Keller: The campus occupations aren’t protected by free speech, because they aren’t speech

Of note:

…Imagine if a Christian campus group took over King’s College Circle, and said it would remain until the university stopped funding anything to do with abortion. Should they be removed? Why? If your answer is they have to go because their opinions are wrong, you’re standing free speech on its head. This is Canada, not the People’s Republic of China.

The legal problem with an occupation, left or right, pro-Palestinian or anti-vaccine, isn’t what its participants are saying. It’s what they’re doing – taking over a space and holding it hostage.

What does that have to do with free speech? Nothing.

Source: The campus occupations aren’t protected by free speech, because they aren’t speech

McWhorter: The Columbia Protests Made the Same Mistake the Civil Rights Movement Did

Comparison of note:

Last week I wrote about the protests that had come to dominate my professional home, Columbia University, and make headlines across the country. I said that though I did not believe the participants were motivated by antisemitism, the volume, fury and duration of their protest left many Jewish students feeling under siege for their Jewishness. That assessment has turned out to be one of the more polarizing things I have ever written, in part because some readers interpreted my position as opposing student protest overall.

I had no objection when the protests began last fall, but since that time, they escalated significantly. After students occupied the university’s storied Hamilton Hall — and police officers in riot gear conducted over 100 arrests — the administration closed the campus, moved all classes online and recommended that we professors either trim or eliminate final examinations in our classes. The mood is as grim now as when Covid forced the spring semester of 2020 to end with a desolate groan.

What happened this week was not just a rise in the temperature. The protests took a wrong turn, of a kind I have seen too many other activist movements take. It’s the same wrong turn that the civil rights movement took in the late 1960s.

After the concrete victories of the Civil Rights Act of 1964 and Voting Rights Act of 1965, a conflict arose within the movement between those who sought to keep the focus on changing laws and institutions and those who cherished more symbolic confrontations as a chance to speak truth to power.

The conflict played out most visibly in what became of the Student Nonviolent Coordinating Committee. SNCC began with grass-roots activism in the form of sit-ins and voter registration, but in 1966 John Lewis, a veteran of the Selma demonstrations who spoke at the March on Washington, was replaced as the group’s leader by Stokely Carmichael, who spoke charismatically of Black Power but whose political plans tended to be fuzzy at best. The term “Black Power” often seemed to mean something different to each person espousing it. It was, in essence, a slogan rather than a program.

This new idea — that gesture and performance were, in themselves, a form of action — worried the Rev. Dr. Martin Luther King Jr., who regarded some of the group’s demonstrations as “expressions of rivalry and rage, without constructive purpose,” according to the historian Taylor Branch.

James Bevel, who worked alongside King, scolded his fellow activist Hosea Williams for having no political strategy beyond putting Black people — he used a racial slur instead — “in jail to get on TV.” In response to what he considered dangerous rhetoric, Andrew Young asked some activists in Memphis, “How many people did you kill last year?” and proposed that they translate their militancy into an actual policy goal instead.

Did this focus on performance bear fruit? Here’s something: Name some significant civil rights victories between 1968 and the election of Barack Obama. It’s a lot harder than naming the victories up until that point. Of course, protest requires theatrics, as King knew. (Writing to Young in 1965 amid the Selma demonstrations, King said, “Also please don’t be too soft. It was a mistake not to march today. In a crisis we must have a sense of drama.”) But it’s perilously easy for the drama to become the point, for the protest to be less about changing the world than performing a self.

I share the campus protesters’ opinion that the war in Gaza has become an atrocity. Israel had every right to defend itself after Hamas’s massacre, which itself was an atrocity. However, the deaths of tens of thousands of innocent Palestinians, with uncountable more left maimed or homeless, cannot be justified. I am increasingly dismayed that President Biden does not simply deny Benjamin Netanyahu any further arms.

Beyond a certain point, however, we must ask whether the escalating protests are helping to change those circumstances. Columbia’s administration agreed to review proposals about divestment, shareholder activism and other issues and to create health and education programs in Gaza and the West Bank. But the protesters were unmoved and a subgroup of them, apparently, further enraged.

Who among the protesters really thought that Columbia’s president, Minouche Shafik, and the board of trustees would view the occupation of Hamilton Hall — and the visible destruction of property — and say, “Oh, if the students feel that strongly, then let’s divest from Israel immediately”? The point seemed less to make change than to manifest anger for its own sake, with the encampment having become old news.

The initial protest was an effective way to show how fervently a great many people oppose the war, but the time had come for another phase: slow, steady suasion. This is not capitulation but a change in tactics, with the goal of making the activists’ work pay off. We recall King most vividly in protests, including being imprisoned for his participation. However, his daily life as head of the Southern Christian Leadership Conference was about endless and often frustrating negotiations with people in power, which eventually bore fruit. In this, as much as in marches, he and his comrades created the America we know today. Smoking hot orations about Black Power might have instilled some pride but created little beyond that.

Richard Rorty wrote in “Achieving Our Country” of the sense in our times that self-expression alone is a kind of persuasion. Marc Cooper, describing the left in the George W. Bush years, wrote of the danger of viewing “rebel poses” as substitutes for how “to figure out how you’re actually going to win an election.”

In our times, when the personal is political, there is always a risk that a quest to heal the world morphs into a quest for personal catharsis. Keeping in mind the difference will get the Columbia protesters closer to making the changes they champion.

Source: The Columbia Protests Made the Same Mistake the Civil Rights Movement Did

Khan: Ontario’s keffiyeh ban dares to define the scarf’s meaning for everyone, Regg Cohn: Israel and the UN have allowed the kaffiyeh. Why does Queen’s Park need to ban it?

More commentary. Not in favour of this kind of one-off decision. If the legislature chamber is going to allow this, it needs to revise the policy to allow symbols with significant political meaning in a consistent manner:

….The ban is a betrayal of the ideals of the Emancipation Act that Mr. Arnott proudly co-sponsored – namely, upholding the “ongoing struggle for human rights.” After calling on independent MPP Sarah Jama to leave the House for wearing a keffiyeh, he sent an official to deliver the message in person. In an iconic photo, a white man leans over the desk of Ms. Jama, a Black woman clad in a hijab and a keffiyeh, and seated in a wheelchair. Let’s hope the Ontario Black History Society, recognized in the Emancipation Day Act, chronicles this shameful event and sends a letter of protest to Mr. Arnott.

Ontario MPPs had two opportunities to reverse this ban by unanimously voting against it. Yet Robin Martin and Lisa MacLeod, two PC MPPs, supported the ban,keeping it in place. It’s reminiscent of the case of the town of Saint-Apollinaire, Que., in 2017, when 19 naysayers were enough to nix plans for a Muslim cemetery run by the Islamic Cultural Centre, which also operated the Quebec City mosque where six worshippers were massacred just a few months before. That vote was rooted in ignorance and prejudice. Plus ça change.

Premier Doug Ford says he personally opposes the keffiyeh ban. But by declining so far to put forward a government motion to end it, he is failing to stand firmly for the basic human rights of all Ontarians. Now it’s up to the rest of us to strive toward a just society with human dignity at its core.

Source: Ontario’s keffiyeh ban dares to define the scarf’s meaning for everyone

From Martin Regg Cohn:

…Put another way, if it walks and talks like a political protest, it’s a protest. When so many people of all backgrounds suddenly don the Palestinian kaffiyeh, it’s no longer merely cultural or sartorial but political.

Yet even if the Speaker was speaking the truth — and Stiles was surely straining credulity by claiming the kaffiyeh isn’t political at this point — Arnott made the wrong call. Technically, he’s right, but practically his ruling was unenforceable and unsupportable.

Which is why no party leader supported him last month — not just Stiles but her Green, Liberal and Progressive Conservative counterparts asked him to reconsider. Yes, even Premier Doug Ford, mindful of a hard-fought byelection last week with many Muslim voters, echoed the NDP’s call.

The Speaker reminded them all that he is merely their servant, and that they are free to overrule him. But when MPPs were asked to give unanimous consent to permit the kaffiyeh, a number of Tories demurred, leading to the present standoff….

Source: Israel and the UN have allowed the kaffiyeh. Why does Queen’s Park need to ban it?

Fractured futures: Upward mobility for immigrants is a myth as their health declines

Odd connection to make between poorer health outcomes and the need for municipal voting rights for permanent residents.

First of all, unclear that this is a priority for most permanent residents compared to more pressing economic and social issues.

Secondly, Canadian citizenship is relatively easy to obtain in terms of residency, language and knowledge requirements.

Third, the author’s general comment on voting rates of immigrants is misleading: the StatsCan study, comparing the 2011 election with recent elections, highlighted small gaps between recent and long-term immigrants and the Canadian-born in the 2019 election before dropping in 2021, but recent immigrant voting rates neverthess increased by 10 points between 2011 and 2021:

Immigrant health research frequently refers to the notion that immigrants are generally healthier than people born in Canadabut that their health worsens with time.

The apparent trend has been attributed to a number of factors, including an unexpected lack of social mobility after immigration. 

The story often goes that immigrant parents willingly make sacrifices for the good of their children, with the widespread assumption that emphasizing good grades and higher education among the next generation will make their sacrifices worth it. 

But recent research finds that this lack of social mobility extends into the second generation.

As someone who’s spent more than a decade conducting immigrant and refugee health research, I am among a growing contingent of researchers who recognize that immigrants in Canada have extremely diverse identities and experiences, all of which affect their experiences with the structural and social determinants of health. 

That, in turn, shapes their health and health-care access, and challenges the notion that immigrants are a monolith with identical health and social trajectories.

This “healthy immigrant effect” and the upward social mobility of subsequent generations are commonly believed theories in academic circles. However, I fear these ideas have caused the nuanced needs of immigrant and diasporic communities to be over-simplified, dismissed and even neglected by policymakers.

The impact of COVID-19

The legacy of this neglect became painfully clear in the early days of the COVID-19 pandemic amid a litany of reports about how long-term care workers, taxi drivers, food processors and other essential workers who came to Canada as immigrants were falling victim to the virus.

Statistics have since backed up these reports. 

Toronto Public Health, the first health unit in Canada to collect race-based data during the pandemic, found racialized Torontonians (including mostly immigrants but also those in racialized diasporic communities) were much more likely to be infected or hospitalized due to COVID-19. 

An upcoming study has found that before high-population COVID-19 vaccine coverage was achieved, immigrants in Ontario — particularly those from Central America, Jamaica, parts of South Asia and East Africa — were much more likely to be hospitalized or die from COVID-19 than other residents in the province.

The major contributing factors are a mismatch between their education and the jobs they end up getting, and employer discrimination, which leads to immigrants being over-represented and trapped in essential, low-wage precarious work. These jobs have a higher risk of exposure to COVID-19, and don’t provide employer-paid sick leave.

Thankfully, an Ontario government focus on equitable vaccine distribution, as well as innovative strategies like Toronto’s Community Health Ambassadors program — implemented by immigrant-serving community organizations — led to a remarkably equitable vaccine rollout and equally remarkable reductions in hospitalizations and deaths, according to the upcoming study.

But considering the subsequent elimination of many of these programs and policies, all of which were put in place to address barriers to vaccination for immigrants and their higher exposure to COVID-19 (due, in part, to the absence of employer-paid sick days), it’s possible that once again immigrants are bearing the brunt of the virus that’s still circulating and mutating.

Policy neglect is also responsible for the current primary-care crisis across Canada, with pre-pandemic inequities becoming further entrenched by the COVID-19 pandemic.

Racialized and low-income Canadians are the least likely to report having a primary-care physician. Meanwhile family doctors nearing retirement have a larger number of patients who face multiple social barriers to health and health care access. Both affected groups are likely made up largely of immigrant and diasporic communities.

The importance of elections

So how can the health and well-being of immigrants — widely praised as being the engine of Canada’s economy — and subsequent generations be prioritized?

First, our elected officials should engage meaningfully and respectfully with immigrants from all walks and stages of life, and avoid stoking xenophobic sentiments among the public.

Second, immigrants with Canadian citizenship — particularly those who’ve been in Canada for fewer than 10 years — are less likely than Canadian-born residents to vote in federal elections. There must be civic engagement initiatives connecting immigrants’ priorities with specific political platforms coupled with “get out the vote” campaigns.

Immigrants who are not yet citizens can’t vote in elections at any level of government, so they have no influence over how their tax dollars are spent. That voter gap should be addressed immediately, particularly given the large numbers of permanent and temporary residents who have made Toronto and other Canadian cities their home in recent years.

Right now, it seems these groups of potential future citizens are good enough to fill labour gaps and contribute their time, money and tax dollars to the economy. But they’re not good enough to have their voices and needs recognized in the political decision-making that governs their everyday lives and futures.

The false notion of the healthy immigrant effect and assumption of upward social mobility among the second generation has been reinforced through a lack of recognition of the diversity of identities and experiences of immigrants in big cities like Toronto and beyond. 

These assumptions may have led policymakers to neglect the health and health-care needs of immigrants.

Addressing long-standing inequities in immigrant and migrant voter participation in Canada may finally help shine a spotlight on the social and economic hardships that immigrant and diasporic communities have faced for decades, not to mention the adverse impact on their health and health-care access.

Source: Fractured futures: Upward mobility for immigrants is a myth as their health declines

Klein Halevi: The war against the Jewish story  

Necessary read and questioning of the approach and effectiveness previous and current Holocaust education:

How has it come to this? How is it possible that Israel, rather than radical Islamism, would become the villain on liberal campuses? That thousands of students would be chanting “from the river to the sea” even as the Hamas massacre revealed that slogan’s genocidal implications? That the most passionate outbreak of student activism since the 1960s would be devoted to delegitimizing the Jewish people’s story of triumph over annihilation? 

This moment didn’t happen in a vacuum. The anti-Zionist forces in academia have been preparing the ground for decades, systematically dismantling the moral basis of each stage of Zionist and Israeli history. 

The attack began on the very origins of Zionism, which was transformed from a story of a dispossessed people re-indigenizing in its ancient homeland into one more sordid expression of European colonialism. (Europe’s post-Holocaust gift to the Jews: leaving us with the bill for its sins.) 

Next, the birth of Israel in 1948 was reduced to the Nakba, or catastrophe, a Palestinian narrative of total innocence that ignores the ethnic cleansing of Jews from every place where Arab armies were victorious and the subsequent uprooting of the entire Jewish population of the Muslim world. Post-1967 Israel was cast as an apartheid state – turning Zionism, a multi-faceted movement representing Jews across the political and religious spectrum into a racist ideology and reducing an agonizingly complex national conflict into a medieval passion play about Jewish perfidy. 

And now, with the Gaza War, we have come to the genocide canard, the endpoint in the process of delegitimization.

To turn Israel into the world’s arch-criminal requires three forms of erasure. The first is of the connection between the land of Israel and the people of Israel. In the anti-Zionist telling of the conflict, a 4,000-year connection that has been the heart of Jewish identity and faith is irrelevant, if not contrived outright by Zionists.

The second is the erasure of the relentless war against Israel, placing its actions under a microscope while downplaying or entirely ignoring the aggression of its enemies. There is never any context to Israel’s actions. Only by erasing Hamas’s atrocities can Israel be turned into the villain of this war. 

In focusing on Israel’s actions and dismissing those of Hamas, campus protesters are providing cover for October 7 denialism. This is a new version of the Holocaust denialism prevalent in parts of the Muslim world: The atrocities didn’t happen, you deserved them and we’re going to do it again (and again). 

On a recent trip to New York, walking along Broadway on the Upper West Side, I saw dozens of defaced posters of kidnapped Israelis. Rather than tear down the posters, the vandals had blacked out the Israeli faces – a literal defacement. And a useful metaphor for the anti-Zionist assault on our being.

The third form of erasure is dismissing the history of peace offers presented or accepted by Israel and uniformly rejected by the Palestinian side. No offer – an independent Palestinian state on the West Bank and Gaza, the re-division of Jerusalem, the uprooting of dozens of settlements – was ever sufficient. It is hard to think of another national movement representing a stateless people that rejected more offers of self-determination than the Palestinian leadership.

The ease with which anti-Zionists have managed to portray the Jewish state as genocidal, a successor to Nazi Germany, marks a historic failure of Holocaust education in the West.

This moment requires a fundamental rethinking of the goals and methodology of Holocaust education. By over-emphasizing the necessary universal lessons of the Holocaust, many educators too easily equated antisemitism with generic racism. The intention was noble: to render the Holocaust relevant to a new generation. But in the process, the essential lesson of the Holocaust – the uniqueness not only of the event itself but of the hatred that made it possible – was often lost. 

Antisemitism is not merely the hatred of Jews as other but the symbolization of The Jew – that is, turning the Jews into the symbol for whatever a given civilization defines as its most loathsome qualities. For Christianity until the Holocaust, The Jew was Christ-killer; for Marxism, the ultimate capitalist; for Nazism, the defiler of race. And now, in the era of anti-racism, the Jewish state is the embodiment of racism. 

Holocaust education was intended, in large part, to protect the Jewish people from a recurrence of the antisemitism that reduces Jews to symbols. Yet the movement to turn Israel into the world’s criminal nation emerges from a generation that was raised with Holocaust consciousness, both in formal education and the arts. And this latest expression of the antisemitism of symbols is justified by some anti-Zionists as honoring “the lessons of the Holocaust.” 

Unlike the Iranian regime, which clumsily tries to deny the historicity of the Holocaust, anti-Zionists in the West intuitively understand that coopting and inverting the Holocaust is a far more effective way of neutralizing its impact.

Many, perhaps most, of the campus protesters are likely not antisemitic. They may have Jewish friends or be Jewish themselves. But that is irrelevant: They are enabling an antisemitic moment.

What is under assault is the integrity of the mid-20th century Jewish story, of a people rejecting the self-pity of victimhood and fulfilling its most improbable dream: renewing itself, in its broken old age, in the land of its youth. The shift from the lowest point Jews have known to the reclamation of power and self-confidence is one of the most astonishing feats of survival not only in Jewish but world history. It is that story that is being distorted and trivialized and demonized on liberal campuses. 

I recently completed a lecture tour of some of the most Jewishly problematic campuses, from Columbia to Berkeley. In meetings with Jewish students, I was repeatedly told about a pervasive atmosphere of hostility toward Israel, even among many otherwise apolitical students. While the protests are an immediate threat to Jewish well-being on campus, the far deeper problem is the impact of the anti-Zionist campaign, linking the name “Israel” with racism and genocide. The vulgar protesters are a small minority, but they are shaping the attitudes of a whole generation. 

By focusing only on the immediate threat of the protests, we risk repeating the mistake we’ve made over the last decades of failing to adequately confront the systematic assault on our story.

We are losing a generation, but we haven’t yet lost. Like other radical movements, anti-Zionism could go too far in its righteous rage, potentially alienating the majority. Perhaps that process has already begun. 

The challenge of our generation is to defend the story we inherited from the survivor generation. We need to tell that story with moral credibility, in all its complexity, frankly owning our flaws even as we celebrate our successes, acknowledging the Palestinian narrative even as we insist on the integrity of our own. 

We desperately need new strategies to counter the anti-Zionist assault. A good beginning would be the creation of a brain trust, composed of community activists, rabbis, journalists, historians, public relations experts, that would devise both immediate responses to the current crisis and a long-term strategy, emulating the decades-long patient work of the anti-Zionists. 

The Jews are a story we tell ourselves about who we think we are; without our story, there is no Judaism. It is long past time to mount a credible defense of our mid-20th century story, which continues to sustain us as a people. 

Source: Klein Halevi: The war against the Jewish story  

Clark: Foreign interference is a threat chipping away at pieces of democracy

Good commentary on risks:

….Instead, Justice Hogue’s report describes foreign actors – China, mainly – chipping away at pieces of Canada’s democracy. But those pieces matter. And they add up.

“It is likely to increase and have negative consequences for our democracy unless vigorous measures are taken to detect it and better counter it,” Justice Hogue wrote.

That’s the conclusion worth following here. Canadians – voters, candidates, constituents – feel real effects. Diaspora communities feel intimidated. There is a risk politicians alter their messages out of fear of foreign governments. And this is a growing danger…..

Source: Foreign interference is a threat chipping away at pieces of democracy

Widening Racial Disparities Underlie Rise in Child Deaths in the U.S.

Of note:

Thanks to advancements in medicine and insurance, mortality rates for children in the United States had been shrinking for decades. But last year, researchers uncovered a worrisome reversal: The child death rate was rising.

Now, they have taken their analysis a step further. A new study, published Saturday in The Journal of the American Medical Association, revealed growing disparities in child death rates across racial and ethnic groups. Black and Native American youths ages 1 to 19 died at significantly higher rates than white youths — predominantly from injuries such as car accidents, homicides and suicides.

Dr. Coleen Cunningham, chair of pediatrics at the University of California, Irvine, and the pediatrician in chief at Children’s Hospital of Orange County, who was not involved in the study, said the detailed analysis of the disparities documented “a sad and growing American tragedy.”

“Almost all are preventable,” she said, “if we make it a priority.”

Researchers at Virginia Commonwealth University and Children’s Hospital of Richmond had previously revealed that mortality rates among children and adolescents had risen by 18 percent between 2019 and 2021. Deaths related to injuries had grown so dramatically that they eclipsed all public health gains.

The group, seeking to drill deeper into the worrying trend, obtained death certificate data from the Centers for Disease Control and Prevention’s public WONDER database and stratified it by race, ethnicity and cause for children ages 1 to 19. They found that Black and American Indian/Alaska Native children were not only dying at significantly higher rates than white children but that the disparities — which had been improving until 2013 — were widening.

The data also revealed that while the mortality rates for children overall took a turn for the worse around 2020, the rates for Black, Native American and Hispanic children had begun increasing much earlier, around 2014.

Between 2014 and 2020, the death rates for Black children and teenagers rose by about 37 percent, and for Native American youths by about by about 22 percent — compared with less than 5 percent for white youths.

“We knew we would find disparities, but certainly not this large,” said Dr. Steven Woolf, a professor of family medicine at the V.C.U. School of Medicine, who worked on the research. “We were shocked.”

The racial and ethnic disparities were most drastic when injuries were isolated from other causes of death. For example, Black children died by homicide at 10 times the rate of white children between 2016 and 2020. When the study’s lead author, Dr. Elizabeth Wolf, an associate professor of pediatrics at the V.C.U. School of Medicine, compared accidents with intentional injuries, the sobering realities of the mental health crisis came into focus.

Native American children died by suicide at more than twice the rate of white children, whose rate was already high.

“As a pediatrician, that really took my breath away,” she said.

Gun-related deaths, including accidents, homicides and suicides, were two to four times as high among Black and Native American youths than among white youths, and the risk of dying from a gun-related injury more than doubled among Black and Native American youths between 2013 and 2020.

The researchers also drew attention to disparities in other causes of death: Native American children died from pneumonia and the flu at three times the rate of white children, for example, and Black children died from asthma at almost eight times the rate of white children.

This particular study did not examine all of the variables that contribute to the causes of childhood illness, injury and death. Dr. Wolf said she hoped the paper would serve as a “wake-up call” and galvanize researchers to scrutinize the underlying factors.

Understanding the reasons for the increase in car accident deaths, for example, could determine whether redesigned intersections or targeted seatbelt campaigns would be the most effective intervention for a specific group.

For other childhood deaths, access to care is a likely factor, given that Black children with circulatory diseases are less likely to be referred for transplants and less likely to have a successful procedure compared to white children. Asthma-related disease and death are likely to be affected by access to interventions such as inhalers, as well as socioeconomic and environmental factors like air pollution.

At the same time, Dr. Woolf said, policymakers should not “wait for more research to identify the obvious next steps,” including mental health support for children and stricter gun laws. The public perception of gun violence among children is often focused on school shootings, he said, but statistically speaking, “the vast majority occur in communities across our country — day by day, one by one.”

Source: Widening Racial Disparities Underlie Rise in Child Deaths in the U.S.

Social justice or medical expertise: What do patients want more from their doctors?

Rhetorical question for patients. One thing to have awareness and understanding of the social determinants of health and to improve data and understanding of health factors that affect different groups, but how will anti-oppression language improve health outcomes:

For over a year Canadian physicians have been debating the CanMEDS roles, which is a framework describing the competencies required of specialist doctors certified by the Royal College of Physicians and Surgeons of Canada. These roles are taught in medical school and form part of the basis for the students’ evaluations.

The roles include physician as communicator, collaborator, leader, health advocate scholar and professional. The central role is physician as medical expert, which integrates the other roles.

In the March 2023 special issue of the Canadian Medical Education Journal, the CanMEDS 2025 interim report was distributed for open public feedback and included a suggestion to centre social justice anti-racism and anti-oppression, rather than medical expertise.

A massive push back from physicians against the decentering of medical expertise arose and has been continuing since publication of the report.

Now, in a March 2024 issue of the CJME, one of the authors of the March 2023 report and others are responding to the negative responses. They claim that opposition to the decentering of medical expertise simply represents “medicine perpetuat(ing) its own power” and maintaining “medicine as an institution steeped in power and privilege.”

This is a deadly serious issue for medical education and for the care of patients. It matters not whether a surgeon is engaged in social justice for the patient who makes it to the operating room. At that point only medical expertise counts.

I learned this during my training at St. Michael’s Hospital in the late 1970s. A man living in a shelter was admitted to hospital for an urgent heart valve replacement. The surgeons saved his life but were not focused on social justice. Their expertise and attention were directed to the patient and nothing else.

Of course, post surgically he had no place to live and hospital personnel had a duty to find him an adequate place to which he could be discharged. But that would be all for naught had it not been for the expertise of the surgeons. That determined everything else. Medical expertise trumped all.

Confronting inequities and racism in health care is inseparable from confronting system-wide and societal inequities. Doctors alone cannot solve that, but they can at least be competent physicians technically and remain current on the science and standards of care for ailing people.

Beyond that they may choose to engage as any other caring citizen and fight fiercely for justice, freedom and truth in the health care system and in general.

They cannot be taught, mandated, and scripted to do so in the detached world of academic medicine. That is elitism at its worst, as if doctors should lead the charge for social justice.

There is a certain personal irony for me. Nearly 20 years ago I gave the first advocacy lecture in the University of Toronto’s Temerty Faculty of Medicine undergraduate curriculum. I stated up front to the students that I was not sure why I was even giving the lecture. I have given the same talk dozens of times since.

Here is how I introduced my talk and then with breathtaking hypocrisy continued on with the presentation:

“In my judgment, all advocacy means is being a socially responsible and good citizen, values both personal and ideological that are part of being a human and could not possibly — and maybe, should not — be taught by the universities. After all, what business is it of medical faculties to be teaching and evaluating political philosophies within the context of a curriculum?

“But how can the matter of advocacy be incorporated into medical practice and medical school curricula? It should be expected that physicians advocate on behalf of individual patients, who might benefit from an experimental therapy for a life-threatening disease. Physicians should actively intervene on behalf of a group of patients who are being denied access to a standard treatment. And physicians must intervene when a neighbourhood is at a health risk because, for example, of an environmental hazard.”

I still do not think that it is the business of medical faculties to be teaching and evaluating political philosophies within the context of a curriculum.

The public, if they were ever asked I am certain, would choose a competent surgeon, if that is all the surgeon could offer. They can secure their social justice elsewhere, with or without doctors.

Philip Berger is an Officer of the Order of Canada and a longstanding downtown Toronto physician.

Source: Social justice or medical expertise: What do patients want more from their doctors?

Israel plans changes to Palestinian education to remake how children are taught

Hard to see how this will work. And of course, similar care needs to be taken with the Israeli curriculum. Good concluding quote:

…Yuli Tamir, a scholar and former cabinet minister who is president of Beit Berl College, said changes to schools can only succeed if they comes with much broader social and political change.

Ms. Tamir, who was Israel’s education minister from 2006 to 2009, provoked an outcry when as part of an effort to teach Israeli students about Palestinian history she reintroduced to textbooks a mention of the nakba – when Israeli forces drove hundreds of thousands of Palestinians from their homes 1948 – and a map containing the green line, the pre-1967 borders of Israel.

It was a “mild change,” Ms. Tamir said, designed to foster understanding. It didn’t last long. “They took it out immediately when I left.”

By the same token, she said, teachers in Gaza should not be held uniquely responsible for fighting antisemitism when “the whole system hates Jews – the parents, the authorities, the health care,” she said.

It takes a change in governing priorities, she said, for education to successfully shift course.

“Curriculum is a representation of the state,” she said. “More than a flag. Or an anthem. This is what you tell your children you are all about.”

Source: Israel plans changes to Palestinian education to remake how children are taught

La bouée de sauvetage des travailleurs temporaires coule

Of note, regarding open work permits for Temporary Foreign Workers:

De Vancouver à Gaspé, des personnes immigrantes attendent durant des mois la réponse à leur demande de permis ouvert pour travailleurs vulnérables afin de fuir les abus qu’elles subissent. Un programme d’urgence censé offrir cette protection rapidement est bloqué, selon cinq organisations qui accompagnent les travailleurs dans de telles démarches.

Une forme de soupape pour remédier aux risques du permis lié à un seul employeur, appelé « permis fermé », le programme a été lancé en 2019 avec la promesse de traiter les demandes en cinq jours. Ce délai est d’autant plus problématique que les responsables politiques l’utilisent pour se défendre des critiques, notamment formulées par le rapporteur spécial des Nations unies sur les formes contemporaines d’esclavage.

Mais cette manière « rapide » de « régler la situation des employés vulnérables », comme l’a décrite le ministre de l’Immigration, Marc Miller, en commission parlementaire, est en panne. Sur la soixantaine de demandes que ces organisations ont soumises depuis janvier dernier, seulement cinq ont été traitées, ont-elles confirmé au Devoir. 

Sur les 1349 demandes reçues pour les trois premiers mois de l’année 2024, Réfugiés et Citoyenneté Canada (IRCC) n’a délivré que 201 permis jusqu’à maintenant, soit nettement sous la moyenne de l’an dernier. Une trentaine de permis seulement ont été octroyés en mars. La page Web du programme a été modifiée en catimini depuis novembre 2023.

Ces réponses qui arrivent au compte-gouttes créent une « situation intenable » et « énormément de pression » sur les immigrants, dit Noémie Beauvais, organisatrice communautaire au Centre des travailleuses et travailleurs immigrants (CTI).

« Quelqu’un m’appelle en détresse quasiment chaque jour », illustre Florian Freuchet, organisateur communautaire au CTI du Bas-Saint-Laurent…

Source: La bouée de sauvetage des travailleurs temporaires coule