Medicare for All?

I wanted to weigh in on Elizabeth Warren’s statement.

Elizabeth Warren on September 21st:

There is something fundamentally wrong when one of the richest and most powerful countries on the planet can’t make sure that a person can afford to see a doctor when they’re sick. That’s why I’m co-sponsoring Bernie Sanders’ Medicare for All bill. The American people have made it clear that they believe health care is a basic human right–
but it will be a tough fight. Add your name to join me and show your support.

Just a few of my thoughts:

I am concerned that a single payer healthcare plan through Medicare may not be the best idea in solving the nations healthcare crisis.

First off, Medicare is a fairly well run bureaucracy in our country.  The coverage is good and fairly inexpensive.  Premiums typically run around $120 per month.  You can add a optional supplemental coverage plan and drug plan at a reasonable price.

My fear is that adding 180 million people will tax the system to the point where the non-social security members will not receive the health care that Medicare provides now.  Healthcare providers as it stands now need the revenue from private insurance companies in order to honor the discounts they must extend to participate in Medicare.

There may also be an increase in the amount participants pay for co-insurance.  This is the charge by providers that reflects the difference between what Medicare pays and the provider charges.

Socialized healthcare does exist in most countries.  What is not being reported is the fact that these programs tax these countries economies.  Also, these plans are  inherently inefficient causing it’s citizens to often face unreasonable delays in being able to see their provider.  This would be a significant reason why we should not have socialized healthcare or in my opinion, socialized anything.

Another thing to consider is that the United States economy identifies with a free market system with few government controls.  There are four different types of economies in our world, our system by far is the strongest.  Medicare, defense, national parks, justice, and infrastructure are just a few examples of the limited government controls within our economy.  A market economy relies on private citizens and private companies in order to provide the wealth and tax revenue that run the country.  Our economy also allows for its citizens to have ownership of property, business and even a free press.  Capitalism, free enterprise and our constitution are the keys.

In our two party government system, the republican party principles are based on fiscal balance through the relaxation of regulations and controlled spending.  The democrats principles reflect a more liberal, inclusive and entitling platform.  This is why it is so important that the two parties work towards compromise in order to ensure a balance.  This is also why in the Trump era neither party’s values are being applied.  The programs including healthcare have no thought out plan to fit in to either parties culture.  You can’t be supporting the values of the right if every significant piece of proposed legislation costs a ton without a plan to pay for them.  Conversely, you can’t legislate entitlement programs without a plan to pay for them either.  What is happening now is that we are legislatively functioning with every program based on political agendas.  This practice is what perpetuates the compounding struggles of programs like the ACA.

Here are Just a few thoughts on how I see healthcare for Americans:

First off I would repeal any programs that provide coverage for government employees.  This would level the playing field for the rest of America.  This would also provide a larger pool of insureds.

We would need to allow for insurance companies to provide policies over state lines.  As it stands, most larger providers operate in multi-state regions. If they can’t, I am afraid the costs for coverage would be unstable and non-competitive being subjected to coverage loss in some areas.

The mandate needs to stay in place. No matter whether the system is socialized or not, everyone’s participation is important.  If we allow the mandate to be repealed,  some insurers will fail and be forced to pull out of certain markets or go out of business which  doesn’t help anyone.  The thought that the healthy would only be paying for the unhealthy is narrow minded.  I’ve never met anyone who planned on getting sick, but most of us and our families do at some point in our lives.

Given the fact that almost all of us will need medical attention at some point, what  would not covering existing conditions accomplish?  It doesn’t make sense to me that a congress and President who want to nurture job growth and middle class opportunities would even consider programs that could bankrupt millions.  For instance, why would you allow the financial demise of a family that should celebrate the birth of a child, not go broke doing so.

Block grants are a stupid idea.  We are not naïve enough to think that states that are struggling financially wouldn’t pick pocket funds from the grant for other state expenses.  The effect would mean unreasonable cuts to the healthcare provided to their citizens.

It may make sense to expand Medicare to allow for healthcare for those that can’t afford it.  Before we just started pumping more into this program, I strongly believe that we need welfare reform.  I am sure that there is millions if not billions of dollars in Medicaid provided to those who commit fraud or for those who don’t really need the coverage.

Prescription drug coverage is out of control.  We need to hold the drug companies to agreements that reflect the lowest possible drug costs.  We also need to stop brand name manufacturers from paying the generic manufactures not to produce lower priced drugs.  We also need to provide low cost drug coverage plans that eliminate coverage gaps or the doughnut hole.  This is when the drug insurers stop providing coverage for the balance of the year when a person reaches a predetermined dollar amount of drug coverage.  This can leave Medicare patients for instance, from being able to afford the drugs they still will need.

We also need to consider the idea of streamlining a drugs approval process.  There are countries that seem to approve drugs much faster than the FDA.  One challenge for the US is the sheer number of drugs in the approval pipeline.  This particular bureaucracy could use some rehab.

If you take out the politics, it is very possible that the existing ACA program can be tweaked and modified to meet all of the goals that the government needs to achieve.

Anyway, I am no expert,  I just suspect that we are going to get a plan shoved down our throat that will probably not meet America’s healthcare needs.  Isn’t our government supposed to look out for us?




Government Control and Military Surplus

On Tuesday Attorney General Jeff Sessions announced the repeal of a bill passed by the Obama Administration to regulate the transfer of some specific types of military surplus to local law enforcement agencies, schools, parks etc.

The original program was established by the Clinton administration to allow local law enforcement and government agencies to obtain several articles of surplus equipment from the federal government.

The list of items include a variety of things from clothing, safety gear, aircraft, land vehicles, tactical gear even military weaponry.  There is even musical instruments and big screen televisions.

It makes sense that the local agencies that qualify for the surplus transfer can find value in obtaining things like clothing, aircraft, construction equipment, communication equipment etc.  Equipment such as tractors, snow cats and benign vehicles of all types can enhance a departments resources, especially the smaller departments that just don’t have the financial resources to afford some of these items on their own.  As an example, major beneficiaries of acquiring such gear could enhance their search and rescue efforts.

The controversy as it stands now is the part of the transfers that include military weaponry, high powered military rifles, hand guns, armored assault vehicles, grenade launchers and even bayonets are the main concern. These were items that were to be reviewed and restricted by the Obama administration.  Many law enforcement agencies around the country are returning many of these items because the philosophies and principles of these departments do not include the use of purpose built military weapons and military tactical equipment.  The idea is that most, including law enforcement groups in places like Chicago, LA and Seattle are not interested in establishing a military presence within their communities.

Earlier this week the Trump administration lifted all of the restrictions imposed by Obama because according to Attorney General Sessions, this type of equipment can improve security, safety and combat the rampant lawlessness in our country.

Sarcastically, I have a conspiracy theory that puts all of these components including unrealistic immigration restrictions, foreign policy and border security together to create an autocratic and military society.  Manipulating and eliminating the free press is a perfect way to get the message out to the citizens that these policies would protect.

Although this theory has not been independently evaluated,  I am sure that most people will see the logic.

By building the wall we will divert drug trafficking from land to the open ocean.  Since the government is cutting funding to the Coast Guard, the new plan is really to apprehend  these bad hombres after they successfully navigate the waters off our sovereign shores without detection and land on American Soil.

By allowing local law enforcement  to arm themselves to the hilt, we can establish check points at all city, county and State lines.  There, we can capture anyone who appears to meet an arbitrary nefarious profile.  The best part is that we could stop, search, check for citizenship, confirm the identity, religious allegiance and social media activity of everyone including law abiding citizens and their passengers who are just passing through.

These check points will be manned by heavily armed officers dressed in military uniforms adorned with appropriate technology.  These tactics will ensure that undocumented border jumpers, drug traffickers and minorities (only the bad ones) would be caught and taken down.  Should you try to escape the check points you will be brought to justice by a very large caliber bullet, a grenade or be run down by an armed assault vehicle.

The benefit to our country is that these tactics will reinforce the President’s promise that he will not tolerate any “lawlessness” in our country.

Although these practices will require minor changes to our constitution, it makes perfect sense.  In order to ensure these methods work, our country will need to make a seamless transition to a government run by the government for the government which will require the dismantling of our pesky congress. We will need to expand the president’s role to include a governance more reflective of a dictatorship rather than a democracy.  Putin and Russia can be the perfect model to build from.

Problem solved, we will all be thrilled that our government will take these steps to make our country great again.

Ok, I made all of this up.  Actually, I am truly concerned that some parts of these ridiculous concepts could really happen and even be supported by some Americans.

We do not live in a disastrous and lawless society riddled with economic and monumental security shortcomings brought on by previous leadership.  America is already great.  Maybe we need to rethink who we allow to represent us.


Global Climate Change Effects even the Grand Canyon.

There is an interesting thing about Americans.  Unless you have a deliberate conversation regarding politics, there is no way for you to know what party a person is supportive of.  I guarantee that if you where in a room with 10 strangers, there is no obvious way to tell whether they are republican, democrat, independent or even disinterested.

If the subject comes up, you would be surprised by the details of each person’s beliefs.  As a democrat, I am always interested in hearing the point of view from everyone including Trump supporters and Republicans in general.  Since I live at the ocean, the subject of the environment is a common topic.  Some people don’t realize what goes into cleaning up a mess such as a minor fuel leak from a fishing boat.  The truth is that if you see it first hand, you are happy that someone is cleaning it up, even though there is usually a huge beaurocratic system in play.  When I was younger, no one worried about the environment.

With regard to Climate change,  I have had some heated discussions with friends who defend the president when it comes to the validity of the scientists conclusions about climate change.  A thoughtful argument is the “so called” effects that global climate change is having on areas of the world such as the Grand Canyon.  My dear friend Jason claims that the Grand Canyon demonstrates that climate change is a hoax.  He maintains that the Grand Canyon was created by erosion and that the canyon has not been effected by any changes in the environment.

In the interest of disclosure, I am no expert on environmental science.

The simple argument to his theory is that first off, the Grand Canyon was created by a massive climate change event.  The thawing of the earth caused huge water gushes across the lands which in turn caused the erosion of places like the Grand Canyon.  The Colorado river which runs at the base of the canyon is now the size of a ravine compared to millions of years ago.

The climate event that we all or most familiar with was the ice age…The ice age and the recurring major freezing events started at least two million years ago.  Scientists believe that the freezing of the earth was caused by a major shift in the earths orbit or tilt on it’s axes as well as plate shifting within the worlds continental masses.  As a result the world froze over.  The  remnants of the ice age that we are more familiar with is huge glaciers that were left especially in the Antarctic and places like Alaska.

The Global Crisis we are facing now is the opposite of the events millions of years ago.  Instead of freezing, the world is getting warmer.  Scientist believe that the earth is getting warmer much faster as a result of the emissions introduced by humans.  The change is happening right now during our lifetime instead of millions of years in the future.  There was a time in the not too distant past that humans produced no real significant carbon into the atmosphere.  Thus the melting glaciers and global weather events were nothing like they are today.   Today, the human race has been emitting catastrophic amounts of carbon dioxide and other human produced pollutants into our atmosphere.  The results can be seen by just taking a few minutes to study the changes.  There are thousands of examples of the accelerating effects of global warming in our world.

Nobody believes that the Grand Canyon is going to collapse in on itself any time soon.  The more serious effects of global warming in the Grand Canyon as a result of warmer temperatures include changes in the environment of habitat and their eventual demise if something doesn’t change.  Game, plants fish and birds are already experiencing the change.  Surprisingly, there will even be negative effects on the native American population who live within the canyon.

The weather around the world is changing and becoming more extreme.  These changes can not be explained away by “normal” twenty year weather cycles or even hundreds or thousand year reoccurring weather phenomena’s.

Even a tiny, minute change In water temperature causes oceans to rise.  An example of what warm water creates, is chemical reactions in the  water and land causing acidity in the waters close to land.  As a result, fish migration is and will continue to change causing the fish to seek and stay in colder cleaner waters farther away from land.  The migration patterns of billions of sea life species are effected.   These are changes that haven’t happened in millions of years.  speaking of acid and chemicals, there is an accelerated degradation of limestone both underwater and on land.  The Grand Canyon has major layers of limestone in it’s structure.

At the end of the day, just having debate is healthy.  Climate change is not affected by politics nor religion.  The world has acknowledged that we need to do something now if future generations of human kind are to survive.  That starts with adhering to and adjusting our behavior as well as being caretakers of our environment every day within our daily lives.  Interestingly, a large part of the business community support the efforts, at the very least,  because the future of business will thrive as we grow and continue to move towards the creation of more natural, sustainable products.

Who knows, maybe our great, great, great, great grandkids can text us in heaven and let us know how we did.

Who Says it’s So

Print       When I was much younger and full of opinions and factual commentary(in fact you couldn’t shut me up), my parents bestowed on me a bit of wisdom. “Just because you say it is so doesn’t make it so”. I don’t think the president had the same conversation with parents.

We all believe that when we say something, it is fact or we wouldn’t say it. (unless we are purposely lying.

Who says that Jack fell off the bean stock 3 times before making it to the top?   Who says it is so that a majority of Americans believe that the President is going to live up to his campaign promises?   Who says that is even possible or a good thing?   Who says the coal industry is the single biggest jobs issue in our country?   Who says that Mike Pence would make a good President?   Who says that Jennifer Granholm,former Governor of Michigan wouldn’t be a good President?   Who says that congressional leaders including Senate Minority Leader Schumer, Senate Majority Leader McConnell, House Speaker Ryan and House Minority Leader Pelosi are representing their parties in the best interest of America?   Who says that there aren’t Congressmen and women who would be more effective or qualified?   Who says that alternative facts are even close to real facts?  Who says it is not the responsibility of the President to plug the leaks within the ranks of government?   Who says that the President even knows the Constitution?  Who says that congress even knows the specific details of the ACA and AHCA?  Who says that the division within the two parties in congress,who spend most of their time criticizing each other rather than endeavoring to compromise is good for the people?  Who says that the wholesale repeal of every regulation imposed by President Obama is good for anyone? Who says that Congress and Americans even know what is being repealed and what their effects are on everyday life?  Who says it’s so that it is common and sometimes good for administrations to set up back channel communications, especially with our adversaries?  Who says that media propagates fake news?  Who says that the media’s Whitehouse sources don’t include the Whitehouse gardener and service staff?  Who says that Steve Bannon isn’t actively trying to dismantle our democracy?  Who says that President Trump isn’t Bannon’s personal mouth piece?  Who says their is such a thing as the swamp on capital hill?  Who says that the president’s past shenanigans will not effect his ability to staff the Whitehouse with quality cabinet and professional level people? Who says that insurance companies like Humana should be able to pull out of some markets yet continue to reap the benefit of covering government programs such as Medicare?  Who says that the president even knows what a market economy is?  Who says there is such a thing as a “grey” area?  Who says that reducing taxes for the wealthy would result in more tax revenue?  Who says that the federal,state and local municipalities are providing the tools for the development of the middle class using the principles of Free Enterprise?   Who says that cutting important funding and eliminating regulations would benefit anyone other than the effected businesses?  Who says that Illinois, Pennsylvania and Ohio represent the views of the rest of the country?  Who says that gangs and gang violence shouldn’t be a higher priority?  Who says that Climate change is not real?  Who says that reducing the budget of the Coast Guard will improve their ability to enforce the boarder and catch drug runners?  Who says that Americans that make up the Trump “base” are the most important segment of our society?  Who says that lying to and misleading the public will benefit anyone?  Who says that green energy will replace shale energy in the not too distant future?  Who says that the current curriculum in America’s public schools is the best prescription to educate our young people?  Who says that there is a difference between Right Twix and Left Twix?  Who says that many billionaires aren’t the most significant philanthropists in the world?  Who says that being condescending to our allies will allow us to maintain credibility and respect as world leaders and stewards?  Who says that the average shareholder would be ok with a decline in the value of their stock investments in order to reform wall street? Who says that President Trump has a clue of what the specific benefits and restrictions are for the lawmaker’s bills he supports?  Who says that cutting the budget for National Parks and allowing for oil companies to prospect and drill isn’t the most disgusting financial position the President can take?  Who says that trying to force South Carolina to clean up and pay for the hazardous mess at his son’s failed business demonstrates the President’s passion for the environment and jobs? Who says that the President’s jobs agenda is going to help put all Americans back to work?  Who says that the United States isn’t the most powerful country in the world?  Who says that the 12% of Americans (according to the 2010 consensus) that are Hispanic are illegal or bad hombres’?  Who says that the National Enquirer deserves more credit? Who says that cable news isn’t into using “breaking news” too much and leaving viewers to roll their eyes? Who says that the 110 billion dollars in weapon purchases by the Saudi’s is real and that we should sell them sensitive American technology in the first place?  Who says that the quality of life for most Americans’fds is desperate?

I could go on for days…The message is that we need to stop and ponder what the real facts and effects are for all the things that we believe, contemplate, express and feel strongly about.


Thoughts on Addiction, Mental Health and Homelessness

Gangs and drug importation are among the biggest issues facing this country and the world.  The truth is that they have been a huge issue for this country since the mid-1700s.

Today, the issues of mental health, addiction and homelessness are the popular topics in any civic conversation.

I have put together some of my thoughts on these topics.  Because there is a lot of competent and expert information available to all of us, it may be worth doing a little research on your own.  I must disclose that I have a very limited knowledge of the causes and effects of illegal and prescription drug abuse.  I will only assume that drug and alcohol abuse share similar relationships.

First off, I am now in my late 50s which can account for some of my logic related to all of these subjects.  Being brought up through the sixties and seventies, I have seen firsthand some of the problems as well as the effects they have had on our country and communities. Throughout the years there have been differing discussions on certain specific issues, however all mental, addiction and homeless cultures share the same causes and effects regardless of what is happening in the world

Alcoholism is a disease that in some form or another effects 30% of our population.  The fact is its use is legal and openly and socially acceptable.  Although an older statistic (2013), it is reported that 570,000 people die each year from alcohol and drug use.  Deaths by alcohol account for the most.

Addiction, whether it be alcohol or drugs does not largely effect any specific group of people whether it be ethnicity, stature and financial standing.  A big exception would be the pervasive crisis of addiction among Native Americans. There are some that would argue that minorities particularly African Americans are far more susceptible to drug and alcohol abuse. Statistically, that is true for some very specific groups.  One thought is that with more and more Americans evading daily “oppression” and disadvantage, the number is slowly changing for the better.

When alcohol use turns into alcohol dependency and addiction, the user becomes unable to navigate life in a healthy manner.  Although some may think that they are functional, all alcoholics experience a difference in their ability to function without drinking.  Their ability to make decisions that are reflective of their principles change, their physical condition changes, their relationships change.  An alcoholic focuses a significant amount of time and energy every day to plan for their next drink. As a result it becomes natural and important that they make alcohol a part of their day. Because any addiction is expensive, their financial priorities change to accommodate the lifestyle.  Additionally for most, being addicted to one thing means that you are probably addicted to another.  The one thing that alcoholics believe is that people around them don’t see them as being a different person when they are under the influence.  Families and relationships become jeopardized because of the inherent selfishness and inability to be responsible for their actions.  For a while, people in an alcoholic’s world become adapted to their behavior, yet sooner or later that changes.  Some insist that because of the effects, they are likely to be more loving, caring, intelligent, nimble and successful.  It is true that some alcoholics can function during a portion of their day. For many that means that they can make decisions and act independent of the portion of their daily life when they are drinking.  In some cases, they can function during work, yet will be at the nearest liquor store within minutes after the work day is over.

Alcoholics believe that they can drive under the influence.  The common logic is the same as most sober people.  The cause of accidents is because of those who have no business driving are driving.  We all know the facts relative the diminished driving functions of someone who drinks.  The horrifying truth is that a drunk driver would never want to hurt anyone for any reason.  Unfortunately the result of their actions and tempered thinking sooner or later will probably cause a terrifying change to the lives of responsible, safety minded people who would never consider putting others in harm’s way.  Because of this, the consequences should be and are sever.  In our society, you will not find anyone who believes that a drunk driver is anything short of being in possession of a deadly weapon with no control over whether the use it to harm or kill someone else.  If you are an alcoholic that has escaped life without the consequences of your actions, the potential victims are the ones who are to be considered lucky and spared, not that you poses some special talents that separate you from everyone else.

Alcoholics believe that they are fit enough to escape the physical perils of drinking. Early on, they all are under the belief that they can control or stop their drinking any time they want. The actuality of that happening with any long term success is virtually impossible. Alcoholism can be inherited by those within an alcoholic’s family.  That is not to say that just because your uncle is a drunk, you are destined to be as well.  Alcoholism is progressive.  What that means is that an alcoholic may start out innocently enough being one that does not have any warning signs or indications of what is to come.  Understanding of the pathway that establishes at what point the addiction takes over is still open to discussion.  There are also some that would be considered heavy drinkers or even bingers who physiologically are not predisposed to the disease.  If you are keen at recognizing an alcoholic, you can’t tell the difference except surprisingly many of these people moderate or discontinue their use whenever they want.  Basically, not all drinkers are alcoholics, but all alcoholics are or were drinkers.

There are mixed thoughts on treatment and its effectiveness.  Most treatment programs that are available to those with alcohol or drug addiction issues are usually found at corporate health facilities that are part of a larger hospital system and are funded in part by the government as well as qualifying private insurance.  Judges are trying in earnest to force changes to individuals who let themselves become liabilities within their communities.  Unfortunately, Judges and other authorities can only prescribe the treatment programs that they are sanctioned to use.  The success rate is so bad that judges and other groups within the corrections community become frustrated that the desired outcome of their direction and intentions cannot be achieved.  The long term result is not usually good for children and families. For those of us outside of the government controlled systems, we would think that we would have an advantage to receive a better quality of treatment.  There are some treatment methods including medical intervention that can give more relief than traditional counseling based treatment plans, however the long term success rates aren’t much better for this treatment that many don’t have access to.

Most people who are faced with and committed to changing their lives and want to live free from the control they have given to their addiction. Take treatment very seriously.

I believe that for anyone faced with treatment for the first time, they have some very simple yet naive expectations.  They believe that being cured for alcoholism is similar to having your car repaired.  We drop our car off at the service department in the morning with the expectation that when you pick it up at the end of the day it will be fixed.  With alcohol and drug treatment, the actual treatment period is very long even after the initial treatment.  As an alcoholic or drug addict you must engage in life changing activities that will give you the best chance to succeed.  Anything short of that and you will have wasted someone’s time in trying to help you.  At the end of the day you need to get to the point where you can honestly tell yourself you can see yourself not ever having a drink again.  If you can’t get to that honest milestone, you will fail.  The statistics for relapse are very surprising and unbelievable to some.  As it stands, the failure and relapse rate for those who have received treatment is approximately  80%.  That means that if you have your future and your family’s future riding on your ability to fulfil your commitments, you need to do exactly what it requires to succeed.  Don’t make the mistake of listening to the false sense of victory that will run in your head.  Also, alcohol, being progressive means that if you relapse, you will be picking up where you left of or even worse.  The idea that taking a break will allow your body and your mind to step back to a more manageable time is dangerous.   The relapse is usually when the physical and mental effects turn into the most destructive.  The chemical effects in your brain become serious and usually don’t leave you as lucid as you once were.  Physically, your body no longer is able to fight off the permanent effects that your addiction had been quietly causing.  This is usually when you rarely have the option to effect any positive change.

The physical effects of long term drinking are serious and can eventually cause death.  Doctors will tell you that you need your liver to live.  Other systems including your brain are also necessary for life.  Alcohol destroys many organs and causes serious cognitive function problems within your brain.  The most commonly known organ failure is the irreversible destruction alcohol causes to your liver.  The levels of deterioration in liver function are medically described in stages. Stage one is when your liver excretes an enzyme that indicates the presence of fatty liver disease which will tip doctors off to the existence of liver disease.  Stage two is when the damage causes alcoholic hepatitis of the liver including the liver losing its supple mass of tissue and affects the ability of the liver to properly filter your blood. Stage 3 (the most common) is cirrhosis of the liver.  In this stage, the effects of the liver trying to process the toxins causes a permanent degradation and scarring on and within the liver. Stage three liver disease cannot be reversed, however, abstinence and treatment can allow the liver to continue functioning.  The scarring will obstruct the flow of blood through the liver which in turn starts the process of total liver failure.  Some of the more serious symptoms are when fluids that normally process through your liver become diverted into your abdomen.  Bacteria and interference with other organs can be very dangerous, even fatal.  Another condition would be varices. The cause of varices is a result of blood that tries to filter through the liver and becomes obstructed by a scar.  Instead of just stopping, the blood diverts to a nearby vessel which becomes swollen and filled with too much blood.  In this case, should the vessel rupture do to the pressure, very quick, severe and fatal bleeding can happen.  Stage 4 is when the liver basically fails.  In this case there are no more treatment options.  As a result, a liver transplant would be the only option for survival.  What may not be known is that an active drinker or user will not be placed with any priority on any transplant candidate list, therefore giving the chances of receiving a lifesaving liver donation very small and unrealistic.  I think the logic is that if a surgeon was to transplant a fairly healthy organ into someone who has destroyed their liver, the chances of the healthy donated liver failing are so high that the conditions of the majority of sober candidates would be considered a priority.

It has been my observation that the life of a drug user is very similar and can cause the body and mind to deteriorate quickly.  Social issues related to illegal drug use demonstrate the destruction drug addiction can cause to the individual, their families and their community.  I don’t profess to know the impact of so called “gateway” drugs except observations of the discussions related to the process that causes legal drug users to take up the use of illegal drugs because of the affordability disparity.  I do know that from the 60s until today,  the drugs that are most popular have changed or have returned to popularity today.   Heroin, cocaine, lsd and amphetamines where the most common in the 70s.  One drug anyone younger than 40 doesn’t probably know is that in the 60s there was a practice of  reckless prescribing and abuse of Valium, a narcotic that causes a calming sedative quality.  This drug and addiction was usually thought of as a housewive’s drug of choice being no more dangerous than alcohol.  Cheaper drugs such as heroine, crack cocaine, crystal meth and others have been most common among users today.  Compared to alcohol abuse, the causes and effects are very similar.  More prevalent to drug addicts is the theft and deception required to continually get the money to obtain drugs which causes a direct and grave impact to the communities they live in.

I do believe that marijuana use has been unfairly placed in the same package as other drugs.  Although I personally believe that an addiction is an addiction whether we’re talking about weed or not.  I also believe that marijuana use does not necessarily cause the same serious conditions and consequences that other drugs, including alcohol do.

Mental health is a subject that is popular in the discussion of substance abuse and homelessness.  It is so important to remember that when a condition elevates to the point that requires professional attention, you cannot look at these conditions and believe that the individual has the control to pick themselves up and return to normal.  Mental conditions usually relate to a system or systems in the brain that stops functioning correctly.  Since the brain is really just one big mixture of chemicals and electrical impulses, the symptoms and treatment can provide relief for short or even a long term.  Symptoms vary greatly,  the causes vary greatly, the treatments vary greatly.  Some conditions present very dangerous symptoms.  For instance those who suffer from PTSD and major depression are subject to suicide rates of up to 20%.  For others, cognitive (memory, logic and intelect  functions), physical and mental conditions can become very serious, especially without treatment.

There is a very real direct or indirect connection between mental health conditions and homelessness.  It seems to me that most homeless people haven’t always had problems controlling their ability to participate in a normal society.  The available statistics can be so different that it’s really impossible to get a grasp of the numbers, including determining who has mental or substance abuse issues that result in them being homeless.  The tragic fact is that a very large percentage of the homeless are made up of people who in some cases did not have control over there internment to homelessness.  Sometimes, it is as simple as losing a job or the splitting up of a family or even an environmental catastrophe.  I have never met anyone in this category of the homeless population who wants to be there or wouldn’t do anything in their power to change their homeless circumstances, including addressing the related causes.  For some, they don’t possess the ability to navigate systems that are in place to help them.  The priority of support services is much higher for those with displaced families that include children.

Homelessness as it is commonly thought of has been an issue since the beginning of the human race.  It is interesting that in history, the lifestyle of a homeless person today would be considered very normal.

There are so many different variables that can cause an individual to lose or sustain the ability to keep themselves functioning in a healthy manner, including keeping a roof over their head.

Like I pointed out, there are so many mental and emotional conditions, that we could never start to understand them all.  If you would like to check for yourself, there is a reference book called the DSM V (Diagnostic and Statistical Manual of  Mental Disorders version five).  This is a medical reference book that is used by most professionals to identify and diagnose specific conditions.  Do not try to self-diagnose, you will most definitely not help yourself. The commonly known mental illnesses such as post traumatic syndrome, depression, bi-polar depression and even psychosis are just an extremely small portion of the overall number of serious illnesses. .

Some of these factors contribute to the reason that some homeless people have no desire to return to a normal society.  Sometimes when you have adapted to your environment, you don’t see any different lifestyle.  One of the larger issues is the common effects that homelessness causes to neighbors and nearby communities.  Usually, the conditions within the homeless communities can be very unhealthy or even dangerous.  Drug use, crimes, squalor and violence are all too often the norm within the homeless community.  That is not to say that all homeless people have no scruples or don’t care about other people…just that the culture is created and sustained by many who suffer  mental or chemical abuse issues that don’t give them incentive to consider the effects of their actions.  The one big blessing for our society is the groups and volunteers who are committed to assisting.  Without them, we can only imagine the outcomes caused by all of the different variables.  These groups are very effective in providing outreach, food, advocacy, housing, health assistance and general support.

Being in a funk is normal for everyone, however, If you feel like you just can’t function the way you feel you normally would and should it last for weeks and months, talk to your doctor.  If it turns out that you need some attention, take it because your feelings will only get worse…Trust me.