Everybody’s Talking About Bioethics Now #COVID19

Photo by Gustavo Fring on Pexels.com

Since this pandemic got rolling, it seems everyone wants to talk about bioethics “trolley problem” quandaries like how to decide which of three dying patients gets the one ventilator on hand or whether it is okay to lock up healthy people to prevent the spread of a deadly virus. All the boring stuff suddenly got real and real fast, but maybe it’s not that interesting.

You should give the ventilators to the people with the best chance of surviving, right? I think that is how triage works. And, oh, was it all right to tell people to turn off their lights when bombers were flying overhead in the middle of the night? Sometimes even the rugged individualists have to work as a group. The problem is that some of our rugged individualists have never really been put in a position to make tough decisions, so they aren’t prepared.

And that gets us to the real ethical issues here. It is really unethical to be unprepared for emergencies. Experts in many fields have been warning of coming pandemics for at least 15 years. Even George. W. Bush, bless his tiny heart, knew he had to prepare for pandemics, and he at least took at stab at it. And the ever financially minded Barack Obama prepared for pandemics and even dealt with one on his watch. His didn’t get quite so out of hand, of course, and no one should have to tell you why.

So, the important ethical decisions were made years ago, and many of them had to do with the most attention-starved principle of bioethics, justice. The failure to prepare for a public health emergency affects everyone, as we now see, but too many people have always seen efforts to protect public health as efforts to protect “people not like me.” This isn’t always a sign of racism; sometimes it is just pure classism. Some people just don’t hate based on skin color, religion, sexuality, or any of that stuff. They hate poor people of all types.

This is also not a matter of choosing between the “economy” and the needs of working people. Preparing for a pandemic would have meant having mechanisms in place for extensive testing, tracing, and isolation that would have prevented the need to shut down almost all business activities. With proper preparation, the world would have suffered but could continue functioning.

And I guess a lot of Americans really were satisfied with their employer-provided health insurance that they are now losing, because it turns out their employers really never valued them as much as they assumed. It would seem that intelligent and hard working people should always be able to get healthcare, and that’s what we’ve been trying to tell you. You can be hardworking and intelligent and also poor, and maybe it is good that more people are learning this rather difficult lesson right now. Maybe it will help in the future.

But public health isn’t all about health insurance, though turning infected people away from a hospital because they can’t pay is certainly not a good way to protect the public from a pandemic. No, protecting the public health, which is really protecting national security (and global security) is about being able to deal with emergencies, which would require not selling off all the equipment you might need. Most homeowners have never used a fire extinguisher, but the ones who used them successfully were pretty happy they had invested in buying one and taken the time to learn how to use it.

So, yes, more than a decade ago, epidemiologists, virologists, climate scientists, public health experts, public health ethicists, and environmentalists were warning that the world was becoming much more hostile. How do we prepare to ensure our own long-term survival isn’t really as much fun as debating who gets the last ventilator, maybe, but it can save many more lives.

And maybe you’re saying there’s no point in going on about this now as it’s too late. What’s done is done, you’re saying, but this ain’t over, folks. One way or the other, COVID19 will be resolved, but other pandemics will follow along with drought, flooding, mass migrations, and a host of other public health crises that aren’t that hard to imagine if you only try. You may think I’m crazy, but I’m not the only one. Plenty of experts in relevant fields are already imagining the worst and best case scenarios. Maybe it’s time to listen to them.

Poem: Word Jazz (for Ken Nordine) #NaPoWriMo

There’s a kind of poetry
that sounds like jazz
dropping beats on you
as you read, but I don’t have
that kind of rhythm
and I never quite
find the flow
of staccato, pause,
repeat, and crescendo.

I don’t even have the
anarchic cacophony
required for free jazz,
random sounds
on raptor wings
swooping to make sure
your ears have noticed.

But the words find their
way in a unique
improvisation each
time we speak in
a veritable word jazz.

Ken Nordine knew.

And the words blew blue
all the way back to you.

Photo by Soonios Pro on Pexels.com

Poem: The Anti-Climax of Radical Freedom #NaPoWriMo

“But can you imagine a worse fate for your declining years than being read aloud to by Simone de Beauvoir?” ~Elizabeth Bishop

Other people were Sartre’s idea of Hell,
but Elizabeth Bishop’s idea of Hell was Simone de Beauvoir.
And somehow these three, brimming with radical freedom
and unconventional relationships, illuminated my way
to my own path of mediocrity and obscurity punctuated
by poor, if unconventional, choices in lifestyle and relationships.

From their inspiration, I was driven to write sporadically,
love without enthusiasm, and live quietly on the fringes
of a friendly but disinterested community surrounded
by an interested but hostile society of blame and recrimination.
In some unjustified fantasy, I sometimes imagine that Sartre would
approve of me or that Beauvoir might wish me greater freedom.
Elizabeth Bishop might mourn my dim light but not think it a disaster.

But still, I imagine myself in their shoes, standing on a balcony
overlooking the Montparnasse Cemetery before writing in a cafe
on the ground floor. And here I am, just like them!, sitting with my lover,
writing in a notebook, drinking Beaujolais, and munching quietly on a fresh galette.
The words neither flow nor drip but must be pried out, singly, and with great effort.
But still, you can feel the energy, can’t you?, where fertile minds spawned the
great works, and I have spawned faint evidence of mental effort, in their shadow.

Photo by Daria Shevtsova on Pexels.com

Poem: I’m Sorry You Feel #NaPoWriMo

I’m sorry if you feel,
under false pretenses,
I took your energy,
your youth and beauty,
your love and trust,
your boundless affection,
and unquestioned devotion.

I’m sorry you feel
I betrayed you with
with a deceptive sense
of subservience and spinelessness.

I’m sorry you feel
I emerged as someone
different from the person
you thought I would be.

I’m sorry you feel
I should have been
more malleable and
grateful for instruction.

I’m sorry you feel
I never should have wanted
more than you could give
or needed more than I had.

I’m sorry you feel
your fears for the future were fulfilled.
I’m sorry you fear you will walk
alone when the lockdown is over.

Photo by Umberto Shaw on Pexels.com

Poem: Prophylactic Salute #NaPoWriMo

She didn’t witness black and white wings dropping in the tree.
No, she didn’t see the magpie, but gave a prophylactic salute.
Her superstition never fell into complacency.
She didn’t witness black and white wings dropping in the tree,
but she was alert to danger in every contingency,
and her intuition was always alert and astute.
No, she didn’t see black and white wings dropping in the tree,
but even without seeing a magpie, she’d give a prophylactic salute.

Poem: Mindfulness as Moral Instruction #NaPoWriMo

The lotus blossom represents enlightenment,
but most people take it as a symbol of relaxation,
an icon of a religion of indifference,
but Buddha told us to let go of desire,
not to be pacific in the face of suffering.

Loving kindness and limitless compassion
motivate us to relieve suffering as we
recognise that all suffering is our responsibility.
Desire is destructive and separates us from others
while compassion joins us to all life.

Mindfulness is shilled as a tool for corporate success,
but such success is only an element of ego
and can never be a byproduct of mindfulness.
To be mindful is to be aware of suffering,
and to suffer is to be filled with desire.

Buddha didn’t want us to be free from distraction,
he wanted us to be focused on suffering.
To imagine a universe free from suffering
is only to imagine a universe free of life,
and desire is nothing less than a life source.

Late one afternoon, I sat and watched a beautiful
wave crash against the rocks on the beach.
Finding such beauty on earth, of course I wanted
to find it again, to relive my joy and enlightenment.
I followed the wave out to sea, only to be consumed by water.

Photo by Sebastian Voortman on Pexels.com

Poem: It’s All Down to the Floor #NaPoWriMo

When you do a good job,
people say the floor’s so clean
you could eat off of it,
but no one really eats
off the floor, so what’s the point?

Everything we shed goes to the floor:
viruses, old skin, loose hair,
mucous, spit, parasites,
and random would-be nourishing
particles dropped through
slovenly food preparation.

So the floor fills fast with refuse,
and something has to be done about it
from time to time with care and precision.

It’s important work this scrubbing, this tedium,
but I never feel threatened by the floor
unless it is rising to meet my falling corpse
at a rate sufficient to be alarming.

Though I use the standard mop and bucket,
this task brings me to my knees every time.
Is everyone’s floor covered with such
persistent sediment demanding severe scrubbing?

Or am I the only one grinding old bones
into hard tile while bleaching my skin and
cursing the damned and damnable
to leave me in peace once and for all?

In the end, this sparkling masterpiece is something
to behold, and I stare at it in minor amazement,
imagining briefly the pleasure I could have
eating off the floor for once, until the first steps
into the sterile field remove all illusions of safety.

Photo by AHMED MOUSTAFA on Pexels.com

Poem: Weather Alert–The Dirty Side Kills #NaPoWriMo

She said,
You don’t want
to get on the dirty side
of a hurricane
because that’s what
kills people.

And that became
a central metaphor
for our relationship.

Don’t get on my dirty side,
she’d say, or I’ll mess you up.

Or I’d say,
The dirty side is moving in,
so you better back off.

And we always talked like that,
the way people talk about the weather,
but we never did anything about it.

(“Everybody talks about the weather but nobody does anything about it.”–Mark Twain or possibly Charles Dudley Warner)

Photo by Pixabay on Pexels.com

Poem: The Epistemology of Indifference #NaPoWriMo

I hadn’t really noticed
You had stopped calling
Or coming around
Until a mutual acquaintance
Mentioned you were struggling
With unspecified issues.

I was curious, or course,
But didn’t really ask much
Or follow up in any way,
Because I have other things
weighing on my mind.

I don’t worry too much
about your health,
job security or children.
I haven’t checked to see how
your business is doing.
I am confident your life is flourishing,
Though it sometimes seemed like disaster.

No, I’ve forgotten that I once relied
heavily on your trust and confidence
while fretting constantly over your
well-being and safety. When I have
some success or crushing failure,
I no longer immediately think to call you,
at least to the best of your knowledge.*

*Apologies to Kenan and Kel in Good Burger.

Photo by cottonbro on Pexels.com

Poem: On the Significance of Triumph #NaPoWriMo

Some people are never satisfied.
I swear, if they won a Pulitzer Prize,
they’d complain it wasn’t a Nobel.

Sometimes the small triumphs
mean the most,
like not re-reading the hateful email
your ex sent to all your mutual friends.

Or when you didn’t leave the crumbs
on the counter after eating the
last slice of key lime pie
from your hands.

Photo by Foodie Factor on Pexels.com