It's Been a Few Days and I'm Feeling a Little Better

On Tuesday night I stopped blogging at 8PM, mostly because all the news coverage was all about the stunning Republican landslide. The idea of Republican control of the Senate, even without the 60 vote filibuster proof majority, troubles me.

It’s been a few days and I’m starting to feel a little more hope. While things on the national level didn’t go as well as I’d hoped, things in California generally went well. We re-elected California Governor Jerry Brown for a 4th term. By all accounts he’s done a remarkable job of reversing the downward slide we experienced from Arnold Schwarzenegger and he was able to win re-election with little campaigning.

Two years ago Scott Peters narrowly unseated incumbent Brian Bilbray. The race was so close that it took 10 days after the election to be sure Scott won. A congressman faces his toughest re-election after his first term and this was no exception. From Scott’s first day on the job Carl DeMaio, a former city council member, announced his intention to run for Scot’s seat in 2014. The race was neck and neck and on election night Carl was winning the counted votes by 752. On Wednesday night it was reversed and Scott was ahead by 861 votes. At this point all the votes cast on election day and most of the mail in votes had been counted; all that was left were the mail in votes that were dropped off on election day and provisional ballots.

Frankly this time last night I was pretty optimistic. Most mail in ballots skew Republican and were mailed in early. I’m not sure I’m proud of this but most people who wait until the last minute vote Democrat. I also believe that most provisional ballots would skew Democrat.

In any case I was pretty anxious waiting for the results. I was hoping that Scott’s momentum would continue and afraid it would reverse. The results were so good I had to check a few places to make sure I wasn’t dreaming. Scott’s lead went from 861 votes to 4,491 with somewhere between 10,000 and 15,000 votes left to count.

In my mind this finishes the election. For the sake of simplicity I’ve rounded the number up from 4,491 to 4,500. If there are 15,000 ballots left to count, Carl would have to win 9,750 of them. If there are 10,000 ballots left to count, Carl would have to win 7,250 of them. Either way it’s a hard hill to climb.

On the Republican side I’m impressed that Mitch McConnell and Lindsey Graham beat back challenges from the tea party (I refuse to link or capitalize). I’m hoping that will make moderate Republicans more willing (or less fearful) to actually work with President Obama.

Finally, I read an excellent column by David Broder who speaks eloquently about the reality that Republican demographics are diminishing. Almost nobody who has recently become an American citizen or has recently become old enough to vote thinks their future lies with the Republican party. I think David is right and I’m happy to think so.

Election Night 2014: Not Sure How Long I'll Blog Tonight

It’s my tradition to blog on election as we follow the races. I may not follow them as far into the night as I usually do for a few reasons. The first is that I’m generally disappointed with how the candidates are running the election.

The Republicans are running this as a referendum on a President with two years left on his political life. The Democrats are running like President Obama doesn’t exist. I’m proud of my votes for him, I think he’s done an excellent job given what he faced in January of 2009, and I’m angry that my party is trying to pretend he’s not there.

The other reason is a more simple one: I don’t think there is as much at stake tonight. Nobody believes the leadership of the House of Representatives will change, the Presidency will certainly not change, and while the majority may shift in the Senate we likely won’t know tonight. There are close Senate races in North Carolina and Louisiana but they likely won’t be decided now. Both races have more than 2 candidates and require 50% plus one to win. In other words it’s a fair bet that both races will require runoffs.

7:00PM Pacific Time, 10:00PM Eastern Time, 3:00 AM Greenwich Mean Time: The polls don’t close for another hour here in California so I have nothing to report. I’m disappointed but not surprised to see that Mitch McConnell survived a strong challenge. He had to fight for the Republican nomination from Matt Bevin, a member of the Tea Party. He won the nomination and I had hoped he would be so wounded that the Democrats would unite against him. Alas, Mitch won, and if the Republicans win the Senate he will be the majority leader.

I’m also disappointed by the 7th Congressional district of Virginia. In a stunning upset in June, Dave Brat defeated Eric Cantor. Dave is an economics professor at Randolf Macon College, and this placed him against the Democratic nominee, Jack Trammell, who ironically enough, is also a faculty member at Randolf Macon. Jack was supposed to be the guy Eric Cantor would destroy in the election. When Brat won, I hoped the Democrats would unite and defeat Brat, but it didn’t happen. The 7th Virginia Congressional district is still pretty Republican and I’m guessing that moderate Republicans who liked Eric held their noses and voted for Brat.

On the other hand I’m pleased with New Hampshire. Senator Jean Shaheen was challenged by Scott Brown. Scott was born in Maine, but moved to Massachusetts as an infant. In 2010 he won a special election to fill the seat vacated by Ted Kennedy who died of cancer. Scott expected that this would lead to him holding that seat for a long time, but he lost to Elizabeth Warren in the general election in 2012.

Scott then moved to New Hampshire and challenged Jean. Tonight’s projections show that he will lose to Jean. I find this good news because it shows Scott as an opportunist. He doesn’t care who he represents, he just wants to be a Senator. This makes the charge that he is a carpetbagger who will go anywhere and say anything to gain power.

8:00 PM Pacific Team, 11:00 PM Eastern Time, 4:00 AM Greenwich Mean Time: The polls have closed in California but almost nothing is certain where I live. My congressional race pits the incumbent Scott Peters (Democrat) against Carl Demaio (Republican) and almost certainly won’t be settled tonight. In fairness, two years ago Scott’s victory wasn’t announced until 3 days after the election. It may happen again. While my district is trending Democrat, it may be a few more years to turn it blue.

We voted on several ballot measures, but the measure that I cared the most about was Propsition 46. As most of you know I’m married to a doctor. If you’ve been harmed by a doctor on a medical procedure you can sue the doctor. If it’s found that it was malpractice you can sue on a few grounds. If the doctor’s malpractice prevents you from ever working again you can sue the doctor for the wages you would have earned for the rest of your career and there is no ceiling on what you can sue for. If the doctor’s malpractice causes you to need medical care for the rest of your life you can sue for the care you need for the rest of your life.

So what is left? Well if you sue somebody you can claim the money you need to care for the injured person and to replace his (or her) wages but you can also sue for “pain and suffering.”

“Pain and suffering” is the money you get for saying that the plaintiff was irresponsible. It’s meant as a scare tactic against large companies who feel that settling lawsuits is a good financial decision. Right now in California there is a cap of $250,000; that is, no matter what happens a plaintiff can’t collect more than $250,000 for pain and suffering. Proposition 46 would raise that immediately to $1,100,000 and index yearly increases to inflation. To be fair the $250,000 cap has not moved since 1975. But Prop 46 would have had a catastrophic effect on malpractice insurance and the ability of doctors to practice medicine in the state. There may be room for an intelligent discussion on pain and suffering caps, but this was nothing more than a money grab for lawyers.

OK, I’m getting sufficiently depressed that I need to stop blogging and get a night’s sleep.

The Justice Chronicles Volume 16: Are We Tipping On Marriage Equality?

When we see a shift in public opinion about something we sometimes talk about a “tipping point,” that is, a time where it appears that the momentum has shifted and what was once a minority opinion has now become the majority.

It’s hard to remember this, but just a few years ago this was thought impossible. In 1996, 18 years ago, President Clinton signed the Defense of Marriage Act, or DOMA. It mandated that the federal government not recognize any marriage except between one man and one woman.

Fifteen years ago, in 1999, California led the country in issuing domestic partner licenses; it provided some of the benefits of marriage. Other states followed.

Massachusetts, in 2004, became the first state to allow gay couples to marry. But because of DOMA these married couples could not file joint income tax returns, or benefit from each others’ social security or other benefits. There had been a residency requirement (that you had to live in Massachusetts or plan to live there). This was a 1913 law and was intended to prevent Southern interracial couples from coming to Massachusetts to get married. It was repealed in 2008.

Also in 2008 the California Supreme Court ruled that the state could not ban gay marriage under the rules of the state constitution. Almost immediately there were calls to amend the California constitution to prevent marriage equality. Later that year Proposition 8 amended the constitution, though the state upheld the marriages that were performed between June 16th and November 4th.

In 2010 the District Court of Northern California ruled that Proposition 8 was unconstitutional (even though it was an amendment to the constitution). In 2012 the U.S. Ninth Circuit upheld the ruling; it was appealed to the Supreme Court but the Supreme Court ruled against them in 2013. Ever since then marriage equality has been legal in California.

There is much more to this and I encourage everyone to read the entire timeline at here.

The 50 states are divided into 11 circuits: you can view the map at here.

The 4th, 7th, 9th, and 10th circuits have all ruled in favor of marriage equality. In a surprise to many, the Supreme Court refused to hear any these appeals.

It’s a bit of a disappointment to those of us who favor marriage equality; we were hoping for the equivalent of Loving v. Virginia when the Court ruled that bans on interracial marriages were unconstitutional.

That said, it’s a devastating blow to those who oppose marriage equality. It appears that as of today Virginia, Indiana, Wisconsin, Oklahoma, Colorado, and Utah will start issuing marriage licenses to gay couples. Because they belong to the 4th, 7th, 9th, and 10th circuits Wyoming, Kansas, West Virginia, North Carolina, and South Carolina will soon follow.

The Supreme Court could still take cases from the other circuits (the 5th circuit is looking at this) but I think this sends a clear message to the other circuits that the Supreme Court will rule in favor of marriage equality.

It appears that homophobia is the latest casualty in the march for justice.

It's Been Nine Years, But Not Long Enough to Forget

In August of 2005 we learned the word “Katrina” isn’t just a girl’s name, but a horrific hurricane. She began in the South Atlantic and moved northeast. It moved over Florida and gained speed and danger: she moved over the Gulf of Mexico and struck New Orleans on August 29th.

The next few days were horrific to watch, let alone to live through. The administration of President Bush claimed to have responded well to this, but virtually nobody believes this. Thousands were stranded without basic needs such as food, water, or bathrooms. If you don’t believe me, check out my page on this. We are still living with his failures on this and many more events.

His decision to strip FEMA (the Federal Emergency Management Agency) of anyone except his cronies showed a breathtaking lack of compassion. The hurricane and aftermath made us all aware that our government was horrifically unprepared for a completely predicable event.

I’m impressed with those who lived through Katrina, those who were part of the solution, and those who continue to rebuild. And as an American citizen, I apologize for those members of our government who made promises they never intended to keep.

Tony Gwynn: 1960 – 2014

Monday we received sad news (though news many of us in San Diego knew was coming): Tony Gwynn died of cancer of the salivary glands at the age of 54.

This was sad news on several levels. He was much too young. We who love San Diego, baseball, or just loved watching a man who respected the game, his family, and himself with equal ferocity, will miss him.

He was a Los Angeles boy he grew up rooting for the Dodgers. After high school he came to San Diego State University where he played basketball and baseball. In 1981 he was drafted by the San Diego Padres in the 3rd round. After a year in the minor leagues he made his major league debut with the Padres on July 19, 1982. He never left. Even though he could have made much more money by moving to another team when he became a free agent, he decided to stay in San Diego.

From 1982 to his retirement at the end of the 2001 season he put up some incredible numbers. His career batting average was .338, with 3,141 hits (it’s assumed anyone with 3,000 career hits gets into the Baseball Hall of Fame). He made the All Star team 15 times and was the National League batting champion 8 times.

But the best thing about Tony was his character. He never stopped studying the game, even drawing the respect of the often prickly Ted Williams.

After his career he continued to contribute to the game coaching the SDSU baseball team. We knew things were bad in March when he asked for a leave of absence.

I had the pleasure to meet him several years ago at a charity event. We just spoke for a minute, but he made me feel like I was the only person in the room. You can read my account of that meeting here. Though he and his wife were the keynote speakers, they carried themselves with the kind of class I’d always heard about.

One final note: He was inducted in the Hall of Fame in 2007. A few months after that San Diego experienced a fire that destroyed dozens of homes. Tony put the word out that if anyone lost an autograph of his (from a picture to a baseball to a bat) in the fire, they should let him know and the would replace them. As an added bonus, he could put “HOF” on the autograph (Hall of Fame). The fire came close to his home and his showed his character in that he was concerned so much with the fans.

He was Mr. Padres and we will miss him.

God Bless Tony, and I’m glad you’ll be reunited with your father.

D Day Plus 70 Years. A Day To Remember

The airwaves have been filled today with remembrances of June 6, 1944. These anniversaries are becoming more poignant as the number of those who were there are dwindling. It won’t be many years before we lose our last survivor.

The numbers are staggering. By early 1944 it was clear that the allies would need to make an amphibious landing on the shores of France, but it was not clear where or when. Adolf Hitler believed it would be at Calais, the narrowest part of the English Channel. He was wrong. Around 6:30 a.m. that morning, allied troops began landing on Utah, Omaha, Gold, Juno and Sword Beaches, south of Calais.

On that day 160,000 troops landed and began an inch by inch conquest of France. About 9,000 died on those beaches. We should never forget that.

D Day is also a reminder that landmark events sometimes turn on small, bizarre decisions. Hitler’s personal doctor, Theodore Morell, regularly injected Hitler with something he called “Vitamultin.” There is good reason to believe that one of the ingredients was amphetamines. On the night of June 5th, Hitler left instructions not to wake him. When reports began to come in about the invasion, Hitler was not awakened. When he finally did wake up, he believed the invasion was a trick and the real invasion was going to be at Calais. He refused to move troops to the invasion, and this eventually made the allied victory happen.

A few years ago I met a man who was part of the invasion. He told me that he was transferred to England with the understanding that he would be part of the invasion. During the day he drilled and prepared for the invasion. At night he was housed with an English family. They were not thrilled to house an American: all they knew about America was what they saw in movies about organized crime in Chicago in the 1920s. His room had only a bed; the rest of the room had been stripped of everything else. The good news is that as they got to know him, they recognized that this American was a good guy. He got home one day and found his room had the bed, and also a dresser and art on the wall. He was pleased to have dispelled their prejudice.

On the night of June 5th he remembered boarding the transport ship. He told me that some of the troops prayed the rosary. Others played cards. They were all scared.

The invasion was horrible. The sea was red with blood and the sand was littered with bodies. But he survived. Eventually the war ended because D Day achieved its purpose: it started with a beachhead and ended with the liberation of France and Germany.

My thanks to him and all those who spent the night of June 5th wondering if they would live another day.

San Diego On Fire

If you accessed the news in any format this past week, you’ve been hearing about wildfires in San Diego. For those of us who live here, we’ve spent at least part of the week watching the news if only to know what to say to well meaning relatives and friends who think we are toast.

Every part of our country, and indeed every part of our world, brings challenges. Maybe it’s hurricanes, or earthquakes, or tornadoes, or blizzards. Here in Southern California it’s becoming wildfires. Many found their way here out of love for the weather and the false assumption that watered lawns and full taps magically appeared.

Many also falsely assumed that any fire would be put out before it costs us anything. Since I moved here in 1995 we’ve had a few years where we’ve had fires that have gone out of control. The years 2003, 2007, and now 2014 will remind me of uncontrollable fires. They will remind me that the price of a house with a spectacular view comes with the acknowledgement that a fire may begin far away but hungers for a house with a spectacular view.

Out of good luck more than anything, my home is generally pretty safe from these wildfires. But the homes of the patients I serve are not. I’ve gotten used to the process of learning about the location of the fires and determining which of my patients are in danger. I’ve gotten used to spending hours calling cell phones hoping to find where they went after getting word in the wee small hours of the morning that they have to leave. I’ve gotten used to preparing conversations with people in the last chapter of their lives who need to understand why they can’t die at home because their home no longer exists.

Is there something I can’t get used to? Yes. I can’t get used to hearing politicians who insist that dramatic changes in weather patterns are not due to our actions. I can’t get used to those who have the ability and willingness to trash the futures of our (and their) descendents because the cost of honesty is their re-elections. I can’t get used to the fact that their ambition for wealth or power is more important than anything else.

Nancy and I don’t have children. But we do have nieces and nephews. We do have neighbors, friends, and loved ones who do. We care about the world we’re giving them. We love Southern California. We love the idea that this is a part of the world that welcomed us. We grieve that this may well be a part of the world that will no longer be liveable. We grieve that, unlike our ancestors, we cannot give to the next generation better than we were given.

We don’t see the recent fires in the context of a random event. We see them as the natural result of climate change that our leaders choose to ignore. And we see the need to elect leaders who won’t do that.

Oh, and one more thing: a few days ago I had occasion to drive through one of the areas that burned. The burned areas look like the surface of the moon but I was amazed at how few homes were lost. Part of the reason is that the homeowners followed directions to keep brush away from their homes. But we also need to give a shout out to Cal Fire for their heroism in defending these homes. It’s going to be a long, hot summer and I’m grateful they are on our side.

Boston Strong? You Betcha!

I’m writing this on the evening of April 15, 2014. Last year at this time we were looking with horror at the Boston Marathon bombing. If you’ve never lived in Boston it’s hard to imagine how much the marathon means. Trust me, it’s a big deal.

And it was made even harder to see that two cowardly terrorists used this iconic event to spread terror. In the blink of an eye we lost Richard Martin, Krystle Campbell, Lingzi Lu, and Sean Collier. Officer Collier died a few days later, but he was every much a victim of the marathon as the others.

Of the terrorists, one is dead and the other is in custody. The justice system will deal with him, and I know the good people of Boston will do the right thing.

In the meantime the city moves on. The courage Boston showed 240 years ago when they formed the Sons of Liberty has been present over the last year.

Next week they will run the marathon again. Our prayers will be with all of them.

Good Passover to Our Jewish Brothers and Sisters

Tonight is the first night of Passover, the Jewish feast that remembers their liberation from slavery in Egypt. The celebration is tightly scripted and comes from the 12th Chapter of the Book of Exodus. Today anyone can purchase a book giving directions for this feast; it’s called a Haggadah. Last year I read about a new edition called the New American Haggadah and this year I purchased it.

In addition to giving instructions on celebrating the feast it also gives commentary and a timeline. One commentary grabbed my attention and I want to share it here. It speaks of slavery in Egypt and how slavery continues to exist. In a sense, anyone enslaved is still in Egypt. Here is what is says:

Who can say we’ve actually left? “Whenever you live, it is probably Egypt,” Michael Walzer wrote. Do you live in a place where some people work two and three jobs to feed their children, and others don’t even have a single, poorly paid job? Do you live in a community in which the rich are fabulously rich, and the poor humiliated and desperate? Do you live among people who worship the golden calves of obsessive acquisitiveness, among people whose children are blessed by material abundance and cursed by spiritual impoverishment? Do you live in a place in which some people are more equal than others? In America, the unemployment rate for African-Americans is nearly twice as high as it is for whites. Black people are five times as likely to be incarcerated as whites. Infant mortality in the black community is twice as high as it is among whites. America is a golden land, absolutely, and for Jews, it has been an ark of refuge. But it has not yet fulfilled its promise. The same is true for that other Promised Land. Jewish citizens of Israel have median household incomes almost double that of Arab citizens and an infant mortality rate less than half that of Arabs. Israel represents the greatest miracle in Jewish life in two thousand years – and its achievements are stupendous (and not merely in comparison to its dysfunctional neighbors) – and yet its promise is also unfulfilled. The seder marks the flight from the humiliation of slavery to the grandeur of freedom, but not everyone has come on this journey. It is impossible to love the stranger as much as we love our own kin, but aren’t we still commanded to bring everyone out of Egypt?

Enough said.

What Would Happen If….

A few days ago I was talking with my father in law about Pope Francis. While the pope had been much more open and enthusiastic than Benedict XVI, he hasn’t changed or updated any church teachings. My father in law wondered aloud of he would give a new look to the Church’s current understanding of artificial birth control.

Most Christian Churches opposed artificial birth control until 1930. In 1931 Pope Pius XI wrote an encyclical titled Casti Connubii reaffirming the Church’s opposition to birth control. After the reforms of Vatican II many Catholics thought the Church would update its teachings. To this end Blessed John XXIII appointed a commission to explore this issue. Pope Paul VI expanded this commission and in 1966 they advised Paul VI to explore updating Catholic teaching. Instead he published Humanae Vitae that reaffirmed the ban.

This was a cause of great pain for couples of child bearing age (including my father in law). While some couples lived with this, many chose to ignore the teaching. The teaching has had a smaller and smaller place in the lives of most Catholics, and by the time I was ordained in 1994 the subject virtually never came up. Polls show that Catholics couples use birth control at the same rate as non Catholics in the United States.

So this has gotten me to wonder: what would happen if Francis updated the teaching? There is certainly a small but vocal minority who would go crazy. Perhaps this would give some couples the permission they’ve sought, but statistics show that this is a small number.

I suspect that since most Catholics of child bearing age were born after 1968 (if we think of child bearing until age 50), it wouldn’t make much of a difference. In that sense perhaps the Church should let this teaching just fade away. In a sense that’s what we did with Galileo; he was denounced in 1615 for claiming the earth revolved around the sun and the Church didn’t officially change that until 1992.

On the other hand it I think it would be a strong statement that would be of great benefit to the Church’s image. In a sense it would probably be seen as throwing Paul VI under the bus, but that may not be a bad thing. I have nothing against Paul VI, but I suspect that he didn’t update the teaching out of concern of throwing Pius XI under the bus. Some pope, some day, should have the courage to do what the overwhelming number of us think he should do. I’d like to this it’s Francis.