Archive for the ‘Health’ Category

Ending With a Whimper

August 14, 2022

After over two years of sacrifice and fear, I guess this is how it ends. A barely reported update from the CDC that two cornerstones of the Covid pandemic era are no longer necessary. Social distancing is no longer recommended nor is at-home self-quarantining after being exposed to someone with Covid. Apparently there are enough people with antibodies that the unchecked spread of Covid is less a concern. That and weakened strains of Covid that don’t hospitalize or kill nearly as many people – though that’s not mentioned as prominently.

I wish there was a party. I wish we could celebrate making it through this together. I wish there was some acknowledgement that our efforts were helpful and effective. We did bend the curve enough to avoid completely overwhelming hospitals and healthcare institutions globally (although some places were indeed overwhelmed at various points). For all the jobs lost, educations disrupted, livelihoods reduced, emotional grief experienced, for all the fear and anxiety and uncertainty – to be able to have some sort of cathartic release would be so nice!

But we’re not going to get any of that kind of celebration. No hurrahs, no congratulations. Nothing. I suspect there are a several possible reasons.

First, I think there is a recognition of the power of mass fear in modifying human behavior, and acknowledging that a fear is passed doesn’t contribute towards that power. Other than 9/11 which was far more limited in scope there hasn’t been an opportunity in the US to see how far people’s behavior could be dictated and forced to change in America in our lifetime. In several generations, in fact. To celebrate the fact that such changes were unfortunate and only necessary for a short period of time might short-circuit the use of such tactics in the future, whether pandemic or otherwise related.

Secondly, people have been conditioned to fear, and there is no shortage (apparently) of possible new contagions to be fearful of. Monkeypox is an obvious example, though exact numbers are quite elusive and the apparent relegation of the disease primarily to the LGBTQ+ community hasn’t made it quite as comprehensive and able to generate the same level of fear – though media outlets are doing their best. Future variants of Covid will no doubt all get their airtime full of suspense and uncertainty whether they merit them or not. Insistence on tracking and reporting Covid cases rather than hospitalizations and deaths will also mean that inevitable spikes will be a cause for further pot-banging, even if they don’t cause more damage than any other illness we’ve taken for granted all our lives.

Thirdly, I suspect there is some level of bitterness in the scientific community. Though initial calls to shut down businesses and lock ourselves in our houses were couched in terms of bending the curve and trying to mitigate the rush of cases and hospitalizations and deaths in the early months of the pandemic, it became quickly clear this wasn’t really good enough for some in the scientific community. Instead, reasonable language was replaced with irrational language – warfare language. We weren’t simply going to endure Covid and ride it out and have as few deaths as possible, we were going to beat it. Defeat it. Stop it. End it. We were going to win because we had the science and technology to do so. Allegedly.

Vaccinations were a big part of this shift in language and I think there is some latent bitterness the vaccinations proved far less capable of protecting people from infection than initially asserted. Granted, the vaccines apparently lessened the severity of infection for some people, but I think there were more than a few folks convinced we could develop a vaccine that would essentially make people bullet-proof to the virus. Instead, we all got a first-class education in the limits of science and technology. And humility is not pleasant.

We also, hopefully, got a first-class lesson in the reality that America is different from any other country in the world. And while we’re quick to tout the benefits and glories of this, there are inevitable trade-offs. Our foundation on individual human rights rather than individual obligation to a government is a huge difference between the US and every other country in the world, democratic or otherwise. The insistence that the individual should be the primary arbiter of their risk-taking and general behavior has provided incredible opportunities that people from around the world still literally risk their lives to participate in by entering our country (legally or illegally).

On the flip side though, Americans are not as willing to accept mandates, directives, or recommendations, and as such vaccine rates were far lower than political and scientific individuals and groups wanted. The stubbornness that prefers to take somewhat known risks rather than the unknown risks of a newly developed vaccine was vexing for political and scientific leaders alike, and I think there is still bitterness over this. Nobody wants to congratulate a population that to varying degrees resisted the exhortations and pleadings and in some cases demands. Rewarding such behavior is counter-productive for future situations.

As someone who put off vaccination until the last possible moment and who personally had the illness, I commend this hard-headedness. I commend people insisting on making their own decisions rather than relegating that authority to some other agency. At least as much as possible. Such a line of reasoning does not – contrary to popular media – make people monsters. I think it makes them Americans (which some might equate with monstrosity). This applies in reverse as well – those who opted for the vaccine should be free to do so without denigration from others. Options are a blessing, as is personal agency. You’d think that was not the case to hear some people talk over the last couple of years.

So I think you should throw yourselves a party. Gather your family and friends. Gather your Covid-community that endured the hardships together. Do what’s healthy for yourself rather than expecting the powers-that-be to encourage or sponsor it. Don’t wait for someone to establish a day to celebrate when we collectively started to breathe sighs of relief that Covid was merely endemic. Because they aren’t going to.

While you’re at it, maybe give some consideration about how you’re going to pass down your experiences to the generations after you, especially the ones too young to remember or not around yet. Figure out how to convey your personal and family and community experience of Covid to future generations, rather than allowing whatever official reports exist or will be created to do that for you. You lived through a peculiar piece of US and world history, and your kids and grandkids and great grandkids and beyond would love to hear about it!

And good job, by the way. Whether you fought for vaccines or against them. Regardless of what philosophy you espoused or what political machinations you worked with or against. You made it through. By the grace of God, and that’s something to give thanks for, even as we remember those who didn’t.

Say What?

June 27, 2022

I’m sorry, can you explain this?

‘Experts’ are warning of a rise in infant mortality rate with the undoing of Roe v. Wade. Claiming an additional 75,000 births per year could be expected if abortion is not readily available on demand everywhere.

Compare that to over 60,000,000 abortions since 1973.

First off, if we are worried about infant mortality, shouldn’t we be more worried about the number of infants killed via abortion rather than the statistically much smaller number of infants potentially at risk through pregnancy complications? If we’re going to throw numbers around, which ones are bigger?

And doesn’t infant mortality imply that unborn children are actually, you know, children? Oh wait – I forget – they’re only human children if you want them to be. Otherwise they’re fingernails. My bad.

Moreover, they’re predicting a greater impact for people of color, which to my mind means that people of color were aborting babies at a higher percentage than people-of-no-color (?). So if more people of color were getting abortions, then how is it that more of their children are going to die without abortion?

I’m also curious about blanket statements such as this:

Pregnant people of color have long been marginalized and neglected in the medical system, frequently experiencing racism and discrimination at all points of care.

I’d be curious to see supporting documentation on this. But to just throw it out there as an accepted fact? Hmmm. Problematic to me.

And of course the logical conclusion is that the decision to overturn Roe v. Wade is racist. If people aren’t allowed to abort their unborn children before childbirth stage, more of them are going to die.

What?

Soft Peddling Drugs

May 17, 2022

I hate articles like this. I have no idea who this guy is and have never heard his music or witnessed his lifestyle. But he’s dead and probably didn’t need to die according to the tone of the article, citing past battles over the years with drugs and alcohol. But this is glossed over with the following statement he was clean and sober of late.

We’ve seen no shortage of luminous, talented celebrities dying before any of us were ready to handle their absence. And in no small measure, a stunning majority likely had their battles over the years with drugs and alcohol, even if they had eventually given up such habits or bowed to the necessities of age in growing more moderate. Without fail, the articles about their passing never condemn drug and alcohol abuse as true contributing factors in any substantive ways. Even if autopsy results credit drugs and alcohol, this is often chalked up to the celebrity lifestyle, as if talent is some sort of immunity against the very physical as well as mental and spiritual debilitations of substance abuse, prescribed or otherwise.

Until success is no longer viewed as justification for such abuse, deaths like this will continue to occur. None of us knows the number of our days, to be sure. But certainly certain practices up the odds that we will leave this earth sooner that we (or others) might prefer.

Granted, the Rolling Stones are a singular exception to this, but exceptions by no means invalidate well-defined rules and expectations!

So it’s too bad this guy died. Too bad he might have come to his senses too late, after apparently considerable damage had already been done, and I pray his hope and faith was ultimately not in his dealer but in his Lord and Savior Jesus the Christ. I pray other rising stars take seriously these examples, and I pray the media-subset that thrives on celebrity lives and lifestyles would quit condoning and approving of such indulgences with a wink-wink-nod-nod sort of reporting style.

Hospitality, Meals & Scripture

May 9, 2022

I’ve had a long interest in the intersection of hospitality, meals and Scripture. The Bible frequently uses the language of food and feeding to teach spiritual truths, and hospitality is not only repeatedly described throughout the Bible (Genesis 18, as just a single example), it is also prescribed (Hebrews 13:2 as just a single example and related most likely to Genesis 18).

I finally verified something I suspected for years – I have access to a theological database called Atla (originally short for American Theological Libraray Association). So now I can start to research what others have said on this topic as I continue to draw my own conclusions from the Word.

The first article I read can’t be accessed without paying for it (unless you also have access to Atla). It’s by a Presbyterian pastor in North Carolina by the name of David W. Priddy. The essay is entitled Eating with penitence: An essay on the local church eating responsibly (sic) and it was published in the Review & Expositor, a quarterly Baptist theological journal.

Priddy’s thesis deals with what the local church can do towards food reform and agricultural renewal. He posits three key issues. Firstly, a high regard for Word and Sacrament; secondly, examining the role of meals in Scripture (particularly the New Testament) and specifically in association with themes of judgement and a call to humility; and thirdly, the importance of continued remorse over sin (penitence).

Although at times abstruse, Priddy does a good job outlining these key issues, and I concur with most of the ideas he presents. Although we come from different denominational backgrounds I suspect we’d have a lot in common theologically, at least on this particular topic.

The only difficulty I had with the essay was his disdain for the history of some property owned by his congregation. His difficulty reflects modern notions of contemporary remorse (penitence) as well as potentially the appropriateness of some sort of compensation for past injustices (penance) although he stops short of such an assertion here. He relates how a 200-acre plot of land and large home was donated to his congregation well over 100 years ago (perhaps as long as 170 years ago). The problem isn’t the property per se, though Priddy has ideas about how it could be better put to use in food reform and agricultural renewal. The problem is the man who donated it to the church owned at least ten slaves and apparently sired children through at least one of them (and it’s implied that it was far more). The congregation’s fellowship hall is named after this man, something Priddy clearly finds offensive and problematic.

However in the little he says in the essay, it’s hard to know whether Priddy has investigated the donor’s penitence. The life of faith is indeed a constant one of confession and absolution, of contrition as well as accepting the gracious forgiveness of God, something Priddy highlights admirably in his brief discussion of historic liturgical formulations. Yet the presumed damning evidence of the congregation’s benefactor all those years ago leaves little room in Priddy’s words or spirit for the idea of forgiveness either sought or granted, the idea that the offending donor might have in fact been penitent, which may have spurred his donation of land to the church as an act of penance.

Priddy speaks a lot about penitence but very little about absolution and this is most clear in this real-world application. The Church must speak this loudly in the face of rising intolerance in cancel-culture. The irony is that culture has discarded Church, the Bible and God, and with it the only worldly assurance – and demand – for forgiveness and absolution. In lieu of this we are now daily on trial by a culture that rapidly evolves in it’s ideas about what is right and wrong, acceptable and unacceptable, and that views any past sins of either omission or commission as equally damnable and irredeemable. The psalmist might these days say If you, O Culture, should mark iniquities, O Culture, who could stand? (Psalm 130:3, modified). The answer is no one, and unfortunately Priddy conveys a similar unwillingness to accept the possibility of penitence or penance if the sin is great enough, and therefore denies effectively the possibility of forgiveness and grace – certainly in this world and if so, then perhaps in the creation to come.

Pastors and congregations do have an opportunity to encourage members to reflect more on the choices they make as consumers (in this case, specifically as consumers of food products). While I don’t have the basis Priddy apparently does to label the entire food industry as essentially evil, I recognize wholeheartedly there are some major problems that affect land and health. Congregations have the opportunity to read Scripture with an ear towards how these topics are discussed, avoiding the temptation to simply apply Biblically-specific verses and situations to modern-day issues, yet recognizing the Church is continually called to contrition and penitence as well as to joyfully proclaiming the forgiveness won for us in Christ. Failure to do either inevitably leads to darkness.

I’m excited by the prospect of continued research and academic engagement, and grateful my seminary provides this benefit to alum, particularly now that my work has taken me to places where obtaining physical books (including my own professional library in boxes in storage) is either impossible or unreasonably expensive!

Law and Guilt

January 4, 2022

I don’t keep in touch with many folks from my high school days. A handful of close friends tenuously held together by intentional and not-so-intentional mini-reunions is about it. But I have another friend that has done an incredible job of keeping in touch over the years, and taking the opportunity to get together for lunch or dinner whenever we found ourselves in similar parts of the country. So it was that we were meeting the following day, Thursday, for lunch at a Mexican restaurant she suggested.

She asked me to choose a place to eat initially. I opted for a small Mexican restaurant nearby. I’d never been there but the reviews were good and the place looked pretty authentic, as opposed to the more Americanized places. But she nixed the idea because of Covid considerations. She wanted to sit outdoors, which was fine by me.

Then the night before she sent a short e-mail. Her daughter back in South Carlonia tested positive for Covid, and my friend had obviously spent a lot of time around her in the days before her trip to Arizona. My friend didn’t have any symptoms but wanted to warn me in case I preferred to cancel. I didn’t, and we met as planned.

There were tears in her eyes as we sat across the table from each other. Tears of frustration and anger and fear. We did everything right. And yet her daughter had Covid. My friend’s husband had tested negative, but still the great fearful illness had infiltrated their careful defenses. Their double-dose vaccinations. Their isolating. Their fastidiousness in wearing masks. Her daughter had tearfully asked on the phone the night before if her mother was angry with her that she got sick. My friend was angry, but not with her daughter. She was angry with all the people who hadn’t been careful. Hadn’t vaccinated. Hadn’t isolated. Hadn’t insisted on masks everywhere.

Though she didn’t say it, she was angry with me, as I fit into those categories. And in the carefully constructed Covid mythology, if you followed the rules and did what you were supposed to, you could avoid the virus. Except for those people. The people who for whatever reason opted not to follow every twist and turn, scientific, political, social, calculated or arbitrary, designed to keep people safe. Healthy.

It was a striking conversation. My heart went out to her. And I gently reminded her that there are no guarantees in life. That doing all the right things might be a very good idea, but certainly could not ensure a perfectly predictable outcome. She knew this to be true, and yet she couldn’t get past the anger and fear that the efforts she and her family had made, the sacrifices they had made, were not enough to protect them.

So this article struck a chord with me, and does a better job than I might in explaining the theological metaphors illuminated in this very un-theological Covid crisis. It’s worth a read.

It isn’t that trying to do the right thing is wrong. It’s just that in this very fallible and sinfully broken world, there is no clear, perfect right thing. Nothing we can hold onto and cling to as justification for ourselves, as protection for ourselves. Nothing outside of us, nothing inside of us. Only Christ can do this for us. Can promise us to be enough. And that requires us to let go of whatever we’re clutching to and cling to him instead, acknowledging in that action our terrifying frailty and the transient and brief nature of our mortal lives.

Following Up

December 19, 2021

Following yesterday’s post on the rather narrow focus of Covid-response measures (essentially vaccinations for everyone) I came upon this article from National Public Radio. It references “surge teams” created to assist hard-hit Covid areas and provided a link to more information. That led me to this White House press release from 12/2/21. While it doesn’t talk about building more healthcare infrastructure – temporary or permanent in nature – it does briefly describe several teams of personnel available for deployment nationwide, as well as funding measures to support locally-based groups of medical volunteers.

These are certainly good responses and I wish we heard more about them. Since it’s apparent already vaccinations alone are not going to stop Omicron or likely future strains of Covid – at least not to the extent we don’t have to worry about surges in cases and potential corresponding increases in hospitalizations – directing some serious thought and resources to additional infrastructure only makes sense, could help to provide jobs and economic stimulus to various areas, and would provide people more hope that we will get through this time one way or another.

I can’t take credit for these ideas (dang it!), but I can at least recognize that other people far better placed than myself are thinking about them.

Narrowing Solutions

December 18, 2021

We’re ramping up for a dire winter according to many predictions. The Omicron variant is widely believed to be far more transmissible than Delta even as early reports from South Africa and other places say it is less severe in the symptoms of infection. Or, you’re more likely to get it, but less likely to be hospitalized or die from it. On the whole good news if you presume (as I do) that Covid variations are not going to just disappear on their own and we are not going to suddenly develop bio-technology to eradicate them. Like the flu, Covid will continue to be around but will gradually grow less challenging as people develop better immune responses.

Thus far, the only solutions to yet another wave of Covid I’ve read focus on the need for vaccination, despite the fact many initial reports indicate vaccination does not prevent infection or even symptoms, but reduces the impact of infection. Or, getting the Omicron variant if you’re vaccinated should be less painful than if you get it and you aren’t vaccinated. Of course, I haven’t read many comparisons of the effects on vaccinated vs. non-vaccinated persons. If you have, send me a link. I surmise the lack of discussion about this is because vaccination is the solution we have culturally honed in on to the situation.

But if Covid will become endemic rather than pandemic (something common and expected as opposed to new or unfamiliar), the virus could continue mutating for some time, causing repeated spikes. While I pray this is not the case and the virus goes the way of other pandemics such as the Spanish Flu, which was really only extraordinarily deadly for 2-3 years, we can’t know that for sure. If it doesn’t, and there are recurring spikes, the problem is less a matter of keeping people from getting the virus than it is having the capacity to assist those who experience it more harshly and in potentially life-threatening ways.

Already cities and states and counties and countries are locking down again. While this may slow the transmission to some extent it certainly doesn’t stop it, as we’ve already seen in the various Covid waves thus far. But what it can do is minimize the number of people who have to go to the hospital. The concern ultimately is that we aren’t equipped to help those who are most likely to require hospitalization, that hospitals and ICUs will become overloaded and unable to help everyone who needs it.

I still marvel that no exploration of increasing our capacity (literal, our hospital bed capacity) has generated any notice or interest. We can’t shut down countries and states and cities indefinitely, but we could expand our hospital capacity to help more people who might require it. Considering we’ve spent already $3.5 trillion dollars on Covid-related relief, expanding capacity in New York City or Los Angeles seems like a good investment. At the very least, it could be good practice.

It’s not like there isn’t a plethora of real estate available that could be put to this use, even if temporarily. Creating the equivalent of higher-tech, more robust Mobile Army Surgical Hospitals seems like good practice to have. Beyond dealing with pandemic issues such experience could be valuable for other types of natural or national disasters. And if we had the capacity to handle the most serious cases Omicron might bring this winter, we could allow the virus to run it’s course in the hopes it is indeed less severe and could therefore provide additional levels of immune and antibody resistance to larger numbers of people more safely. There are reports that even for vaccinated people, contracting Covid further improves their immune response.

Our resolute determination to eliminate Covid may be valiant at one level, but it’s also a very narrow response. It would be nice to hear about other approaches to handling this pandemic so that it truly can transition to endemic status if our efforts to simply eliminate it fail. This sort of investment could economically benefit a much wider segment of our businesses than just the pharmaceutical companies.

Swallowed by the Cracks

November 17, 2021

(Still a great jam all these years later.)

Unsurprisingly, being fully vaccinated (whether with Johnson & Johnson’s single shot or the two-shot program required for other vaccines) is likely going to be redefined to insist on at least an initial (and I believe eventually annual at least) booster shots. In other words, I don’t think it will be long before immunized or vaccinated status is a rolling status dependent on mandatory updates. Failure to stay up to date on boosters will kick someone into the legal status of unvaccinated.

This shouldn’t be surprising to anyone paying attention to the actual science of the vaccines and the changing understanding of how they work and more specifically, how long they work. If antibody generation wanes considerably after six months, only through additional boosters can the population hope to be protected long enough – by our current methods – for the virus to wane in prevalence and strength. Of course, since the vaccines only reduce your odds of infection and reduce the effects of infection, the virus may never really subside, a reality countries around the world are coming to grips with as they transition from pandemic footing to trying to manage the situation as endemic and ongoing, like the flu.

In the meantime, the reality of an even bigger problem will likely garner little more than passing notice by lawmakers and citizens alike. Indeed, as more and more states decriminalize not only marijuana but cocaine (and potentially other drugs), the number of people dying from drug overdoses continues to skyrocket. Just in the last 20 years we’ve surpassed the number of Covid deaths (if my math is mostly correct). That may seem like a long time but this year we just surpassed 100,000 diagnosed deaths by drug overdose, up from only 20,000 a year just 20 years ago. At this rate the potential death rate for drug overdoses could rival Covid deaths, with no magic vaccine available to slow it down.

Musicians and other celebrities continue to pass away at young ages but the role of prescription medications as contributing causes of death is ignored. Regardless of whether someone kicks the habit or not drug abuse can cause permanent damage, damage that shortens a person’s likely lifespan. Yet we continue to allow the glorification of drug use even as it continues to strangle young people at an alarming and growing rate.

What a waste. When we emerge from our government and media inflicted Covid paranoia (at least I hope people emerge!) will we rally to destroy this larger and far longer-term enemy in our midst? Or will we continue to demand increasing laxness regarding the issue of drugs in general, further contributing to mixed messages to our impressionable youth?

I was a kid when the war on drugs began, long-overdue at that point and really just at the beginning of the epidemic of harder drug use as a widespread issue. The deaths in this war far eclipse the deaths of all of our military ventures in the last 40 years and Covid – probably combined. Maybe we won’t properly start caring about it until our ICUs are overwhelmed. Then again most overdoses aren’t caught in time to attempt medical treatment so I guess that conveniently won’t be a problem.

Maybe we’ll have to wait for the cemeteries to fill up and the environmentalists to get pissed off before we recognize that legalizing for tax benefits drugs that are killing our children is not good public policy. We seem far more willing to protect the environment than our children.

Book Review (Partial) – Healthy, Resilient & Effective in Cross Cultural Ministry

November 1, 2021

Healthy Resilient & Effective in Cross Cultural Ministry by Laura Mae Gardner, D.Min

I call this a partial review for two reasons. The first is the copy I was gifted from long-term overseas Bible translators is a pre-release copy that only has the first eight chapters – roughly the first half of the book. Secondly, I only really skimmed it as it’s designed for sending agencies and those who oversee overseas workers.

From that perspective it’s an amazing book, even in the unfinished form. I have no doubt that folks in our own Office of International Mission have read this or other resources like it, as I recognize some of the recommendations from the book in how OIM is structured and the interactions I’ve already had with them. A fantastic resource (and the link above is to the finished Kindle version of the book – a print version of the finished book is here) for those entrusted with the recruitment, evaluation, deployment, management and ongoing care of overseas workers!

Show Me the Math

October 31, 2021

It’s hard in life as well as poker to know when someone’s bluffing. It’s easy to act and speak as though you’ve got a winning hand, and finding out if that’s true or not always entails a certain amount of risk. Some people aren’t willing to risk calling a bet to see if the other person is bluffing or not. Others love the risk.

Elon Musk certainly seems like a guy who isn’t afraid of risk. And why not – he certainly can afford to call a few bets now that he’s worth over $300 billion dollars. I’m glad to see he’s willing to put his money where someone else’s mouth is – if they can back their claims. Elon Musk has signaled he’s willing to spend $6 billion dollars to substantially alleviate world hunger, if the UN official who named that figure can prove his math.

Frankly, this is a great move – by both people.

The assumption that the wealthy could fix the world hunger problem (either in the short or long-term) has been a steady assertion by progressives advocating for wealth redistribution. However efforts to stave off or solve world poverty and hunger issues have at best blunted the damage of famines and other disasters, and have not resulted in the elimination of chronic poverty, hunger, malnutrition, etc. In some cases at least, aid efforts may have actually made things worse in the long run. This information is not often discussed by the media, though others are willing to point it out.

So for the United Nation’s World Food Program director to put a $6 billion dollar price tag on saving 42 million lives from eminent starvation is not unusual save for the specificity. But specificity is exactly what is needed. I assume the wealthy have reached their state of wealth and maintain it by some very good evaluation and analysis skills, something often lacking in wild assertions about how taxing the rich will fix various local, national, or global problems.

Musk’s calling out of this claim is also crucial. Talking about how the rich can save the poor is one thing. But showing it is quite another – or at least I assume it is. I assume the reason poverty and hunger have not been eliminated already by massive influxes of aid is because the calculations of experts and mathematicians and others fail to take into account basic human sinfulness. They operate strictly within the realm of the theoretical without accounting for the avarice and cruelty that is part and parcel of a fallen humanity.

Wanting to solve hunger is different from being able to, and the issue is not simply money, unfortunately. However hopefully this exchange – in addition to saving very real lives – could lead not just to future giving and investment increases, but improvements on the processes by which aid is envisioned, planned, and executed. I’ve got to believe that if the mechanisms were clearer, more people would be prompted to give. And if the mechanisms are flawed, then business people are far more likely to be able to help correct and improve them.

These are real lives at stake, and the inability to solve hunger and poverty totally should not hold people back from saving very real lives here and now. Hopefully the upshot of this exchange will be saving lives and showing others – wealthy and otherwise – how their donations can make real differences rather than just ending up in the pockets of anyone with a gun, a gavel or a scepter who decides to help themselves first.