Friday 15 April 2011

Motherhood's silent scourge, Globe and Mail, 14.4.11

While governments ignor them 2.6 million babies and 400,000 women die annually. Since “the problem exists largely where there is rampant poverty, no education and poor housing”, there is a solution.


Poverty must be reduced. In the face of the human and economical costs of these deaths – to say nothing about environmental, emotional and spiritual costs – every political party should have plans to reduce poverty. Not pie in the sky plans – evidence based plans.

Some Poverty reduction steps:

1. Tough on Crime = Getting rid of crime.

While I feel like drawing and quartering a rapist or pulling a child killer apart slowly on the “rack”, I have to good sense to realize that these methods have been tried and do not decrease the occurrence of those crimes.

What does work?

While there will be sociopaths for whom there can be no trust and psychopaths who can never be safely medicated, the vast majority of rapists and killers perform their crime spontaneously, heedlessly and often under the influence of drugs or alcohol. The vast majority have mental health problems, have been abused themselves, and come from poor backgrounds. Studies of Canadian inmates indicates that almost half should be in a treatment facility, not a jail. Recidivism is more likely to occur amongst the unemployed and uneducated prisoners.

Sweden has been experimenting with entirely different jail incarceration - prisoners are sent to a facility which is a cross between a college, a spa and an army boot camp. Result? A recidivism rate of less than 15%!

Treatment instead of incarceration doesn't mean the the prisoner is in the community. The whole point of being a prisoner means that movement and activities are restricted.

Action: Decreasing recidivism – which means decreasing crime – should be the goal of the criminal justice system. Build more rehabilitation and educational programs for criminals.

2. Education:

Early childhood development programs, adult literacy programs, grade X equivalency, and college preparation courses are either underfunded or not funded at all. Most European countries fund post-secondary education. Canada increases tuition fees.

Does education make a difference to poverty? Of course it does.

Action: Increase investment in education at all levels.

3. Housing.

Government, municipal or reserve-funded houses always have slipshod construction, paper-thick interior walls and thin-skinned exterior walls. They are always drafty. Is “always” too strong a word? As an itinerant physician in Northern communities in Saskatchewan, and across the sub-Arctic, and having friends who live in subsidized housing, “always” is what I've seen.

It would marginally increase the cost and greatly increase the energy efficiency if skilled workers and experienced building contractors constructed quality housing which, in turn, would decrease the incidence of discomfort and disease. Decreasing disease and disability decreases health care costs. Decreasing disease and disability also increases the ability to attend school and get an education.

Action: Build better houses. Create a national housing plan.

4. Tax.

While we do need an entirely different economic system because this one is failing – has done so once and is back on the same trajectory – an intelligent step could be taken right now. The passing of a bill by the Canadian government to institute a “Tobin Tax”, a tax on the cash accrued by “flipping” currency, occurred on March 24, 1999 but was never enacted. This is a form of institutional gambling for which we all pay. Since the vast majority of Canadian citizens stand to benefit from this tax, there should be no problem ratifying the bill.

Action: Enact the Tobin tax. Increase the government's coffers!

5. Military.

The Canadian military is the most costly of all government programs, delivers the least benefit to the tax-payers and spends its money badly.

Most Canadians want a cadre of well-trained young people with good equipment who can respond international and national emergencies. Most Canadians also want peace-keepers and even the hawks are uncomfortable with the current schizophrenic military mandate. We have ample evidence that violent conflict resolution does not bring peace or stability. Besides loss of life, it is environmentally unsound and wastes an inordinate amount of petroleum producing a gargantuan carbon footprint.

What would a peace-keeping military look like?

The airforce would have pilots and planes and helicopters that can search, rescue and operate under extremely inclement conditions. It should have large transport planes for troops, equipment, housing and hospitals and highly maneuvrable transport helicopters capable also of carrying large numbers of people.

The navy would also have reinforced and stable ships for personel and equipment. It would have ice-breakers and should have aircraft carriers for search and rescue and surveillance planes and helicopters. It would have research submarines.

The army should be capable of digging a major city out from a blizzard, locating people during an ice storm and searching for children and others lost in wildernesses. Its personnel would be well-equipped with skills and discipline in mediation and nonviolent action. They should be physically fit, mentally stable, mobile, and probably young.

For all the armed services, a personnel plan should be developed so that replacement officers have trained for a peace keeping militia. A wide open communications network would end secrecy and promote timely informative dialogue among personel. Any new government-provided housing would be energy efficient. Health care for personnel and their families should be paramount. They should receive appropriate exit interviews, special access to educational opportunities after a specified length of service, and continued access to counseling and family services. Did I mention pension plan?

Action: Immediately start meeting the needs of the veterans and their families. Tackle the change from attack mode to life-saving mode one item at a time through spending choices. Increase the role of such trainers as those who teach in the Department of Peace and Conflict Studies at Kingston and the many others who work in non-violent conflict action.


Will this Action Plan provide enough money for the programs that are needed to change rising poverty levels to decreasing poverty levels? By reversing the slide into poverty, the federal budget would reap the benefit of reduced crime rates, more jobs and more people to pay taxes. An ascending cycle of prosperity!

Final result: Less mothers dying in childbirth, less babies dying as newborns and a lower incidence of stillbirths. A happier world.


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