Tuesday, May 6, 2014

A Hallway Discussion on Non-Traditional Marriage

The following is a compilation of several conversations held at different times with pretty much the same people.  I may have modified the exact verbage only because i did not record them or take notes.  Also the names of the participants and the settings of the conversation have been changed to avoid identifying specific participants.


I recently overheard an interesting conversation in an office I was visiting.  It was about marriage and it was being held by some of our more conservative staff, which without saying, had a bias homophobic inclination.  The topic, of course, was gay marriage.  After what seem to be hours of conversation where each person was trying to outdo the others in their status of “machismo,” I decided to join in.   I asked one of the people (I’ll call him Samuel or Sam); “Hey Sam, suppose that I asked you to marry me.”  Everybody went quiet for a while and then the strong refusal and name calling toward me began by everybody at the same time.  Things like:  “What are you some kind of closet fag?”  “What have you got the hot’s for him? Someone else asked.  This went on for a few minutes, but I held my hand in a stop position to be able to get a word in.

No, I said, I don’t have a sexual attraction for him.  But let’s do a mind experiment.  Suppose that Sam was dying of, say cancer, and he did not have the resources to pay for the cure, but I had insurance that covered all his medical costs.  And, suppose that he was going to die in a few days unless he had treatment and with treatment he could expect to live a long life?  The benefit to me is that I was getting frail and needed help to maintain my house and my activities.  If I could offer you the opportunity for a healthy life in exchange for your help, would you marry me then?  Again in a very macho tone of voice almost everyone said they much rather die than marry another man.  “Well,” I said, “suppose there is no intimacy involved.  No touching no kissing, no sex (of course) just a friend relationship where we shared benefits, chores, responsibilities, etc.”  “Well you can have that without getting married,” Sam says.  “Yes you could,” I said, “but not the health insurance.”  They all thought about it for a while and finally one of the guys (not Sam) said, “Well, if it’s that type of deal, I would take it, it’s either that or dying in a week.”  There was a lot of pro and con discussion on that option and finally Sam and everyone else saw the benefit of the marriage arrangement - if it was defined in that manner.

So I turned and asked Steve, “what if you were homeless and winter was coming and the only way you could survive was to come and live in my home, but the law only allowed you to live with me if you and I were married.”  Again, an explosion of macho positioning followed and again, after indicating that no other option was available, we came to the conclusion that if that was the only way, they would do it since it was either continue living or dying in the winter.

“OK,” I said, “suppose that I had the tools to manufacture something that would make a lot of money, and you John, had all the raw materials.  However, by law we could not share unless we had a marriage arrangement.”  You really wanted to manufacture stuff and so did I.  “Would you enter into a marriage arrangement?”  “Well,” they all responded in one way or another, “if it had the same limits with no sex, or kissin, or huggin, and stuff, yeah, I would do it”  John replied, “but only if I’m able to go out with women.”

“Why don’t we consider,” I continued, “another hypothetical case” (as if nothing I had said up until now was not hypothetical) “Let’s say that this person had a psychological dependency on being close to another person of the same sex, not necessarily close in the intimate way, but close proximity wise.”   “There is nobody like that.”  Sam stated.  “That’s not true,” Tom Said, “I had an aunt that had to have a person near her otherwise she would go nuts.” “OK,”  I said, that person needed constant care, but the law prevented them from living together unless they were married.”  “Are they both men?”  Sam asked.  “It doesn’t matter,” I said, “they could be either of the same sex or of opposite sexes.”  “Well, if they were of opposite sexes, there would be no problem,” Tom mentioned.  “What if they were both women?”  I asked.  In that case everybody agreed that that would be OK.  “But what if they were both men,” I asked.  “With the same condition for no intimacy?”  Steve asked.  “Sure.”  I said.  “Yeah, that would be OK,” they all agreed.

“What if you were single and were getting on in years and had done well for yourself, but wanted to leave your stuff to an heir.  So you adopt a child.  Isn’t that like a marriage?  You love and respect the kid, you nurture him (or her) and it is your best interest for the kid to grow and love and care for you as well as have your same values, after all you will leave him your whole estate.”  “But that is different,” Sam said.  “Why is it?  I asked.  “You have an official certificate for a union for life, there is love and caring, teaching and respect.  Like the scenarios earlier, there is no intimate contact, not in the sense of sex, but there is hugging and caring.  In a way they are kind of the same, aren’t they?

A long discussion pursued but at the end they all agreed that it was kind-of the same in terms of legal commitments and emotional commitments between the two, but until the child was of age, the legal commitments was between the state (and the adoption agency) and the person adopting.

“So in all these cases,” I said, “marriage has been like a mutual commitment to do something for each other.  Someone needs something that the other person can provide.  Who cares if they are of the same sex, if marriage is the only way to have that arrangement, you are all telling me that you would all do it.”  It’s almost like an economic arrangement where tangible and non-tangible goods and services are bartered and exchanged.”  They all agreed that it was more like an economic arrangement.  It was trading health coverage or shelter and safety for companionship and assistance, collaboration of compatible resources to meet a goal, or an investment in the future through an offspring.

“So,” I said, “what happens if the goods exchanged are more non-tangible to include, say, ‘love?’  What if someone, in order to live and make them happy was willing to give love for something in exchange?  I don’t mean love in the sense of sex, but love in the sense of caring, companionship, everything we define as love.”  I continued, “and to carry that case out a little bit more, what if the other person was also willing to offer love as part of the exchange of goods and services?”  “Well, that would be just like a normal marriage,” they all agreed.  What if the two parties were both women and or both men?” I said?  “But that would be different!”  Sam jumped out and said.  “But that’s no different than the other cases.”  Tom and John jumped in defending the issue.

I had a meeting to go to and I left them discussing the issue.  I don’t know if I changed any minds in that discussion, but as I left down the hall I could still hear them discussing the pros and cons of same sex marriage.


As an afterthought, I think that what consenting adults do in private should not enter the discussion of marriage.  For most of history mates were not chosen on something as fragile and irrational as love and then focus all their sexual, intimate, and altruistic desires on the resulting marriage.  Most marriages, before “love” became a factor, were pragmatic, involving considerations of property and family alliance, love was something you found after, sometimes outside your marriage. Only rarely in history has love been seen as the reason for getting married.  Maybe Tina Turner had something in her song “Oh what's love got to do, got to do with it.  What's love but a second hand emotion”  OK, maybe not second hand emotion, but definitely and economic non-tangible good that is the basis for, and possibly bartered and traded in, a contract of marriage.
 

Friday, May 2, 2014

What should we worry about next – Super Bugs?



This is the second story in a series I plan to write about possible catastrophes that are very real and sneaking up on us and we are failing to take control of them. 

Imagine this scenario:  your child was playing in the park four days ago and he fell and cut himself.  You came home and washed the cut, maybe put some antibiotic ointment, put a band aid and he felt all better and went back out to play.  It is now Saturday morning and he is burning up with a fever and his cut looks red and the redness has expanded beyond the injured area, it’s infected.  You give him some baby Motrin and his fever goes down for a few hours but goes back up again as soon as the effect of the fever reducer is over. 

Since his doctor’s office is closed on Saturday and you don’t think it is important enough for a hospital emergency room, you take him the local walk in clinic, which is open 24/7 to see if you can get a prescription for an antibiotic.  The doctor at the walk in clinic sees him, assesses the infection, asks you a few questions about his being allergic to certain medicines and prescribes an antibiotic, probably amoxicillin.

You come back home, give him a fever reducer, and begin his regimen of his antibiotic.  Two days go by, his infection is getting worse – his whole leg is red and there is puss in the original area of his cut.  You call the pediatrician but they are booked up for several weeks.  You decide to take her to the hospital emergency because the child is now delirious and the fever is over 105. 

You rush into the emergency room and you are taken immediately because of the child’s condition.  The primary objective of the doctors is to find out the type of infection and to reduce the fever.  They put the child in an ice bath in an effort to bring down the fever.  Later the child, after the doctor’s diagnosis is moved to the intensive care unit where the child is continued to be treated with other antibiotics.

Two days go by and the doctors talk to you about administering a drug of “last resort” most likely Vancomycin, because the child is not responding to any other antibiotic.  A day of treatment goes by and there seems to be no improvement.

Dangerous antibiotic-resistant bacteria and other pathogens have now emerged in every part of the world and the scenario above can be taking place today in any one of 114 countries where antibiotic resistance bacteria has been identified.  Far from being an apocalyptic fantasy, the scenario above is a very real possibility for the 21st century where we have come to a point where common infections and minor injuries can kill.

All we have to do is open the newspapers and we can see stories where antibiotics to treat a common intestinal bacteria that can cause life-threatening infections in intensive care unit patients and newborns no longer work in more than half of patients in some countries.  Drugs that are used to treat urinary tract infections have also become ineffective in many parts of the world.  The campaigns to limit the spread of multidrug-resistant tuberculosis and malaria are under threat due to increasing bacterial resistance.

A story by Dina Fine Maron  in Scientific American “Antibiotic Resistance Is Now Rife across the Entire Globe”  indicates that a first-ever World Health Organization assessment of the growing problem calls for rapid changes to avoid the misery and deaths of a potential "post-antibiotic era."  Imagine returning to medical care before the early 1940s prior to penicillin?   

According to the World Health Organization, germs resistant to antibiotics are now a major global health threat, causing near-untreatable cases of diarrhea, sepsis, pneumonia and gonorrhea. Overuse and misuse of antibiotics are to blame.  We are overusing antibiotics and in the process creating drug-resistant bacteria. The antibacterial drugs don’t kill all the bad bugs, and the ones that survive can multiply and spread their drug-resistant genes. This happens especially when people take the wrong antibiotic, and worst of all is when people don’t take a full course of antibiotics leaving a half-treated population of bacteria in their bodies to grow into super bugs.  So think about not asking for that ZPACK or better yet, give yourself at least a few days to see if you get better on your own, it is much better for your immune system if you can fight off whatever ails you instead of relying on an antibiotic.

The other source of drug-resisting bugs are farms.  Antibiotics are not only used to treat disease in agriculture, but as a feed additive to promote faster growth. This accounts for 80% of all antibiotic use in the US.   The use of antibiotics in animals who are not even ill kills off weaker bacteria and promotes the growth of antibiotic resistance super bacteria, which has been found in high rates among industrial farm workers and their families and also found in high rates retail meats.

People in our time don’t know the horrors of living in a world with no antibiotics.  That's why in the past half of the children in a family would die, that was a fact of life; you would catch a simple cold that would turn into a lung infection and your life was immediately on danger.  A cut in your leg and your chances for survival were 50/50.

So be afraid, be very afraid!