Tuesday, April 10, 2007

Mini-Slumgullion #35

Lots of people think politics don't really matter,
but if you're one of the poor and disabled people
who have to rely on the government,
politics can kill you.



Nick Dupree -- "I Feel messed Up":
This country has been slashing programs for the poor and disabled for over a decade like it has no consequences, or worse, as I detailed in Fighting Cuts, Demanding Universal Health Care, they think that cutting off services benefits them--that it is a great thing. It isn't. It doesn't benefit you. It is evil. I believe this is the fifth 21 cut-off death in the city of Mobile alone, that I know of. The disability community in the South feels under siege. Know that there's still a developing, worsening situation with home care policy in America as more and more people turn 21 and find the supports they need just aren't there.

Politics is not a game. The disregard (or outright cruelty) of politicians can kill.
The latest news on Baby Emilio Gonzales:
A judge granted a family's request to keep their critically ill baby alive, ruling Tuesday that the boy should not yet be removed from life support as the hospital planned.

Children's Hospital of Austin has been caring for 17-month-old Emilio Gonzales since December, but it says its medical efforts are futile and the child is suffering. It invoked a state law that allows hospitals to end life-sustaining treatment in such cases with 10 days notice to the family.

Emilio's mother, Catarina Gonzales, 23, challenged the decision, and the judge agreed to block the hospital's move for at least nine more days.

"He may not live that long, but that's nobody's choice. That's my choice. And that's God's choice. Nobody can say, 'No we're going to take him off, that's it,'" she said. She says her only son isn't unresponsive, and that he smiles and turns his head toward voices.

Probate Judge Guy Herman set another hearing for April 19 to consider Emilio's case.

The boy has health coverage through Medicaid, and the hospital contends money is not part of its decision. Its concern, hospital officials said, is the boy.
Michael Bérubé at Pandagon on "Testing, testing":
There are people who oppose abortion except when the fetus has a significant disability; there are people who support a woman’s right to abortion but oppose prenatal screening on the grounds that it will lead to a revival of eugenics. And, as I point out in the essay (by way of the work of Rayna Rapp, who’s written a terrific book on the subject):
the ultra-orthodox Hasidim in New York are strenuous promoters of prenatal genetic screening because Tay-Sachs disease — a genetic disability so excruciatingly debilitating that it sometimes seems as if it were invented by bioethicists as an extreme limit case — occurs disproportionately often in Ashkenazi Jews.
You can learn more about Tay-Sachs here, if you like — and then you can think about whether you would seek to bar prospective parents from screening for it. Interestingly, Rapp points out that while otherwise politically and culturally conservative Jewish groups (one of which advocates prenatal screening and conducts arranged marriages) have embraced screening for Tay-Sachs, the Catholic Church (OK, folks, here it comes) in New York City owned the airspace rights to a new hospital building under construction and demanded that “genetic counselors be barred from working in the new maternity service to be located there.” So while some religious traditions can be downright extremist, it’s not as if all religious conservatives agree about this kind of thing. Nor is it the case that all opponents of screening are conservative; some of them are disability-rights activists whose politics are generally feminist and socialist.
It's a weird choice of quote just above since Bérubé's post has lots of thoughtful aspects to it, but I just felt compelled to highlight that last sentence: "Nor is it the case that all opponents of screening are conservative; some of them are disability-rights activists whose politics are generally feminist and socialist." Those of us who are feminist disability-rights activists possessing impairments/disabilities are often disbelieved or dismissed when our political opinions appear to align with conservative beliefs. I say "appear" because I think that's a failing of those liberals who can't see the politics of choice in all its incarnations, particularly the ones that don't directly concern them. But anyway.

Another interesting aspect of the discussion Bérubé starts with this post at Pandagon is that the comments are overwhelmingly about gayness being something one is born with. As a topic, that's intriguing, I suppose. As a topic shift, it's tiresome and irritating. I haven't added to the conversation over there yet (so I've little excuse to complain, perhaps), but I invite everyone to do so.


8 comments:

Anonymous said...

Genetic screening .... I have bipolar disorder, as does one of my children. If it were possible to identify during pregnancy, it would be a deal breaker for a lot of parents, my own included. But my life is worthwhile, as is my daughter's. We just don't deal with the world the way other people do. But it's easy to write us off as "too much trouble" and then justify saying we'd have been better off to never have been born when it's their own reactions that are the problem, not the truth of our condition. Challenges come in all forms, and no one is immune.

imfunnytoo said...

I tried commenting on the "Testing, Testing" post by Michael Berube over at Pandagon but the comments were closed...

I have concerns about the language even in some of the comments that stayed on topic...particularly about one commenter's response that used the words "expensive" and burdensome"
twice.

It felt very much like those words perpetuate a stereotype we don't need....

And, again, coming from the left, not the right...

Growl.

Kay Olson said...

Hmm, maybe that's because the post is a month old and some of the real high-traffic blogs require real work to monitor just the more current comments. I'm sure that Marcotte and Shakesville's McEwan are still getting tons of trolls and hate mail from their brief employment for the Edwards' campaign.

I noticed Bérubé's post was the first and only over there tagged "disability." Hopefully the category will grow. I know there've been past discussions about disability that merit the tag too.

And, yeah. The ableist comments are why I often don't jump into the discussion at Pandagon or Alas. It's somewhat better at Feministe, in my experience, and I do believe that's because of the connections Piny has made between transgenderism and disability in so many thoughtful posts. It creates a different atmosphere which still isn't as friendly and accepting of disabled folks and their perspectives as the crip blogs, but it's noticeably better, imo.

Interrobang said...

My personal view is that it has to be up to the parents. Too much of this debate winds up having subliminally (or overtly) metaphysical connotations -- if you are never born to begin with, you're not going to notice that fact, but people seem to talk about it as though you would. I personally don't buy the validity of a lot of these "slippery slope" arguments, partially because they're a logical fallacy, partially because there are entirely lots of cases where there is a distinct "bright line." The provision for compelling state interest and viability as spelled out in Roe v. Wade comes to mind.

Simply because I'm a disabled person and I have a good life doesn't mean that I ought to espouse the position that anyone who finds themselves in the position of potentially having to go through what my parents went through raising me (or worse) should feel obligated to do so; that's practically the antithesis of choice.

I'm personally of the opinion that if by some miracle that didn't involve coercion or anything, like some magic bolt descended from on high or something, nobody was ever born with a congenital disability ever again, I'd be happy about that. I don't really feel that the "experience" is intrinsically valuable enough to make up for the sheer crappiness of that experience at times. Since that's not likely to happen ever (there is no divine intervention), the best we can do is to improve the experience and elminate the drawbacks as much as possible.

On a personal level, my disability is not fun, and if it left tomorrow, I'd be grateful for the rest of my life. Incidentally, I don't hate myself; I just get weary...

Kay Olson said...

I have been meaning to clarify here (though I've given my stance before on this blog) that I'm absolutely pro-choice and my concerns about the eugenic purposes of much prenatal screening don't mean I'm not in favor of women and their mates getting information about a pregnancy. It's the social and medical agendas accompanying those tests that bother me.

I highlighted that quote of Bérubé's about feminists who are disability rights activists and oppose screening not because I oppose screening, but because the idea that being disabled and having an opinion about the topic often means being dismissed as self-interested. It's been especially on my mind while the Kathy Sierra situation has been so widely discussed and all the liberal feminist bloggers I enjoy are affirming the need to believe women's experiences and how they relate to the online harassment and death threats so many women receive. It's not a directly parallel example, but there is the tendency to privilege a "mainstream" (white, male, nondisabled, etc.) understanding of an issue when the people with more direct experience of living that issue are an "interest group." It's been happening with the Imus thing too, where people of color and women incensed about the man's comments are told their outrage is out of proportion by people not directly injured by his remarks (not black, not female).

I've never bought the argument that it doesn't matter what nonexistent people would have thought because they were aborted or somehow don't exist. Not that I weep for all the souls that never will be or think they all would have been better being given the precious gift of life, but I think that's a convenient way to also discount people who many would rather not exist. Disabled people get that argument from anti-choicers: "How can you support abortion when someone like you would have been aborted by so many?" It's an absolutely untenable question for someone who believes in free choice and values their life, yet is basically being told their life lacks equal value. Or perhaps not untenable (there's value in an actual thoughtful debate), but one many disabled people are submitted to on the principle that we're unworthy to begin with.

I'm not clear, Interrobang, on what exact slippery slope argument you refer to, but I believe some are logical fallacies and some are not. For example, there is a clear progression from light, seemingly benign forms of prejudice and disrespect to more active violence against all kinds of oppressed peoples seen both in the historical sweep of events and in smaller social situations. Where slurs, verbal abuse, are not discouraged, there is an environment for physical violence to foster and grow. I don't see why that is dismissed in the case of screening and its eugenic purposes, especially considering the health care environment we have today.

I'm fairly ambivalent about whether or not my congenital disability is "intrinsically valuable." I am who I am because of it, but chance could just have easily left me someone else in experience and personality shaped by that experience. I don't believe it's delusional or narcissistic to find value in the unique experiences (both the good and bad) that my particular life has brought me. Nondisabled people are generally not given the burden of being judged for finding value in their lives, and while I recognize the possible and apparent deficits the disability experience has offered me, it doesn't make my judgment less valid than a nondisabled person's subjective view of their own life.

Eh, I'm off to bed.

Penny L. Richards said...

Until mothers-to-be have really good information to base a choice on, it's just not a good situation.

Too many doctors advise on quality of life issues, when they don't have the authority or experience to do so (they may understand the medical facts about, say, Down syndrome, but they don't have any particular expertise on the subject of raising a child with DS in the 21st century). As it now stands, too few parents-to-be have had significant, realistic experiences with disability to know what it might mean for their family. (News stories, movies, and talk shows are seldom a good source for information on that subject.)

There are so many ways to improve matters. Books and classes for expectant parents should be more helpful in providing up-to-date information and referrals to community organizations. Doctors could be clearer in explaining a diagnosis and its implications (how about "I can't tell you what this would mean for your family, but I can give you referrals to talk to people who understand more about this" for starters). And the more ways that disability becomes a natural part of more everyday lives, the less frightening it should seem as a possibility on the test results.

Kay Olson said...

As it now stands, too few parents-to-be have had significant, realistic experiences with disability to know what it might mean for their family.

True. I forget this sometimes because, you know, we're out there in the world like everyone else. I think mainstreaming has had some effect on younger generations. At least I hope so.

Penny L. Richards said...

I think mainstreaming has had some effect on younger generations. At least I hope so.

And the internet--the opportunity to contact (or just read the blogs and websites of) other parents, even in the case of very rare diagnoses, is huge for women getting prenatal test results. It's a chance to discuss the parenting realities and ask questions and just get evidence that "we're not alone," in a timely manner.