Wednesday, February 7, 2024

Memorial Medical Center Ducks Interview Request but Offers Statement

As readers may have noticed, I've recently written two columns discussing MMC.  I've sought to discuss MMC with its CEO, John Harris, and give MMC a chance to question stuff or disagree -- and I'd privately asked some follow-up questions..  

Tuesday I received an email from MMC Marketing Director Karen Matthews declining any interview but proffering a prepared statement.  I am, of course, posting it here (and the newspaper may or many not print it as an Op/Ed, and I will also send a copy to KRWG for possible posting on its site.  


At this time, we are unable to grant you an interview for your upcoming Op/Ed article in the Sun.  However, we have a statement we would like to share.


Memorial Medical Center has been part of the Las Cruces community, caring for residents of Doña Ana County and the surrounding region, since 1950.  The dedication to quality care and community on which our hospital was founded has unwaveringly guided our team for nearly 75 years – and has only been strengthened as Memorial has continued to provide a broader range of specialty services to care for Southern New Mexico. 

Our hospital hasn’t been immune to challenges such as staffing shortages that have impacted all hospitals across the United States, but we believe our record speaks for itself, and we are disappointed that Memorial Medical Center’s positive contributions to this region, the hard work of our staff, physicians and medical professionals, and the realities of the market in which we operate are being overlooked to support a false narrative about our facility.

We have worked hard to expand and adapt our services to meet our patients’ needs – from enhancing cancer care and screenings to expanding cardiology and primary care services in just the last year alone – so our residents can receive care closer to home and family.   We are committed to caring for all in this community and have donated more than $30 million in care and service to those in need each year for more than five years.  We participate in and contribute time and resources to numerous local organizations. We also are working very hard to continue to develop and grow our local healthcare workforce and bring new providers to this region.  Our career advancement programs for medical assistants, surgical technicians, nurses, and pharmacists, among others, are helping us to both address workforce shortages and offer new career opportunities to those in our community. 

We are fortunate to have a team of more than 1,300 dedicated staff members. Quality and patient safety have always been – and will always be – our first priority, and we are proud of the many notable clinical accreditations and distinctions our team has earned, and how we are making a difference in the lives of neighbors, family members and friends every day.

We have never been prouder to be part of the Las Cruces community. We are committed to ensuring that all people have access to quality care close to home, growing our services and being a great community partner, today and well into the future. 

Private Equity Hospital Management's Sharp Focus on Maximizing Profits Could Harm Patients

Under private equity ownership, Memorial Medical Center’s extreme focus on “profit over safety” apparently has torpedoed morale, endangered patients, undermined collegiality, and could violate its lease and the law.

[Please note that this column is my opinion. Maybe MMC has answers, excuses, or explanations to these questions. I’ve been trying to interview MMC CEO John Harris.]

Any hospital depends on oversight and collegiality. MMC was part of a National Physicians Advisory Board related to Duke University. Then it wasn’t, and used [obviously less rigorous] questionnaires instead. A Medical Committee that was a counterweight to the administration, safeguarding patients’ interests, reportedly has been weakened. Meanwhile, doctors who questioned problems were retaliated against. But doctors should ask questions!

“The profit over safety motivation, particularly during COVID, was appalling,” commented ex-MMC Doctor Jonathan Owens. Another doctor said that during that public health emergency, “all the administration wanted to do was find ways around the governor’s mandate against doing elective surgeries. They wanted to do joints, heart surgery, and weight-loss surgery because those were profit centers. It was incredibly disheartening.” Several said Harris initially “was denying that COVID was even a thing” and “spinning conspiracy theories,” which was “completely demoralizing to the medical staff.” Doctors watching patients suffer, or even die, were hearing that MMC needed to do weight-loss surgeries.

MMC set up a Pediatric Intensive Care Unit (PICU), and hired Dr. Jorge Saenz to run it. Soon an unusually high percentage of pediatric admissions were “intensive-care.” Pediatrician Heather Owens, some of whose patients got admitted as “intensive-care,” says that “for PICU admissions of the magnitude MMC saw, we’d have to be suffering an order of magnitude increased illness.” PICU admissions reportedly were several times the national average of 10-15%. (Hospitals, of course, can charge more for treating someone in intensive care. Maybe MMC didn’t. Authorities should investigate whether “maximizing profits” became “defrauding medicare.”)

Saenz’s abrasiveness exacerbated tension. Doctors should be collegial. Efforts to help him improve on that score failed. Dr. Heather Owens said that twice Saenz’s conduct toward her resulted in complaints to medical staff. Several sources said Harris stepped in to protect Saenz.

Did MMC sometimes prioritize especially lucrative departments over important but less profitable ones? One doctor, “worried about patients because of an antiquated medical-records system. The Emergency Department repeatedly requested new monitoring machines. Unsuccessfully. Patients suffered. When one died, the malfunctioning machine failed to notify staff. No one knew of the death until someone went in to check vitals. Had the machine alerted ER staff, could that patient have been saved? Reportedly, even after that event, it took a long time to get new monitors.

Several said MMC is understaffed and overworks people. That helped cause Dr. Jonathan Owens’s departure. MMC’s RN/patient ratio is reportedly low. One patient, herself a nurse, described substandard care and staff “consisting of floats, traveler, and often tired and disgruntled aides and LPNs.” She said, “MMC has given me two near death experiences.” Doctors, though they acknowledged nurses have been more scarce since COVID, criticized MMC for its nursing shortage.

Activist Yoli Diaz calls MMC’s refusal to treat indigent cancer patients, and treatment delays, “atrocious, barbaric, and illegal.” She contends it violates state law and a lease provision requiring continuation of service to indigents. She adds, “as a private equity firm operation, they are a profit driven, price gouging business with aggressive collection practices and predatory billing.”

This is the second of three columns.

                               – 30 --

 

[The above column appeared Sunday, 4 February, 2024, in the Las Cruces Sun-News and on the newspaper's website on the newspaper's website, as well as on KRWG’s website under Local Viewpoints.  Sorry to be posting this here so late, by the way!  Since publication, I received a written statement from MMC which I'll post here later today.]

[There’ll be a lot more to say about this; and, obviously, a lot that I can’t say, but that may await some investigation by appropriate authorities. So far, I have not been able to elicit any information from MMC. I hope and trust that within the next couple of days that will change. Although this is an opinion column, I want always to be fair to everyone; and in offering my opinion, I want that opinion to be as well-founded and fair as feasible.

[Certainly the bottom line right now is that there are problems in MMC’s service to the public. Basic publicly available data and scores would confirm that much. Some problems, such as an unfortunate ration of registered nurses to patients, are not entirely MMC’s fault. Others, such as a poor climate for discussion, in which there are fewer and fewer truly independent voices on MMC oversight committees and people are afraid to raise questions or criticisms lest they (or their patients) suffer some retaliation, MMC could deal with. And should. Aside from views on any specific incident, anything that unduly hinders freedom of discussion on any issue – political, medical, philosophical – hinders the pursuit by all of truth, not merely the freedom of any one speaker. It sure wasn’t like that on House!]

[Having said that, I’ll say little more for now. Although new voices keep whispering to me about MMC, my main hopes for a third column are to give some voice to MMC’s comments, clarifications, excuses, explanations, etc. My secondary purpose will be to at least shine some light toward the city and county. This was a public hospital. Someone decided to sell it. Eventually it ended up in Lifepoint’s, then ultimately Apollo’s, hands. However, city and county each retained a member of MMC’s board. I think those were the respective managers, Mr. Fernando from the county and Mr. Ifo Pili for the city. What have they known, and when? If their knowledge has been minimal, what are the causes? Finally, if I’ve erred, or if the answer to a pending question is one that favors MMC and MMC shares it with us, we should make any necessary corrections or clarifications. ]

[Above, I quoted Activist Yoli Diaz. She’s the President and Executive Director of CARE (Cancer Aid Resource & Education, Inc.) Her more extensive comment was:

1

“Memorial Medical Center’s C-Suite denying and delaying cancer treatment of chemotherapy and radiation and other needed health care services is an atrocity and has been a form of genocide to some of our Doña Ana County residents and is a violation of the lease with Doña Ana County and City of Las Cruces and is a violation of Current New Mexico Statutes Annotated 1978, Chapter 27, Article 5. Section 27-5-5.2 and Section 27-5-11. This illegal action is exacerbated by Doña Ana County and City of Las Cruces’ leadership because they were complicit in this atrocious action when they were supposed to be “watch dogs” --- even after I notified them of this crisis towards some residents in 2021. Both lessee LifePoint Health/Apollo Global Management and lessor Doña Ana County/City of Las Cruces have failed in compliance, failed in oversight, failed in accountability, failed in enforcement – to include the failure written in the lease in Vol 2_Part 1, Page 20, Section 6.5 Indigent Care/Continuation of Services, “Lessee will provide Expanded Care Services, as hereinafter defined, for the sick and injured in Doña Ana County who seek treatment at the Hospital, regardless of the cost of that care…”. When a hospital denies and delays needed health care services by putting profits over patient care, it is harming the residents it is supposed to serve creating imminent danger to life and safety. Our health care system: When the first hospitals were built, they were built by their communities to serve their communities. Many hospitals were built to care for the sick, poor, indigent and mentally disabled. Many were built by the wealthy business leaders as a donation or a charity. Many were built by churches. Our original hospital was built to serve our community at a time when there was confidence that government could do good things to improve our nation’s health. I have witnessed premature deaths and I have met children who were left orphaned because their parent did not receive the health care they needed, when they needed it, where they needed it, because of these denials and delays by Memorial Medical Center all in the name of “money”…instead of lives. When our health care system and hospitals were allowed to become profit and price gouging businesses with aggressive collection practices and predatory billing, our community with our social determinants of health and demographics suffered all in the name of this greed – what an inhuman and barbaric shift in this current modern era from why, and by whom, our hospitals were built! I personally question if our county and city leaders failure and duty to take action have committed nonfeasance, misfeasance or malfeasance because they had the knowledge, opportunity and contractual responsibility to take action. Memorial Medical Center and our local leaders took a 180 degree turn away from serving all Doña Ana County residents and Memorial Medical Center and our local leaders need to take that 180 degree turn back. I believe there needs to be an investigation, all parties held accountable and corrective action taken to benefit all of our residents.”

Me, I’ve asked MMC for its response to what Ms. Diaz has been saying and writing on the issue, but, as yet, received nothing. ]

[I did think, as I wrote at the time [See “Las Cruces Needs Hospital's Psych Ward Open" - 2023 01 29 "City and County Should Press Corporate Hospital to Honor their Contract" - 2023 07 30 ], that MMC was violating the lease when it went quite some time without the required mental health department. I have not researched this other issue as I would if litigating it, and am looking forward to MMC’s response.]

Sunday, January 28, 2024

Private Equity Is Harming Healthcare -- and Owns Memorial Medical Center

I first visited Memorial Hospital in Las Cruces in 1969, when it was still a small, city/county owned hospital downtown. A Hill-Burton public hospital. This two-part column is my warning to the City and County that maybe we aren’t well-served by Memorial Medical Center, under private equity ownership, and that things will very likely get worse, particularly if we are not vigilant.

Neither what I hear on the ground in Las Cruces nor increasing national scrutiny of hospitals owned by private-equity firms bodes well. Two senior U.S. Senators recently launched an investigation of Apollo Global Management, which owns Lifepoint Health, which owns MMC. Locals say they experienced a stronger “profits over patients” attitude after Apollo’s purchase.

Sophisticated private-equity firms acquire hospitals or other medical-service entities and go to extremes to milk whatever funds they can from the hospitals, while minimizing services and jacking up costs. Often they fund the acquisition by burdening the hospital companies with huge debts. That can bankrupt hospitals. Owners may cut expenses by firing people and closing important departments that aren’t highly profitable. They also find ways to increase costs or make money by doing unnecessary procedures.

Such firms have bought out more than two hundred hospitals. Experts estimate that 40% of hospital emergency departments in the U.S. are managed by entities such firms own.

Senate Budget Committee Ranking Member Chuck Grassley and Chair Sheldon Whitehouse are investigating how private equity ownership impacts our nation’s hospitals. They wrote Apollo regarding “the horrific events” in a Lifepoint health center in 2021-2022 “where at least nine female patients were sexually assaulted while sedated by a now-deceased nurse practitioner who overdosed and died at the facility.” They inquired about a dizzying series of “questionable” mergers, acquisitions, and transactions by Apollo.

Studies had long shown that senior living facilities owned by private equity firms have higher death rates and inferior patient well-being.

A recent study compared Medicare claims for patients at 51 acute-care hospitals owned by private-equity firms with data at 259 similar-sized hospitals in the same areas that weren’t owned by such firms. 

They  studied a period from three years before a hospital’s acquisition by private equity to three years after, between 2010 and 2017. Soon after private equity firms took over, patients experienced about a 25% increase in infections, falls, and other hospital–acquired conditions, compared with patients elsewhere. Although overall numbers of surgeries declined, patients also got twice the previous rate of infections from surgery, even though numbers of surgeries declined.

The FTC recently sued a private-equity firm for allegedly plotting for ten years to gain a monopoly on anesthesia practices in Texas, then use it to charge patients unreasonably high prices.

Grassley has said that, with hospitals, "a business model that prioritizes profits over patient care and safety is unacceptable.” A Berkeley study concluded, “The private equity business model is fundamentally incompatible with sound healthcare that serves patients.”

Some local sources suggest that MMC may be proving that.

Interviews with present and former MMC personnel paint a sad picture. Non-public hospitals need to make profits; but observers say that MMC management, since Apollo took over, has even more extremely prioritized maximum profits over everything else, including patient safety, collegial oversight, and avoiding medicare fraud. They say that’s cost us some wonderful doctors, a hospital culture of cooperating to manage the best possible patient care and safety, and probably lives.

Part II will explore the local situation.
        – 30 –

 

[The above column appeared Sunday, 28 January, 2024, in the Las Cruces Sun-News and [should soon be] on the newspaper's website, as well as on KRWG’s website under Local Viewpoints.] A shortened and sharpened radio commentary version will air during the week on KRWG (90.1 FM) and on KTAL-LP (101.5 FM, streaming at http://www.lccommunityradio.org/).]

[Locally, I began to hear concerns from the medical community about certain events, situations, decisions, and incidents at MMC, some tying the problems to Apollo’s acquisition of Lifepoint, MMC’s parent company; meanwhile, a marvelous Pulitzer Prize-winning journalist, Gretchen Morgenson, was publishing excellent articles on the national situation discussed above: private equity firms, as a group, are making huge profits by doing tremendous harm to our health centers and hospitals. As some had told me happened here, the usual tension between maximizing profits and optimizing patient care, an inherent problem in non-public hospitals, was getting way out of whack. Next week’s column will opine on the local situation. I am hoping to hear the MMC administration’s views in the meantime. Previously public aspects of the problem include MMC’s violation of its contract with city and county regarding mental health services and allegations by Yoli Diaz and others that MMC is also out of contract [and inhumane] with regard to indigent cancer patients and others. My opinion is as stated above. Other sources worth consulting are: Senators Probe Private Equity on Health Care , White House, Senate Take Aim at "Corporate Greed in Healthcare and perhaps https://www.nytimes.com/2018/02/28/business/jared-kushner-apollo-citigroup-loans.html.]

[Gotta say more about Gretchen Morgenson: first, from what I know, her articles are incisive, well-written, and right-on; second, I’d read good reviews of her latest book, These Are the Plunderers, co-written with Joshua Rosner, and have started reading it; and, third, part of the reason [for me] to read it soon is that she’ll be here in February, speaking as well as visiting with a long-time friend of hers here. Since she’s kindly agreed to gab with us for an hour on our radio show, “Speak Up, Las Cruces!” on KTAL, [either 8:30-9 or 9-10 on 21 February], I’d better start preparing to ask halfway sensible questions and pretend I know stuff. We’re looking forward to her visit! (Here’s the Publisher's Weekly bit on Plunderers, and if you google her name plus Apollo or health, you’ll acquire links to a bunch of interviews she’s done, or she and her co-author have done, with NPR and anyone else who’s paying attention.)

As you might sense, part of our problem is a national shift [not only in healthcare] from the local, human, and reasonable to everything being run by some financial people sufficiently far away not to give a shit about your or me. It’s like the change that surprised Americans in the late 19th Century, and led to a strong progressive effort to control trusts and monopolies and force ‘em to pay at least lip service to human health, purity, and honesty. J.P. Morgan and Harriman and Rockefeller were wealthy to a degree [when compared to the average citizen] unimaginable to Jefferson and Madison. Now out billionaires and even, recently, trillionaires are obscenely wealthy compared to any of us, and probably the difference is way more outlandish than at any earlier moment.  (Interestingly, Blogger's spell-check had no problem with "billionaires" but is advising me that "trillionaires" is a non-word or misspelling.  So maybe I was wrong, and we're about to have our first trillionaires.)

Result? McDonalds doesn’t much care how its meat affects you, unless something happens that’s so bad it’ll impact a significant portion of customers. It’s particularly sad to see health care go that route. I can read stuff and avoid particular food vendors, but I likely have no meaningful alternative to my local hospital; and whereas I know the folks who make my clothes, tools, furniture, and other things are doing it for the money, and not for my health except as the law may require, I tend to imagine my doctors and nurses feel differently. Fact is, they mostly do; but those they work for are squeezing them inhumanely, and in effect punishing them for taking extra time and care with me – or pushing them to con me into some lucrative but unnecessary step they can overbill Medicare and me for. And even punishing them for doing the kinds of quality control efforts that used to be standard.  We're a long ways from the post-WWII era when the nation thought having non-profit hospitals in areas like ours made sense, and the Hill-Burton Act made that happen.  (Yep, our city/county-owned Memorial Hospital was one.)  Big picture? We have one of the world’s most costliest health care systems and one of the developed world’s worst! Why should Switzerland, Sweden, Germany, Japan, Norway, Singapore, Australia, and the Netherlands – and others – have such better systems than we do, when our country (or, at least, its wealthy citizens) have so much more wealth than most countries?]

[PS: Greg Lennes just responded to the column by sending me a link to a group that keeps a watch on private equity health care ownership, and I noticed this piece on "News Coverage of Apollo's Stranglehold on Hospitals". Thanks, Greg! Thanks, Gretchen! Thanks, CL!]

Sunday, January 21, 2024

Thanks to our U.S. Senators for Daring to Vote for Peace

I’m raising my coffee cup to salute New Mexico’s two U.S. Senators, Martin Heinrich and Ben Ray Lujan, for a sane yet somewhat courageous vote for peace.

The Biden Administration’s unflinching unconditional support for Israel appalls me.

What Hamas did on October 7 was an ugly, indefensible massacre of civilians – nearly 1200 killed and others taken hostage.

Israel’s excessive response, bringing death to 25,000 people, the vast majority of whom are civilians, and destroying hospitals, is appalling.

It shows no moral compass.

It ignores international law.

It ignores the dangers of a wider war. Already we’ve seen expanded violence between Israel and Hezbollah, and tension between Israel and Egypt. Iran and Pakistan have exchanged strikes.

It ignores the complicity of Israeli President Benajmin Netanyahu. For years, he and Hamas have needed each other. Both oppose any peaceful solution, such as two states. Hamas’s credibility with the Palestinian people arises mostly from Israeli harshness, including the West Bank “settlements,” a slow-motion invasion, while the corrupt, dictatorial Netanyahu, loathed by many Israelis, can return to power, and hold it, largely because of Hamas. Netanyahu approved Qatari funding of Hamas. He weakened Palestinian alternatives to Hamas. On his watch, with the military and everyone distracted by fears of his dictatorial move against the Israeli Supreme Court, that intelligence failed to prevent the Hamas attack, although Israeli Intelligence had long known of the plan .

People around the world are disgusted. The Hague is hearing South Africa’s complaint that Israel is committing genocidal acts.

The Biden Administration (and Republicans) refuses to qualify its support for Israel’s activities. The Administration has attacked Yemen, a country we have collaborated with Saudi Arabia, the Emirates, and Iran to destroy by supporting a proxy civil war.

Tuesday’s vote tabled Sen. Bernie Sanders’s motion to invoke the Foreign Assistance Act to require the State Department to assess publicly whether or not Israel is using U.S.-provided weapons to violate Palestinian human rights. While Mitch McConnell calls this “performative leftwing politics,” we must begin to temper our national support of Israel’s slaughter of Palestinians with some mercy, judgment, and compassion. Tuesday’s vote was 79-11. Our senators were among the 11. That won’t please Joe, and could decrease donations from folks who fervently support Israel.

Sanders’s motion would merely require the public report. If Israel is violating the law, Congress could vote to continue the aid anyway.

The disproportionate numbers echo U.S. troops killing hundreds of native tribe members after a small band burned a couple of farms, killing a dozen whites; or the British killing huge numbers in India or Burma, and disproportionate retaliations by occupiers Spain in Mexico or Peru, French in Algeria, Japanese in China, Chinese in Tibet, Nazis in France, or us in Viet Nam. “Our” lives matter much more than “theirs.” Our hearts goes out to the little blond settler girl being kidnapped, but we know nothing of the Apache kid’s humanity. Unsurprisingly, polls here reportedly show that significantly more nonwhites than whites feel Israel has gone too far.

None of this excuses mistreating Jews or Palestinians, here or anywhere. An Israeli friend described feeling “torn,” because “my analytical mind isn’t comfortable with my emotional mind.” He, too, thinks someone should pressure both sides toward peace.

We must stop the carnage! I fear not only widening war but that Biden’s support for war could keep progressive voters home November 5th, helping to elect some unthinkable alternative.

                                    – 30 --

 

[The above column appeared Sunday, 21 January, 2024, in the Las Cruces Sun-News and on the newspaper's website, as well as on KRWG’s website under Local Viewpoints.] A shortened and sharpened radio commentary version will air during the week on KRWG (90.1 FM) and on KTAL-LP (101.5 FM, streaming at http://www.lccommunityradio.org/).]

[Of course, I dislike thinking too much about Israel and Gaza and Palestinians and Jews. It is too painful, too saddening; and (for me, at least), although I can certainly identify some villains and/or some villainous acts on each side, mostly I feel a confused sort of grief and empathy. I understand everyone’s pain, and while individuals are victims of other individuals, everyone seems also a victim of others’ greed or hatred, Europeans’ greed and hatred: the nations, of which Nazi Germany was only the ugliest and most methodical, that persecuted, killed, and reviled Jews; and the white western European – and “American” – assumption that only European civilizations matter. Not Arabs, Indian, Chinese, Vietnamese, Latin American, or African cultures and lives. Too, there was a time here in Las Cruces when my closest friends were an Israeli couple and several Kuwaitis. So, it’s personal.]

[At the same time, unlike so many other public issues in my life [Segregation should be dismantled, we should stop the massacre of Vietnamese folks, rapidly widening income gaps ain’t good for our economy or our polity, we shouldn’t persecute gays, neutrals, pregnant women, or any religious or ethnic minorities], the solution isn’t clear; and with what solutions folks mention, it’s hard to know what chance they have of working. The live people on both sides have an excess of pain they don’t deserve.]

 

Sunday, January 14, 2024

Honor Dr. King but Don't Forget How the U.S. Treated hIm and so Many Others

Martin Luther King Day? A national holiday?

I couldn’t have imagined such a thing on the April evening when I walked numbly along Manhattan’s 3rd Street, processing the fact that Dr. King had just been shot. He was a leader in the movement I was a foot soldier in. Selma had inspired me to do some civil rights work in the rural county east of Memphis. Many Negro families lived in shacks. A huge sign at the county line celebrated a state championship won by the Fayette County High School girls’ basketball team. Black kids didn’t go there. They went to the Fayette County Training School. King was a leader in a movement in which I was a foot soldier.

Stumbling along 3rd Street, I made eye contact with some Black guys standing around. I probably gave a helpless, sad shrug, thinking of King. One guy reached out to hand me something. Suddenly I thought he was poking a lighted cigarette into my palm. (I was, after all, a white guy.) As I snatched my hand away, I saw, and still see clearly, the marijuana joint he’d been handing me, falling toward the sidewalk. I picked it up and took a hit, reflecting on how the moment had gotten inside me.

Our country has changed greatly, but not enough that we should forget or ignore “racism.”

In our small suburban village, when my mother started a neighborhood cub scout den, it included Jewish kids, Protestant kids, the mix I was, and two Black kids. It was nothing we thought about. (I guess she did. One project we did for a gathering of dens celebrated George Washington Carver. Long afterward, she told me that some mothers hadn’t liked seeing a den with Black kids in it.)

In high school, if a white girl hung out with a black guy, the school called to inform the girl’s family. As a new kid, recently kicked out of prep school, I saw the ethnic tension between blacks and Italian kids. I was friends with both, of course. But they didn’t mix so much. Later, working with kids in Harlem, we had long talks. Being white, I was as strange to them as I was long afterward to Tibetan Khampas, who reached out in amazement to touch the hair growing from the back of my hand.

Once in Tennessee three of us took a local kid out for lunch to celebrate something with him. When we asked where we should go, he named the diner his brother had once been knifed for tying to integrate. We went. Our hamburgers had such an excess of unordered hot sauce that we could not have eaten them except to show the owner she couldn’t drive us away. When I tried to pay, she kept waving the bill at the kid, shouting “The [N-word] pays! The [N-word] pays.”

King grew up in that South. Slavery was gone, but whites tried their best to replicate it. At six, he and a white friend were sent to different schools. The white boy’s parents forbade him to see Martin. They told Martin, “We’re white. You’re colored.” When Martin’s parents explained, Martin said he would hate all white people, always. His parents said he had a Christian duty to love them.

The oppression that killed King had permeated every moment of his life. The nation honoring him shouldn’t forget how it treated him.

                                 – 30 – 

 

[The above column appeared Sunday, 14 January, 2024, in the Las Cruces Sun-News and on the newspaper's website, as well as on KRWG’s website under Local Viewpoints.] A shortened and sharpened radio commentary version will air during the week on KRWG (90.1 FM) and on KTAL-LP (101.5 FM, streaming at http://www.lccommunityradio.org/).]

[Again, too, welcome to the new year! So far, it’s been a particularly good start to mine, and I hope it has for yours too.]

[ On MLK, there’s just so much to say. The key is that although the U.S. has much improved with regard to inclusivity, the prjudice problem isn’t like smallpox – we haven’t nearly eradicated it.\

[Interestingly, the column couldn’t be printed in the newspaper precisely as written. I used “Negro” a couple of times, because I was recounting events from when that word was in general use. (No, I didn’t do the same with “the N-Word,” or try to utter “Nigger” on radio.) All fine. Yet part of me worries that as we “pretty up” the past to avoid hurting folks, we might lose some of our vigilance about repulsing “racism” wherever and however it rears its ugly head.]

[“Race” is a weird word. It describes a distinction that doesn’t exist. There’s a human race, and many other races. “Black,” “White,” and “Yellow” folks are not a different race. We’re different ethnicities; and our skin-colors and hair colors vary; but we’re one race. “Negro race” was invented, I think, because while slavery, particularly of captives or those defeated in battle, was common in the ancient world, the African Slave Trade arose late in the game, when we were already beginning to have more enlightened views on many things, and we hadn’t beaten African tribes in some war, so supposed Christians needed some excuse for enslaving fellow human beings. They created it: there were different races, and God had made caucasians the smartest, the elite, so they could do as they liked with the others, and the contact would teach those others.”

So I’m careful not to use “race” in that way; but, ironically, “racism” is a real force in our society, even if “ethnic prejudice” would be a more accurate but less ugly phrase for it.]

[Two things are particularly worth noting; that although the column focuses mostly on the South, racism was (and, to some degree, still is) alive and well in the North, though mostly in milder forms; and that all the horrors are not so far in the past as racists would like us to think.]