jack-o-lantern-pumpkins-11288879970iUJP

Happiness is a warm Jack o’ Lantern

This is the official blog of Maya Kaathryn Bohnhoff—Bahá’í, writer, editor, musician, general misfit, child of Ray Bradbury and Star Trek, lover of baseball, magical realism, Dr. Who, the month of October and Jack’o’Lanterns (which make me very, very happy).

This is where I post things that mean something (cue mashed potatoes.)

Another Hero Goes into the West and Does Not Diminish

FacebookTwitterGoogle+Share
Oliver Sacks

Oliver Sacks

I was shocked and saddened to hear that one of my greatest heroes is dying.

I have experienced Oliver Sacks as a being of great wisdom and compassion. His work has been a blessing and an illumination to me as both as a writer and a human being, and has gifted me with many deep insights into the human spirit that have informed my own craft.

Anthropologist on Mars Dr. Sacks has written extensively about conditions that impact the way affected individuals experience the world—migraine, sleeping sickness, manic-depression, synesthesia, autism (it was through Sacks’ book An Anthropologist on Mars that I first “met” the indomitable Temple Grandin, who has become the face of autism for many people). But he has also lived with such conditions (prosopagnosia or face blindness, and the loss of his stereoscopic vision) and has written extensively about and chronicled these experiences as eloquently as any fiction writer has chronicled the epic adventures of her characters. An Anthropologist on Mars remains one of the favorite and most significant books of my reading and writing life. I highly recommend it to anyone who has not had the immensely moving experience of reading Professor Sacks’ work.

Though I understand that his adventure is, in many ways, just beginning, I mourn our collective loss of this great humanitarian intellect and selfishly wish we might be allowed to keep him just a bit longer.

FacebookTwitterGoogle+Share

Off to Boskone…

FacebookTwitterGoogle+Share

Devil's DaughterJeff and I are among the Guests of Honor at Boskone this weekend where we will be performing, filking, paneling and at which I will give the first ever reading from my soon-to-be-released novel, Devil’s Daughter. This collaboration between Hope Schenk-de Michele, Paul Marquez and myself is the first book in the Lucinda’s Pawnshop series from Bird Street Books.

This is an urban fantasy filled with layer upon layer of dark secrets, plots and counter-plots, world-shattering stakes and the endgame to end all endgames. It’s a book about redemption, love and trust in the midst of the Devil’s myriad schemes to take down the human species. And it’s told the only way I know how to tell a story—through the eyes of the people on the ground and living in the middle of the chaos.

The central character is Lucinda Trompe—the Devil’s daughter. She is half mortal half immortal, and has one heck of a secret. She’s surrounded by demons, angels, and human beings who run the gamut from the noble to the hopelessly entangled in Lucifer’s webs of deceit. This is her story and the story of her volatile and torturous relationship with Lucifer.

The book will be on shelves everywhere in July and I hear we’re going to press tomorrow. So, think good thoughts and, of course, please buy the book!

FacebookTwitterGoogle+Share

Guns and the Religion of Competitive Materialism

FacebookTwitterGoogle+Share
close-encounters-of-the-third-kind-largeThanks to my friend Mark Heinz for catalyzing this post. I started out to reply to something he said on Facebook, only to realize that exploring the subject made for a post that was just too darn long for a Facebook comment thread. So, here it is on my Pretending to Look the Other Way blog site filed under Mashed Potatoes. And if you don’t get that reference, watch Close Encounters of the Third Kind.
Mark replied to a post I made of the recent study from the American Public Health Association on the relationship between gun ownership and gun homicides in the US, by observing,
One thought regarding the subject of murder, suicide and culture, I think the U.S. might have high rates because, probably more than any place on earth, we have a competitive culture, as opposed to a cooperative one. Think about it; the word “competition” is cited and recited with almost religious reverence in our culture. Now, some might argue that’s been the driving force behind America’s success (however we might define that.) But, I think it’s clear it’s also come at a price. I would argue that, because our culture is so dogmatically and frantically competitive – even if you made every firearm in this country disappear tomorrow, Americans would probably still kill themselves and each other at alarmingly high rates.

What  Mark was speaking to, in part, was the American culture of consumerism and materialism. Which is something that we export worldwide along with our philosophies about Life, the Universe, and Everything, some of which are constructive and beneficial, and some of which are destructive.  Continue reading

FacebookTwitterGoogle+Share

Healthcare Myth #5: Other systems are too “foreign” to work here

FacebookTwitterGoogle+Share

liberty-weepingIn other words: America is unique and, some would argue, superior.

Well, duh. Every country is unique. And every country probably has some area in which it is (depending on your values) superior to other countries. Alas, in the area of taking care of our own, we are not doing all that well; which is why I like TR Reid’s idea of taking a serious and deep look at what other developed nations are doing for healthcare with the idea that we can do it just as well, if not better.

Let’s look at the four basic models of healthcare provision currently in use:

  • The Bismarck Model, founded by Otto von Bismarck in Germany in the 19th century. This is a privatized but non-profit multiple payer model.
  • The Beveridge Model, invented by William Beveridge in Britain. This is a public service like the police and fire department.
  • The National  Health Insurance System (NHIS) Model, which has elements of both Bismarck and Beveridge systems. It has private providers, but government run funds to pay out.
  • The Out-of-Pocket Model, which is used in the developing world. Basically, the rich get medical care, the poor don’t. Pretty simple.

Reid comments, “Of course the foreign models could work for Americans; they already do.” Continue reading

FacebookTwitterGoogle+Share

Healthcare Myths #3 & 4: Bloated Bureaucracies & Cruel Necessities

FacebookTwitterGoogle+Share

Healing-ReidcoverThis first of two related myths, as summed up by TR Reid in The Healing of America, has it that the universal healthcare systems of other wealthy countries are run by bloated bureaucracies.

This is simply not true.

Every other system Reid cited is less wasteful than ours. This is true whether they are public or private systems. Our for-profit setup has the highest administrative costs in the world.

This is a major reason we spend more on healthcare and get less in return. Up until Obamacare, our insurance companies spent roughly 20 cents on the dollar (that is, 20% of every dollar they spend) for the non-medical, administrative costs required for a profit-making venture: paperwork, reviewing claims, rescission, marketing, etc. The fact that the ACA calls for a complete reversal of this ratio, has already begun to have an effect on our national expenditure, but we could do even better if we adopted a truly universal system.

In comparison, France, with its private, non-profit system, spends about 5% of every healthcare dollar to cover every resident of France; Canada spends about 6%; Taiwan—which broke in its brand new system in 1995—spends only 2%.

Reid refers to Japan as the “world champion” of cost control. This, despite the fact that Japan’s population is aging. They have better health outcomes, as well, and have the longest-lived and healthiest population in the world, though they are spending half as much per capita as we are.

One of the chief reasons these systems are so efficient has to do with the very fact that they DO cover everyone—in most cases, even visitors to the country. Why? Here are a few reasons:

  1. There is a vast pool of healthy people who—through taxes or premiums—pay into the system.
  2. There’s no need for a claims adjustment staff who are charged with finding reasons to not pay claims (this means doctors don’t require people in their offices to handle claims either, by the way, which brings their costs down).
  3. There’s no need to spend millions for marketing and other profit-making schemes.
  4. There’s no need for a rescission department charged with finding reasons to cut people from the rolls … just when they need the coverage the most.

Actually, this ties into another myth:

Myth #4: if insurance companies covered everyone they’d go broke. 

golden-dollar-sign-10036559They have to be cruel to stay in business, they say. If that’s the case, then why do the systems that cover everyone continue to exist? Because everyone is covered, as I mentioned. There are young and healthy people paying in to balance the older, sicker people. Then when those people are no longer young and healthy, they’re covered, in part, by the next generation of young and healthies coming along behind. It’s sort of “paying forward” … or maybe it’s paying backward. The point is that at some point, everyone will benefit from the system, so everyone pays in.

To balance this, in the other developed countries, if a doctor okays a procedure, it’s covered. Period. The costs are known, the claim is submitted, the sick fund or government agency or insurance company cuts a check. The doctors are paid within strict time limits. Coverage can’t be canceled or refused for any reason except non-payment of premiums in systems that use that method.

These plans don’t go broke; some, such as Switzerland’s fairly new privatized universal system, are doing very well indeed. Even if the government has to put more money in or raise premiums, they’ve still got massive amounts of headroom before they’d even be in the ballpark of what we’re spending.

Hey, today was a two-fer!

TR Reid’s next myth is that these plans are too “foreign” to work in our unique country. More later.

FacebookTwitterGoogle+Share

Healthcare Myth #2: Healthcare is rationed “out there.”

FacebookTwitterGoogle+Share

MD000613Here’s the big scary idea: Care in countries with universal health coverage is rationed with waiting lists and limited choice.

Yes, this is a real problem in some countries … including the US. I’ve had to wait for appointments simply because I couldn’t afford the out of pocket expenses or the copay. I’ve considered not renewing a prescription for a medicine I needed because of our financial situation at the time. I’ve had to wait because my doctor’s case load was too high. I’ve also had healthcare policies through employers who did not cover optical, dental, physical therapy or chiropractic.

Those are all forms of rationing. Continue reading

FacebookTwitterGoogle+Share

Healthcare Mythology 101

FacebookTwitterGoogle+Share

Healing-ReidcoverI’d like to talk about mythology. Not Greek mythology or Norse mythology, but American Healthcare mythology. In his book, The Healing of America, TR Reid listed a number of healthcare myths he had busted in the course of researching his book. Some of these I knew about (because I have friends who are living or have lived in countries with universal healthcare) and some I didn’t.

Myth #1: “Universal healthcare is socialized medicine!”

(sound of game show buzzer) Wrong. Apparently even Michael Moore got this one wrong in “Sicko” when he dealt with the conviction of many Americans that “socialized” systems won’t work in our ferciely individualistic and capitalist country.

Bust #1: Most wealthy countries have privatized mechanisms to provide and in some cases pay for healthcare. 

That’s part of the myth—that healthcare provision and insurance are synonymous. (There’s that buzzer again.) There are two parties involved in healthcare: providers and payers. Not all universal care countries handle this in the same way.

In England and Spain, the government pays for coverage and owns the facilities, but private physicians provide the services. Canada and Taiwan have private-sector hospitals, clinics and doctors and the government pays the bills. In Germany, France and the Netherlands, both care and payment are privatized, but since everyone is covered and, again, the government negotiates prices, insurance providers (sick funds) compete to enroll more people and to keep them as healthy as possible. Costs are kept lower because, among other things, malpractice insurance is inexpensive and the government bargains collectively with the funds and physicians on the price structure.

MD000613Here’s the kicker: so many people seem to get real charged up about “socialized” healthcare (though probably couldn’t really tell you why), but American healthcare—even before the ACA—was already more socialized in some aspects than most countries with universal coverage. Our veterans, government employees and elderly, for example, are covered under socialized programs. The VA is a far more socialized program than just about anything you can find in other countries. All these different programs are part of why we have problems containing costs. In Germany, people stick to their private insurance plans no matter how old they are. Of course, they can always choose a new provider if they’re not happy with the one they have.

How many of us have that option, especially if we’re covered by a policy offered by our work?

“Yeah, okay,” some of you might be thinking, “but those other countries control costs by rationing healthcare and offering limited choice.”

That’s Myth #2, which I’d like to explore in my next blog.

Care for the stranger as for one of your own; show to alien souls the same loving kindness ye bestow upon your faithful friends. — Abdu’l-Bahá

FacebookTwitterGoogle+Share

Media and Race Bias—Is that a thing?

FacebookTwitterGoogle+Share

multi-racialJust stumbled across an article on media race (ethnic) bias on DailyKOS that I found thought-provoking.

Let me say right off the bat that I’m not sure what to do with the term “race” since it’s basically meaningless. Race is a manmade cultural overlay that fools us into thinking that the color of a person’s skin really does have something to do with the “content of their character”, as Dr. King put it.

Let us, for the moment, accord race the status of a “thing” or a meme. What is racial bias? What does it look like? As the DailyKOS article notes, it is one of those “I know it when I see it things”. It is also something that some of us do not believe exists at all. In this worldview, America is post racial—an egalitarian utopia in which all men and women are uniformly treated as equals.

What do I think? I think bias based on ethnicity, culture, social class, skin color, gender and any other form of “otherness” undeniably exists in some pockets of society. However widespread it is, what the DailyKOS article offered (under the byline Egberto Willies) was an illustration of what the blogger understood as media bias. Continue reading

FacebookTwitterGoogle+Share

New Release from Book View Cafe: THE SPIRIT GATE

FacebookTwitterGoogle+Share
New Release! The Spirit Gate

New Release! The Spirit Gate

December 16, 2014, Book View Cafe releases THE SPIRIT GATE, an alternate history / fantasy by Maya Kaathryn Bohnhoff.

What’s it about? Well, magic and faith and political intrigue and I can’t say more without spoilers. Here’s the promotional copy:

The magic of Polia is broken, the delicate connection between its male and female elements, sundered. Blame for this and other calamities both natural and political has long been laid at the feet of the White Mothersrare adepts who can handle both male and female elements. The young widow, Kassia Telek, is one such woman. Barred from the legitimate use of her talents, she peddles herbs in the town square to feed herself and her son, Beyla … until, one day, she comes to the attention of Master Lukasha, head of Polia’s foremost center of arcane learning. Lukasha sees in the young widow a chance to mend his broken and besieged land and save Polia’s king from the necessity of a disastrous political marriage to a daughter of the Frankish Empire. It seems his dearest hopes will be realized when Kassia’s native curiosity and talent lead her to discover a trove of hidden knowledge. But Kassia gradually discovers that not everything that can be known should be known. The magic to which she holds the key, thrusts her into a battle with forces that can save Polia from its enemies or destroy everything she holds dear.

The novel will be available as an eBook with both EPUB (for iPad, Sony Reader, Nook, etc.) and MOBI (Kindle) formats. If you buy the novel from Book View Cafe, there is no digital rights management. That means you own any versions of the eBook BVC produces and can always download your book again for any of those formats.

It will also be available in the near future at Amazon, Barnes and Noble, Kobo and the iBookstore.

FacebookTwitterGoogle+Share