Showing posts with label education. Show all posts
Showing posts with label education. Show all posts

Tuesday, March 5, 2013

Study finds only counties in Appalachia, mostly in Kentucky, had increasing rates of death among both sexes as century turned

By Molly Burchett
Kentucky Health News

More than 40 percent of counties saw increases in female death rates as the 21st Century began, while the death rate for men rose in just 3 percent of counties, a study shows. Only Appalachian counties, mostly in Kentucky, had worsening rates for both sexes. (Click on a map for a larger version.)

Change In Male Mortality Rates From 1992–96 To 2002–06

Change In Female Mortality Rates From 1992–96 To 2002–06

On the Health Affairs maps above, blue counties showed substantial improvement, while those in aqua showed minimal improvement and worsening counties are in red.

The study identifies some shared characteristics among the 1,334 counties where more women are dying prematurely, but the main factors weren't medical or behavioral, according to David Kindig and Erika Cheng, authors of the study report.

Although counties with high rates of smoking and obesity had increased mortality rates, the report found socioeconomic factors in the Appalachian states of Kentucky and West Virginia, such as the percentage of a county’s population with a college education and the rate of children living in poverty, had more to do with increased mortality rates.

In Kentucky, Owsley County has been ranked last on health-related measures by the Population Health Institute. Areas like this in Appalachia suffered rising death rates in both sexes because college education is a rarity, child poverty is normal, recreational facilities are scarce, restaurants are mostly fast-food outlets, and adults lack social support, reports Geoffrey Cowley of msnbc.

The chart below shows how Kentucky compares to the national average in premature death and that Owsley County suffers from tremendously high rates.
County Health Rankings by University of Wisconsin's Population Health
Institute and the Robert Wood Johnson Foundation (countyhealthrankings.org)
These findings provide supporting evidence for the ever-increasing need for significant health improvement efforts in Appalachia. According to the report, efforts must extend beyond a focus on health care delivery and include stronger policies affecting health behaviors and the social and environmental determinants of health,with corresponding investments in those areas. (Read more)

Kentucky Health News is an independent news service of the Institute for Rural Journalism and Community Issues at the University of Kentucky, with support from the Foundation for a Healthy Kentucky.

Friday, October 26, 2012

Health care is strong second to economy among concerns of Ky. registered voters; candidates compared on handling of issues

Health care ranks high among the concerns of Kentucky voters, according to the latest Kentucky Health Issues Poll taken for the Foundation for a Healthy Kentucky.

The poll, taken Sept. 20 through Oct. 14, asked registered voters to name the two most important issues in the Nov. 6 presidential election. The economy was mentioned by 65 percent; health care was second, with 42 percent. Foreign policy was a distant third, at 21 percent. The error margin on the sample of 1,160 voters is plus or minus 2.88 percentage points.

The poll did not ask voters whom they favored for president, but did ask which candidate they trusted to do a better job on certain issues. Romney, who is considered certain to win Kentucky, had a clear advantage on two issue areas, listed first:
• Dealing with the federal budget deficit: Romney 49%; Obama 36%
• Dealing with the economy and jobs: Romney 48%; Obama 36%
• Dealing with the future of the health reform law: Romney 45%; Obama 40%
• Addressing terrorism: Romney 43%; Obama 42%
• Dealing with the situation in Afghanistan: Romney 42%; Obama 40%
• Improving education: Obama 45%; Romney 40%
• Looking out for the best interests of women: Obama 42%; Romney 40%
• Making decisions about women's reproductive health choices and services: Obama 41%; Romney 38%

"This poll gives us a reliable snapshot of the issues most important to Kentucky voters as they decide who they will vote for on Nov. 6," said Dr. Susan Zepeda, president/CEO of the foundation. "Regardless of the outcomes of the election, our foundation believes it is essential for our elected officials to know what Kentuckians think about these issues." To download the full report by the Institute for Policy Research at the University of Cincinnati, click here.

Friday, September 7, 2012

Eastern Kentucky native wants to alert Appalachian women about their high rate of cervical cancer and how to prevent it

University of Kentucky physician and Pike County native Baretta Casey, right, has spent most of her career providing health care and education throughout the state, with a focus on Appalachian Kentucky. The health disparities between Eastern Kentucky and the rest of the state, especially high rates of cancer, are of "special concern" to Casey, reports Ann Blackford of UKNow.

Cancer is prevalent in her Casey's own family, and this is why she "has taken on the challenge of helping reduce cancer rates in Kentucky, especially cervical cancer and other Human papillomavirus cancers," Blackford reports. Cervical cancer rates are highest in rural and Appalachian Kentucky. According to the Kentucky Cancer Registry from 2005 to 2009, the cervical cancer rate in the region was 9.85 per 100,000 people. The state rate was 8.6. The average of deaths per year in the region from cervical cancer was 258.

"We have the tools to change these high rates and make a real difference in people's lives," Casey said. "I feel the best thing I can do for the people of Eastern Kentucky is to educate about prevention and screening of cervical cancer." Casey became the director of the Cervical Cancer-free Kentucky Initiative at UK's College of Public Health's Rural Cancer Prevention Center in 2010. Through this position, she makes connections with county health departments, community organizations and health advocacy groups that provide education and funding for cervical cancer prevention projects.

"Casey is passionate about educating people on the importance of vaccinating their children against HPV," Blackford writes. She said she wants people to look past the controversy of vaccinating their children and realize the importance of the vaccine. "The vaccine given for the appropriate reason can save a life," Casey said. (Read more)

Friday, August 17, 2012

Students with tooth problems don't do as well in school



More evidence shows students who have dental problems struggle more in school. A new study of almost 1,500 disadvantaged students in Los Angeles public schools found those who had had recent tooth pain were four times more likely to have a low grade-point average (below 2.8) than those who didn't have problems.

Another recent survey found that one in nine American children ages 9 to 11 have untreated tooth decay in their permanent, adult teeth. A 2011 study in North Carolina concluded students with poor oral health were three times more likely to miss school because of dental pain.

Parents and policy makers should be concerned with the findings, says Matt Jacob for the Pew Center on the States. In California, about 504,000 children missed at least one school day in 2007 because of a toothache or another oral health-related problem. (Read more)

Tuesday, August 7, 2012

As schools resume and prepare to follow new lunch rules, federal fruit and vegetable snack program is up for debate

Bloomberg photo by Ian Waldie
With students and teachers returning, school food-service directors are working to implement the new federal school lunch regulations that take effect this year. This would be a good story for local news media, since it affects almost every student.

As school resumes, another school food program is up for debate. Congress is deciding whether frozen, canned and dried produce should be included in the Fresh Fruit and Vegetable Program. House Republicans say yes, to save money and make a wider range of options available year round. But the Senate is pushing to keep the program limited to fresh fruit and vegetables only. The argument — or food fight, as Dina ElBoghdady of The Washington Post calls it — has trade and other groups weighing in.

"If the goal is to expand and improve upon childhood nutrition, it doesn't make sense to limit the kinds of fruit and vegetables that schools serve," said Corey Henry, a spokesman for the American Frozen Food Institute. "Let the schools decide." But Sandi Kaur, acting director of nutrition services at the California Department of Education, disagrees, saying "it's the fresh that makes this program unique."

More than 50,000 students in 125 Kentucky elementary schools benefit from the program, run by the U.S. Department of Agriculture. To see which schools participate, click here. The program allows schools to distribute fresh fruit and vegetables as snacks to students and has "raised consumption in participating schools by a quarter-cup per day, or 15 percent," ElBoghdady reports. "The increase did not contribute to weight gain, suggesting that the fruit and vegetables replaced other foods." Last year, USDA spent $150 million to pay for the snacks for 3 million children. (Read more)

Monday, May 21, 2012

School nurses in Fayette cut as public-health dollars shrink

Takirah Sleet, 7, and school nurse Michelle Marra assess her
lunch to manage Takirah's diabetes. (H-L photo by 
Pablo Alcala)
As public health and education dollars shrink, school nurses are caught in the middle. The Lexington-Fayette County Health Department is among those scaling back its school-nurse program due to cuts, even as "more students with greater medical needs are appearing in classrooms," reports Mary Meehan for the Lexington Herald-Leader.

The cuts and the need present a difficult scenario: "In order to be educated, a student has to be healthy. How do you make that happen?" asked Mary Burch, president of the Kentucky School Nurse Association.

Schools nurses are not mandated in Kentucky, and the way school districts address the issue varies widely. Some districts use a nurse consultant to train school staff. The National Association of School Nurses recommends one school nurse for every 750 students. With 40,000 students, Fayette County falls short of meeting that level of care. The Fayette County school board helps to increase funding to keep nurses in place. About $600,000 would need to be reallocated. (Read more)

Wednesday, May 16, 2012

What it's like to study medicine at Cambridge (video)

What is "the favorite" for medical students in the UK at the moment? Going into General Practice (at minute 2:45 of the video). They are also "very keen into going into a specialty such as pediatrics". This is a night and day difference compared to their counterparts in the U.S.



From Cambridge University YouTube channel: "At Cambridge, we offer two medicine courses - the Standard Course and the Graduate Course. With both, our aim is to educate students to become compassionate, thoughtful, skilled members - and leaders - of the medical profession.

Success in medicine requires application and hard work, both while studying and when in practice. However, it brings great rewards in terms of job satisfaction, involving as it does a combination of science and human interactions, and numerous career opportunities."

To find out more about Medicine at Cambridge, see http://study.cam.ac.uk/undergraduate/courses/medicine

Comments from Twitter:

Nick Bennett @peds_id_doc: Best medical school in the world. Seriously.

Medical School Life in Cambridge and Debrecen - @Berci compares the promotional videos http://goo.gl/BZm2w

Friday, May 4, 2012

Neat app shows how education, income affect a county's health

Based on the premise that much of what influences health happens outside the doctor's office, the 2012 County Health Calculator uses education and income to illustrate how these factors can affect one's health any county. 

The app estimates how many cases of diabetes would be prevented, how many lives would be saved and how many diabetes costs would be eliminated if income or education levels improved by specific amounts in a specific area. For example, the Pulaski County page shows, "If 5 percent more people attended some college and 4 percent more had an income higher than twice the federal poverty level, we could expect to save 17 lives, prevent 175 cases of diabetes, and eliminate $12 million in diabetes costs every year."

The application also shows which counties have the highest and lowest education levels (best: Fayette County, worst: Clay County) and income levels (best: Oldham County, worst: McCreary County).

The interactive app was developed by the Robert Wood Johnson Foundation and Virginia Commonwealth University's Center on Human Needs and renders "ballpark estimates" of avertable deaths, diabetes and diabetes cost. Researchers obtained education and income data from the U.S Census Bureau and county death rates and estimates of the prevalence of diabetes from the U.S. Department of Health and Human Services. Estimates of diabetes prevalence were based on self-reports by people who responded to the Behavioral Risk Factor Surveillance System. Data on medical spending on diabetes derived from The Dartmouth Atlas of Health Care. (Read more)

Tuesday, May 1, 2012

Welcome To The 2012 Hunger Games

Sending Debt Peonage, Poverty, and Freaky Weather Into The Arena

By Rebecca Solnit, cross-posted from TomDispatch

When I was growing up, I ate books for breakfast, lunch, and dinner, and since I was constantly running out of reading material, I read everyone else’s -- which for a girl with older brothers meant science fiction. The books were supposed to be about the future, but they always turned out to be very much about this very moment.

Some of them -- Robert Heinlein’s Stranger in a Strange Land -- were comically of their time: that novel’s vision of the good life seemed to owe an awful lot to the Playboy Mansion in its prime, only with telepathy and being nice added in. Frank Herbert’s Dune had similarly sixties social mores, but its vision of an intergalactic world of disciplined desert jihadis and a great game for the substance that made all long-distance transit possible is even more relevant now.  Think: drug cartels meet the oil industry in the deep desert.

We now live in a world that is wilder than a lot of science fiction from my youth. My phone is 58 times faster than IBM’s fastest mainframe computer in 1964 (calculates my older brother Steve) and more powerful than the computers on the Apollo spaceship we landed on the moon in 1969 (adds my nephew Jason). Though we never got the promised jetpacks and the Martians were a bust, we do live in a time when genetic engineers use jellyfish genes to make mammals glow in the dark and nerds in southern Nevada kill people in Pakistan and Afghanistan with unmanned drones.  Anyone who time-traveled from the sixties would be astonished by our age, for its wonders and its horrors and its profound social changes. But science fiction is about the present more than the future, and we do have a new science fiction trilogy that’s perfect for this very moment.

Sacrificing the Young in the Arenas of Capital 

The Hunger Games, Suzanne Collins’s bestselling young-adult novel and top-grossing blockbuster movie, is all about this very moment in so many ways. For those of you hiding out deep in the woods, it’s set in a dystopian future North America, a continent divided into downtrodden, fearful districts ruled by a decadent, luxurious oligarchy in the Capitol. Supposedly to punish the districts for an uprising 74 years ago, but really to provide Roman-style blood and circuses to intimidate and distract, the Capitol requires each district to provide two adolescent Tributes, drawn by lottery each year, to compete in the gladiatorial Hunger Games broadcast across the nation.

That these 24 youths battle each other to the death with one lone victor allowed to survive makes it like -- and yet not exactly like -- high school, that concentration camp for angst and competition into which we force our young. After all, even such real-life situations can be fatal: witness the gay Iowa teen who took his life only a few weeks ago after being outed and taunted by his peers, not to speak of the epidemic of other suicides by queer teens that Dan Savage’s “It Gets Better” website, film, and books aspire to reduce.

But really, in this moment, the cruelty of teens to teens is far from the most atrocious thing in the land. The Hunger Games reminds us of that.  Its Capitol is, of course, the land of the 1%, a sort of amalgamation of Fashion Week, Versailles, and the KGB/CIA. Collins’s timely trilogy makes it clear that the 1%, having created a system of deeply embedded cruelty, should go, something highlighted by the surly defiance of heroine Katniss Everdeen -- Annie Oakley, Tank Girl, and Robin Hood all rolled into one -- who refuses to be disposed of.

Now, in our world, gladiatorial entertainment and the disposability of the young are mostly separate things (except in football, boxing, hockey, and other contact sports that regularly result in brain damage, and sometimes even in death). But while the Capitol is portrayed as brutal for annually sacrificing 23 teenagers from the Districts, what about our own Capitol in the District of Columbia? It has a war or two on, if you hadn’t noticed.

In Iraq, 4,486 mostly young Americans died.  If you want to count Iraqis (which you should indeed want to do), the deaths of babies, children, grandmothers, young men, and others total more than 106,000 by the most conservative count, hundreds of thousands by others. Even the lowest numbers represent enough kill to fill nearly 5,000 years of Hunger Games.

Then, of course, there are thousands more Americans who were so grievously wounded they might have died in previous conflicts, but are now surviving with severe brain damage, multiple missing limbs, or other profound mutilations. And don’t forget the trauma and mental illness that mostly goes unacknowledged and untreated or the far more devastating Iraqi version of the same. And never mind Afghanistan, with its own grim numbers and horrific consequences.

Our wartime carnage has been on a grand scale, but it hasn’t been on television in any meaningful way; it’s generally been semi-hidden by most of the American media and the government, which censored images of returning coffins, corpses, civilian casualties, and anything else uncomfortable (though in our science-fiction era when every phone is potentially a video camera, the leakage has still been colossal). Most of us did a good job of being distracted by other things -- including reality TV, of course.  The US Ambassador and military commander in Afghanistan were furious not that our soldiers struck jokey poses with severed limbs, but that the Los Angeles Times dared to publish them last month. And those whistleblowers who took the effort to reveal the little men behind the throne are facing severe punishment.  Witness one Hunger-Games-style hero, Bradley Manning, the slight young soldier turned alleged leaker, long held in inhumane conditions and now facing a potential life sentence.


The Return of Debt Peonage

In The Hunger Games, kids in poor families take out extra chances in their District lottery -- that is, extra chances to die -- in return for extra food rations; in ours, poor kids enlist in the military to feed their families and maybe escape economic doom. Many are seduced by military recruiters who stalk them in high school with promises as slippery as those the slave trade uses to recruit poor young women for sex work abroad.

And then there’s another form of debt peonage that is far more widespread in our strange and ever-changing land: student loans. The young are constantly told that only a college education can give them a decent future. Then they’re told that, to pay for it, they need to go into debt -- usually into five figures, sometimes well into six. And these debts are, in turn, governed by special laws that don’t allow you to declare bankruptcy -- no matter what.  In other words, they are guaranteed to follow you all your life.

One of my close friends wept when her husband began to earn enough money to pay off her $45,000 loan, structured so that it looked like she would continue to pay interest on it for the rest of her life; not so dissimilar, that is, from the debts sharecroppers and workers in company towns used to incur.

In other words, we’re creating a new generation of debt peonage. And she’s not the worst case by far. Early in the Occupy Wall Street moment, she told me, someone arrived at Zuccotti Park in downtown Manhattan with markers and cardboard on which participants were to write their debt.  What shocked her was how many of the occupiers in their early twenties were already carrying huge debt burdens.

According to the website for Occupy Student Debt, 36,000,000 Americans have student debts.  These have increased more than fivefold since 1999, creating a debt load that’s approaching a trillion dollars, with students borrowing $96 billion more every year to pay for their educations. Two-thirds of college students find themselves in this trap nowadays. As commentator Malcolm Harris put it in N + 1 magazine:

“Since 1978, the price of tuition at U.S. colleges has increased over 900%, 650 points above inflation. To put that number in perspective, housing prices, the bubble that nearly burst the U.S. economy, then the global one, increased only fifty points above the Consumer Price Index during those years. But… wages for college-educated workers outside of the inflated finance industry have stagnated or diminished. Unemployment has hit recent graduates especially hard, nearly doubling in the post-2007 recession. The result is that the most indebted generation in history is without the dependable jobs it needs to escape debt.”

About a third are already in default. You can only hope that this bubble will burst in a wildcat strike against student debt, and if we’re lucky, a move to force tuition lower and have a debt jubilee.

The rest of us, the 99%, need to remember that, when it comes to public education, the crisis has everything to do with slashed tax rates -- to the wealthy and corporations in particular -- over the last 30 years. We went into bondage so that they might be free. Getting an education to make your way out of poverty and maybe expand your mind is becoming another way of being trapped forever in poverty. For too many, there’s no way out of the hunger labyrinth.

The Labyrinths of Poverty 

Which brings us to the hungriest in our 2012 real-life version of the Hunger Games: the poor. The wealthiest and most powerful nation the world has ever seen is full of hungry people. You know it, and you know why. In this vast, bountiful, food-producing, food-wasting nation, it’s a crisis of distribution, also known as economic inequality, described at last with clarity and force by the Occupy movement.

One of the sad and moving spectacles of camps like Occupy Oakland last year was the way they became de facto soup kitchens as the homeless and hungry came out of the shadows for the chance at a decent meal. Some of the camps had really dedicated chefs who cooked superbly.  They also had rudimentary medical clinics where the poor received the healthcare they couldn’t get anywhere else.

We are in a new era of desperation, when lots of people who were getting by these last several decades aren’t anymore. There are no jobs, or the jobs available pay so abysmally that workers can barely survive on them.

Of course, we do have one arena in which meals are guaranteed, and the population there keeps growing. Six million Americans live there, and it often does get gladiatorial inside. It’s called prison, and we have the highest percentage of prisoners per population in the world, higher than in the USSR gulags under Stalin. Half of them are there for drug offenses, 80% of those for simple possession.

Which, as I’m sure you’ve noticed, hasn’t stopped the flow of drugs meant to numb the pain we’re so good at creating here.  We should create a measure for Gross National Suffering (GNS) before we even think about the Gross National Happiness they measure in Bhutan.

And once our prisoners get out, they’re a stigmatized caste, uniquely ill-suited to survival in this economy -- speaking of hunger, debt, poverty, being branded for life, and hopelessness. Like universities, prisons are profitable industries, though not for the human beings who are the raw material they process.  In this age, both systems seem increasingly like so many factories.

In the Shadow of 900 Tornados

But if you want to think about all the ways we’re dooming the young, there’s one that puts the others in the shade, a form of destruction that includes not just American youth, or human youth, but all species everywhere, from coral reefs to caribou. That’s climate change, of course.

Our failure to do anything adequate about it has rocketed us into the science-fiction world Bill McKibben so eloquently warned us about in his 2010 book Eaarth. His argument is that we’ve so altered the planet we live on that we might as well have landed on a new one (with an extra “a” in its name), more turbulent and far less hospitable than the beautiful Holocene one we trashed.
There were 160 tornados reported on March 2nd of this year. Remember that, in April of 2011, 900 tornadoes were ripping up interior United States, and this April was similarly volatile.  Remember the unprecedented wildfires, the catastrophic floods, the heat waves, the bizarrely hot North American January and other oddities? That’s science fiction of the scariest sort, and we’re in it. Or on it, on the crazy new planet we’ve made ourselves. Here in the USA sector of Eaarth in the year 2012, 15,000 high-temperature records were broken in March alone, and summer is yet to come. A town in north-central Texas hit 111 degrees -- in April! What turbulent planet is this?

One grain of good news: a lot of us, even in this country, finally seem to be of aware of the strangeness of the planet we’re now on. As the New York Times reported, a new survey “shows that a large majority of Americans believe that this year’s unusually warm winter, last year’s blistering summer, and some other weather disasters were probably made worse by global warming. And by a 2-to-1 margin, the public says the weather has been getting worse, rather than better, in recent years.”
If you want to talk about hunger, talk about the unprecedented flooding that’s turned Pakistan from one of the world’s breadbaskets into a net food-importing nation, with dire consequences for the agricultural poor. Talk about China’s many impending ecological disasters, its degraded soil, contaminated air and water, its many systems ready to collapse. There’s more disruption of food production to come, a lot more, and lots more hunger, too.

Around this point in science fiction books and even history books, a revolution seems necessary. The good news I have for you this May Day is that it’s underway.

Revolution 2012

2011 was the year of strange weather, but it was also the year of global uprisings, and they’re far from over. They erupted in Russia, Israel, Spain, Greece, Britain, much of the Arab-speaking world, parts of Africa, and Chile, among other spots in Latin America (some of which got their revolutions underway earlier in the millennium). Uprisings have blossomed even in what the rest of the hungry world sees as the elite Capitol, the United States, and much of the English-speaking world, from London to New Zealand.

Remember that revolution doesn’t look much like revolution used to. That might be the most retrograde aspect of the very violent Hunger Games trilogy, the way in which the author’s imagination travels along conventional or old-fashioned lines. There, violence is truly the arbitrator of power, along with cunning, whether in the ways the teenagers survive in the gladiatorial arena or the Capitol, or how both sides operate in conflicts between the Districts and the Capitol. In our own world, the state is very good at violence, whether in its wars overseas or in pepper-spraying and clubbing young demonstrators. You’ll notice, however, that neither the Iraqis, nor the Afghanis, nor the Occupiers were subjugated by these means.

Violence is not power, as Jonathan Schell makes strikingly clear in The Unconquerable World, it’s what the state uses when we are not otherwise under control. In addition, when we speak of “nonviolence” as an alternative to violence, we can’t help but underestimate our own power.  That word, unfortunately, sounds like it’s describing an absence, a polite refraining from action, when what’s at stake -- as demonstrators around the world proved last year -- is a force to be reckoned with; so call it “people power” instead.

When we come together as civil society to exercise this power, regimes tremble and history is made. Not instantly and not exactly according to plan, but who ever expected that?

Still, many regimes have been toppled by this power, and the capacity to do so is ours in the present.  As Erica Chenoweth and Maria Stephan point out in their recent Why Civil Resistance Works: The Strategic Logic of Nonviolent Conflict, since 1900 people-power campaigns have been successful in achieving regime change more than twice as often as violent campaigns.

It’s May Day, a worldwide General Strike has been called, and last week tiny Occupy Norman (Oklahoma) announced that it “had won a major battle”: their city is moving all its money out of Bank of America into a local bank. Last fall’s Move Your Money campaign included city money from the outset and quiet victories like this could begin to reshape our economic landscape. Activism in the streets is so intimidating that next month's G8 Summit scheduled for Chicago will hole up at Camp David instead.

Meanwhile last week, both the Wells Fargo and General Electric shareholders’ meetings were under siege from Occupy activists.  The Wells Fargo meeting and protests took place in San Francisco, and afterward an arrested friend of mine posted this on Facebook: “I forgot to mention that Max gave me the Hunger Games salute in jail today. It was awesome.”

In this way do fiction and reality meld in misery and triumph as, this very day, janitors in California go out on strike, and even Golden Gate Bridge workers will be protesting. May Day actions are planned across the globe.

Still alive and kicking, Occupy is chipping away in a thousand places at the status quo. 350.org, the little organization that defeated the Keystone XL Pipeline (so far), is holding a global Climate Impacts Day on May 5th and plans to take on the petroleum industry in its next round of actions.
Of course, this is only a beginning, and the banking and oil companies, the 1%, and the prison and education rackets are more than capable of pushing back.  So we need one more tool in our arsenal, and that’s a picture of what we want, of what a better world looks like. McKibben’s Eaarth and Deep Economy offer such a picture, as does William Morris’s News from Nowhere, even 120-odd years later, but we won’t get that from The Hunger Games, which, for all its thrilling, subversive, and surly delights, is all dystopia all the way home. We may still get it, however, on our stranger-than-fiction planet.

May Day is a day of liberation -- a day to be seized and celebrated, a day to remember who was shot down on it and who fought for it.  It’s a day to join those who fought and fight for liberation, to imagine what its most delicious and profound possibilities might look like.

So skip work, flip a bird at the Capitol, commit your deepest love and solidarity to the young whose lives are being gambled away, feed the hungry, take a long look at how beautiful our planet still is, find your way into solidarity and people power, and dream big about other futures. Resistance is one of your obligations, but it’s also a pleasure and a way of stealing back hope. 

Rebecca Solnit grew up in California public libraries and is thrilled to be revisiting them all over the state as part of the Cal Humanities California Reads project, which is now featuring five books, including her A Paradise Built in Hell: The Extraordinary Communities That Arise in Disaster. 

Friday, April 27, 2012

The GOP's Death Wish

Why Republicans Can't Stop Pissing Off  Hispanics, Women, and Young People

By Robert Reich, cross-posted from his website

What are the three demographic groups whose electoral impact is growing fastest? Hispanics, women, and young people. Who are Republicans pissing off the most? Latinos, women, and young people.

It’s almost as if the GOP can’t help itself.

Start with Hispanic voters, whose electoral heft keeps growing as they comprise an ever-larger portion of the electorate. Hispanics now favor President Obama over Romney by more than two to one, according to a recent Pew poll.

The movement of Hispanics into the Democratic camp has been going on for decades. What are Republicans doing to woo them back? Replicating California Republican Governor Pete Wilson’s disastrous support almost twenty years ago for Proposition 187 – which would have screened out undocumented immigrants from public schools, health care, and other social services, and required law-enforcement officials to report any “suspected” illegals. (Wilson, you may remember, lost that year’s election, and California’s Republican Party has never recovered.)

The Arizona law now before the Supreme Court – sponsored by Republicans in the state and copied by Republican legislators and governors in several others – would authorize police to stop anyone looking Hispanic and demand proof of citizenship. It’s nativism disguised as law enforcement.
Romney is trying to distance himself from that law, but it’s not working. That may be because he dubbed it a “model law” during February’s Republican primary debate in Arizona, and because its author (former state senator Russell Pearce, who was ousted in a special election last November largely by angry Hispanic voters) says he’s working closely with Romney advisers.

Hispanics are also reacting to Romney’s attack just a few months ago on GOP rival Texas Governor Rick Perry for supporting in-state tuition at the University of Texas for children of undocumented immigrants. And to Romney’s advocacy of what he calls “self-deportation” – making life so difficult for undocumented immigrants and their families that they choose to leave.

As if all this weren’t enough, the GOP has been pushing voter ID laws all over America, whose obvious aim is to intimidate Hispanic voters so they won’t come to the polls. But they may have the opposite effect – emboldening the vast majority of ethnic Hispanics, who are American citizens, to vote in even greater numbers and lend even more support to Obama and other Democrats.

Or consider women – whose political and economic impact in America continues to grow (women are fast becoming better educated than men and the major breadwinners in American homes). The political gender gap is huge. According to recent polls, women prefer Obama to Romney by over 20 percent.

So what is the GOP doing to woo women back? Attacking them. Last February, House Republicans voted to cut off funding to Planned Parenthood. Last May, they unanimously passed the “No Taxpayer Funding for Abortion Act,” banning the District of Columbia from funding abortions for low-income women. (The original version removed all exceptions – rape, incest, and endangerment to a mother’s life – except “forcible” rape.)

Earlier this year Republican legislators in Virginia, Pennsylvania, Idaho, and Alabama pushed bills requiring women seeking abortions to undergo invasive vaginal ultrasound tests (Pennsylvania Republicans even wanted proof such had viewed the images).

Republican legislators in Georgia and Arizona passed bills banning most abortions after twenty weeks of pregnancy. The Georgia bill would also require that any abortion after 20 weeks be done in a way to bring the fetus out alive. Republican legislators in Texas have voted to eliminate funding for any women’s healthcare clinic with an affiliation to an abortion provider – even if the affiliation is merely a shared name, employee, or board member.

All told, over 400 Republican bills are pending in state legislatures, attacking womens’ reproductive rights.

But even this doesn’t seem enough for the GOP. Republicans in Wisconsin just repealed a law designed to prevent employers from discriminating against women.

Or, finally, consider students – a significant and growing electoral force, who voted overwhelmingly for Obama in 2008. What are Republicans doing to woo them back? Attack them, of course.
Republican Budget Chair Paul Ryan’s budget plan – approved by almost every House Republican and enthusiastically endorsed by Mitt Romney – allows rates on student loans to double on July 1 – from 3.4 percent to 6.8 percent. That will add an average of $1,000 a year to student debt loads, which already exceed credit-card debt.

House Republicans say America can’t afford the $6 billion a year it would require to keep student loan rates down to where they are now. But that same Republican plan gives wealthy Americans trillions of dollars in tax cuts over the next decade. (Under mounting political pressure, House Republicans have come up with just enough money to keep the loan program going for another year – safely past Election Day – by raiding a fund established for preventive care in the new health-care act.)

Here again, Romney is trying to tiptoe away from the GOP position. He now says he supports keeping student loans where they were. Yet only a few months ago he argued that subsidized student loans were bad because they encouraged colleges to raise their tuition.

How can a political party be so dumb as to piss off Hispanics, women, and young people? Because the core of its base is middle-aged white men – and it doesn’t seem to know how to satisfy its base without at the same time turning off everyone who’s not white, male, and middle-aged.

 Robert Reich is Chancellor's Professor of Public Policy at the University of California at Berkeley.  He writes a blog at www.robertreich.org.  His most recent book is Beyond Outrage.

Wednesday, April 25, 2012

Jamming Too Slow On Student Loans

"I'm President Barack Obama, and I too want to slow jam the news."
You've probably seen this already -- President Obama's appearance on Late Night with Jimmy Fallon during which they "slow jam the news" on the need for Congress to prevent interest rates on student loans from doubling (Congress must do so by July 1, or rates will go up from 3.4 to 6.8%):



At this point Republicans are predictably against extending the current rates, and their presidential candidate, Mr. Etch-a-Sketch, used to be with them.  Remember when he said students shouldn't count on the government's help:  “It would be popular for me to stand up and say I’m going to give you government money to pay for your college, but I’m not going to promise that . . .  And don’t expect the government to forgive the debt that you take on.”

But Romney is beginning to understand how potent an issue this is, and this week conceded that he would support an extension of the current interest rates on Stafford-loans, although as Amy Davidson points out, "there was no musical component to the announcement."

His fellow Republicans in Congress obscure their opposition to having the government assist students with their debt by claiming they don't object to extending the lower interest rates (although the Ryan Budget that passed the House doesn't do so) but are concerned with how to pay for it.  As Greg Sargent points out they are floating various ways to pay for the extension that seem likely to get shot down by the Democrats.

And while Democrats are merely trying to maintain the status quo, it is worth making the important point, as Robert Borosage does, that they should be building the groundwork for more progressive reforms to help students, such as 0% loans and/or free tuition at public colleges.

Tuesday, April 17, 2012

A healthy recess during school can cut down on bullying, improve learning, study finds

New research shows a healthy recess period during the school day can cut down on bullying and strengthen the school climate.

The report from researchers at Mathematica Policy Research and Stanford University compared schools in five cities who used Playworks — a program that uses a full-time coach to work to engage students in safe, healthy play during recess and throughout the day — to similar schools who did not use the program.

Schools that used the Playworks method had less bullying; better recess behavior and readiness for class. Teachers reported quicker transition to learning activities after recess and the students felt safer and more included at recess. Nearly 100 percent of teachers in Playworks said they wanted to use the program again the next school year. (Read more)

Thursday, April 5, 2012

Handwritten Video Tutorials in Medicine

Please note: The information in the following videos has not been verified by me. The purpose of this post is just to present the idea of this approach to medical education, not to recommend the content of the videos.

Here is the third video tutorial on electrocardiogram (ECG): ECG 3 - Segments, Intervals & Diseases:



Here is what the completed PDF looks like at the end of the drawing:

http://www.handwrittentutorials.com/pdf/pdf_69.pdf

Topics of the videos

Anatomy
Endocrinology
Immunology
Mathematics
Neuroscience
Pharmacology
Physiology

References

Handwritten Video Tutorials in Medicine http://goo.gl/ZxFhb and http://goo.gl/R8xse

Monday, March 26, 2012

Internal medicine residents spent little time reading, and prefer electronic resources, specifically UpToDate

This study from the Mayo Clinic assessed residents' reading habits and preferred educational resources at 5 internal medicine training programs via a survey.

78% of residents reported reading less than 7 hours a week.

81% of residents read in response to patient care encounters.

The preferred educational format was electronic, and UpToDate was the big winner among the surveyed group:

- 95% of residents cited UpToDate as the most effective resource for knowledge acquisition
- 89% of residents reported that UpToDate was their first choice for answering clinical questions

The study authors concluded that residents spent little time reading and sought knowledge primarily from electronic resources. Most residents read in the context of patient care.

The abstract does not mention anything about social media sources such as Wikipedia, blogs, and Twitter, but the residents encounter a lot of those through Google searches.

References:

A multi-institutional survey of internal medicine residents' learning habits. Edson RS, Beckman TJ, West CP, Aronowitz PB, Badgett RG, Feldstein DA, Henderson MC, Kolars JC, McDonald FS. Med Teach. 2010;32(9):773-5. Image source: UpToDate.

Tuesday, March 6, 2012

The Dismantling Of California's Schools

By Rose Aguilar, cross-posted from Al Jazeera

I recently invited University of California-Davis sophomore Sarena Grossjan-Navarro to join my radio show - focusing on the Occupy Education actions taking place across the country, and the recent plan to descend on Sacramento to Occupy the Capitol, but she wasn't available. She's taking a heavy load this term, hoping to incur as little debt as possible. She was almost forced to drop out last term because the financial aid she receives is not enough to cover the basics. She's currently sleeping on friends' couches because she can't afford housing.

Grossjan-Navarro was one of the UC-Davis students who got pepper-sprayed by a police officer wearing riot gear during a peaceful protest on November 18, 2011. The students were speaking out against tuition hikes and the brutal treatment of Occupy demonstrators at UC-Berkeley, who were beaten and billy-clubbed a week earlier.

You've might have seen the video, which went viral and received international outrage. Nineteen UC-Davis students and alumni recently sued the University for constitutional violations over the incident, which was not only traumatising, but caused them burning sensations for days.

To say that students and faculty are angry and fed up is putting it lightly. Over the past year, we've seen students across the United States protest, hold walk-outs and teach-ins, and even shut down freeways and bridges. The Occupy movement has energised and yes, even radicalised, a new generation of students who haven't been politically active until now.

They're barely making ends meet. They're going to the school food pantry because they can't afford enough food. They're either racking up debt or are on the verge of dropping out because of ongoing tuition hikes. They deserve better.


Tuition hikes

Tuition and fees at the University of California's 10 campuses are up a whopping 21 per cent this year, according to the College Board. According to this UC-Davis fact sheet, the total cost of attendance for an on-campus undergraduate is $31,199 a year. Commuters living with parents should expect to pay $24,542. Those figures include books, which can cost more than $100 each, supplies, room and board, personal expenses and transportation.

Students attending one of California State University's 23 campuses will see their tuition increase by $498, or another nine per cent, for the 2012-2013 academic year, bringing the annual bill to $7,017. It's the ninth tuition increase in nine years. Tuition at community colleges is going up another $10 to $46 a unit in May. Full-time students typically take 15 units a semester.

Over the past four years, California state lawmakers have cut more than $1.5bn from the state's colleges and universities. Students are struggling to take the classes they need, class sizes are growing, faculty are seeing their salaries and benefits cuts, and services are being slashed.

As states across the country tighten their budgets, California's higher education cuts have been the most severe. For decades, California has been lauded for making its public institutions accessible and affordable for all of its citizens, but because of severe cuts, students are now being turned away. The students who are admitted are not being served. And once they graduate with piles of debt, their job prospects are dim.

And it's not just colleges. Ask any K-12 teacher what they're facing. I was shocked to learn recently that a dear friend, who is a dedicated and passionate 4th-grade teacher in the South Bay, is on the verge of quitting because her situation has become untenable. Her class size is growing every year, many of her students have special needs and she has no support.

She's burned out and is tired of being forced to focus on reading and math, while subjects like art and science are disregarded. Like so many teachers, she brings food to class for hungry students, buys supplies with her own money and acts as a counsellor for the growing number of students whose parents have lost their jobs and are struggling to make ends meet.

Olive Mitra, a high school literature teacher at the June Jordan School for Equity in San Francisco, has to spend his own money on school supplies and books. Try doing that on a teacher's salary in an expensive city like San Francisco.

Mitra's friends recently raised enough money for him to buy Gabriel Garcia Marquez's One Hundred Years of Solitude for his 11th and 12th grade students, but he still can't afford dictionaries. There are no dictionaries in Mitra's literature classes because he can't afford them. When students don't know the meaning of a word, they look it up on their phones or on the one working computer in class.

"I feel frustrated that banks are getting bailed out and I have to write grants, in addition to grading papers and preparing curriculum, in order to provide dictionaries to my youth," he says.

Let's not forget about the multi-billion dollar occupations. The occupations of Iraq and Afghanistan have cost the state of California over $52bn since 2001, according to the National Priorities Project (click here to find out how much the occupations are costing your state).

Prisons over schools

And yet politicians say we're broke. We all need to make sacrifices. The students, teachers and professors I've interviewed over the past year know better. In 2011, California spent $9.6bn on prisons and $5.7bn on higher education.

According to Critical Resistance, an organisation seeking to end the prison-industrial complex, spending on prisons has grown 1,500 per cent since 1980, while spending on higher education has plummeted.

Over the past 30 years, California has built one university and 20 prisons. The state spends about $50,000 per inmate each year. According to the latest Quality Counts report from Education Week, the state spends $8,667 per student per year. California, once known for its stellar education system, now ranks 47 in overall per-pupil spending.

What message does this send? We have plenty for the military, banks, and prisons, but when it comes to education, you're on your own. It's all about priorities.

Students, faculty and their supporters are occupying the state capitol in Sacramento today to make their voices heard, demand an end to further cuts, and raise awareness about solutions like The Millionaires Tax of 2012, a ballot initiative that would require Californians who earn $1m or more to pay an extra three per cent in state income tax; those who earn $2m or more would pay an extra five per cent.

According to the California Federation of Teachers, these taxes would raise an estimated $6bn per year for all schools, senior, child and disabled services, local fire services, and roads and bridges.
The ReFund California coalition notes that when President Obama signed a bill to extend the Bush tax cuts in December 2010, California's wealthiest received a windfall of $9-14bn per year, nearly equal to the entire state budget deficit.

A group called the Patriotic Millionaires for Fiscal Strength is calling for an end to the Bush tax cuts, but no one in DC seems to be listening.

And then there's the oil severance tax. California is the only major oil-producing state in the country that doesn't tax oil companies. A 15 per cent tax on crude oil and natural gas could bring in an estimated $3bn a year, according to the group Rescue Education California.

California-based Chevron recently disappointed investors by posting $5.1bn in fourth-quarter net income, a 3.5 per cent drop from a year earlier. Despite what reports call "weaker" profits, the company's 2011 earnings jumped 41 per cent to $26.9bn.

Occupy Education states:

We refuse to pay for the crisis created by the 1 per cent. We refuse to accept the dismantling of our schools and universities, while the banks and corporations make record profits. We refuse to accept educational re-segregation, massive tuition increases, outrageous student debt, and increasing privatisation and corporatisation. They got bailed out and we got sold out. But through nationally coordinated mass action we can and will turn back the tide of austerity. If we make the rich and the corporations pay we can reverse the budget cuts, tuition hikes, and attacks on job security, and fully fund public education and social services.
We must do the right thing for the students, teachers, faculty and parents who are bravely marching, speaking out, and working to change this horribly broken and unfair system.

Rose Aguilar is the host of Your Call, a daily call-in radio show on KALW in San Francisco. She's the author of Red Highways: A Liberal's Journey into the Heartland.

Thursday, January 19, 2012

We're Number 27!

By Jim Hightower, cross-posted from OtherWords

Eric Drooker
"USA: We're No. 1!"

Oh, wait — Iceland is No. 1. But we did beat out Poland and Slovakia, right? Uh...no. But go on down the rankings and there we are! No. 27, fifth from the bottom. So our new national chant is, "USA: At Least We're Not Last!"

A foundation in Germany has analyzed the social justice records of all 31 members of the Organization for Economic Co-operation and Development (OECD), ranking each nation in such categories as health care, income inequality, pre-school education, and child poverty. The overall performance by the United States — which boasts of being an egalitarian society — outranks only Greece, Chile, Mexico, and Turkey. Actually, three of those countries performed better than ours in the education of pre-schoolers, and Greece did better than the United States on the prevention of poverty.

Our bottom-of-the-heap ranking in social justice confirms the economic and political inequality that the Occupy movement is protesting. It also helps explain why this grassroots uprising in America has spread so rapidly to more than 600 communities and has generated such broad public support. After all, our nation is fabulously rich, ranking well ahead of nearly every other OECD member in national wealth, so there's no excuse for us sitting at the bottom of the list in education, health care, poverty, and other measures of a democratic and egalitarian society.

Bluntly put, We the People have let today's elites abandon America's founding principles of fairness, justice, and equal opportunity for all.

These privileged few have purchased our government, stolen the wealth and economic future of working families, and reduced America to a plastic imitation of the country we thought we had. The Occupy rebellion is long overdue and on target.

Join it.

Jim Hightower is a radio commentator, writer, and public speaker. He's also editor of the populist newsletter, The Hightower Lowdown.

Friday, January 13, 2012

"Is Our Child Learning?" Bush Remains Clueless As He Praises 10 Years Of No Child Left Behind

By Laura Clawson, cross-posted from Daily Kos

Former President George W. Bush has emerged to defend one of his signature "accomplishments": No Child Left Behind. In an interview with Time's Andrew Rotherham, Bush heaps on the superlatives that no one else is applying to NCLB. He's "extremely proud." It's "one of the really positive things our Administration accomplished" and "it's time to celebrate excellence" on the law's 10th anniversary. With that, he has some words of advice for President Obama:
The President is going to have to be very firm in resisting the temptation to take the easy path. The President has to take the lead and say, Wait a minute, No Child Left Behind has worked. Let’s not weaken it.
Are you fucking kidding me? Even by Bush standards, the claim that No Child Left Behind has worked is shocking. Bush specifically cites "a noticeable change in achievement, particularly among minority groups," but between 1992 (10 years before passage of NCLB) and 2007 (five years after), the black-white achievement gap on the National Assessment of Educational Progress, called "the nation's report card," narrowed in only 15 states for fourth grade math and just four states for eighth grade math. In reading, the fourth grade gap narrowed in just three states, and the eighth grade gap narrowed in none. Data on the Hispanic-white achievement gap is less complete, but in most states for which there is data, the gap remains essentially unchanged.

It's not just the racial gaps that are at issue, either. As Diane Ravitch, an education expert who at this point basically lives her life doing penance for having supported NCLB at the time it was passed, wrote in 2010, rounded education has in many schools been abandoned for test preparation focusing on specific tests in narrow subject areas (generally just math and reading, as if those are the only components of an education).
Yet:
Despite the time and money invested in testing, scores on NAEP have increased slowly or not at all. In mathematics the rate of improvement was greater before NCLB was passed. In reading there have been gains in fourth grade, but the national scores for eighth graders were essentially the same in 2009 as they were in 1998.
The sad fact is that President Obama's education funding policy, Race to the Top, is no better than No Child Left Behind. It, too, is founded on an obsession with forms of testing and measurement that have not been proven effective. It has accelerated the growth of often profit-driven charter schools. In short, it keeps many of the worst features of NCLB while adding in some equally bad ones.

But if there's someone Obama should not listen to on education, it's the president who set us down this disastrous path to begin with. So, President Obama: You're going to have to be very firm in resisting the temptation to take the easy path. You have to take the lead and say, Wait a minute, No Child Left Behind and Race to the Top have not worked. Let’s scrap them and start over.

Friday, December 9, 2011

UpToDate is the most read medical reference tool - how did Harrison's, Cecil's, etc. manage to lose that war?

This the summary of my Twitter discussion with an academic nephrologist (by the way, the founding editor of UpToDate is also a nephrologist):

@DrVes: UpToDate is likely the most read medical reference tool, at least in the U.S. - how did Harrison's, Cecil's, etc. manage to lose that war?

@kidney_boy (Joel Topf): Reasons for UpToDate winning: Harrison's had no search, and an editorial style that told you about disease but not how to treat it

@DrVes: Exactly. It's amazing that those publishing companies didn't realize that they shipped "malfunctioning" product for years, and never fixed it.

@kidney_boy (Joel Topf): Harrison's is the great preclinical prof teaching pathophysiology, UpToDate is the smart clinician teaching you how to care for the patient with EBM.

@DrVes: UpToDate now has sections on pathophysiology, some of them quite good, check T-cells types, for example. Unfortunately, a lot of medical students get their basic pathology knowledge from Wikipedia nowadays. Just go to the library section where medical students are and have a look at the monitor screens during study time.

@kidney_boy (Joel Topf): Remember Harrison's is the youngest of the medical texts, it won by having regional approach (headache rather than CNS) to organization.

@DrVes: Classic-style textbooks (e.g. Harrisson's) feel like "half-book" nowadays. The doctors in training often find themselves asking "Where is the second part with treatment, updates, etc.?"

Related reading:

Review of the much anticipated UpToDate iPhone app, arguably the most read medical reference tool. iMedicalApps.com.
Are You Dependent on UpToDate for Your Clinical Practice?
"With UpToDate, students and interns may be as capable of teaching the resident (or attending) as visa versa"
Study: UpToDate More Likely than PubMed to Answer Patient Care Questions
How Current Are Leading Evidence-Based Medical Textbooks? An Analytic Survey of 4 Online Textbooks (including UpToDate) http://buff.ly/X2kUKw

Comments from Google Plus:

Neil Mehta - Ves one of the most useful aspects of Harrison's is/was the approach to symptoms. This is the first 100 or so pages of Harrison's. Understanding this can be a huge help in becoming a good clinician. It is pretty dense reading but internal medicine residents can benefit from spending time on this. Agree UpToDate is a tremendous resource. One thing to remember about U2D is that sections can be written by one author and this does run a risk of bias creeping in (no different than textbooks) but readers should learn to look at other sources/primary literature when necessary.

Ves Dimov - Right. UpToDate is far from perfect but it is very time efficient. It provides quick actionable info within 5-10 minutes of conducting a search. The depth of the content is limited by the person who wrote that particular article, of course.

Robert Silge - Yes, but by and large the people writing that content are qualified to do so. It is to medical textbooks what Wikipedia is to general reference books. Updates faster, to the point, and has info on (almost) everything. Its depth may be lacking, but for clinical practice I doubt the benefits of reading through primary literature is worth the time spent doing it for most endeavors.

And frankly for your first foray into a field, as a med student for example, Wikipedia is a darned useful place to start.

Ves Dimov - And that's why UpToDate is most users' favorite resource. One of the few drawbacks is the price though, $495 per year.

Robert Silge - Wonder how many people pay for it out of pocket vs use an institutional login?

Gary Levin - Up to date is like rounding with your attending or professor with instantaneous gratification. Harrison belongs in the library or for a second year med student to learn the language.

Wednesday, November 23, 2011

On Service Learning In Hyderabad

My lovely and brilliant cousin, Samantha, is, among many other things, a high school English teacher in Brooklyn.  For the past six months, she has been in Hyderabad, India, through a fellowship for The Modern Story, "a not-for-profit organization that bridges the technological and narrative divide by introducing digital skills and storytelling practices to youth and educators around the world."  In this post, she talks about the inspiring and empowering work she has done with her students in Hyderabad.

By Samantha Love, cross-posted from The Modern Story

Through our various experiences in the classroom, we all develop a unique pedagogy as educators. I think this is one of the most fascinating parts of the job – the fact that no two people will have an identical approach, that everyone must find their teaching “style” and align it with systems and strategies that enable you to be as effective as possible. I still consider myself a novice, my pedagogical philosophy is still developing as I imagine it will continue to shift and evolve throughout my career, but one thing I do know from my experience as both a teacher and student, is the tremendous impact of service learning.

What could be more empowering and instructional than designing a project to ameliorate the social and environmental problems we learn about in school? What is a more pertinent example of the purpose of education to create an informed and active citizenry which will act on their knowledge in the best interest of the community? The applications for service learning are endless. I was first drawn to The Modern Story because of the emphasis on service learning, teaching the students to “become change makers in their community.” I watched videos created by previous fellows where students had partnered with community organizations to bring attention to issues that they wanted to change and felt inspired. I set a goal for myself to complete a similar project if selected, and I am proud to be writing nearly six months later about service learning projects that we are wrapping up at two different schools.


Railway Environment Project:


When we first began the semester we tossed around the idea of doing a final video project about the environment. Living in Hyderabad, a rapidly developing city, in rapidly developing India, it does not take a scientist to notice the impact of this development on the environment. The sheer number of people flocking to the economic opportunities in the city, combined with weak infrastructure and the further complications of corruption, create a prime environment for the build-up of waste, unequal and unreliable distribution of water, and staggering emissions from vehicles.

 Having finished our first video project about Telangana (see below), we were ready to decide on the topic for the final video.



I knew that I wanted to approach it from the angle of service learning. The first step in this process was to have the students identify problems in their community that they would like to address, and, as I suspected, the vast majority wrote about environmental concerns. I was surprised however, when a student, Sai Durga, questioned the purpose of the assignment, asking me, “M’am, what’s the point of writing about these problems when there is nothing we can do to change them?” Sai is one of the brightest, most confident students in the class, with an uncanny ability to think critically and come up with original ideas, so it goes without saying that I was shocked by her pessimism. I told her that we do have the power to change the things in our communities and that I would prove her wrong by the end of the term. On that note we began our environment project.


First, I asked the students to brainstorm projects that we could do together as a class to impact the environment. This took a lot of explaining, and questioning to help them arrive at a place where they could think of actions that we could undertake to change the environment around them. The adaptive instinct seems to be so engrained in people here, particularly those who are not well-off, as to affect their ability to even think critically about changing the world around them. Countless times we’ve met people who are dissatisfied with the social and environmental ills they see around them, but their response is to shrug their shoulders and get on with their business.

Finally, the girls voted to complete two projects – raising awareness and access to dustbins to combat litter around the school and on the roads, and planting a garden to help do our part to clean the air and beautify the school yard.


Once we had decided to act, the course moving forward was clear. Thankfully in India you can plant a pretty nice garden for $20, so I haggled in my pathetic Telugu with the woman at the local nursery by the side of the road and loaded our various plants and trees into an auto. Unknowingly, I picked up three mango trees, so future TMS fellows should remember to give credit where credit is due when they are eating fresh fruit before class in a couple of seasons!

The girls were so excited work to complete a hands-on project to make a difference. Even on Children’s Day when they all came to school in their new, fancy outfits they pleaded with me to go and work in the garden. Once we gave them shovels and um, big heavy metal poles that people jam in the ground to dig holes (?), the original ideas did not stop flowing. Everyone had an opinion on how the garden should look, where a certain plant should go, and one girl even suggested that we spell out “TMS” in the middle with the methi seeds. We are all so proud of the finished product and the signs the girls designed and produced (with recycled materials) to teach the other students to keep the grounds clean and enjoy the garden without picking the flowers.

MGM Road Survey



We went through a similar process with the students at MGM, asking them to write about a problem they wanted to solve in their community. We initially gave the assignment in conjunction with their first video project on how youth can stand up and make their voices heard. Check out the completed video here:


We noticed that a couple students wrote about the poor road conditions which affected the safety of both drivers and pedestrians, and low and behold a couple weeks later Piya introduced us to Kanthi Kanan, a woman who started an organization to advocate for pedestrian rights, who had worked with previous fellows. We met with Kanthi to get some guidance on how concerned citizens can help to put pressure on lawmakers to act on this issue. We actually helped The Right to Walk foundation complete their own survey on the condition of footpaths and were inspired to conduct our own survey with the girls.



Kanthi visited the school to share how the students can act to change this issue and afterwards all students agreed that they felt inspired to act. We hope to present our findings about the road in front of the school and the obstacles the girls face on their commutes to the corporator of the local government district before the fellowship ends, teaching the girls a valuable lesson about the inner workings of government and their rights as citizens. We are very excited to wrap up this project with the girls and show them that if they speak up, people in power can listen and act.