Modern Medical Practice

A relatively unknown public health crisis is looming in the United States. As the U. S. population added 22.7 million people between 2010 and 2020, a large portion of the baby boomer physician generation retired and were not replaced at the same pace by generations X, Y, and Z. By 2034, experts anticipate that the U.S. will be short at least 30,000, if not more than 100,000, physicians.

Where Have All the Manners Gone? 

On a recent business trip, we witnessed several confrontational incidents between passengers at the airport and on the plane that gave this blog cause for concern. It appears that we no longer require ourselves to be polite or even cordial to one another. On the contrary, it seems that we are all feeling empowered to push our way to the head of the line and feel timid and put upon if we don't. One woman on the plane who couldn't fit her carryon in the overhead defied the flight attendant to the point that security was called, and she and her luggage were removed from the flight. It was clear to everyone on the plane that her conduct was not in her best interest, and that it was not going to end well for her. Nevertheless, she persisted. What could be causing this rise in self-destructive conduct that we see almost daily?

Nonprofit's Role in Immigration

Long before terrorism in the Middle East and the collapse of duly elected democratic governments in Central and South America sent waves of immigration to the U.S. southern border, nonprofits played a critical role integrating a “once welcome” immigrant population into our society. During this current controversial era, however, nonprofits walk a tightrope across a political divide that threatens to disenfranchise their efforts by interpreting every service impulse as "choosing sides". Nonprofits, with their mission-driven focus and dedication to social welfare, are well-positioned to provide vital services and advocacy for immigrants without regard to any political position.

Autism Spectrum Disorder

Currently, one in fifty-four American children will be diagnosed somewhere on the Autism spectrum. Social workers in child welfare have noted this rise in the diagnosis of autism across the country and have asked us to help bring autism out of the shadows.

It has become a cliché in film and TV that ex-cons (as they're known) struggle to make a fresh start because they have a "record". Every school kid in America knows that he/she doesn't want to have a "record". They'll never get a good job, never work for the government and, in many places, never be allowed to vote. A standard question on most job applications inquires whether you've ever been arrested. In other words, after a convicted felon has paid his/her "debt to society", he/she must continue to pay the debt forever. Research tells us that this "criminal record" relentlessly following those long after they have served their sentence is the primary cause of recidivism in U.S. Finding no other way to care for themselves in the "outside" world, they return to crime for survival.

Every child can feel its pull. Every parent is concerned. Social media landed in everyone’s backyard like the spaceship in "Close Encounters". We didn’t know what it was or where it came from, but we couldn’t take our eyes away. We fell under its spell and remain captivated. We still don’t know why it came or what it’s here for. But we have learned that it is not as benign as it first appeared. We now know it can harm us, and it will if we let it.

Fish

• In 1992, the Atlantic cod population on Canada's northeast coast collapsed under fierce fishing pressure to less than 1% of its historic biomass. This collapse was the largest fisheries collapse the world has ever seen.
• Nearly 80% of the world's fisheries are already fully exploited, over-exploited, depleted, or in a state of collapse. Worldwide, 90% of the stocks of large predatory fish, such as sharks, tuna, marlin, and swordfish, are already gone!
• Greenpeace lists: “Atlantic Halibut, Monkfish, all sharks, and Blue Fin Tuna” as overfished species.
• Globally, the share of fish stocks which are overexploited (we catch them faster than they can reproduce to sustain population levels) has more than doubled since the 1980s, and this means that current levels of wild fish catch are unsustainable.

In the article “The Urgency of Social Worker Safety,” National Association of Social Workers (NASW) President James J. Kelly, PhD, ACSW, LCSW, noted, “In the past few years alone, we have witnessed the fatal stabbing of a clinical social worker in Boston, the deadly beating of a social service aide in Kentucky, the sexual assault and murder of a social worker in West Virginia, the shooting of a clinical social worker and Navy Commander at a mental health clinic in Baghdad, and the brutal slaying of social worker Teri Zenner in Kansas. These are only a few of the murders of our colleagues, which, along with numerous assaults and threats of violence, paint a troubling picture for the profession.”

The term "fourth estate" refers to the press and the news media and comes from the traditional European concept of the three estates of the realm: the clergy, the nobility, and the commoners. In our American democracy the three branches of government (Congress, Supreme Court, President) are joined by a free, independent press (our Fourth Estate) that advocates and informs on behalf of the citizens who have granted the power to govern to the other three “estates”. For our "fourth estate" to protect the people from their elected government's impulse to grab more power by governing behind closed doors, our press and news media must maintain its integrity, remaining independent and financially robust. However, since the decline of the industry’s ad-driven business model was hastened by the Great Recession, more than half of newspapers have shuttered across America and the industry has shed more than 20,000 jobs.

Youth and young adults rarely come to mind when we think of homelessness. Caseworkers working full time with the country's homeless population tell us that homelessness among young people is largely out of sight.

Youth homelessness looks different because it is fluid and hidden. A recent national study found homelessness in 1 out of 30 youth aged 13 to 17 and 1 out of 10 young adults aged 18 to 25. Youth homelessness often remains in the shadows because it may involve couch hopping with friends by a young person who goes from household to household without a choice and is subject to dismissal or exploitation. Young people experiencing homelessness include parents with young children, youth met with rejection after disclosing their sexual orientation or gender identity, and youth who ran away from a foster home or “aged out” of foster care.

One does not have to experience homelessness to understand that it presses hard; the energy and will required to attend to basic survival does not leave much room for vocation, education, or aspiration. It is no wonder that young people experiencing homelessness are less likely to graduate from high school, attend college, and succeed in higher education.