In reply to my recent “Pep Talk” piece, a local conservative wrote in with a bunch of really depressing things to say. Here is my attempt to help him out:
1. My post was not a “statement of despair.” Quite the opposite. The Resistance to Tr-mpism is strong. Your post, though, is full of despair. You sound weary and discontented. Even for a conservative.
2. I will skip some of the things you wrote in order to first deal with something I find central to the differences between you and me, between liberals and conservatives, and, I suppose, the difference between Democrats and Republicans. Here goes:
You want to emphasize “terrible choices” that people make “that result in woe for sure.” You then call on Americans to “take more responsibility for their own conditions.” Hmm. Let me see now. People, as far as I know, don’t get to pick their parents. Thus, they didn’t make a decision as to how they would be raised, what kind of conditions they were raised in, what kind of economic advantages or, more often, disadvantages they had, and so on. Add to all that the fact that none of us got to pick our brains, which includes not only the quantity and quality of intelligence we have or don’t have, but other things in the chemistry of our brains that shape who we are.
In this vein, you decided to pick “the problem of drugs and alcohol,” saying I haven’t tried to “tackle” it. You mention the current opioid crisis. It’s a funny thing about that crisis. It wasn’t on most Republicans’ radars until it started affecting rural white people. Now that it is affecting such folks, Republicans have decided they want to “tackle” it. A generation ago, when black folks in cities were having a hard time with drug addiction and all the problems that go with it, the response typically was “let’s build more prisons.” That response wasn’t just limited to Republicans; some Democrats responded that way also (think: Bill Clinton). But despite all that, I am glad Bill Clinton apologized and I am ecstatic that Republicans have decided people actually need help, rather than incarceration. That’s progress.
That leads me next to the idea that drug addiction is a “choice” people make. Well, I suppose there’s no use telling you, since you seem to be set in your ways, that doctors these days see it as a chronic disease, a disease of the brain. I don’t know anyone, perhaps you do, who chose to have a brain disease. So, you can stop with the “terrible choices” argument. Because if you persist I will simply ask you why do they make those terrible choices? And if you say because of this or that I will ask you again, why are they this or that way? You get the idea. People don’t wake up one day and decide to be a drug addict. They don’t wake up one day and decide to be sick in other ways. Nor do they hop out of bed on a sunny morning and say, “I think I’ll be poor!” It’s utter nonsense. People do make lots of bad decisions, like voting for Republicans, but it is usually because they have faulty decision-makers in their skulls.
Next, you are skeptical about how successful drug treatment programs are. You wrote,
“Treatment” for addiction is a facade, pure and simple. It doesn’t work. There must be a fundamental change within each addicted individual and the medical profession has yet find a way to promote such changes.
First, notice how you contradicted your earlier claim that drug addiction is a “choice.” Here you say there “must be a fundamental change within each addicted individual.” That is a claim that there is something wrong inside that person, something beyond that person’s control, something like a disease. Yes! And, thankfully, there are professionals, like those at the National Institute on Drug Abuse (a government research institute), who disagree with your depressing claim that treatment “is a facade, pure and simple.” Here’s what the NIDA says:
Like other chronic diseases, addiction can be managed successfully. Treatment enables people to counteract addiction’s powerful disruptive effects on the brain and behavior and to regain control of their lives. The chronic nature of the disease means that relapsing to drug abuse is not only possible but also likely, with symptom recurrence rates similar to those for other well-characterized chronic medical illnesses—such as diabetes, hypertension, and asthma (see figure, “Comparison of Relapse Rates Between Drug Addiction and Other Chronic Illnesses”)—that also have both physiological and behavioral components.
I have high blood pressure. My doctor told me I will always have it, despite the fact I take medicine for it. And I’m pretty sure I didn’t choose to have it. Some days, despite the medicine, it is higher than others. Hopefully, it won’t kill me anytime soon, but who knows? The point is that chronic diseases are difficult to deal with, and drug addiction is especially tough to deal with. Not all treatments work for everyone. I know this from personal experience.
A relative of mine was a severe drug and alcohol abuser. She had all kinds of help and support available. She went to rehab several times. I remember giving her a ride to my mom’s house one weekend on the day she finished a stay in rehab. She had a pint of whiskey with her when I picked her up. So, the treatment she got didn’t work. Nothing eventually did. Drugs and alcohol killed her. She died when she was 40 years old.
Now, does that mean all is hopeless for everyone with a drug problem? No. Listen again to the National Institute on Drug Abuse:
Unfortunately, when relapse occurs many deem treatment a failure. This is not the case: Successful treatment for addiction typically requires continual evaluation and modification as appropriate, similar to the approach taken for other chronic diseases. For example, when a patient is receiving active treatment for hypertension and symptoms decrease, treatment is deemed successful, even though symptoms may recur when treatment is discontinued. For the addicted individual, lapses to drug abuse do not indicate failure—rather, they signify that treatment needs to be reinstated or adjusted, or that alternate treatment is needed…
Look at this graph:
If more of us began to see drug addiction like we see diabetes or high blood pressure, perhaps we wouldn’t be so quick to go to our ideological corners and argue about “personal responsibility” and all that. Maybe we would be able to agree that all chronic diseases are a problem and the people who have them, whether they live in our cities or in rural areas, deserve our compassion—and our help.
3. Like many conservatives, you attacked government employees. Mercilessly. You said they lack “spirit,” you said, “They are there only for the paycheck, the benefits and the retirement package with no consideration whatsoever for the ‘services’ they are suppose to provide.” As a former government employee, I can tell you that you are quite wrong—at least as far as the agency I worked for. And my guess is that civil servants in other agencies are like the ones I worked around: mostly hard-working, dedicated professionals who go to work to serve the public. Not all, mind you. But most. And do they do their work for the paycheck and benefits and retirement package? You’re damned right they do! Is that a problem for a conservative? Is working and expecting just compensation for your work a sin?
Oh, as a preface to your attack on government workers, you wrote about some of the problems you imagine are wrong with us as a people. You then said:
Government can no more fix those issues than fly to the moon.
Huh? Were you awake in the 1960s? The government did in fact fly to the moon. And on July 20, 1969, three government employees not only flew to the moon, two of them landed on the damned thing, got out and walked around on it, then poked an American flag in the powder. They did that because of the hard work and dedication of countless government employees, or contractors hired by the government. And, yes, they all got a paycheck. And bennies. (Except for the moonwalkers.)
4. Finally, you said my “spirit” was good. You said you admired my “spunk” in fighting for what I believe is “right.” Thank you. But you said something else. You said “I will never change him or he change me in our fundamental beliefs.” You speak for yourself here. I don’t have a “you’ll never change me” gene in my body. How do you think I went from a raging right-winger to a sober liberal? So, I suggest you not project on me your own unwillingness—or inability!—to change, spunk or no spunk. If you want to change my mind, produce convincing arguments, offer irrefutable evidence, and otherwise behave rationally.
For now, though, cheer up and join the Resistance! We have a madman in the White’s House!
Duane