Search Results for: health

Rich Teeth, Poor Teeth: Life Along the Dental Divide

A free, two-day clinic in Salisbury, Maryland drew thousands in desperate need of dental care. (Photo by Linda Davidson / The Washington Post via Getty Images)

She means well, but I dread the dental hygienist. The judgmental tone in her voice is probably just exhaustion; the only dentist I can afford to see has an office that’s a in perpetual spin of budget-seeking patients. I’m one of scores of people who’ll sit her the chair today, and whenever I leave, I hear someone standing at the dreaded reception desk trying to argue their way out of a bill in an embarrassed tone.

Sometimes I’m in that corner too, wheeling and dealing for a way to swing basic treatments with money I don’t have. To my shame, I often go months or even years between routine cleanings, opting to spend money on debt or bills or food instead.
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How ProPublica and NPR Changed the Narrative About Maternity Care in America

A new room in the maternity ward of Maine Medical Center. (Photo by Shawn Patrick Ouellette / Portland Press Herald via Getty Images)

Seventeen years ago, Nina Martin’s sister almost died in childbirth. “I remember the trauma of that experience really, really, really well,” recalled Martin. “The disorientation of it and then also, the silencing of it afterwards.”

Martin is ProPublica’s sexuality and gender reporter, and Martin and NPR special correspondent Renee Montagne recently co-authored the first of several stories on maternal care in America. The first part of the series aired on NPR last week, and the other was published on ProPublica as “The Last Person You’d Expect to Die in Childbirth.”

Over the next several months, Martin and Montagne will release more stories about maternal care in America which will focus on a host of issues surrounding maternal mortality, including racial disparity in care and women with near misses. Every mother has her own story of birth, and all too often these stories go unnoticed, or are buried under platitudes that focus on the health of the baby. Together, Martin and Montagne want to move the conversation back to the mother, and ask why America is the only developed nation where maternal death rates are rising.

Longreads spoke to both journalists about the process of reporting the story, their passion behind the project, and the impact they hope it will have.

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Chasing the Harvest: ‘If You Want to Die, Stay at the Ranch’

Illustration by José Cruz

Gabriel Thompson | Chasing the Harvest: Migrant Workers in California Agriculture | Voice of Witness / Verso Press | May 2017 | 17 minutes (4,736 words)

The stories of the more than 800,000 men, women, and children working in California’s fields—one third of the nation’s agricultural work force—are rarely heard. The new book Chasing the Harvest compiles the oral histories of some of these farmworkers. Longreads is proud to publish this excerpt about Heraclio Astete, who shared his story with journalist Gabriel Thompson.

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Heraclio Astete

Age: 62

Occupation: Former sheepherder

Born in: Junín, Peru

Interviewed in: Bakersfield, Kern County

Agricultural Region: Central Valley

 

Along with fruit and vegetable crops, California’s agriculture also includes livestock, from dairy cows and egg-laying hens to hogs and even ostriches. Then there are sheep and lambs—and the unique challenges faced by the workers who care for them. These sheepherders are predominantly temporary guest workers, often called “H-2A workers” after the type of visa they hold.

Theirs is a lonely occupation. Living out of primitive trailers that are dozens of miles from the nearest town, sheepherders can go weeks without seeing another face. It is also the poorest paid job in the country, with some sheepherders still earning around $750 a month; with their long hours of work, that amounts to about a dollar an hour. In a 2000 report by Central California Legal Services, ninety percent of sheepherders reported that they weren’t given a day off over the entire year. When asked about their best experience as a sheepherder in the United States, many responded: “None.”

Like many sheepherders, Heraclio Astete came from Peru, where he grew up caring for flocks of sheep in his hometown. And like many of the workers who responded “None” to the survey, he had a lot of complaints about workplace exploitation. When he suffered a potentially life threatening work-related illness, he decided to do something about it. Read more…

Millennial to Millionaire: Stop Blaming Avocado Toast for Why We’re Not Buying Houses

Photo Credit: T.Tseng/Flickr

Millennials rarely get a fair shake when it comes to, well, anything written about them, which is why it isn’t surprising to see a misguided post from TIME magazine today blaming the low rate of home ownership among millennials on their apparently voracious appetite for avocado toast.

“When I was trying to buy my first home, I wasn’t buying smashed avocado for $19 and four coffees at $4 each,” millionaire Tim Gurner says, also blaming millennials’ annual trips to Europe every year as the reason why they can’t afford to buy homes.

He continues, “The people that own homes today worked very, very hard for it, saved every dollar, did everything they could to get up the property investment ladder,” conveniently failing to mention the housing bubble and subsequent crash that occurred in the last decade due to poorly regulated banks that approved mortgages for millions of people who they knew could not afford to pay them back. For Gurner, it’s easier to blame rampant spending on avocados and lattes for today’s low home ownership rates than on post-recession regulation of predatory lending practices that have prevented banks from handing out mortgages like candy.

Guess what, Gurner: According to the New York Times, Federal Reserve data shows that the percentage of Americans under 35 who hold credit card debt has fallen to its lowest level since 1989, the year Taylor Swift was born into this world. If millennials are having trouble controlling their spending, the data does not show it. Read more…

It Was Like Nothing Else in My Life Up to Now

Photo by Steve Photo by (CC BY-SA 2.0)

Josh Roiland | The Digital Press | May 9th 2017 | 19 minutes (5,354 words)

This essay first appeared in Haunted by Waters: The Future of Memory and the Red River Flood of 1997 published by The Digital Press at the University of North Dakota. Our thanks to Josh Roiland and editor David Haeselin for allowing us to reprint this essay at Longreads.

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On a still summer night in the last year of last century an overweight woman in a wheelchair appeared, as if an apparition, under a street lamp in a parking lot on the west end of campus. I had not seen her when I pulled my car in. It was an hour till midnight, and I was covered in sand.

I’d spent the night playing volleyball and had returned home to married student housing where I was summering with a friend’s wife, while he interned in Minneapolis. She was a nurse who worked nights, and I was an English major lazing between my junior and senior year. We rarely saw each other; the only complication in our cohabitation resulted from my inability to lift the toilet seat when I got up to pee in the middle of the night. In the mornings we’d cross paths and she’d tell me, again, that it was no fun to come home and sit in piss.

That night in the dark parking lot, the woman rolled her heavy body from behind a street-lamp. “Excuse me,” she said, coming closer.

“Hi!” she said cheerfully. “Can you, uh—would you be able to give me a ride home?”

She worked at a telemarketing place near the corner of University Ave. and 42nd St. Work had let out, but the buses had stopped running, and she needed a way home. She crossed the busy intersection and wheeled into the expansive parking lot waiting for someone to help her. I was tired and dirty. I just wanted to slink into the stuffy efficiency, shower, and distract myself to sleep with PlayStation. But here she sat.

“Sure,” I said. “Sure, I’ll give you a ride home.”

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The Last Person You’d Expect to Die in Childbirth

Longreads Pick

This deep dive by ProPublica and NPR into maternal death in the United States equal parts devastating and essential. But for a country that prides itself in the lowering of infant mortality, concerns about the health of the mother in the days and weeks after birth has declined to the point that even preventable illnesses are going under-treated, or untreated.

Source: Pro Publica
Published: May 12, 2017
Length: 37 minutes (9,300 words)

The Doctor Dolittle of the Upper West Side

(AP Photo / Alexander F. Yuan)

At the New York Times, Andy Newman covers a day in the life of Dr. Anthony Pilny, veterinarian at the Center for Avian and Exotic Medicine in Manhattan. Dr. Pilny’s practice routinely involves bowel-obstructed bunnies, lame ducks, and feisty, festering iguanas, just to name a few of his pint-sized patients.

The center, on Columbus Avenue on the Upper West Side of Manhattan, is the city’s only exclusively exotic animal hospital. “Exotic” in the veterinary trade simply means all pets except cats and dogs. The center treats anything else that comes in the door and weighs under 50 pounds. Most of the patients are rabbits, rodents, lizards or birds, but they can get pretty exotic: kinkajous, alligators, flower horn fish and prairie dogs. So can their problems.

The duck was out cold on the table in a basement operating room, a breathing tube stuck down her bill. Dr. Pilny sliced open her abdominal cavity and rooted around.

Dino has other health issues. Her egg problems led to calcium deficiency, weak bones and a fractured leg. She could no longer walk.

“She can crawl around on towels, but otherwise we have to carry her everywhere,” said her owner, E. J. Orbe, a ballroom dance instructor from Paterson, N.J.

Some people might hesitate to invest $1,200 in gynecological surgery on a lame duck. But Dino has a job: She’s a seeing-eye duck for another of Mr. Orbe’s ducks, Penguin, who is blind. “She finds food and water and makes noises, and Penguin would come over and start eating,” Mr. Orbe said.

Inside Dino, Dr. Pilny was hacking his way through a sea of yolky blobs. “It’s just a very extensive, severe amount of schmutz in here,” he said to the veterinary technician, Kristine Castillo. A clamp on Dino’s webbed foot fed her vital signs to a monitor. Her heartbeat pounded through the cheap speaker like a tom-tom drum: thwap-thwap, thwap-thwap.

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Two Scoops of Ice Cream for Him, One for You

Time reporters Michael Scherer and Zeke J. Miller spend dinner with the president and not only observe how the White House has changed under Donald Trump, but how Donald Trump has changed since taking over the White House. (Spoilers: the White House has already had an extreme makeover where maudlin oils have replaced modern art, yet Donald Trump remains essentially the same. He gets two scoops of ice cream and you get one, natch.)

One senior White House official recently outlined the three rules of Trump for a group of reporters: When you’re right, you fight. Controversy elevates message. And never apologize. All of these rules have survived his time in office, if in slightly more modest forms. After bringing new levels of combativeness to the political process, “the only way you survive is to be combative,” Trump says now. “I’ll read stories in the New York Times that are so one-sided. Hey, I know when I am successful. I know victory.”

But that is not all he has to say. Before the dinner breaks up, the President begins to muse about an alternative world to the one he has helped create. “It never made sense to me, the level of animosity,” Trump says. “All you want to do is, like, Let’s have a great military. Let’s have low taxes. Let’s have good health care. Let’s have good education.”

For a moment, he seems to be proposing a more civil public space in American democracy, one the Trump campaign did little to foster and which the Trump Administration is unlikely to experience.

Is this real introspection or just more performance for his guests? The answer isn’t long in coming. Within a day of the plates being cleared away, Trump takes to Twitter to attack “Cryin’ Chuck Schumer,” the Democratic Senate leader. He belittles Connecticut Senator Richard Blumenthal for once misrepresenting his military service—“he cried like a baby and begged for forgiveness.”

No truce is around the corner. President Trump fights on.

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My Bad Parenting Advice Addiction

Illustration by Giselle Potter

Emily Gould | Longreads | May 2017 | 13 minutes (3,370 words)

 

During my son’s first two months on earth, I read 25 books about taking care of babies and children. I read them on my phone while breastfeeding and on the subway in stolen moments of solitude while my baby napped in his carrier, his fuzzy head an inch from the pages. Brain-damaged by love and exhaustion, I could not make sense of any other kind of book. For someone who has been partway through at least one novel since learning how to read, this was akin to a psychotic break. But when I opened any novel in those early weeks, the words swam on the page. I would stare till they came into focus, force down a few pages and then give up. Where was the baby in this story? Were the people in the story parents? They couldn’t matter to me otherwise.

The only thing worse was when the people in the story were parents, and there was a baby, but it was in some kind of danger. When my son was about 8 weeks old I picked up a novel which has both a stillbirth and the rape of a 6-year-old in its first 30 pages. Half an hour later my husband found me clutching the baby to my chest, silent tears streaming down my cheeks. I’m sure it’s a great book but I’ll never know. I threw it in the garbage can and heaped trash on top so I wouldn’t be tempted to go back in for it, as though it was some kind of enticing yet poisonous cake.

But my appetite for parenting books was infinite; they were the one thing I wanted besides sleep and icy beverages. My addiction, like most addictions, fed on itself. Because the information in each book was both redundant in some of its particulars and wildly contradictory in others, each dose of information required an antidote in the form of the next book.

All of these types of books appealed to me; if it had “baby” or “sleep” in the title, I was in.

The question of how to get your child to sleep provided the starkest, most dramatic dichotomy. There were two schools of thought: Either you could let your child cry himself to sleep, or you could comfort him, for hours if necessary, until he finally dozed off. Each camp promised a happy, healthy baby and family if you followed their advice, and ruin—of your health and your marriage on the one hand, and of your baby’s nascent trust in the world on the other—if you didn’t. Are you thinking, as I naively did, “Oh, I’ll just split the difference between these two obviously crazy extremes?” According to these books, avoiding a decision is the only thing worse than choosing the wrong path; intermittent reinforcement will confuse and madden your baby, likely making him even more demanding and teaching him that the world, and you, are not to be trusted.

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The Real Obama: An Interview with Pulitzer Prize-Winning Biographer David J. Garrow

Author photo by David Rubin.

Cody Delistraty | Longreads | May 2017 | 12 minutes (3,333 words)

 

There are few subjects in contemporary history who deserve a 1,400-page biography, but Barack Obama’s ascendance to the presidency merits every word. Deeply researched over nine years — with over a thousand interviews and many never-before-seen documents — David J. Garrow’s Rising Star: The Making of Barack Obama covers 44’s life to date: his youth in Hawaii and Indonesia, community organizing in Illinois, his impressive work as a Harvard Law student, and his pursuit of politics as a profession in Chicago. All the while, Garrow shows, Obama was both being shaped and thoughtfully crafting himself, turning himself from the bright, jocular kid at Punahou School in Hawaii into one of the most revolutionary, exciting presidents of the modern era.

Garrow is a Professor of Law and History, and a Distinguished Faculty Scholar at the University of Pittsburgh. He holds a Ph.D. from Duke University, and has written several nonfiction books, including Liberty and Sexuality: The Right to Privacy and the Making of Roe v. Wade, Bearing the Cross: Martin Luther King, Jr., and the Southern Christian Leadership Conference, The FBI and Martin Luther King, Jr., and Protest at Selma: Martin Luther King, Jr., and the Voting Rights Act of 1965. He won the 1987 Pulitzer Prize in Biography for Bearing the Cross.

His latest book has already been compared to Robert Caro’s history of Lyndon Johnson, but Garrow’s Obama biography seems to go even further: two hundred pages of footnotes, conversations with seemingly every vital person in Obama’s life, and a nonpartisan perspective that will no doubt open the floodgates of interpretation.

I spoke with Garrow recently, and it’s clear he’s a born interviewer; he began asking me questions about my own life, until, finally, I steered us toward a wide-ranging, exceptionally in-depth conversation in which we discussed Obama’s coming-of-age, influences, formative experiences, shifting personality, the significance of friends and family, and how he eventually understood his own legacy and the arc of his grand personality.

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