Category Archives: social policy

Moonshine Reality

health, social policy, , , , , , ,

In my last post I joked about moonshine. The reality is quite different.

Moonshine is sometimes presented as a defiant protest against the government, which wants to tax everything fun and make a profit on it while soaking the common people. And right now, that’s a pretty popular – even populist – sentiment.

Media portrayals of moonshining, while not universally positive, have sometimes given it the cachet of harmless, if illegal, rebellion – think Dukes of Hazzard. Let’s outsmart them pesky revenooers (actually ATF agents) and race fast, sexy cars and yell yee-haw a lot.

And I’m not denying that can be a good ol’ way to spend your time, as long as you don’t crack up that spiffy car trying all those impressive special-effects stunts that defy the laws of physics as well as traffic.

And we all know that Prohibition didn’t work. You can’t keep people from drinking if they really want to. It’s as old as civilization itself.

But during Prohibition, alcohol consumption and rates of alcoholism actually increased. The temperance movement was counter-productive.

And “bathtub gin,” like moonshine whiskey, being unregulated (more outlaw fun defying the damn gummint!), had no quality controls. A lot of moonshiners didn’t care, or maybe didn’t even know, the effects of using the wrong copper tubing or automobile radiators for their stills, or mixing the product with wood alcohol (methanol). They probably should have suspected that the rat poison, bleach, embalming fluid, or paint thinner added to give it an extra kick would be less than ideal, though. The lead and antifreeze were bonuses.

Blindness, liver damage, alcoholism, and death were the best-known side effects. Others included seizures, nerve damage, and partial paralysis, either temporary or permanent.

So yes, I did grow up in a family that thought “That Good Ol’ Mountain Dew” was a fun song for children. And I did have an uncle that made or bought moonshine – we kids were unclear on that – and hid it in the corncrib. (Digression: Ironically, he was named Uncle Sam. There was also an Aunt Jemima somewhere in the family tree. True story.)

But I’m not going to encourage drinking actual moonshine. I won’t even buy the cute Mason jars of whatever it is they sell in state-approved liquor stores labeled as moonshine. And I’ll pass on Outback’s moonshine-flavored entrees, thanks.

We Don’t Do That Any More, Do We?

mental health, social policy, , , , ,

Here’s a story that caught my eye recently.

http://www.cnn.com/2014/03/08/us/mississippi-unmarked-graves/index.html?hpt=hp_bn1

It’s long, but worth reading. But for you busy people, I’ll summarize.

Two thousand unmarked graves were found on the grounds of an old hospital. Whose could they be? Civil war dead? Victims of an epidemic?

No. That section of the old hospital was an asylum, and the bodies were those of inmates. The insane. The developmentally delayed. The rebellious. Anyone the family wanted to hide and forget.

Of course, we don’t do that any more. No more locked, back wards. No more Snake Pits. No more Cuckoo’s Nests.

No, the asylums (pardon me, behavioral health residential facilities) have largely been closed and the inmates (pardon me, clients or residents or patients) released.

After their 30 days of insurance coverage run out.

To a group home that has a waiting list longer than the Mississippi.

To outpatient centers that hand out meds that may or may not have an effect or even be taken.

To the streets.

To a society that hates and fears them, lumps them all together as eyesores and NIMBYs, panhandlers, homeless and jobless, and spree killers.

Of course there are mentally ill people who are able to function in society on some level or another. They’re the ones who have likely never been in a locked ward. Those with understanding families, good insurance, nearby therapists, and a support system of friends. People who can hold a job. The ones who hardly ever shoot other people.

Still, the functional mental patients, your coworkers and neighbors and even family members are afraid to “come out” as needing help or getting help. They won’t even admit to taking Prozac, despite it’s being one of the most prescribed drugs in America.

Why is that? Because even if the asylums are gone, largely closed by lack of funding rather than obsolescence, the stigma remains. As a society, we have the impression that all people with mental disorders are psychotics or schizophrenics, lurking nearby just waiting for the chance to get their names in the papers and on TV.

We don’t lock up mental patients much any more. Now we’re humane. We give them apathy, invisibility, fear, and maybe a few drugs.

And the same old stigma.