Monthly Archives: January 2011

Poverty

The Whole Tooth

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Finally, I remembered!

I had been trying to remember since late August to contact the Dental Clinic at the Abbotsford Food Bank to make an appointment to have a small cavity taken care of before I have another tooth deteriorate to the point it needs to be extracted.

Poverty is hard on teeth. Bad teeth not only cause severe appearance problems, they also have health consequences; health consequences that can be life threatening and require hospitalization.

Before you dismiss ‘severe appearance problems’ consider the cost to both society and a gentleman I met while he was attending the Triangle Resources program. He had worked hard at getting sober and remaining sober and was going to Triangle in preparation for finding a job. His teeth were in such terrible condition that when he spoke, but especially when he smiled (which he did fairly often then), … his teeth were so ugly it was off putting.
Looking for a place to rent, looking for a job, his teeth gave the people he was meeting a terrible impression and he kept getting No – until his spirit was wounded to the point he slipped back into drug use and homelessness.

I have known those whose teeth worsen to the point they abscess and cause a blood infection. Those to whom this happens end up in hospital on IV antibiotics to fight the infection, some are so bad they need dental surgery.

One of the sick ironies of the income assistance system is that it easier to get help to get all your teeth pulled and dentures than it is to get access to dental care.

Suddenly finding yourself homeless and witnessing the pain and problems, the carnage, bad teeth cause … well you live in dread of having any dental problems – and if you did have dental problems you lived in pain until the problem reached the point of a health problem requiring hospitalization.
At least I lived in dread of having any dental problems.

Dread – until the dental clinic at the food bank opened and poverty stopped being a barrier to dental care.

I remember thinking ‘that is a good idea’ when Dave told me they would soon open a dental clinic at the Food Bank and to let people know. When an old filling caused a tooth to break my thinking about the dental clinic changed to ‘great idea, something desperately needed in this community, cannot open soon enough’. Funny the effect need can have on one’s opinion of something.

Fortunately the dentist was able to clean up and save that tooth.

I was not so fortunate with the next tooth to break around an old filling. There was no way to save the tooth and it had to be extracted. The extraction itself was not nearly as traumatic as the mental trauma of no longer having “all my teeth”. On the positive side was the fact I avoided a lot of pain, infection, illness and a hospital visit.

While they were taking X-rays of my teeth as part of evaluating what to do about the broken tooth they found one of my wisdom teeth was rotten and in need of extraction; they also found a small cavity in another tooth.

I agreed to come in on a Saturday so that dental students out from UBC could get some hands on, real world experience as a way for me to pay forward the care being given my teeth.

LOL – and real world experience they did get. That wisdom tooth had been in my mouth for decades and it did not want to leave. The upside was that they had administered the long lasting anaesthetic (and a goodly amount as well); the downside was watching as heavy steel tool after tool went into my mouth – and came out bloody, listening to the conversation/coaching on the best way to break the tooth into quarters, watching (feeling) the strain as they struggled to wrestle the first piece out.

Blackly humorous was watching/eavesdropping as the local dentist explained to the student about not prescribing pain medication to the clinics clientele (many of who have addiction problems). Hey, after over an hour in that chair … you either found the humour in the situation or wallow in feeling sorry for yourself.

The really fortunate thing is that the freezing lasted long enough to get home and get several doses of acetaminophen and ibuprofen before the freezing wore off.

During the summer I had the opportunity to get a second teeth cleaning. It was a long time in the chair and I (shudder) found myself wondering how long it would have been if there had not been a first cleaning (itself a long session).

Humans are strange. The threat of cavities and losing teeth lacked the motivational power that the thought of having to face a dental hygienist with teeth made dirtier because I did not honour their work by looking after my teeth. Thus motivated I brush daily and floss several times a week.

And as I brush/floss I wonder how many others are taking good care of their teeth because a dental hygienist donated their time to clean those teeth?

Since that cleaning in August and being told to book an appointment to have the small cavity taken care of while it is still a small cavity, I have been trying to remember to get in touch with the clinic on Monday. Monday since this is the one day a week the scheduler who books the appointments is in the office.

In a Duh! moment as I was entering the dental appointment into my phone’s calendar I realized that in order to have remembered to make an appointment in a more timely manner I should have put making an appointment into the phone’s calendar – sort of an appointment to make an appointment.

The fortunate thing for me on a personal basis is that I should be able to have this cavity taken care of before it costs me another tooth.

On the unfortunate side of things is that the dental professionals do not get to see the effect their time and skills has on the patients of the dental clinic.

Such as the gentleman speaking about how wonderful it was to eat without pain for the first time in years. Or those who were looking forward to getting dentures now that their dental issues had been addressed and they could get dentures. Or see how happy/proud they are when they get dentures and not only are they able to eat and chew more than soups and other soft foods but see, every time they look in a mirror, the improvement dentures make to their appearance.

The dental professionals don’t have people coming up to them, giving them a big smile, pointing to their teeth and saying ‘check this out’ after having (for many if not all) the first visit of their lives with a dental hygienist to clean their teeth. The dentists and hygienists don’t see the increase in people brushing their teeth or asking for toothpaste and/or a toothbrush so they can brush their teeth. See the effect on demeanour and self esteem that having more presentable teeth brings about.

They donate their time and do all this work but don’t get to hear their patients talking to each other about how great it is to have had a dental problem taken care of or to have had their teeth cleaned. Nor do they see their patients telling others with dental problems that they have to go to the dental clinic where, not only will their dental problems be taken care of but they will be treated like ‘real human beings.’

They donate their time and do all this work – and really don’t get a appreciation of the effect their efforts have on those who, without the donation of time and skills by this group of dental professionals, would be unable to get the dental care so badly needed. Nor do the professionals get a true understanding of how much their work is appreciated by their patients.

In speaking of those whose work at the dental clinic has such and effect on people’s lives I would be most remiss if I did not speak of Lala, Keeper of the Sanatorium, whose skill and knowledge keeps the clinic, with its diverse cast of dental professionals and patients functioning.

On behalf of all the patients I offer thanks for 2010 and wish all a Happy and Prosperous (and Skillful) 2011.

Hmmm, Municipal

Only in Abbotsford……

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You know, when it reaches the point you have to paint, in a bright yellow colour, instructions so city employees do not pile items in a doorway or stand in the doorway when it is closing……it is time that city hiring criteria become based on ability, knowledge and at least a minimal level of intelligence rather than who you know and/or nepotism.

Either:

The water crisis is a LOT worse than city council acknowledges – a lot worse since taxpayers know it is worse (much worse?) than council will admit. At least one hopes it is a case of won’t admit and not another instance of head in the sand, have no clue about.

Or:

Someone needs to explain to council you keep plants green by watering them not by painting them green. Although…….not knowing plants require water, not painting. to stay green would serve to explain city council’s lackadaisical attitude towards the need to increase the supply of water available to water plants, fight fires or for drinking to sustain life.

Federal, Issues, Media, Municipal, Provincial

Voting age

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How would you know…?

…that the BC Liberals (and NDP) parties are allowing those under the age of 18 to vote for the leader of the Party?

Could the first clue be the fact that the leadership candidates are suggesting, or jumping on the bandwagon, that the voting age be lowered to 16?

Talk about putting a whole new spin on the tradition of kissing babies for votes…

We have graduated drivers licensing for young drivers, those under 18 (the current voting age) are not allowed to purchase alcohol and the legal age of majority is 18.

So are the leadership candidates saying that voting is a less important or requires less judgment and maturity than driving a vehicle, buying alcohol or being considered to be legally an adult?

“Liberal leadership contender Mike de Jong says he wants to lower the voting age in B.C. from 18 to 16 in a bid to attract more voters to polls.”

Since the polls are in schools it would certainly be easy and convenient for students to vote which may well lead to a higher turnout percentage among this new group of voters – at least as long as they are in school and it is easy and convenient – artificially inflating the voter turnout numbers.

If the goal is simply to increase voter turnout why don’t we move the polls to more convenient locations? Malls, grocery stores, bars etc. Making the polls more conveniently located so that people do not have to make an effort to go and vote will also raise voter turnout.

Of course moving the polls out of the schools, thus reducing the ease and convenience for the new voters to vote will undoubtedly significantly reduce turnout among the proposed new voters to levels more in keeping with the turnout in the rest of the population.

Besides, does not a ‘fair’ election require that no group of voters have a significant advantage in the opportunity to vote? In the interest of fairness and not conferring an advantage should not voting be equally inconvenient for all voting populations?

If someone cannot go 5 or 10 minutes out of their way to vote – do we really want them voting?

If the goal is to increase voter turnout might I make a suggestion? Instead of lowering the voting age or moving polls to convenient locations we might want to try a truly radical solution – giving voters something (someone) to vote for.

I keep myself informed on what is happening in BC, Canada and around the world; keep informed on what the issues are and the events effecting the issues; give thought to what information experience/history provides on the issues; think about the future and what actions we need to take.

I am a person engaged and prepared to give informed consent on how I want the city. the province and the country to be governed.

Unfortunately (for the province, country and world) I also have nothing and/or no one I want to cast my vote for.

Being interested and engaged in the issues of government and governance I often ‘talk politics’ with others who keep themselves informed who complain of being in the same position – being informed and engaged they also find they to have no one they consider deserving of their vote.

Those among this group who feel they have to vote, having nothing and no one to vote for, find themselves condemned to holding their noses and voting for the lesser of evils. Political discussion on the ‘Net and comments made to the media by voters suggest that a significant percentage of those who do vote in provincial or federal elections are confronted by the dilemma that if/when they vote they are not voting for the direction or the policies they want the province or country to be pursuing but either 1) voting to prevent something (i.e. a Conservative majority government) or 2) voting for the lesser of evils (i.e. a minority government).

I am old enough that I can remember when elections were about issues, not about spin, mudslinging, saying as little as possible and telling the voting public what it wants to hear.

On the flipside I can remember a time when voters applied thought to the policies and politicians they voted for – not just whether they hear (or think they hear) what they want to hear.

While giving the above collection of voters something to vote for would help to stop the decline in the percentage of voters, in order to significantly increase the number of voters it is necessary to re-enfranchise the more than 50% of voters who are currently disenfranchised.

Disenfranchised? What else would you call it when the votes of these voters have no effect on government behaviours and policies that impact their lives. When voting is pointless – you have seen that your vote makes no difference to what happens to you – why would you bother to vote?

Since the number of disenfranchised voters continues to grow every election, basic mathematics tells you that voter turnout will continue to decline every election.

Governments, politicians and pundits prefer to use the term apathy to explain the decrease in voter turnout. As in ‘the voters don’t vote because they are apathetic’, an explanation politicians, pundits and the public find more palatable than the harsh truth: that the majority of voters don’t vote because nobody speaks or will speak for them.

If you are wealthy, well to do, a businessman, a corporation etcetera – the BC Liberal party (Conservatives federally) will act to advance your interests.

If you are big labour/union or one of a number of special interest organizations/groups that contribute to the political interests of the NDP, the BC NDP (federal NDP) will act to advance your interests.

[The federal Liberals, due to a lack of leadership and ideas, have become the: ‘I don’t want a Conservative government; I don’t want a NDP government; that leaves the Liberals’ party.]

The majority of Canadians and BC residents have no party, no politician or candidate for office that will advance their interests.

Disenfranchise: 1. to deprive of the right to vote or other rights of citizenship 2. to deprive of the right to send representatives to an elected body 3. to deprive of some privilege or right 4. to deprive of any franchise or right.

Represent:: 1. to stand or act in the place of, as a substitute, proxy, or agent does; 2. to act for or in behalf of (a constituency) by deputed right in exercising a voice in legislation or government.

Politicians, pundits and the enfranchised public will no doubt deny this uncomfortable reality as the current state of affairs is to their advantage. Especially in light of the fact that if those who are currently disenfranchised and do not vote were to found a party and recruit candidates to represent them, the politicians, pundits and currently enfranchised public would suddenly find themselves suffering the consequences of their interests and needs being disregarded.

Clearly a situation politicians. pundits and the enfranchised public have no desire to find themselves in.

Think about it: when experienced politicians in the BC Liberal party addressed the question of increasing voter turnout they avoided addressing increasing turnout by re-engaging the non-voting voters and turned to finding new voters and that the NDP have shown no interest in addressing voter turnout.

The disenfranchised majority needs leadership and representation to emerge and give voice to their best interests.