transpeople, and anyone else.
And, guess what? Sometimes, you’re not wanted in someone else’s safe space, not even as an observer, because some issues are extremely sensitive. And while I know it drives people batty to have doors slammed shut in their faces, sometimes this needs to happen, because it allows people to talk freely in a protected environment, to hash issues out, and to talk about things which need to be brought up in the community in general. Consider it a closed door meeting, if you will.
And when you are invited into someone else’s safe space, you should consider yourself a guest, and you should behave like you would in someone’s home. Sometimes, that means that you need to sit down and shut the fuck up. It definitely means that when someone says something which you think is hurtful, or that you disagree with, that instead of having a knee jerk reaction, you need to explore that reaction and think about it, and you need to frame your response very carefully, to make it clear that you are exploring the issue, not trying to silence people.
Often, I find that I read something which upsets or offends me, but when I start reading through the comments, I gain a deeper understanding. And, along the way, I usually find out that my reaction came from a place of personal hurt, rather than a place of genuine criticism and recognition. Hey, we aren’t going to agree on everything, but again, I say that safe spaces need to be protected, and that means that when someone makes a genuine complaint or observation, it needs to be treated with respect, not derision. I learn something every time I read something which I am not totally comfortable with and then go through the comments thread to see the issue unpacked and discussed. This is a great example of how silencing works, and why it shouldn’t happen.
We white activists often seem to demonstrate a need to be coddled and reassured that we are the “good” white people, and that we aren’t like those “other” white people. And yes, anti-racist allies are important, and should be recognized as such, but the fact of the matter is that they can still do stupid, hateful things, and a refusal to recognize that is a rejection of all that being an ally should be. When you claim to be supporting a community and members of that community question you, you need to LISTEN UP.
People don’t have time to coddle you, especially when you don’t need to be coddled. And, quite frankly, when white activists lash out and get all petulant, all that anyone else can see is their privilege, in all its shining whiteness.
Thus, I think it’s important for people to think about rules for sharing the sandbox if they want to play with the big kids. Because this constant infighting and flaring up between activist communities online is starting to drive me completely insane.