It’s 2021 and Time for a Change

Only by Working Together can we End Covid, and End Current Shocking Threats to our Democracy

I write about stress in American cities, but of course stress and its relative, depression, are almost everywhere just now. Most of us are feeling pretty low about the pandemic, and frightened about what’s going on in Washington. Just as I was finishing the post, it was announced that President Trump threatened Georgia’s Secretary of State, trying to force him to add made-up votes so it looks like he won in Georgia. It’s amid the furor created as a result of this mob-boss-like attack on our democracy that I want to encourage all of us to work together to protect that democracy, and to end the ravages of this terrible pandemic.

If you’re up on what people are going through with Covid just now you can skip this section, but I’ve put some of the latest here to illustrate all the agony for which one man is largely responsible–Trump. I do have hope that we can triumph over and begin to decrease the travesty and destruction of the past year. It’s hard to maintain that hope, since some of the darkest days in many decades, for our country and much of the world, are now upon us. To begin, here’s what we need to fix:

Hospitals and healthcare workers are stretched to the limit, physically and psychologically, as are of course patients, their families, and the growing numbers of jobless, hungry, and homeless. One nurse feels as if he’s treading water a hundred feet below the surface, trying to reach the top but never getting there, so all he can do is keep treading. Another cries as she describes how she and her colleagues can’t intubate patients who desperately need it, and can’t even sedate them because there aren’t enough supplies. Know that many of this virus’s effects are too unbearable to go through without sedation. With proper leadership at the top this horror would have been fixed immediately. In fact with a different President it never would have occurred.

So misery beyond imagining, for many months now, has been caused by Trump, master of non-caring, who will be forever deemed responsible for the deaths and suffering of many thousands. Think how many might have survived had he taken the reins and acted like a leader. If he couldn’t lead, one hoped he might turn into at least a halfway competent human being with something like a heart rather than a stone in his chest. But now we know better. Or do we?

He’s also raised most of our the blood pressures with his golfing, sulking, and tirades while simultaneously putting our democracy (emphasis on “our”) in danger repeatedly. He doesn’t get that if he succeeds in his power grab that the country will no longer be what it was. It will at best be a shaky shell of itself. He’ll be the president who destroyed the United States.

It’s almost impossible to imagine how, with all of America’s misery laid out right in front of them, Trump and his cowardly buddies don’t even try to hide their belief that the only thing of consequence in this universe is their own wealth, elite position, and power. How can they bear to know people are struggling for their last painful breath, and desperate, exhausted doctors and nurses are trying in vain to comfort and save them, without helping? Right now the doctors don’t even have enough oxygen for patients fighting for air. What kind of monster will Trump’s party be willing to accept as a future leader if they can accept this barbarism as leadership?

The lack of vision, the arrogance, and the sheer depth of utter selfishness are in the open, plain to all of us except perhaps to the unhappy base who live in fear of nonexistent threats and sadly continue to feed their hard-earned dollars to Trump and Co. But it is Trump and Co. who will be excoriated down the centuries. Their actions have lead to one of the most colossal and tragic failures of leadership and morality in the history of the world.

Congratulations, Trump and cronies. You’ll always be remembered.

(Members of Trump’s base, please have a look at the short section following this one, titled Special Message for Trump Supporters and Base. It’s written with the hope that we can work together for a better future.)

When I get depressed, I try to help someone. Happiness experts say it’s one of the best things we can do–good for the helper and helped! There are powerful actions we can take to aid those fighting to help the ill, hungry, and homeless, to preserve our democracy, to turn around climate change, to make peace and not war, to stop hatred, violence, and tyranny of all kinds, and to put an end to the cruelties inflicted on so many by the other bullies and dictators of the world. Even our smallest effort is of enormous value. Just smiling at someone you don’t know is remarkably powerful.

Some other examples of how we all can help:

Give patients, medical workers, necessary workers, and everyone you’re in contact with a chance to remain healthy and able to work by keeping your distance, washing hands often, and wearing a mask. Maybe even two masks when you enter a store, since many people’s masks slip off their noses. It’s more important than ever to do this since now we have many new variants of the virus that are even more infectious. Make sure your mask covers your nose. I walked out of a coffee shop today because the barista’s mask was completely off his nose and he was making my drink. He was also endangering his colleagues at the shop.

If you’re so lucky as to be offered a vaccine, try to fight any fears by educating yourself. If you have allergies or other conditions, ask your doctor to help you figure out if it’s safe for you to take it. The more of us who take it, the faster the pandemic ends. Some of the conditions may take some time to be clarified. I’m very allergic to the anti-nausea drug Compazine. Is that a problem or not? I don’t know yet and my doctor doesn’t either, but she’s trying to find out, and hopefully she’ll know within a few months as more is learned.

If you must wait like me, the best thing you can do is observe all the above safety precautions. The next vaccine that’s developed may be better for you and me if the current ones aren’t. Once we get our shots, whether or not we have known allergies or other conditions, we can make sure they watch us for the recommended time after the shot (I’ve heard both 15 and 30 minutes). It sounds to me as if all of the health workers know to do that. But if they don’t, ask. Make sure they have handy such treatments as Epi-pens, etc. to counter any unexpected reactions. Again it sounds like that’s required wherever they vaccinate.

Volunteer. I hear often about the joy people take in volunteering, have enjoyed it myself, and highly recommend it, though for some of us it’s not yet safe to work next to others. But we can do a lot of good by working on projects at home or by donating to groups who are helping in many causes. Get creative. I read about a woman who converts political yard sign frames into tools for the disabled.

In this atmosphere of violence and hatred that’s been ramped up since Trump appeared, we can do good by simply acting with newly conscious kindness and empathy. Don’t underestimate the power of kindness. We can be kind to neighbors and colleagues, and learn to appreciate, if not love, all people of all sorts, those we know and those we don’t.

Work to stop any suffering you know of, in both humans and animals, including animals raised for food. They are so helpless, and if you don’t think so, go to a farm and pet a lamb or goat. It can change your life. Animal agriculture is one of the biggest casues of global warming.

CharityNavigator.org is a good place to find organizations you can donate to in order to help solve problems and end suffering both near you and throughout the world. Just a few of the many good organizations that I like are World Wildlife Fund, Environmental Defense Fund, Union of Concerned Scientists, World Central Kitchen, and Feed America. Some may have chapters near you where you can help in person.

Help President-elect Biden counteract the destruction by Trump of so much that is precious to our country, our people, and the world. Don’t think politics, just think kindness, empathy, and good, caring leadership, and you’ll know who to depend on and support. Even if Biden isn’t your favorite person, he has a good heart and a lot of wisdom and good will–exactly what we and the world need right now.

Be kind to yourself too. Reach out for help with anxiety and depression if you’re suffering from them. There’s no longer a stigma about this, and if anyone acts as if there is, you don’t need to hang out with them. Almost everyone has experienced those problems at one time or another, some chronically, and especially during this past year. Anyone who hasn’t been depressed during the pandemic is indeed fortunate. If you are depressed or scared or anxious, you’re not alone! Help is there, much of it online with therapists, helpful groups, and more.

One last thing we can do to help turn things around in 2021 is to ask members of Congress to do everything they can to stop the dangerous and selfish charade of Trump and cronies trying to invalidate Biden’s win as our next President, an exercise that endangers our democracy and invites the world’s tyrants to take advantage of us while destroying our reputation as beacon of freedom and justice in the world. These people are participating in nothing less than a coup, an ethical, moral, and existential danger to this country, to your own and your children’s lives, and to all those in the world whose last hope was to get help from the United States of America.

Special Message for Trump Supporters and Base

Give science a chance, even if you’ve been doubting it. Try to see the major questions of our time outside of the political sphere. Use “slow thinking,” which I wrote about a few months ago, and ask yourself if you really find a conspiracy theory or a scary statement you heard to be believable. Check more widely for evidence, beyond the social media or news sites that promote these and other upsetting theories. Away from these sites, it’s widely believed that QAnon is just something someone made up (and may be making them rich as well). Don’t fall for it. It’s a sad, scary way to live. It’s so much better for your mental health just to put your energy into helping others, maybe right there in your community.

Many people from both parties have noted that Trump’s base is being used largely to get more money for Trump to pay his legal and other bills after he’s out of office. You likely haven’t heard it if your news sources are only a few, but if it’s true, is that really where you want your money to go? Do you want to live in the atmosphere of hatred he seems to thrive on? If you believe the pandemic is not real, ask yourself how all this massive suffering and dying could be fake? Why did Trump need special expensive medicines most of us can’t get to cure his own case of Covid? Yet Trump has said again recently that the reported deaths from Covid are “fake news.” It isn’t even remotely possible to fake 350,000 deaths.

About Slow Thinking (a Good Thing), plus an Offer of Friendship from a Democrat to Republicans, Independents, and Undecideds, and a Request for Their Help

A recent program from the TV series Hacking Your Mind explains that while we imagine our conscious minds make most decisions, in fact we go through much of our lives forming quick opinions without even realizing we’re doing it, using what researchers call autopilot thinking. We rarely take time to consciously consider opinons more slowly, which researchers call “slow thinking.” They also find we tend to stick to an opinion we made on autopilot, even if we later discover we were mistaken. We especially stick to it if it’s held by groups we feel we’re part of (Democrat, Republican, White, Black, etc.)  

Knowing about slow thinking and some other ways our minds operate could help Americans right now. But before getting to those, I have a proposal. In hopes our divided nation can come together and solve problems in an atmosphere of civility and empathy, I respectfully ask those who are considering re-electing the president to read what’s below. I come in peace, and write from my heart. I hope you agree at least that rather than the conflict and angry rhetoric we hear so often, it could be so much better (and make us happier) if we could work together to solve our many problems. We might even get to know and like each other. (As I finished this post the president and first lady contracted coronavirus. I wish them a quick recovery, and have left these thoughts mostly as they were, assuming he’ll be able to continue his campaign.) 

Back to Hacking Your Mind, researchers say it’s in our history and genes to want to belong to groups, and to feel a pull to compete with or even fight with other groups. This tendency can lead to an “us versus them” frame of mind. “Us vs. them” thinking oversimplifies and distorts complex problems by dividing the world into an “us” and a “them,” and scapegoating and vilifying” the “them” according to writers for Psychology Today.* We see this in sports, politics, and other areas. 

The writers say there are two theories as to how “us vs. them” occurs.One involves competition. As I understood it, an example might be a country struggling with a terrible economy blames a particular group for it, even though that group has nothing to do with it. (A version of this occurred in Nazi Germany). Or it may arise for reasons concerning identity and self-esteem. One of the writers explains: “the mere categorization of people into an us and a them is enough to produce hostilities.” So if you’re a member of a certain group, you may think it’s natural to feel hostile toward a group that thinks differently, even if it’s full of lots of perfectly nice people. (Note from me: What if the two groups talked about their differences together over coffee? Can we not have some differences without figthing about them?)

Social media has made these tendencies more extreme, for example when it’s used by bad actors who want to get us so angry with each other that we fight with and even kill each other. Hacking Your Mind tells of someone on social media who made up names for two nonexistent groups, and statements that would make each group hostile to the other. They then announced a meeting of each group, on either side of the same street at the same hour. Hundreds of people who had identified with the two groups went to the meeting, and when they realized the others were across the street, began to rage at each other. No doubt this was very satisfying to the instigators, who now must feel they have a lot of power over us. 

This is a terrible side of social media, and makes hopes of peaceful, unified problem-solving hard to hold onto. But we don’t have to fall for it. Slow thinking and vigilance can help us avoid the lure of such fake people and groups, and also of baseless dangerous theories and the often deranged, hate-or-power-obsessed people behind them. It would also help if we used social media less, and demanded that its owners better police themselves. By the way, our using social media is making the owners very wealthy. The site Investopedia tells us:

“If you’re not paying for the product, the product is you. The real transaction here isn’t you receiving enjoyment in the form of a free temporary distraction created by a media company at great expense, but rather, that media company renting your eyeballs to its advertisers.”  

Re “us vs them,” Psychology Today’s Marika Lindholm says today we tend to take sides on all kinds of issues such as vegetarians vs. carnivores, or Coke vs. Pepsi, etc., but some will have more serious consequences than others. A solution she suggests for those is “boundary spanners,” meaning people who belong to multiple groups and social worlds, including immigrants, biracial or bicultural individuals, gay members of the military, and others. She says rather than marginalizing them, we can “honor and empower” them, because they can help us bridge “us vs. them” divisions. For more on this go to:

https://www.psychologytoday.com/us/blog/finding-new-home/201908/the-psychology-us-vs-them

Now let’s apply slow versus autopilot thinking to politics. It’s clear Mr. Trump’s decisions please many people, and he’s a magnetic and skilled speaker. But did you ever feel swept up in the moment when everyone was cheering something he said, say at a rally, and then later hear a voice inside you ask, “Do I really go along with that statement?” Your autopilot thinking may have been at work at the rally, but a different decision later may be the result of slow thinking you chose to do when you got away fom the noise. 

I suspect many of us act too often on auto-pilot, not taking time to think through the country’s most serious problems and how we can solve themTake the pandemic. Say you saw photos of people on ventilators and doctors covered in protective equipment, you heard doctors say masks and distancing protect us, you saw many people wearing masks, and photos of huge new grave sites in various countries. Then you heard the president say the virus isn’t that dangerous or is nearly over. You might have made an autopilot decision to believe him, but later in a quiet moment you might have wondered what the real truth was as you slowly considered all the evidence. Even though he now has the virus, many people coming into the White House are still not wearing masks. They see how real the virus is, yet stick with their initial autopilot decisions, even at the risk of their lives!

We can find the truth by researching several sources, and asking ourselves questions such as (in this case) why would a leader we strongly supported lie to us about our own potential suffering and death? Why are so many businesses shuttered? Why do he and those around him get tested constantly, when many of us can’t get a test? Eventually we’d see that Mr. Trump got tested because he did know the virus is dangerous. Yet he needed us to feel calm and safe so we’d agree to opening businesses and schools, and would feel good about things seeming normal again. But why would he urge us to have such a dangerous “normal?” The only answer I see is that  his main goal was re-election, and it didn’t matter to him if more of us suffered and died to make that more possible. Your autopilot opinion may tell you “no way!” about this, but try slow-thinking through the facts and you may change your mind. 

Look at global warming. We’ve lost over four critically-needed years in which we could have slowed it, and not only does Mr. Trump not help, he’s done much to make it worse. As a model to the world he could help leaders work together and with us, to turn this hellish situation around. What’s worse is he does believe global warming is real. In 2009 he was part of a business coalition urging President Obama to take urgent climate action. See this link:

https://sustainabilityx.co/once-upon-a-time-there-was-a-president-that-didnt-believe-in-climate-change-21414c69e829

He has not and will not create national plans to stop the virus and global warming, but there is someone who will: Joe Biden. He’s got well thought out plans for both, having consulted the best experts he could find. Without such plans the pandemic will surely affect us deeply for another year or even more, and economic recovery will take much longer. If we don’t slow global warming we’ll soon see ever-larger areas where drought and heat force mass migrations northward; also more wildfires, loss of our remaining precious natural spaces, tropical diseases such as Dengue fever moving north, and more pandemics, just to start. (For more on this, one of many good places to look is the site of Union of Concerned Scientists.) 

There are many other issues we’ll need to think about carefully, but the virus and climate change certainly are among the most urgent. Joe Biden is intelligent, grasps what’s at stake, knows how to research  a problem, is kind, and will calm our overwhelmed nation and the world. He’s pledged to help people on all sides. So I respectfully beg you, even if you’re fond of Mr. Trump, please do consider at least for this one election voting for Mr. Biden. 

I apologize if anything I’ve written here has offended you. I hope a time comes soon in which feeling offense is rare because despite our differences we’ll have learned to respect each other. We’ll become more aware of our prejudices, substitute kindness for them, make friends with people from diverse groups, and decrease hostile “us versus them” thinking. We’re all human. It can’t be that hard to unite in peace to solve problems, especially with the extra time we’ll have that we used to use to fight and hate. Most important, we’ll gain the gift of new friends. Researchers say that if we want to thrive, the support of many good friends is crucial.     

*Psychology Today article by Arash Emamzadeh  
https://www.psychologytoday.com/us/blog/finding-new-home/201908/the-psychology-us-vs-them

Trump, Declining Mental Health, and “What Is a Life Worth?”

Susan Cooke

“What is a life worth?” was asked many times as the insanely premature plans to reopen the country began to be pushed by the White House. I heard no good answer so I’m asking it again. While I’m at it, I’ll add a corollary: What is mental health worth?

I’d like to consider mental health and the President’s effect on it before, during, and after the pandemic. You probably know this already, but poor mental health, besides causing emotional suffering, also affects physical health. Yet many government and business leaders have ignored the fact for years.

I wrote here awhile ago thatTrump seemed to be affecting the country’s mental health because his words and actions so deeply upset many people on so many levels, but during this pandemic what he’s done makes past occurrences fade in comparison. In this post I try to encourage him or those around him who can influence him to stop and reconsider what he’s doing to Americans’ mental health, along with the risks he’s forcing many of us to take physically by reopening without a clear, safe national plan.

Even in the best of times, Americans (and those who imitate us) live with a lot of stress, much of which could be prevented with awareness of some practices now known to cause stress, and with kindness toward ourselves and each other. (It doesn’t help that our President’s chronic rudeness, lack of empathy, and focus on himself models for Americans that not caring how others feel is normal and okay. )

In my research on stress in American cities I keep finding evidence that much of Americans’ increasing anxiety, depression, and numbers of suicides seem to be caused least in part by our own non-stop, incessantly driven lifestyle, plus our having lost once-common practices that prevented stress and depression and promoted good mental and physical health. Little is said about these losses, probably because people aren’t sufficiently aware of them. Certainly hardly anything is said by government, business, or schools.

It’s critically important that those with the power to do something about it understand the basics at least, because these stresses are everywhere but are more pronounced in cities, and there is now research showing that people’s lives are actually being shortened just because they’re living in a big city as many of us do. Sadly, now we’re facing mountains of stress beyond those, due to the pandemic.

There is no more room for added stress, yet that’s what the President is handing us with this too-soon, carelessly-planned reopening. Besides added deaths from the virus, I’m truly worried about the massive PTSD and increased depression and suicides likely to be caused as a result of them and of the chaotic reopening. Those in power need to take mental health extremely seriously right now. So I’ve listed here just a few of the problems we already struggle with in hopes it will help to convince them to slow or stop this reopening, and also convince them to pay much closer attention to mental health from now on.

In addition to the many authors of works on this subject I want to especially thank and credit Stephen S. Illardi, PhD, for the valuable information on the mostly depression-free lives of early humans that informs his immensely helpful book, The Depression Cure, and thank Daniel Buettner for his amazing research and books on what keeps people happy and healthy in the “Blue Zones” of the world.

Research shows that a great many Americans are stressed by an obsession with getting where we’re going (and doing it in record time), whether it’s to the next thing on an endless to-do list, the next step to becoming major successes in our fields, or accruing enough money or fame to feel we’ve reached the top.

Before the pandemic, and even before Trump, both adults and kids were not only feeling societal pressure to drive themselves mercilessly, but also suffered from the stress of lack of community. Early humans lived in tribes in which everyone helped and supported each other day and night, and we’re wired to thrive in the presence of others. Isolation is, as we all now know for certain, very hard on us.

While phones are helpful, and crucial right now, using them as constantly as we do in many ways further isolates us. Our heads are bent down to our phones so often that it keeps us, for example, from saying hello to a neighbor passing on the sidewalk who potentially might become a good friend. Connections with neighbors are more likely to last than those at work, though in our culture any lasting connections at all are much more difficult to make than in earlier times. So we suffer from the isolation that’s become the norm, rather than the communal support that once was the norm.

We also suffer from a lack of time outside in nature. Early humans lived outside much of the time and we’re wired to feel good among trees, flowers, and sky, hearing birds, and feeling and hearing the breeze rustle leaves. In this case again modern conveniences diminish our chances to experience wellbeing, as noise and/or pollution from cars, diesel trucks, leaf-blowers, power saws, planes overhead, and people shouting on phones or playing loud radios all prevent us from benefitting from nature, while also raising our blood pressures (even if you don’t think you mind the noise it still raises your blood pressure.)

Some of our stresses begin quite early in life. The societal pressure to “succeed” in a big way, while it may be invigorating for some, for many is way too much, and even for those who like it, keeping at it nonstop as many do promotes mental illness.

There were many suicides already occurring in kids before the pandemic. And we know children are further frightened by the pandemic. Psychologists are seen often now in the news, trying to help us calm them. The Jason Foundation, a group trying to prevent youth suicides, reports that in the U.S. we lose an average of more than 130 young people each week to suicide. The foundation is making available extra measures parents and others can take to prevent suicides of young people during the pandemic.

https://jasonfoundation.com/youth-suicide/facts-stats/

Let’s say the community and nature problems were solved. The adults and many kids would still find it hard to get off the steep slope that must be climbed to the required success, even if they wanted to. Many children with especially ambitious parents may try to keep up but it’s nearly impossible to do that and still be a happy child. So you see tragedies such as the teen in a town near mine who killed herself because she got a B in math instead of an A. Adults in fact also are killing themselves more often than in the past. An April 2020 USNews post reports the U.S. suicide rate has jumped 35% in the past two decades.

If chronic extreme stress leads to chronic anxiety or depression which if not treated and if severe enough can lead to drug use, alcoholism, heart disease, and worst of all, suicide, then you can see why adding even more stress right now to Americans’ lives is so dangerous. Yes isolation is especially stressful now, but it’s temporary, and is nothing like what we’re going to see with a second, likely even worse wave of the virus. The idea is to deal with a little longer isolation so we can stop the virus’s spread sooner, and then work hard to create more community than ever before (but with more of us alive).

We should also consider the extra stresses of many less well-off families who have so few financial resources that there’s little hope of a child ever going to college or anyone in the family getting a job that pays enough to live in a remotely healthy way (the inability to afford healthy food also takes its toll on both physical and mental health). Don’t forget the homeless, and undocumented workers, whose stress must rarely ever end. All these stresses on so many people, combined (again) with poor diet can lead to a host of physical ailments, and of course to depression and more of the “deaths of despair” we’re finally beginning to hear about, though they’ve gone on for years. It’s now time to pay attention.

Of course workers need their jobs, but as with ending our Covid-caused isolation, we would do better to be patient just a little longer to return to work. We’ll need the government to keep people going however, with food, shelter, and bill payment now until it’s safe, or for some people much longer than that, or else we start the torture all over again.

The causes of and antidotes for these stresses are so many and complex that we’ll probably need to take several paths toward solving them. But the solutions that can help, such as assuring more financial support through equitable wages, seem unlikely to be initiated unless we begin to embrace what essentially would be a change in our culture.

It would go something like this: de-emphasize the value of tons of money over what we might call “more than enough” (which would admittedly require government to address inequality, and again to make sure everyone has enough for at least a reasonably good life–for more on this see Annie Lowrey’s book Give People Money). We would re-think why we make ourselves endure long hours of overwork with little time off once we do have enough money to feel okay, and reconsider whether power, fame, or just the so-called success so many believe all this effort will eventually bring makes sense anymore. Is this really the healthiest, happiest way to live a life?

Some call it Socialism if you try to assure that all people have enough money for a reasonably good life, but I don’t think a label is needed. For those who insist on one I suggest “humanitarianism.” The goal is to stop the suffering of vast numbers of people. To get people to think about change along these lines of course, it would help to have someone in the White House who believed such change was helpful and possible. Well, maybe later.

All this background stress and other stresses I haven’t covered such as racism have certainly made getting through the pandemic even worse than it might have been, and will make it harder to face further challenges we know are coming with possible second or third rounds of the virus, and later with other crises we need to get working on including climate change.

But what we need right at this moment is to feel safer, which means stopping or slowing reopening. So I’m appealing to Trump, Congress, governors, and mayors, to stop now in order to save more people from getting the virus, but also to save our mental health. For them to make that decision they have to value empathy and kindness more than ever before. If they won’t, we need to make sure that next time around we elect leaders who get it. We as a society also need to help anyone who is suffering mentally or physically, and to try to find ways to help everyone thrive. Or else what has America become?

The virus is barely being controlled and is only minimally understood. There is no consistent national plan to deal with the complex problems we’ll face with a second wave, and with the near-impossibilty of safely opening businesses, schools, and restaurants this early in many areas. For weeks now there hasn’t even been any alcohol in our neighborhood CVS. (We did just find a quart of it online—for $35.)

This is just more evidence that we’re not ready. It’s clear that without immediate intelligent action there will be more lack of supplies, more chaotic or nonexistent guidance, and more illness and death due to the virus but also likely to suicide. The virus is now estimated by some to lead to as many as 75,000 more deaths of despair from accidental overdosing, over-drinking, or intentional suicide. CNN Health’s Mallory Simon writes that the national public health group Wellbeing Trust’s Dr. Benjamin F. Miller forecasts further damage to mental health:

“Unless we get comprehensive federal, state, and local resources behind improving access to high quality mental health treatments and community supports, I worry we’re likely to see things get far worse when it comes to substance misuse and suicide.” 

https://www.cnn.com/2020/05/08/health/coronavirus-deaths-of-despair/index.html

But Miller added that the numbers are a projection, and the right action could change them. So we don’t have to have all this added illness and death, from deaths of despair or deaths from the virus. Is anybody listening?

Trump likely would answer that this is why he ‘s reopening right away, and how could a good economy not make us all happy and healthy? His selfishness, ignorance, magical thinking, or whatever it is, allows him to remain in denial about (or to ignore) the likely reoccurence of much more suffering and death. The scientists keep assuring us it’s dangerous to reopen so early. Yet that’s what most states are doing, with Trump’s grinning encouragement.

It would probably be a relief to many if state and city leaders now starting to open would pause to study what Governor Cuomo of New York is doing. He’s gone beyond CDC guidelines to implement detailed extra plans and safeguards. Governors or mayors, you could tweak this plan where necessary, but the main part of the work is already done, so why not use it to help open your own area more slowly and safely? Why rush into more hell on earth when you have a good guide to making it less hellish?

Another virtue of Cuomo’s plan is that it doesn’t abandon those who are struggling financially. He took time for example to begin a program that delivers milk that farmers were dumping in one part of the state to places that feed the hungry in another area. This is inspired leadership, and just what we need.

Why cant’t Trump see that he’s going to destroy more mental as well as physical health with this scary reopening? Maybe it’s because he’s so driven himself, toward goals not much associated with the thoughtful, selfless, and generous qualities a leader must have in order to get people through a frightening crisis like this. His lack of those traits also makes him a terrible choice for President in the future, when such qualities will be needed to negotiate the many challenges quickly moving toward us.

For me one of the most distressing things he’s done besides modeling openly that lying, insulting, belittling, and offending others are fine behaviors, is to spread more chaos and despair through cruel power plays. One of the worst was forcing already financially-strapped states and cities to compete for the PPE their health workers were almost on their knees begging for, for weeks. What they were really begging for was their lives and the lives of their patients. Imagine ignoring such heartbreaking desperation. He did, and now many of those workers and their patients are dead.

It’s also disturbing to see how much of the country is in denial about the tragedy this reopening will cause. The President, his cronies, and some media outlets are all guilty of letting this false idea some have that the virus isn’t so bad continue. They must take some blame for the added deaths, whether from the virus or from suicide. They’re adding also to the wrecking of mental health by causing more stress, anxiety, and PTSD that for many will last for years.

Also distressing is Trump’s most incomprehensible cruelty yet–admitting he not only knows opening so soon will cause more deaths, but accepting it as fine, and trying to get us to accept it, and to say these new deaths are worth it. He says Well, people are dying anyway. I say they would not be dying anyway if he had quickly and with thought and care responded to the pandemic from the beginning. But you have to have both a heart and a love of something besides yourself (such as a country) to do that.

I watch with despair as the country opens, dreading more announcements of added deaths as people move around more. I despair when I see on the news people who shoot others who ask them to wear masks, when a customer at an ice cream shop shouts obscenities at a seventeen-year-old girl trying in vain to get ice cream to him fast enough due to unexpected crowds, and when I see people gather closely in groups without masks, and sometimes even with guns, as if the virus were nothing more than one of the hoaxes Trump is always blaming on Democrats; as if adding to this horrific mix more deadly weapons or more nastiness toward others will help.

Clearly they’re acting partly out of stress but at least some of this behavior was and continues to be encouraged by this President and his modeling of crude and hostile treatment of people who cross him in the slightest way. It’s sad to see such meanness and division when there’s already so much suffering, and such a need to help each other.

If we don’t stop or greatly slow the reopening, we are in essence being sentenced to death by Trump. His message is that reopening (rather than paying workers so they can survive at home awhile longer) is needed even though it means that our life or that of someone close to us is now more likely to end sooner, having been sacrificed for Trump–so he can feel he’s more likely to win a second term. His triumph in this is that it will finally give him the fame he craves. He’ll be perceived as one of the shallowest, most selfish, and meanest leaders in modern history.

Meanwhile the cruelty and breathtaking narcissism continue. Therefore all there is left to do, it seems, is to beg all people who have influenced him in the past to get him to change, and even if they think his self-interested course is going to make America great, to change their own course because it’s the humane thing to do. Convince him to save lives and mental health now, by immediately assuring that 1) needed money gets to the poverty-stricken and jobless now and in the future, 2) that he stops or drastically slows the reopening until all needed hospital beds, PPE, vaccine and testing supplies, and for the public other needed supplies such as alcohol, are in place, 3) a clear plan exists to procure and distribute to all patients who need it more Remdesivir and any other proven-safe treatments that help, and 4) there is a a detailed safe, organized, consistent reopening plan everyone can understand, one that is based on science and not politics.

As to the question “What is a life worth?” my answer is that not one life should be lost so a President can reopen recklessly in order to use a good economy (and it’s doubtful it will even be good) to make himself feel less nervous about the election. We don’t need to fix the economy this minute. Instead we (and he) can make sure everyone is kept fed and housed, with bills paid (or bill payment delayed), until reopening is much safer. A second virus wave and re-quarantine will cost much more than would waiting and keeping people supported and safe right now, and he knows it. He also knows that not waiting will cause a lot more death and despair. He just doesn’t care.

To further bring this point home, emergency physician Leana S. Wen, writing in the Washington Post, refuted several arguments often made as to why we should reopen early, explaining their major flaws. Her answer to the argument “It’s worth the sacrifice if some people die so that the country has a functioning economy,” is that “Those making it (the argument) are committing others to a sacrifice they did not choose.” Amen.

Her article is at https://www.washingtonpost.com/opinions/2020/05/10/six-flaws-arguments-reopening/