midlifedude

Man at midlife making second half matter

Archive for the category “counseling”

Man in the Mirror: ‘Compare In, Not Out’

In the substance abuse therapy group I co-led as an intern, the group leader would tell members to “compare in, not out” when he detected a member analyzing whose addiction was worse than another’s, assessing who among members engaged in more risky or reckless behaviors or seeking salacious details about others’ misfortunes and misadventures.

The leader’s message to the addicts was as clear as the typical pre-school teacher’s emphasizing individual responsibility and self-control to easily distracted and influenced children focused on others: “Worry about yourself.”

It’s a simple message, but one that takes discipline and introspection to implement, whether for the purpose of changing addictive behaviors or many other goals or pursuits in life in which the temptation is to compare ourselves to the status, abilities, fortune and accomplishments of others. The era of social media has compounded the phenomenon of “comparing out” through the instantaneous access we have into the windows of others’ lives – their new jobs, kids’ achievements, lively social gatherings, adventurous vacations and other things of which to be envious.

We would be more satisfied with our lives if we would “compare in, not out.” To me, “comparing in” means evaluating myself according to my assessment of my own Man in Mirror 2potential, my ability to strive for and attain goals I believe are worth pursuing, being happy with what I have at any given time rather than desiring what I don’t, and living life in a way that makes me feel positive about my actions, conduct and treatment of others, even though it will be far from perfect.

Still, living life without “comparing out” is a challenge for me, as I imagine it is for nearly everyone who hasn’t mastered some form of meditation or inner peace.

Right now, I am struggling against “comparing out” as I begin my second summer as a seasonal tennis instructor at a large beach resort tennis club, a “gig economy” interlude as I make a career transition to counseling.

Among the instructors, several of whom are year-round employees, it is apparent that I am ranked lower in the pecking order, understandably and justifiably as a seasonal staff member, similar to last summer. I know what I have to do to be successful is to conduct each clinic and private lesson to the best of my ability, stay upbeat and high-energy, engage clients in a friendly, interested and courteous manner, and work cooperatively with the staff as part of a team. But I still find it hard to resist comparing the assignments and the number of on-court teaching hours I get – which determines income — to others. Such “comparing out,” and the ruminations it causes, only makes me feel worse; on the other hand, “comparing in” when I give my all for a lesson or clinic, or assist a fellow instructor when needed, makes me feel positive.

My career transition from public relations to counseling is another area where I have to fight the lure of “comparing out” and instead “compare in,” basing my assessment on what I deem is fulfilling and achieves a sense of purpose. Though there is potential for income growth with the establishment of an independent counseling practice in the future, my first job in the profession likely will pay about half of what I was making in the public relations position I left. Eyeing the reality of my pending job search, it is challenging to avoid “comparing out” to other professionals in my age group who may be at the height of their earning potential and aren’t worried about scraping by. That’s when it’s important to “compare in” and realize I chose this path for a reason and I am fully responsible for my decision and the outcome.

“Comparing in” is difficult because it puts the onus squarely on us for our own successes and failures, our current condition in life, our decisions and behaviors, and, perhaps most importantly, the way we feel about ourselves and our own satisfaction and happiness. When we compare ourselves only to our own standards, goals, morals, ethics and beliefs, we strip away self-delusions and rationalizations and are forced to see only the “Man in the Mirror,” our only true compass.

Facing the Music

As my daughter Rebecca and I were discussing her sociology class on adolescence, she tangentially announced, “You and mom did a good job raising me.”

Surprised by an out-of-the-blue compliment, I asked, “What makes you say that?”

Rebecca explained that she does not view herself as materialistic, implying instead that she values experiences and relationships above things. We provided for her needs and many wants, but we didn’t overindulge, and didn’t replace our caring, attention and adam-reb_foyeweddingpresence with materials, she was saying.

As a 21-year-old sociology major graduating from the University of Maryland in four days, she has learned about inequality, justice, race, poverty, privilege, human development and other similar topics, helping her become more insightful and introspective about her own life, and more astute about distinctions among individuals and communities.

I was happy to hear Rebecca praise our parenting, since her mom and I broke up when she was 9. My biggest fear about our divorce was that it would cause emotional and psychological problems for Rebecca and younger brother Daniel.

“So we did a lot of things right,” I said, fishing for more praise.

“Yeah, but not everything,” she said, adding the inevitable disclaimer.

“What didn’t we do so well?”

“There were things I haven’t talked to you about.”

We were headed to an Easter celebration, so there wasn’t time, and it wasn’t the right time, to get below the surface. But I kept the conversation in my memory, committed to return to it.

I did that last weekend, inviting Rebecca to have an open discussion with me as a young adult, reflecting on her experiences as a pre-teen and teenager, the positive and the negative, the gratifying and the disappointing, the supportive and the hurtful.

That conversation, I recognize, will require certain things of me, to be constructive rather than destructive or dismissive: I’ll want to approach it as a listener, not a talker, and with an open-minded, non-judgmental, non-defensive attitude. Because I know my temptation, like any parent told in retrospect they weren’t as magnificent as they believed, will be to explain or justify or rationalize or correct the record, which would only serve to shut down Rebecca, diminish openness, trust and honesty and invalidate her experiences and feelings. My current training in counseling should help me control such urges.

I would like to give Rebecca the chance to have an open forum with me without fear of reprisal or disengagement. I believe it’s important to transition into our adult relationship with everything in the open, past issues revealed and understood, nothing left unsaid, as the foundation for our future interactions and communications. It’s the key to an emotionally healthy, genuine father-daughter relationship.

I don’t know what she will say to me. I don’t know if I’ll be surprised. I don’t know what emotions it will trigger. But I want to hear it. I know I had good intentions throughout her childhood, and did my best as a father. But I also know I made mistakes. And I know the fact of divorce created situations and triggered emotions that were difficult, or perhaps impossible, to manage without having an impact on the kids.

Facing the music about my role and impact as a divorced (and remarried) father in my daughter’s life will increase my awareness and, I hope, strengthen my ability to relate to Rebecca. It’s worth whatever discomfort or ego deflation it may cause me.

Sweating it out to the End

I was sitting in the sauna after a swim, trying to meditate (and lose a pound), when the thought hit me (a welcome thought, nevertheless showing I don’t know how to meditate): the only thing separating me from graduation with a clinical mental health counseling master’s degree was one more paper, the fourth chapter of a final project.

In the heat, I felt a surge of accomplishment, the dripping sweat an appropriate metaphor for the 5 ½-year graduate school and internship marathon. I reflected on all that had happened during that time – a broken leg requiring surgery and a year of

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These grads, including my son Daniel (left), are younger than me, but I’ll be celebrating the same experience soon.

recovery; turning 50; my mother dying; leaving a seven-year job under contentious and demoralizing circumstances; both of my kids leaving for college – and felt amazed I had arrived at this moment. I had nearly dropped out after the first of my 22 classes and three internships, the path seemed so complicated and daunting.

 

So other than giving myself a pat on the back for perseverance, what can my experience say about sweating it out for a goal at midlife that perhaps could resonate with others?

  • Personal growth and development keeps life interesting. I feel more alive and engaged with new challenges and goals to pursue, and restless when I feel stagnated and mired in routine.
  • It’s never too late to learn new things or set new goals. Changing careers is another matter entirely that involves issues of practicality, responsibility, risk and sacrifice. But those complexities shouldn’t preclude exploration.
  • Moving forward on faith can work out, and could be a necessity for progress. Sometimes pushing through doubts is the only way forward. I still don’t know how my whole counseling endeavor ultimately will work out, but I have faith that it will. Needing a guarantee on an outcome may preclude the journey.
  • Find a way. Don’t let something that seems too hard stop you, if you can creatively discover ways to make it work, even just one step at a time, especially if you believe you might live with regret for giving up on a goal or dream too easily. I feared living with regret, which helped propel me to continue grinding ahead. Sometimes “a way” may seem impossible, but perhaps as likely self-imposed limits make it seem so.
  • Pursuing something new, whether a hobby, pastime, education or career, can bring you into contact with a new community that can enrich your life. The people I’ve met through my graduate program have provided community, enhancing my life and helping me learn.

I’m sure hoping this new counseling gig works out. I entered the Loyola University-Maryland Pastoral Counseling program at age 48. Back then, I couldn’t imagine getting to the end, which has now arrived at age 54. I’m excited to see where it leads. At the least, it will open up a whole new range of opportunities and a greater chance to self-direct my career – possibly in the form of my own business and other entrepreneurial endeavors – as I head into its latter stages. I’m feeling now all the sweat I’ve poured into it has been worthwhile.

[In a serendipitous coincidence, my graduation is the same day as my daughter Rebecca’s graduation from the University of Maryland. Read about my decision of whose big day to attend.]

Midlife Men and Divorce: Risky Business

For the capstone class – the 22nd! – of my 5 ½-year master’s degree program in clinical mental health counseling, I had to choose a narrow “clinical population” for a research project. Somewhat shamelessly, self-servingly and unimaginatively, I essentially chose myself: a midlife man who has experienced divorce.

The findings were not pretty for the divorced midlife’s male’s future, though I acknowledge I intentionally selected research that highlighted why this population would be candidates for mental health treatment.DivorceHeartPhoto

Research has come to varying and sometimes contrasting conclusions on divorce and midlife men (roughly age 35 to 60), and mitigating factors are difficult to account for. However, numerous studies have shown that midlife men who have experienced marital breakdown have had greater propensity to become depressed, anxious or develop other psychiatric disorders; abuse alcohol or drugs; suffer from higher rates of illness, earlier death and suicide; harbor anger; live with loneliness and social phobia; qualify for work disability; and experience lower levels of physical health, mental and emotional well-being, and happiness and self-esteem.

And the majority of time, men aren’t the ones pulling the trigger on divorce, which studies show is one of the most psychologically distressing events in life. Research indicates that wives frustrated by an inability to improve their troubled marriages may be more likely to end them, with one study concluding that husbands initiate only a quarter to a third of marital separations.

These are research-based outcomes of divorce that pose challenges for the midlife man:

  • Recently divorced men were more likely than other groups to receive psychiatric treatment and be prescribed medication for mental health disorders. One study concluded that major depression was nine times higher among men who had been separated or divorced compared to stably married and single men.
  • Remarriage in midlife brings with it a whole new set of complications and negotiations that cause stress, indicating that marriage alone does not prevent mental and physical problems. One study found that remarriage was associated with an increased risk of depression compared with men who remained divorced.
  • Men often rely on their wives for their social lives and support for their health and emotional well-being, as women generally have stronger social support networks. Without their marriage, men can become prone to social isolation and loneliness.
  • A common dynamic of divorce is “non-acceptance” of marital dissolution. The ongoing feelings of attachment are associated with depression. The reality for some divorced fathers is continuing angry disagreements with and hostility toward their former wife a decade or more after breakup.
  • Once divorced, men’s physical health can decline, as wives often assume a role for monitoring and influencing their partner’s health behaviors.
  • While women experiencing divorce were at higher risk for mood and anxiety disorders, men were at higher risk for new substance abuse disorders. One study indicated that divorced 46-year-old men comprised a disproportionately higher share of binge and heavy drinkers compared to other groups of the same age.
  • The mortality risk for inconsistently married men (those who had divorced and remarried) was more than 40 percent greater than for consistently married men, and men who were currently separated or divorced had a mortality risk 2.5 times greater than consistently married men.
  • Men who had been divorced had a higher prevalence of work disability many years after the initial divorce.

As for me, I was the prototype of the midlife divorced male: separated at 42 and divorced at 45 in an action initiated by my ex-wife, with two pre-adolescent kids. I also have remarried, and while my wife Amy has been a wonderful social and emotional support, as the research indicated about wives, the second union has inevitably come with some stress due to new family dynamics and inter-relationships, financial complications and psychological adjustments.

I have avoided many of the pitfalls of the midlife divorced male, such as substance abuse or physical health decline, but did not escape divorce unscathed. When first threatened with divorce and teetering on the brink, I suffered from depression that affected my appetite, sleep, energy level and concentration. I struggled with non-acceptance when the reality of pending divorce flooded me like an unstoppable tidal wave. I lost a big chunk of my social connections and outlets. Worst of all, it was hard not to feel like a failure at something so important, and as a letdown to my kids.

Researchers have come to different conclusions over whether such a thing as a “midlife crisis” really exists, or whether it is a pop culture phenomenon, especially for men. But there’s no doubt that midlife is the time men walk through the landmines of marital upheaval, and when they are most prone to its potentially harmful and long-lasting mental health effects.

 

‘Play the Whole Tape:’ The Struggle of Addiction

Alcoholic_AAMtgThe lanky young man with the tattoos took a break from his intricately-detailed pencil-sketching to look up from his art and turned to face me after I introduced myself to the group.

“Have you ever been addicted to drugs?” he asked.

“No,” I responded.

“Ever been addicted to alcohol?”

“No,” I said again.

“What can you know?” he mumbled with disgust and turned back to focus on his artwork.

It was my first day as a co-leader of a substance abuse therapy group, an internship for my clinical mental health counseling master’s degree as I make a career transition from public relations to counseling. The group leader smoothed the edges by telling the group members they can learn different things from counselors who had addiction problems and those who haven’t. The leaders with whom I have worked had substance abuse histories and can talk the language of the streets and drug culture; I can’t.

When a member glorifies the days of using, as those in substance abuse recovery are wont to do, one leader admonishes: “Play the whole tape,” meaning remember the misery that accompanied the action, the “ripping and running.”

Later in the session, the young man apologized to me and the group for his abrasiveness, saying he had discovered just before the session that a good friend from childhood had died by drug overdose. That type of emotional volatility and chaotic, unpredictable life is common among members.

In my two months co-leading and leading this three-hour-long group session, I have learned from members and have become more comfortable guiding and interacting with them. The members provide a fascinating window on life’s struggles and many life themes: redemption, commitment, determination, acceptance, grace, hope, resilience, courage, meaning, generosity, self-centeredness, self-destruction, temptation and despair.

Group members represent a microcosm of society: male and female; fathers and mothers; black, white and Hispanic; teenagers to seniors; those from childhoods of abuse, neglect and deprivation and others from relatively stable, caring families; workers and jobless; people doggedly seeking change and others going through the motions.

Some have been homeless, shunned by family members. Many have been imprisoned, and some still are dealing with charges that could result in jail time with any transgression. Some have risked their lives to get drugs, running dangerous streets at all hours, banging on doors of drug dealers. They have lost children, jobs, health, relationships, dignity, trust and respect over their addictions. Many have been through rehab before, but reverted to previous habits, some as soon as they exited. Their emotional lives have been engulfed with fear, shame, guilt, resentment, anger and damaged self-worth.

I don’t have any particular unique or profound insight into the scourge of addictive behavior and those who come under the influence of alcohol and drugs. I only have impressions as a person and professional new and fairly oblivious to this world. My biggest takeaway is that these individuals are not addicts, but people with addictions. In our society, we tend to apply labels to people that come with proscribed traits and characteristics, effectively straight-jacketing people into circumscribed boxes.

The experience has reinforced for me that addiction does not define the group members, a lesson I also learned first-hand when a roommate suffered a relapse. In fact, addiction is not at the core of their being at all. They are so much more than “addicts.” I appreciate the regular group members I have gotten to know for their sense of humor, loyalty, caring, openness, friendliness, raw honesty, suffering and commitment.

One woman exemplified the power of passion, hope and resilience – and the difference between those who truly accept and want to beat addiction and others who may be biding time – in an activity I led challenging the members to identify their strengths. Some struggled to come up with more than two; a few others declined to offer even one when called upon to share. But this woman, for whom the phrase “to hell and back” would apply, rattled off about a dozen assets. She appears to want recovery bad; her emotional pain is palpable. She has a medical condition that might keep others away, but she refuses to miss or give up. She’s a good person who got some raw deals in life and made some regrettable choices that sent her into a downward spiral, like many of the members, and she’s developing the courage to own it all. She is recognizing her worth as a human. She expresses faith.

I’m pulling and praying for her and the others to beat their addictions and find serenity and contentment, and hope I can be a positive influence, however small, on their recovery.

 

15 Principles for Surviving and Executing a Career Transition

In two months I will complete a graduate degree in clinical mental health counseling that will have taken 5½ years to finish, enabling me to take final steps to executing a fairly drastic midlife career change from public relations. I had made a career change before, from journalism to public relations. Though still jarring, that transition was significantly more seamless than this one, requiring no additional education and using many of the same skills.

I have been seeking to derive more meaning and satisfaction from my career, as well as tCareerImagehe opportunity to self-direct my future, embrace an entrepreneurial spirit, contribute value to society and work flexibly, creatively, collaboratively and independently. I explored life-coaching, completing a series of training courses, but ultimately didn’t pursue it. But the idea of helping people with psychological, emotional and life challenges stuck with me.

It took me about three years of mulling the idea to apply to graduate school for counseling and another year after acceptance to enroll in my first class. Twenty-one classes and three internships later, I’m on the precipice of a career transition.

It hasn’t been easy. As I started my internships, I ran into a buzz saw at my PR job. It was miserable, and at the same time the best thing that could have happened. I couldn’t have done both well simultaneously, along with graduate classes. I would have burned out. I left my job, and the security blanket of a biweekly paycheck. That was 18 months ago. Since then, I’ve lived a much more itinerant, unpredictable and frugal existence, cobbling together temporary, seasonal and part-time jobs, and unpaid or low-paid internships.

In brief, these are 15 principles I’ve learned about making a significant career change, concepts that are valuable to consider while mulling a change or while bulldozing through the trenches:

  1. Long-Term Vision – A career transition won’t happen if you can’t envision a different future, if you are too overwhelmed by the daily grind and stressors to dream about a new life.
  2. Delay Gratification/Patience – Depending on how drastic the change and the amount of education and training required, the transition could be a long haul rather than a quick fix.
  3. Risk (Tolerance/Acceptance) – You will be giving up something known for something new, with no guarantee of breaking in, or even being proficient at or liking the new endeavor.
  4. Self-Knowledge – Become clear on what is most important to you, your values, how much risk you can tolerate, and how hard you are willing to work to make a change happen.
  5. Courage – You’ll have to be brave enough to take risks and step out of your comfort zone.
  6. Confidence/Self-Assuredness – Consider how you will handle other people in your life, including those closest to you and colleagues in your current occupation, questioning or casting aspersions on your decisions. How much would a wave of skepticism and criticism deter you or affect your thinking and beliefs?
  7. Identity – Leaving a profession, especially one you’ve worked at for years and in which you’ve achieved a certain level of expertise, status and success, can significantly alter how you identify yourself. Can your ego withstand such an identity loss, while building a new and different piece of your identity?
  8. Research/Network – It will be important to determine the costs and requirements (and barriers) to entry into a new profession, as well as occupational outlook, such as job growth and salary projections. Soak up all the information you can about your prospective new career while considering a transition and in the transitional phase by interviewing people in the field, networking with fellow career changers and professors, taking classes, attending conferences and reading industry journals.
  9. Commitment/Persistence – A half-hearted or uncertain effort will likely fail to result in lasting change, like my foray into coaching. The urge to give up may hit, especially early in the process. You’ll have to constantly re-evaluate your commitment, revisit why you embarked on the effort in the first place and resist inevitable doubts.
  10. Embrace Uncertainty/Unpredictability – Become comfortable with not knowing and embracing the journey as an adventure. View unpredictability as making life more exciting, stimulating and challenging. Here’s where faith and spirituality can come into play.
  11. Sacrifice – Be prepared to pay costs in terms of money, time, effort, perceived security and status (you may go from being expert to novice).
  12. Hustle/Scramble/Diversify – A career transition may not be seamless, moving directly from a job in one career to a job in another. There may be an intermediary period involving education, training, internships and the like. You may have to jump off the cliff during this period – leaving security behind – but with a parachute. You just won’t be able to be sure where you may drift or land along the way. You may have to be aggressive in patching together a living from various jobs that aren’t career jobs, but serve as a means to your end. You may have to call on skills you weren’t using in your current career, or adapt your skills to different positions that work within your new goals. For me, that meant working summers as a tennis teacher and applying writing and teaching skills as a university writing tutor.
  13. Flexibility – A flexible frame of mind complements the principles of identity and hustle. If you are not rigid in your identity, you can explore varied employment opportunities, living arrangements and lifestyles that can help you manage the transition. If you are open to a wide range of income-producing opportunities, you can minimize your reluctance to try new things – perhaps jobs you would have once considered beneath you — and ramp up your hustle to get them.
  14. Financial House – Your transition will be easier and less stressful if there is Order in the House, the Financial House. As much and as far ahead as possible, craft a financial plan for the transition. Build savings cushions and tuition accounts, if education is necessary. Consider becoming a minimalist in your lifestyle choices, to some degree. A transition likely will come with some financial pain, including possibly a precipitous income drop from your previous career once you start in a new occupation, but planning and frugality can mitigate the potential pitfalls.
  15. Negotiation – If you’re lucky, you’ll have a current employer who respects, or maybe even encourages and supports, your career-change endeavor (I wasn’t). If so, see how you can negotiate to get what you need – time, a flexible schedule, tuition assistance, remote work arrangement – while continuing to fulfill your employer’s needs. You may be able to hold onto your job and income much longer (I couldn’t), helping to bridge the transition.

 

 

Daddy-Daughter Day

adam-reb_foyeweddingWhat are the odds that a father and a daughter would graduate from different universities on the same day?

Infinitesimal. But that is what’s destined to take place for me and my daughter Rebecca on May 20, 2017, barring unforeseen circumstances.

We’re each about to start our final semesters. I’ll be graduating from the clinical mental health counseling master’s program at Loyola University-Maryland after a five-and-a-half-year marathon, while Rebecca will be graduating with a bachelor’s degree in sociology from the University of Maryland.

It will be a proud day for the Sachs family. Unfortunately, though, I’ll have to make a choice, because the graduation ceremonies conflict. The choice is really no choice at all. As much as I would like to participate in my graduation to savor my accomplishment and sacrifice – and it really has been that, involving a career change, job loss, precipitous drop in income, scrambling to patch together part-time, temporary and seasonal employment, large tuition bills, attending evening classes after work, securing and working at two internships that have tested me, and a long-term commitment to finish rather than quit when feeling overwhelmed – the obvious choice is to attend my daughter’s graduation.

It’s not that I’m selfless. I’m not. I think a lot about myself. I’m all about me, a lot of the time. I’m not a huge giver. I might not give you the shirt off my back. But May 20 will be Rebecca’s time. It will be enough for me to know what I accomplished and that I persevered through obstacles, as much as I would like to share that moment with grad school colleagues who have done the same.

It will be more important to me that Rebecca knows and remembers that I was there, and to celebrate her achievement. I have tried to do that throughout her 21 years. There’s a quote you might know, often attributed to director Woody Allen, that “90 percent of life is showing up.” But apparently what Allen really said was, “80 percent of success is showing up.” So if I multiply a .90 show-up rate by a .80 success rate, I have a 72 percent chance of success by showing up at Rebecca’s graduation. I’ll take those odds.

Showing up always been a high priority for me as a parent, and a college graduation is no time to slack off. That simple feat – being present — was made more challenging over the years since I separated from Rebecca’s mother when she was only 9, but it was never an excuse.

We had hoped our graduations would be on different days on the same weekend. How cool would it be to attend each other’s graduations on successive days? I would like Rebecca to see a palpable example that learning, growth, striving and change can happen throughout a lifetime, by observing me graduate. But it wasn’t to be.

So I will do what I know in my gut is right and what all good parents should do – no awards or kudos needed – and put my child first.

No More ‘Working for The Man’ Just for Health Insurance

pic_0123On the eve of the first Obamacare (Affordable Care Act) mano-a-mano showdown in Congress – well, at least the participants were in the same boxing ring – I re-emphasize my position that after all the overinflated chatter is aired and convoluted schemes are floated, the only real, efficient, cost-effective and sustainable solution is a single-payer health care system (Medicare for All, universal health care coverage).

I’ll give the Republicans a chance, with their Repeal and Replace initiative (or Repeal and Posture, or Repeal and Delay, or Repeal and High-Five) and monitor the trends and see where we are a few years after implementation. As I advocated on my sister blog site Sirenian Publishing, the Democrats should not participate in crafting an Obamacare Replacement, so it will be a pristinely GOP invention without Democratic fingerprints and can be evaluated as such.

Why discuss Obamacare in a midlife blog? Because I’m one step away from needing health insurance through a system like Obamacare, and I may need that program or something similar in the future as I grapple with transition and living authentically in midlife.

In my transition to a new career as a mental health counselor, I eventually had to leave full-time employment to meet my graduate program’s internship and class requirements. And with that move went my health insurance. I was lucky I have a wife with an employer-sponsored plan that I could join. But we all know how tenuous are jobs – and the potluck health insurance that may come with them – in today’s economy.

I’ve written about joining the Gig Economy since my transition, working multiple part-time, temporary, or entrepreneurial jobs with no health insurance or other benefits to cobble together an income. While I may sometime again have a full-time job with health insurance benefits, I plan to stay a member of the Gig Economy for the rest of my career by establishing an independent counseling practice. And I abhor the thought of health insurance posing a major barrier to venturing out on my own. A single-payer health care system, or perhaps an Obamacare-like system, could remove that impediment for me and many others with an entrepreneurial bent who no longer want to be obligated to ‘working for The Man’ just so they can have health insurance.

I wrote extensively about the merits of a nonprofit single-payer system and the tribulations of Obamacare in my political memoir about my campaign for Maryland delegate, Don’t Knock, He’s Dead: A Longshot Candidate Get Schooled in the Unseemly Underbelly of American Campaign Politics, as advocating for a more equitable, less costly health care system was a cornerstone of my campaign.

Read more about the looming health care battle below…

Sirenian Publishing Blog Post: No Democratic Lifeline for ‘Repeal and Replace’

New Senate minority leader Chuck Schumer said if congressional Republicans, in conjunction with President-elect Donald Trump’s exhortations, vote to repeal Obamacare, Democrats won’t participate in crafting a so-called “replacement.”

“If they repeal without a replacement, they will own it,” Schumer told The Washington Post. “Democrats will not then step up to the plate and come up with a half-baked solution that we will partially own. It’s all theirs.”

I agree wholeheartedly with Schumer’s approach and urge Democrats to stick to that plan, instead of capitulating to the Republicans and trying to modify or soften whatever plan the GOP hatches once health care coverage is thrown into uncertainty, or worse, chaos, and millions potentially suffer.

To do so would be akin to the Democrats turning over ownership of a marginally inhabitable building to the Republicans, who level it with a wrecking ball and wander aimlessly through the rubble, only to have the Democrats return with hard hats and shovels and mortar to salvage the wreckage, with the promise, “We’ll help you rebuild from these ruins, but we gotta warn ya, dollars to donuts, this building will be condemned.”

As I advised Democrats previously, Do The Opposite, like Seinfeld’s George Costanza. The GOP will expect Democrats to come running to save the day for people who may be losers in the Obamacare tug-of-war. Then they will become complicit in whatever is enacted. Then they can be blamed for screwing up whatever plan Republicans wanted to enact in the first place, which of course will be the reason said GOP plan isn’t working as effectively as touted. Don’t do it. Let the GOP plan ride; measure the results.

I argued in my political memoir detailing my campaign for Maryland state political office, Don’t Knock, He’s Dead: A Longshot Candidate Gets Schooled in the Unseemly Underbelly of American Campaign Politics, that Obamacare is largely a piece of legislative manure that leaves the foxes – the health insurance industry – guarding the henhouse, but that it’s certainly an improvement and does a number of good things for people who need health insurance.

“Obamacare is a Rubik’s Cube—lots of turning, spinning, head-scratching, reverses, glitches, bad moves and confusion,” I wrote in Don’t Knock, He’s Dead. “Historic and groundbreaking yet torturously overwrought, the law certainly does some good, but adds yet another layer of preposterous bureaucracy and complexity and supposed ‘consumer choice,’ which really is massive consumer overload and confusion, onto a preexisting byzantine miscreation, and will become another cement-hardened convention impossible to undo.”

My campaign for Maryland state delegate in 2014 was largely based on advocating for accessible, affordable health care for all – universal health care, single-payer health care, Medicare for All – whatever you want to label it. My call was for a system that covered everyone, regardless of employment status or personal wealth, one that constituted a right rather than a privilege, and that reduced the corporate profit motive. It was for a more humane system that would put Maryland – and ideally, ultimately, the rest of the nation – in line with the rest of the democratic, industrialized nations that provide all their citizens basic health care at about half the cost or less per person than the U.S., and achieve better health outcomes on many common measures.

Numerous grassroots and health care organizations continue advocating for such a system, and several state legislatures have made attempts to establish one. But entrenched, opposing, big-money interests are strong – hence, Obamacare was the best we could get.

Wendell Potter, a health insurance public relations executive turned industry critic, nailed the dynamic in his insider tell-all book Deadly Spin, as I quoted in Don’t Knock, He’s Dead. “The health insurance industry is dominated by a cartel of large, for-profit corporations…[T]he top priority…is to ‘enhance shareholder value.’ When that’s your top priority, you are motivated more by the obligation to meet Wall Street’s relentless profit expectations than by the obligation to meet the medical needs of your policyholders.”

I still believe a single-payer system is the only real, equitable, sustainable solution to the ongoing health care mess. Perhaps a failed “replacement plan” full of tired old ideas like Medical Savings Accounts and insurance sold across state lines and free market competition that can be laid squarely at the feet of Republicans could stoke a revival of a single-payer revolution.

Of course, that will bring out the critics and naysayers who will charge that single-payer is an un-American, “socialist” system, an asinine argument. What is Medicare? What is Medicaid? What is Social Security? Socialistic! For that matter, what are our police forces and fire departments and public schools and state universities? Socialistic! We all contribute toward them because these systems and institutions are deemed to be beneficial to society collectively. American rugged individualism is a great concept. But in some aspects, like outstanding health care and the overall health of our citizenry, we are all in this together, and will be stronger as a nation for that.

So, as Schumer said, no lifeline. There could be regression and pain in the short-term, but maybe it could turn the tide for the long-term.

Thoughts on Struggle, Resilience, Gratitude and Grace

Counseling has given me a new perspective on struggle, resilience, gratitude and grace, at this time of year when we may slow down enough to think about these phenomegracena.

I’m working as a therapist intern at a mental health agency in Baltimore that serves low-income clients. Many have substance abuse problems. Some have been drug dealers. Some have spent time in prison. Many have been victims of crime or domestic abuse; some have perpetrated violent crimes.

Some have been homeless or evicted with no place to go, and some are on the verge of homelessness. Some are shunned by their families. Some were criminally abused or neglected as children.

All are struggling mightily, yet they have resilience. They want better. They want to overcome. They don’t quit. The question, however, is always: How motivated are they to change? When I think about resilience I’ve had to summon to face challenges, it doesn’t compare.

Many of our clients are on the margins of society, nearly invisible. Many have dropped out of the job market. Some want to return, but it’s a struggle to re-enter. Some have become isolated or reclusive, out of distrust or fear of failure, rejection or disappointment. They want independence, but it’s a struggle to get there; many have to lean on others for help. It’s easy to see: Once you fall into a hole, the climb to emerge can be arduous.

They are grateful for people who care about them, whether a therapist, a social worker or a friend or family member who stuck by them during difficult times when others didn’t. They are grateful for sobriety, kids and grandkids, and new chances.

Our clients inhabit a world and have lived through experiences with which I had no familiarity until my counseling internships. For the clients who have let me into their worlds and taught me about the enormous challenges they both inherited and created themselves, I am grateful. They have blessed me with a real-world education that books and classes can’t approximate. I hope I am providing a certain kind of education for them in return.

As for grace, Gerald G. May, M.D. described “living into grace” in Addiction & Grace:

“Living into the mystery of grace requires encountering grace as a real gift. Grace is not earned. It is not accomplished or achieved…It is just given.

“But living into grace does not depend upon simple receptivity alone. It also requires an active attempt to live life in accord with the facts of grace [which]…are simple: grace always exists, it is always available, it is always good, and it is always victorious…

“The risk, of course, is to my addictions; if I try to live in accord with grace, then I will be relinquishing the gods I have made of my attachments…I must make conscious efforts of will; I must struggle with myself if I am going to act in accord with those facts. Living into grace requires taking risks of faith.”

As we enter a new year, I hope and pray our clients are able to recognize grace working in their lives and find the strength to take the risks of faith to live into grace.

The Art (and Practice) of Self-Promotion

I attended my 35th high school reunion last weekend – but not for the typical reasons of reconnecting with old friends or catching up with acquaintances. I knew none of the few people I still am in touch with from high school would be there, and that I wouldn’t recognize the vast majority of attendees, let alone have had even known them in high school.

I went primarily to practice self-promotion and marketing, tactics at which I am not highly proficient, but which I need to improve to raise awareness of and generate interest in my two new books published by Sirenian Publishing. These are skills which I also will sireniancardneed in the future, as I plan to launch an independent counseling practice. Having just obtained Sirenian Publishing business cards, I wanted to see if I could work the two books I have authored into conversations and grease some palms with the information.

I’ll call my endeavor a success, having talked about the books (the novel Three Yards and a Plate of Mullet about a rookie sportswriter in Florida and the nonfiction political memoir Don’t Knock, He’s Dead: A Longshot Candidate Gets Schooled in the Unseemly Underbelly of American Campaign Politics) and given out cards to the eight or so classmates I spoke with at any length.

Sorry to sound so crass, Winston Churchill High School Class of 1981. However, it wasn’t completely an exercise in marketing, public relations and sales. I also attended to be social and with the thought of the possibility of meeting engaging people and establishing a new friendship or two.

It’s just that I know that I fall on the Introversion side of the Myers-Briggs personality inventory and that I don’t get energized by joining big crowds of people I don’t know in loud, cramped spaces. In fact, when I first walked into the reserved room at the restaurant and observed the scene of many strangers who 35 years ago had something in common with me engaged with each other in loud, animated conversation, my first instinct was to leave. I wouldn’t know anybody and I wouldn’t fit in, I thought. I walked straight past the crowd to the bathroom and then stopped at the far end of the bar and watched a football game on TV for a minute to compose myself, get in the spirit and prepare to plunge into the social melee.

It’s also that I associate high school with a difficult time of life that I never felt I could embrace – no fault of my high school classmates. Just before 9th grade, I moved, the result of my parents’ divorce years earlier and my mother’s struggles with her health and ability to function adequately as a single parent. I didn’t want to move to the new high school district, leaving the neighborhood and classmates I had known since kindergarten, and I resented it. It was difficult to adjust and break into cliques and friendships that had been established for years at the new school. I was an outsider and naturally quiet, and never really felt like my new high school or community were my places.

Luckily, just as I left my safe place at the bar to mill through the crowd and face my fear, I encountered a guy I recognized who was with his fiancé. We talked for 45 minutes while I drank a beer and they ate dinner. The ice was broken. That’s what it took to quell my anxiety, open up more, engage in the event and enjoy myself – while still subtly working on self-promotion (At least, I hope I wasn’t blatant. I think I had some tact.) All the classmates I met at reunion were exceedingly friendly and accepting, and I enjoyed conversations. I was grateful for that. As a former reporter, I asked people I met a lot of questions about themselves, so I wasn’t overly narcissistic about self-promotion.

The reunion was an event I wouldn’t have attended if I wasn’t an author. I just wouldn’t have been interested enough to make the effort. But the only way to become better known is to put yourself out there more, and when you do, good things you don’t expect and side benefits can happen.

I talked to a few people at reunion I would like to see again. They don’t even have to buy a book – but it would make me want to see them again more (final shameless plug)!

 

 

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