Random Thoughts from a Restless Mind

Dr. Darrell White's Personal Blog

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“Chaos and Calm”: Father’s Day Sunday musings…

Sunday musings…

Chaos and calm. As far as I can see, and for as long as I’ve known, these are the only two states of being for a father.

To be sure, not all states of chaos are unpleasant, and there are innumerable degrees of calm. At the moment I am luxuriating in the calm of quiet, accompanied by only Tiny Tim and Abbie the Wonder Dog (both of whom have re-racked). A social creature, these moments of calm were once painfully lonely for me. Having rediscovered my “pen” they are now cherished little gifts, times during which I alternately “sits and thinks” and even “just sits”.

Father’s Day brings soft and warm memories of the other type of calm. Those times when I was with one or several of my children or my “extras” (thanks for the new vocabulary Dillie!). Memories of late summer 1988, coming home to “The Heir” in his infancy just in time to fall asleep with him swaddled and resting on my chest. Or tiny Barbie tea parties with “Lovely Daughter” in her “Megan-Loo Who” stage (from which she eventually acquired the nickname “Goobs”). There’s no yelling at a tea party, right? Lil’bingo and I would work on “construction projects” with his Tonka trucks that could last for hours. The best type of calm for a Dad isn’t lonely at all.

Chaos is just as much a double-edged sword. Man, why couldn’t there be a family frequent flyer program at the ER or the orthopedic surgeons’ office? Even chaos, though, is a net positive as a Dad. I find myself smiling as I remember all of the events we just barely got to on time, the “fire drill” leading up to our arrivals notwithstanding. The chaos of a house filled with toddlers, pre-teens, teens or young adults is filled with enough energy to light up a small city for a weekend. My sides are aching from the memories of the laughter.

Chaos and calm.

Father’s Day for me this year will be like every other Father’s Day since we welcomed “The Heir” so long ago. Unlike so many who use the day to do something like play golf or climb a mountain or some such, I will try to spend as many of my waking moments in the active pursuit of doing Dad stuff. Firing up the griddle this morning and making the bacon is so much more fun than breakfast in bed, the chaos of the Man Cub and the dogs and the timing of the delivery of our new grill (presents!) notwithstanding. I have always spent so, so much time away from my kids (and still so much away from my grandchildren) just doing the things that a breadwinner must do; on Father’s Day what I want more than anything is to be allowed to do Dad stuff as much I can. To be able to just be a Dad today is always my goal, always the best gift possible.

Chaos and calm. Happy Father’s Day to each of you lucky enough to enjoy both.

I’ll see you next week…

–bingo

A 35th Reunion: Sunday musings 6/11/17

Sunday musings…

1) Tech. There are no longer any toll booths on the Mass Pike. Big Brother simply knows you were there.

2) NoNo. Meeting up with ages-old friends in our mid-50′s the topic of what children will call grandparents came up. The best one? “NoNo”. Can’t you just see how this one happens? That Mom who had all kinds of rules when you were a kid following behind the toddlers and telling them “no, no” every time they pick something up?

Not a one of us had the guts to let that one stand, but every single one of us thought about it.

3) Name. What’s in a name, eh? I met the husband of a long-time ago friend this weekend for the first time. (As an aside, we would be friends who saw each other all the time if we lived closer). The last name was different from my friend’s maiden name, but something was just a little bit more than different. After looking and looking I finally asked. Turns out these two wonderful people just couldn’t bear to give up their family names, but at the same time they wanted a shared last name for their own family.

No hyphens for them; they just put their names together and started with a new, shared name. How lovely.

4) Beginning. Beth and I are cruising along the highway on our way to my primordial home. We just spent the weekend in the company of many of my college classmates at a 35th college reunion. Such a funny tradition, coming together every 5 years to remember times so long past in a place that pretends it is always and ever as it was when we were there (my alma mater is 224 years old). A part of you kind of expects that you and everyone else will be just like you were when you showed up for Freshman Days, your role and your place as immutable as it is when you go to a family reunion.

And you arrive and realize that neither you nor any of your classmates bear more than a passing resemblance to the children who were emptied out of the family wagon 39 years earlier.

5 years ago I was doing just exactly what I’m about now, writing about my Reunion. My abiding sense that day was of opportunity missed (there were a bunch of folks I really met for the first time at my 30th who I wished I’d known in school). This year? It’s funny, really. Along with fantastic, ridiculous and over-the-top success and prosperity, the most interesting among us were those whose victories were balanced by challenges that maybe didn’t turn out so well. There was a certain humility that I don’t remember from years past which came out as we talked about our marriages, our children, and for some of us our grandchildren. It was very nice, actually, openly and honestly sharing those kinds of things with peers who we would have felt too competitive towards in years past to take that kind of chance.

Leaving reunions has always felt like so many Brigadoon moments: always the same. Nothing new. No growth and no change. It’s different this year, for whatever reason. Driving away this time actually feels like a new beginning. Weird, huh? We are even taking a new route “home”. Off I go as if I’ve graduated once again, this time with a recalibrated sense of who I’ve become and where my friends and I fit together at the start of the rest of our lives. Reunions are meant to turn our view back, but it’s forward I look with a new appreciation for where I am rather than where I (and my classmates) used to be. Forward, consciously choosing those friendship opportunities not to miss this time around.

Some of us take a bit longer to finish college I guess.

I’ll see you next week…

–bingo

Leaning Home on Mother’s Day (Sunday musings)

On one Sunday each year we celebrate the Hallmark Cards Mother’s Day. My work buddy Ken actually has it closer to the mark when he says that there are actually 363 Mother’s Days, the other two being Father’s Day and Ken’s birthday. While I love that sentiment we all know that a super-majority of mothers actually give a super-majority of their working hours to their kids, either directly or through the prism of worry while they (the mothers) are at work. There’s not much celebration going on there. For all of its gifts, motherhood the vocation is chockablock filled with hard work and worry.

In my day job a large percentage of my peers, especially my younger peers, are women who are also mothers. I have said (and written) that the pressures on these women is infinitely greater than that on those of us who are fathers because of the fundamentally different demands of what constitutes the minimal expected parental involvement of a mother. Heavy stuff. It is especially daunting to attempt to climb a career ladder that is in addition to what must be done just to do a good job each day in the office. To be a physician leader on the national level is to commit to countless days and nights away form home on top of those that are standard fare for a “regular doctor”. Face it, not a single dad in the same situation is ever asked how he feels about the stress of being away from his kids.

Not a single mom goes through a day without having multiple people ask them just that.

Listen, there’s just no easy answer to this dilemma. One need only look at the tragic epiphany Sheryl Sandberg of Facebook had after losing her husband to an accident shortly after her book “Lean In” took every woman who ever worried or wondered about the cost of success to task was published. Ms. Sandberg was adamant that women had no choice but to compete on a level with men. Indeed, that it was their duty, for themselves and for all other women who would follow. She and her book were tone deaf to the realities of life outside the bubble in which every executive/professional was married to a wealthy entrepreneur and had nannies, housekeepers, and cooks. Single mothers, in particular, had trouble finding themselves in her philosophy. One leaned in without a thought to what one might be leaning OUT of.

Ms. Sandberg just published another book, “Plan B”, in which she deals with her grief at losing her husband. To her credit she also revisits her original thesis on what it means to be a mother as well as a woman who has the potential to reach the pinnacle of their respective careers. The pain of her realization of the time she could have spent with her husband and children but didn’t fairly drips off the page. It is truly heartbreaking. Although I was quite frankly repulsed by the arrogance of her first book I can find nothing but the deepest sympathy and sorrow that it took such a loss to open her eyes to what she now realized she’d been missing.

You can only lean in to one thing by leaning out of others. You can have it all I guess, just not all at once.

There is no right or wrong answer here my friends. Certainly no right or wrong answer that I would ever be presumptuous enough to offer, for sure. Only that each of us, mother or father, makes a decision about what it is that we have to do in our own little families. Those of us outside someone else’s family should simply be as understanding as we can possibly be, you know? I wish for Ms. Sandberg sake that she’d been a little more sympathetic before she was tragically forced to be empathetic to those folks who walk in different shoes. For my professional friends I simply wish for a few moments of thought so that they may make a conscious decision about the path they will take; a career will drive away with you if you don’t take the wheel.

Being a Mom is hard work. I’ve not seen anyone in my life work harder than my mother or my darling wife, both of whom stayed home with their children until the school years had passed. They, too, sacrificed, in their cases leaving careers behind, as did my sisters. By leaning out of the traditional workforce their choice was to lean in to their families. Men do that, too, you know, but that’s probably fodder for Father’s Day musings, right?

So for today let us all wish a Happy Mother’s Day to all of the Sheryl Sandbergs out there, to all of my professional colleagues who are trying so hard to balance their professional potential with their desire to be the best moms they can be. Happy Mother’s Day to the moms who spend each hour of their day in the full-time pursuit of the being a mom, looking wistfully at careers that once held so much potential. Happy Mother’s Day to each and every one of you who wake up each day and go to sleep each night thinking and dreaming and hoping and worrying about your kids. That’s what moms do, no matter what else they also do, right?

Finally, Happy Mother’s Day to my Beth, mother to “The Heir”, “Lovely Daughter”, and “Lil’bingo”. We are the family that we are because you chose to be the mother you are.

Guidelines for Life

Sleep was late in coming. I stayed up texting with a West Coast friend and professional colleague, thinking and reminiscing about the 3 core guiding principles that helped me (and in many ways him) make it through our training and early professional careers. All 3 have stood the test of time, have continued to inform my best decisions both professional and personal, and over the 30 years now since I first said the out loud I’ve only needed to add one additional guideline.

“Knowledge is power.” One is at such a profound disadvantage if there is asymmetry in the amount of information they possess relative to those with whom they interact that at a certain point those not “in the know” cease to be independent entities. Without knowledge, awareness of the ground as Sun Tzu would say, you are at the mercy of another. You must depend upon their kindness for, well, almost everything.

“Perception is more important than reality.” The explanation of this, of course, is that perception is the reality of perceiver. While you could say that this is simply an extension of the first guideline–creating the perception is in some way controlling the knowledge–I would simply say that one need only look at the deeply held worldview of some of the U.S. voting public, their perception of what is real and what is important, to illustrate that perception comes from within. This is all the more so when dealing with “one issue” voters. Understanding this should inform your approach to any situation whatsoever. What does this individual perceive at this moment? That becomes the reality with which you will be dealing, your version notwithstanding.

“Evolution is better than revolution.” Funny to have initially stated something like that  on CrossFit.com, the home of a truly disruptive revolution in fitness, eh? Again, this CrossFit that I have so wholly embraced must be the example that renders this guideline moot. Here is where my conversation with Dave that night was so helpful, for Dave was (and still is) a man in a hurry to effect change for the better: evolution involves a conscious attempt to minimize unnecessary collateral damage. Sometimes that damage is directed at oneself, and thinking more along the lines of the “long game” is also sometimes a very reasonable approach to self-preservation. After all, the fire of revolution burns brighter the nearer it gets to the revolutionary. My friend Dave now seeks change in the cool contemplative glow somewhat removed from the fire, conscious always of the need to care for, and be careful for, the growing flock that surrounds him.

To these 3 I have added a line from the Tao te Ching: “The man who knows when enough is enough, will always have enough.” While this particular guideline has not been particularly helpful in my outward looking life, it has done more to aid in my inward looking experience than anything otherwise has (the exception being my 35 year quest to be a better husband). Those of us who live in the West are under a constant sensory barrage that demands that we submit to the need to acquire. More. More and more of everything. More because it’s, you know, more. To be honest, I gave this little more than lip service until I actually lost quite a bit of  stuff. Being reminded that almost all of it was something I wanted, rather than needed, allowed this guideline to bring an internal peace that was missing.

These 3 original guidelines have served me well lo these 30 years or so. Adding and committing to the fourth has brought me peace in the bargain. They may or not work for you; they may be nothing more than tinder to light the fire of your own guiding principles. Some day perhaps I’ll share the epiphanies of 9/11 and Heinlein that underly the tactical application of these 3 strategies, but there’s plenty to think about in these simple suggestions. “Knowledge is power.” “Perception is more important than reality.” “Evolution is better than revolution.” “Enough is enough.”

First Impressions: How You Say What You Say

Thinking about that charter school for inner city boys where the study of Latin is mandatory…

In my day job I work with folks of various backgrounds, both in terms of education and upbringing. In all walks of my public life I come in contact with an even broader swath of humanity in all regards. I routinely travel up and down the social, economic and educational ladders at work and at play. For the most part, with everyone I meet the language we all speak is English. I live in Cleveland, Ohio, USA after all. Our English, however, is hardly the same.

While we cannot truly escape our origins, as we cannot truly escape our genome, we can choose how we interact in the daily mechanics of society regardless of origin. For better or for worse this begins with how we speak. That old saw, you only get one chance to make a first impression, is especially true when you speak, and especially important because for the most part you can choose not only what you say but also how you say it.

There’s nothing new or striking about this concept, either. You can think of it as verbal situational awareness. You would (hopefully) speak differently to a priest than you would the surfer dude sitting next to you beyond the break. On the phone with the cable company should sound very different I think than on the phone with your BFF. All speech is by definition qualitatively different than a text or an email because speaking implies hearing; speaking and hearing involve the inclusion of inflection, tone, and tempo. Really basic stuff.

Why, then, is it so brutally common to hear such poor English? Poor grammar, improper word usage, a situational tone-deafness? This doesn’t even begin to touch on the concept of working vocabulary (BTW, the person with the largest working vocabulary I’ve ever met is responsible for my  little CrossFit thing). Once upon a time one heard much about “Proper English” or “The Queen’s English.” What happened?

In English we do not have the French equivalent of “Tu” vs. “Vous”. No lazy man’s way to “polite-up” our speech. A certain unearned familiarity is too often presumed. We take way too many liberties with grammar, and frankly we too infrequently make the effort at “polished” English when it’s time to do so. That first impression thing is incredibly affected when you open your mouth to speak, on the up and the down sides. It is equally jarring to hear the word “ineluctable” from a guy in faded jeans and a baseball cap turned backwards (up) as it is to hear “me and Joey are gonna go…” from a guy in a suit and starched collar (down).

The stark reality is that there are no barriers to the “up” version of English. There is no genetic, social, or economic barrier blocking the acquisition of the ability to speak well, and by extension to acquire the situational awareness to know when it is vital to do so. All that is required is the effort to learn that version of English that we know as “proper”, and the effort to learn when. Those young men learning Latin at that charter school are off to a great start. It’s not necessary to speak like this all the time. You can choose to “let your hair down” so to speak–my love for the versatility of the “F-bomb” is well known in certain circles–but a lack of virtuosity in the English domain is a choice.

There are many aspects of a “first impression” over which we may have little control. Don’t choose to let your English be one of them.

Your “Who” Is More Important: Masters Sunday musings

Master’s Sunday is the day I think I miss my Dad the most. We’d be on the phone dissecting the action, second guessing each decision and reminiscing about our respective visits to Augusta National (sadly, neither one of us ever played there.). In many ways the game of golf was the tie that bound my Dad to my brother and me. In Jr. High School he invited us into his world; we did whatever it took to stay there.

The older I get the more important my “who” becomes. Thinking about golf today has really brought this home for me. I walked away from golf 9 years ago because I couldn’t stand to be average, let alone not very good. Doing so put way, WAY too much emphasis on the “what”, on the golf itself. It was entirely reasonable for me to take a break from golf after my injury because it literally hurt to swing a club. But 9 years?

Let me be really clear: I don’t miss the game of golf. I played in high school and a bit in college, and I’ve played literally thousands of rounds on some of the most famous courses in America. The game of golf doesn’t owe me anything at all. What I do miss, though, is being in the company of other people (mostly men, I’ll admit) who are doing something that makes them happy. More than that, since you almost always get to choose who you’re playing with, you are always in good company.

It’s been a wonderful day to remember that “who” is so much more important than “what”. I am part of a bunch of middle-aged knuckle-heads who met as fathers of pre-schoolers and then bonded on some of the most God-forsaken dogpatch golf courses imaginable. No matter. We were together. We celebrated the 60th birthday of one of our pals at breakfast where my guys regaled me with side-splitting tales of this year’s golf trip to South Carolina. If they’ll have me, next year my “new game” is likely to produce a few follies that we can laugh about during a breakfast to come.

My brother is an extraordinary golfer, as is my best friend of 40 years. My sister’s husband, too. My son will eventually become a very good golfer; his pride will accept nothing less. Lil’bingo and “Lovely Daughter’s” husband are both eager to play as well. My game will sadly fail to match up, but that’s no matter. How I play is a “what”. It always was, even though it took me an awfully long time to figure that out. What I now hope to get, and what I hope to give each time I get a chance, is to be part of a group that understands that the “what” they are doing is so much less important the “who” that they are doing it with. All of these men have asked me many times to join them, and this year I will finally do just that.

Golf, CrossFit, Cards…whatever. “Who” is the reason you are there.

 

Friendship Rings

There are, I think, 5 groups of people around each one of us. True friends occupy the closest orbit, the small and intimate center of the bullseye. The next ring holds our Friendly Acquaintances, folks with whom we share happiness but not necessarily the intimacy, ease, and confidences of true friendship. Surrounding this ring is the one holding our Acquaintances, folks we simply know. Orbiting these concentric rings is a (hopefully tiny) globe of enemies; sadly we all have some. All of this floats in the vast sea of those unmet.

Do you know the difference between a “friendly acquaintance” and a friend? What draws the line for you? How many true friends do you have? What does it take for you to be someone’s friend? Is your bullseye static or dynamic? What moves people into and out of the rings in your friendship bullseye? Is there room in your bullseye for a new true friend? How do you feel when it becomes clear that someone is just a friendly acquaintance and not the friend you thought? How does it feel to make a new friend?

Beth and I have had a very dynamic bullseye of late, prompting me to return to this yet again as I try to make sense of recent events. Old friends lost and found. Discovering friendly acquaintances in our group of friends, acquaintances among our friendly acquaintances. New friends who have arrived through an open side door, unbidden and unannounced, to fill the empty spaces abandoned by others.

One can never have enough friends.

The Final Glide Path

My gentle, sweet, and much beloved father-in-law is now on his final glide path. As sad as we all are to be witness to this last landing we are equally joyous at this bonus year we’ve all enjoyed. What a gift it has been. You see, Bob was told he had a scant few months to live almost 1 1/2 years ago. Through a combination of good fortune, excellent modern medical care, a strong foundation of fitness (Bob’s trainer used CrossFit principles in his training!), and his drive to thrive, he has graced us with innumerable moments of love and joy we had no expectation of sharing.

Nothing focuses your attention on what matters in life so completely as imminent death. It’s quite a shame, actually. What we as an extended family have done over these last 15 months or so has come to seem quite natural and, while not easy, not terribly difficult to pull off either. Our efforts have centered on love and kindness. Full stop. We have all made an effort to connect so that we might express and share our love. That we might give ourselves extra opportunities to be kind to one another. It has certainly taken a bit of work, and for some of us it has tasked us with looking carefully at how we prioritize our lives. In the end, though, we all discovered that the effort/outcome equation has fallen squarely on the good side: we got more out of the effort than we ever thought we could.

Listen, it’s never the same before you see the glide path beginning. To conclude this little snippet by imploring you to totally re-order your life as if you, or someone special to you, is soon to land their flight forever is so trite it’s little more than drivel. It’s not natural, and none of us can do it. What is possible, though, is to inject just a bit more of that love and kindness into your everyday thoughts and actions with your loved ones now. If you get the same kind of optimization of your effort as we all in Beth’s family have received (and as an aside, what my family achieved during my Dad’s illness) perhaps you can try to add just a little more of each over time. It’s very CrossFitty, that. A little more love and a little more kindness offered today in the hope that tomorrow you and your loved ones will be a little bit closer, a little bit happier together than you were yesterday.

As for us, all that is left is to fasten our seatbelts as we hope for fair winds and the gentlest of landings.

Tyranny and the Culture of Grievance.

Thomas Sowell, an American sage, laments the “huge degeneration” in America toward “the grievance culture”. Indeed, I have written on this before. The near reflex response to be aggrieved, to be offended first, and to ponder and reflect later, if at all. There is a certain and definite lack of goodwill, a reluctance or refusal to extend goodwill, or the assumption of goodwill, on the part of others. Rather, the culture of grievance mandates that we impugn malintent in the deeds and actions of others, especially if in some way those others (them others) have values or beliefs that don’t completely and consistently line up with those of the aggrieved.

On CrossFit.com, especially in a prior “Wild West” era, this phenomenon could be seen every 4th day with the publication of a libertarian-leaning article, or something that ran counter to the progressive drumbeat in the halls of academia or government. The simple act of speaking against the orthodoxy of a group sent said group into a paroxysm of aggrievement. This is no different from what we see in the now limitless wilderness of the internet and social media. Context is irrelevant. Intent is irrelevant. The provenance of the offering is irrelevant. Once unleashed the only thing that matters is the bleating of the aggrieved, however large or small their numbers might be, however trivial the insult, if it can even be called an insult at all.

While away at a professional meeting this weekend a new ad campaign for a product in my professional world dropped. It is irreverent and funny, and it was conceived and created by members of the same group that is on the receiving end of the joking. There were three reactions, as is probably typical of something like this. One group thought it was clever and funny, and realizing that it was the first in a series this group looked forward to seeing where the campaign was headed. By far the largest group saw the humor, realized what the intent of the campaign was, acknowledged that the humor was harmless and without intent to harm, but cringed at what was a rather large misstep. Seemingly in love with the joke both the creators of the campaign and the company that authorized its launch failed to see that, while funny, it was in very poor taste. This second group shook its collective head at how tone deaf the company was.

The third group was mortally wounded by offense. The aggrievement was existential. A firestorm was unleashed upon the company. The agency and its employees were excoriated despite their inclusion in the group supposedly aggrieved, saved only by their anonymity as individuals from a very public shaming among an influential cadre of the advertised company’s customers. That ire was directed at the CEO of the company, an exec known quite personally by a majority of his/her customers. The attacks were pyrrhic and personal despite an obvious lack of malintent. There appears to be no amount of shame that can possibly atone for the sin of humor without intent to offend that misses its mark and does just that, regardless of the size of the cohort offended.

The grievance culture allows progressively smaller and smaller numbers of individuals who care about narrower and narrower issues to hijack larger and larger institutions and paralyze them. One need only look at the tragicomedy that played out 2 weeks ago at Middlebury College in Vermont to get a sense of what this means. A (pseudo-) scholar was invited by a conservative student organization to speak. Mind you, this speaker’s ideas have been so roundly disparaged that even the members of that conservative club did not support them; they invited him in order to have an opportunity to debate the ideas. Alas, other members of the Middlebury community were offended by the mere presence of on campus of one who could hold ideas that are so antithetical to their own. This group declared that their grievance superseded any and all rights and privileges of every other individual or group, including the group that invited the speaker and whose members largely shared the opinion (but not the aggrievement) of the offended.

This small minority drove the speaker from the stage. They attempted to drone out an internet broadcast of his speech with repeated pulling of fire alarms. In the ultimate expression of their grievance they assaulted a faculty member who was driving the speaker out of town after the event, sending her to the hospital. It is particularly instructive that the group of the aggrieved chose this course because the speaker’s ideas and positions have been so roundly and completely debunked that it would probably have taken less effort and have been more effective to simply simply hoist him on his own petard on the stage and watch him swing.

I find myself in group 2 in my professional example (amused but somewhat astonished that experienced business people could be so tone deaf) and similar to the group that invited the faux-controversial speaker (contemptuous of pedagogy that cannot be supported with anything other than belief). Mr. Sowell is a true A-list man of ideas and letters, while I am a C-lister with B-list aspirations. Nonetheless I share with him his sorrow at this degeneration of American culture, this insistence that a difference of ideas begets a grievance that supersedes not only the rights of those who disagree, but also the very possibility that other ideas might exist. Replacing a culture of ideas and ideals with a culture a grievance is a step backward for society, perhaps for civilization.

The tyranny of the minority begins with a tyranny of ideas, waged with the weaponry of grievance.

 

Sunday musings: Opiate Overdoses and American Health

To the victors go the spoils. History is written by the victors. Truer words, eh?

I find myself turning off all manner of information outlets of late because they are all just so many repeats. The other side of that victor coin is that the vanquished simply repeat the lines of the victor when s/he was losing. Look no further than the kerfuffle about the Accountable Care Act. If you remove time stamps and the naming of characters what one hears or reads is essentially unchanged today from what was said or written some 7 years ago.

Try it.

My sense of ennui is so strong that it is fairly paralyzing. Is there no one out there who is willing or able to propose something that is truly new? Can we not even even come up with new or original complaints and criticisms? Must we be doomed to this endless cycle of sameness about seemingly everything?

It’s almost as if the vanquished do not so much fail to learn from history but that they work very hard to faithfully replay history in exquisite detail, dooming us all.

We are looking at a true health crisis in the U.S. In 2016 some 40,000 Americans died from opiate overdoses. This is more than the number of deaths by firearms by a factor of 4, and is similar to the number of deaths in automobile accidents. This morning I read a startling statistic: 7 million working age men are out of the employment market, and 1/2 of them take painkillers on a daily basis. Crazy, huh?

On CrossFit.com we agree that there is a general crisis of health in the American populace stemming from over-consumption of calories (most of which are high glycemic index carbs) and under-consumption of physical activity. Another equally startling story in this week’s news is the growing acceptance of excess body weight fat as some kind of new normal, a normal that should somehow be institutionalized.Total capitulation, that.  In this discussion one must add the over-consumption of alcohol, because countless studies have shown that this legal substance is responsible for all kinds of negative health effects, both direct and indirect. (As an aside, it does give one pause when one considers the possibility of legalizing another neuro-depressant, marijuana). As if this isn’t enough, we now must add to this toxic recipe the ingestion by any route of opiates.

The U.S. is regularly taken to task for its failure to sit at the top of the world’s life expectancy leader board despite spending the largest amount per capita on healthcare in the world. This criticism becomes more and more unreasonable as we dive further into what it is that actually drives statistics such as life expectancy. Deaths from overdoses are illustrative of the folly of conflating health and healthcare: there is nothing in the healthcare system of treatment that drives this statistic, and the death of these primarily young people has a disproportionate effect on the life expectancy statistic in which it is years lived that we are counting (and losing).

What, then, is to be done, especially in the setting here of health-conscious individuals? It behooves each of us to take a bit of personal responsibility in the discussion and pledge that we will utilize accurate nomenclature, and in turn demand that everyone else in the conversation do likewise. Health and healthcare are not synonyms. Likewise, healthcare and health insurance (itself somewhat of a misnomer) are not the same; one does not lose healthcare when one does not have health insurance, and for certain the ownership of a health insurance policy does not guarantee one access to healthcare. Indeed, because the outcome was inconvenient to the majority of entrenched healthcare interests, the landmark study of Oregon Medicaid recipients that showed no improvement in health outcomes in those with Medicaid compared with those without has been mostly ignored and purposely forgotten. We need to engage in this conversation, but do so with strict fidelity to meaningful terms.

From there we should lead in whatever way we can. This effort is not at all about the treatment of disease, at least not as far as we here are concerned, but rather one of Public Health. There are quite specific areas to be addressed if we wish to effect change. Each area must be subjected to a root cause analysis. Over-consumption of low-quality carbs is near and dear to CrossFit, Inc., and the battle against “Big Soda’s” influence has been engaged. Other influences such as agricultural subsidies should have a similar bright light shined in their direction. How is it that the dramatic reduction of drinking and driving has failed to render deaths from drunken driving a statistical anomaly? Perhaps someone can convince one of those know-better do-gooder billionaires globe-trotting in search of a trendy problem to throw money at to look a bit closer to home when they apply their famous intellect to new thinking about old problems.

As to the tragedy that is opiate overdose deaths, can we please have someone with no skin in the game be given no-risk access to any and all applicable data and just turn them loose? Some guy did a deep dive into the issue of scrubbing the internet of all vestiges of child pornography using a combination of massive computing power and an outsider’s view. Give someone like that the ability to examine the entire opiate ecosystem to uncover some of the hows and whys so that we can make some decisions of the whats of our response with more than just our typical SOP of some self-designated, conflict-of-interest-infected expert who declares that his/her solution should work because of what they are sure must be going on. This seems to be a new thing, after all, and rather young, too. Prior opiate societal infestations surely share some aspects with our present crisis, but I don’t recall the opium dens in the days of the Crusades so routinely offing their customers.

Anything that can be measured can be analyzed. Anything that can be analyzed can be altered utilizing the results of that analysis. What is needed is the double-edged sword of courage to uncover an unpleasant truth, and strength to set aside all manner of short-term personal gain in favor of a long-term solution for societal benefit.

We ought not let 40,000 lives representing hundreds of thousands of years not lived to be lost in vain.