Your The Clam Voting Guide – 2019 Gloucester City Elections

Good day, my dudes (gender neutral).

The Clam is back with a vengeance – (ok, we’re back from a sadbender that lasted all summer while we figured out how to move this site forward for you all), and we’ve still been following things even though we weren’t writing posts. And guess what? Even without our dear leader Jim Dowd who is now mostly space dust and the property of science at large, it turns out the rest of us still have several heavy sacks full of opinions to unload on you all.

And you know, there’s an election coming up. In fact, there’s a shitload of them. In going with the ecumenical multi-city nature of Clam Nation, we’ve decided to expand our horizons for local politics over the bridge, and make Clamdorsements in a few different cities this time but starting with our beloved Gloucester. So if you’re in Beverly or Salem, stay tuned.

If you’re new to our writing or forgot (I wouldn’t blame you), our endorsements aren’t decided by one person – they’re all based on group discussion and shared writing, so there’s a lot more to these than the bylines. But I got the job of collecting it for a post. I wish I could take credit for all the jokes, though. We have people who are way too inside baseball in each town so we’re mostly working around them and just letting it rip. So with that said, here we go back on the track!

Gloucester’s got a lot of uncontested wards this year and the mayor is running unopposed, so that takes a lot of off our plate. Honestly, it’s a pretty quiet year, except for School Committee and At-Large, where there’s a lot of variation that needs to be considered. And this year, we’ve decided that 5 at-large candidates are worthy of our vote for different reasons, so picking just 4 will be difficult.

On the City Council side of things, we had some good change two years ago. We’ve got some great things going for us these days – the beautiful new West Parish school, the absolutely beautiful Biotech lab on the waterfront- but we can do so much more to make this a better city for everyone. Gloucester itself is changing, but it’s also the greater world beyond the bridge that’s changing and Gloucester’s boats are just rising with the tide. This was meant to be figurative but I guess it’s also literal. We’re going to need a new water treatment plant, at least 2 new schools, and a plan to deal with 2030. This city struggles today because of a lack of action that kicked the can down the road in the past, and we need councilors who understand how to best manage that without shying away from a hard discussion and a hard decision.

For your Councilors at Large:

Jen Holmgren

Obviously, she’s going to be our top choice. She’s a good friend of ours, but don’t hold that against her. She’s better than all of us, no lie. Jen has a seemingly endless well of empathy and compassion for everyone in this town, which isn’t surprising, since she’s a nurse. She works tirelessly for issues like affordable and working class housing, in a city where we are so far behind in providing that for our community and a vast swath of our population is indifferent to it. Jen is level-headed and truly researches a topic before rendering a reasonable decision. She’s not afraid to say “I need to look into that further and get back to you.” She’s incredibly bright and dedicated, and she’s had a great first term. She unfortunately has been targeted by a few of the really vocal anti-Espressos folks since she voted yes on that project (a shitstorm we were too busy working, having lives, and baby-raising to really address correctly but holy crap that was ridiculous), and that’s pretty unfair considering she’s working for a lot of the interests the no-vote people hold dear.

Chris DiMercurio-Sicuranza

Chris is new to electoral politics, but an old hand. He was really active in Salem when he lived there, and when he fell in love with his husband Frank and moved to Gloucester it was a total win for us. His time working in the Mayor’s office really helped him. He’s smart, a great communicator, and he’s passionate, progressive and pragmatic as can be. You’ll love him once you elect him.

And boy does he have a lot of plans. He sent us a huge list of things he’s planning on addressing: optimization around city services like app-based parking for Main Street and at beaches; Blue economy gains through Community Dev and Econ. Dev to increase support for marine based education (GMGI), research and potential new industries (like Sea Machines, autonomous sea vessels); more cross-collaboration of special events and studying traffic, merchant and tourism data with one centralized source that can help us see patterns by working together and sharing resources – also gaining revenue for all the above. Coastal resiliency, affordable housing, Gloucester 400th and DMO/Discover Gloucester are also critical, too. Getting younger people involved especially on boards on commissions but setting up better web/social media pages across all depts. to make public more aware and easier to follow.

As for schools, he also explained: definitely more in favor of the MSBA supported new school as we need the resources for social workers, special education, theater, arts, etc. all of which will be jeopardized if we put funding toward repairing older and antiquated schools. I want a true facilities manager who can be responsible with realistic budgets for the short term and long term though in any scenario as falling tiles and moldy conditions are not only unsafe, they are disgraceful conditions for our students, teachers, administrators, parents and makes top talent within schools want to leave or not take jobs here.

John McCarthy

John’s best known for being the Chief of Police, and he’s worked his whole life for the city, starting on the waterfront as a kid. Unlike some of the police issues we’ve seen across the country  he set the tone for a compassionate police force and was at the forefront of community policing before that was even a thing. He has been a strong supporter of Action, Inc for years, and he also actively participated in Gloucester s high-risk task force, a coalition of city officials and nonprofit staff members, about 50 people, that meet monthly to discuss strategies on how best to serve our most vulnerable people, including repeat offenders. He is compassionate and understanding toward people who may not immediately elicit empathy from others. And that goes a long way. And as a department head, he understands how the city budget works. In all honestly, this is incredibly important for our elected officials especially over the next few years when some big decisions need to be made. He’s an all-around family man, and we’ve never had a negative interaction with the guy. We hope he gets in, as he checks a lot of boxes for a lot of people and seems like he’ll do a great job of listening.

Melissa Cox

Melissa is involved in so much of this city, and when you have a question or emergency, she’s on top of it no matter what. She excels at being totally accessible. She saved KT’s wedding 2 years ago after she spaced on PICKING UP HER ENTIRE MARRIAGE CERTIFICATE from the clerk’s office. She panicked and messaged Melissa, who immediately contacted somebody on a Saturday to meet her to literally unlock City Hall and help her out. That’s the kind of thing Melissa does without blinking. She’s always had Leslie Knope vibes. However, we don’t always 100% line up with our goals for Gloucester’s future. Her priorities aren’t necessarily bad – she’s warning us we need to cover a new sewer plant first, and seemingly a school second – so we’re worried that a new school isn’t something she’s going to fight for, but she’s also a rational human being who doesn’t immediately respond with passion or emotion. She’ll take a look at an issue from all sides and make an informed decision.

EDIT: She did let us know she’s behind the consolidation and exclusion, just wasn’t 100% happy with the whole process and final choice, which is fair!

A dramatization of when someone dumps a couch on Kondelin Road

Joe Ciolino (alternate)

In the past we haven’t really pushed voting for Joe. He’s voted in ways we liked and disliked, but he hadn’t really moved us in one direction or the other. He’s always pushed downtown business because that’s what he’s personally involved in, which is great for downtown Main St, but can leave retail businesses outside of the Block Party area feeling a little overlooked. Also, he recently mentioned at the GOP meet and greet that he still hands out plastic bags at his store which is against the laws the city council itself created. So he’s either disrespectful or blowing smoke, neither of which are a good look. He’s also stated the reason we have tourists is because we still have a fishing industry, and we need to be protecting that. It’s a common sense idea that is almost low hanging fruit to pander to, because literally no one seeking office is going to say “I don’t care about the fishing industry” if they enjoy having unbroken bones. People come here for beaches, but they also come here for the Wicked Tuna boats and because George Clooney made a movie about the Crow’s Nest and they wanna see that stuff in person. But you know, you keep having your dumb bags blow into the harbor and there aren’t gonna be a ton of fish left here.

It’s 2019 and people still come here assuming this is factually correct. Taking their money is in all of our best interests.

However, we really like that one of his priorities is getting a new school built because we are very pro GET THIS DONE NOW WHILE WE HAVE FUNDING FROM THE STATE. Recently he said he thinks a 71 year old school built before cities were mandated to take all students and you couldn’t send them to institutions anymore will need replacing, which is so true but unfortunately not believed by everyone which is exhausting but that’s Gloucester for you. So maybe if you are dead set against voting for one of the above because they looked at your puppy wrong you can go this way instead.

That’s it. That’s what we have for now. There are other candidates that didn’t make the cut for a myriad of reasons, and we don’t have a strong opinion on the only contested ward to make an impassioned plea (Though we do like Joe Giacalone).

We will throw another post up shortly about the school committee race, for which we will have several other opinions.

Where the hell do we go from here?

Hey there, it’s Josh – second-funniest male regular contributor to the Clam (and third overall, also behind KT). Then again, there’ve been only three regular posters so that should say something.

Losing Jim sucks. It sucks hard. He was the North Star that we guided the site through, and even what he didn’t write himself the rest of us wrote to try and make him proud. We’ve all in Clam Nation known this week was coming, but we all hated that reality.

I’ll share what is the ideal Dowd story – from the last time I saw him out in public. Here in Salem, Deacon Giles Distillery hosts a night of boozy three-minute PowerPoint presentations as a competition about once a quarter. In mid-February, they hosted the event. Jim decided a couple of days beforehand to enter – with his topic being “the difference between being eaten by a shark and brain cancer”.

I Googled “Sharkbite” and went with this because we’re a family-friendly blog here and JESUS THE REAL PICS WERE GROSS

To sum up, shark bite victims don’t need to deal with idiots sending you “Israeli company cures sharkbite!” emails, and the screams drown out morons on shore asking if you have tried CBD oil as shark repellent. But at the same time, there are very few hopeful clinical trials on sharkbite running currently.

I fixed my car’s radiator with CBD, too.

With facts like that, he put together a brilliant and funny presentation that, needless to say, won.

Once he knew his diagnosis last summer, he (and the rest of us) knew that we were on borrowed time, and he continued to work, make jokes about being radioactive, and do what he did best – stir shit up with brilliance and passion. Personally, for me he was the bridge that connected my world of friends in Salem with awesome people down the line on Cape Ann, expanding my universe of amazing, snarky, and sweet people that I remain connected to now. I was on my way home from a business trip to Florida when Jim passed away. That evening, some of his friends gathered to host a spur-of-the-moment memorial party that may still be going on, much like the party in Hitchhiker’s Guide to the Galaxy that has lasted for four generations thus far. I sent hugs from my airliner that was lurching around the sky.

Onward!

What will become of the Clam and this website? I don’t think we can answer that right now. But we will. There are still things we are outraged by, things we want to celebrate, and stupidity to highlight. Regardless of what we do here on these pages, Clam Nation persists – because Clam Nation was founded from Jim Dowd’s vision, but it’s really all of you.

The Blast Crater In Our Lives

KT here. I’ve been away from the Clam for a bit – had to take a break, have a baby, buy a house, adult stuff like that. But, I am back at you today.

For the worst reason.

Our beloved leader, Jim Dowd, who made up so much more than half of the Clam, has shuffled off this mortal coil.  He is no more. He has ceased to be.

We knew it was coming, he told us goodbye, but there’s only so much emotional preparation you can do in advance. The weight still hits you like a sack of dead seagulls. 

Fuck. Extra fuck. Like super fuck, for the fuck of shit, yabba dabba fucking shit, a pantry full of dicks.

Now that I’ve offended the most delicate among us by getting the majority of the profanity out of the way (IT’S WHAT HE WOULD HAVE WANTED), let’s talk about how much this sucks (spoiler: it sucks major ass) and more importantly, Clam-eulogize Jim in a way he deserves. Snarkily and with no holds barred, but with all the love in the world.

James Dowd, EGS Santa. Because you’re gonna want a Jewish Santa.

 

“Don’t say I had a brave battle with cancer,” he messaged me a few weeks back. “I just sat there and did what they told me.” And that’s basically the truth of the matter. Jim believed that we are all just along for the ride on this planet. There’s no battle of inward steeliness that can change the outcome of any random cell mutation, it’s a team of doctors throwing everything at their disposal at the problem. There’s no amount of willpower that can be mustered to overcome an aggressive brain tumor that will keep coming back. I hate that premise as well, that surviving cancer is because someone successfully drew from some well of inner strength to somehow combat cell mutation, and the rest- the ones unlucky enough to have types of cancer where the survival rates are miniscule – just laid down and died. It’s chance.

 

Jim hated the generic and ultimately useless platitudes, sorries and condolences, nearly as much as he hated Facebook comments from well-meaning acquaintances and strangers that asked if he’d tried CBD oil. In Jim’s world (and in the world of so many others around him and like him), science and the best medical staff in the US were always the answer, and if they had no answer, that was that.

 

I told Jim that when I wrote something for him, it would be full of sports references and also talk about his lifelong passion for NFL football. That guy definitely never missed a Superbowl and will absolutely not haunt me from beyond by having me miss the last stair on my trek downstairs for coffee fortnightly until I apologize for saying that.

 

But the truth is, I don’t even know where to start in explaining who Jim was as a person or what he meant to me and my family. We ended up becoming friends over a Good Morning Gloucester rant about his stolen bike wheel, and partnered up for so many things over the last 6-7 years – Snotbot, the Gloucester Clam, marketing projects for diverse clients. And we both were prolific Facebook messengers. It was rare that more than a day or two went by without a message back and forth unless one of us was out of the country (and even then), tens of thousands of them over the years, from snarky to serious, mostly about the Clam, but also advice about starting companies, buying houses, launching careers, managing friendships, and dealing with high-energy redheaded sons and the school system that tries valiantly to keep their penchant for building rockets, massive robots or trebuchets headed in a positive academic direction. 

and this. remember this?

 

I got a message on vacation last August that he was spending time with my mom, and not for a good reason. For background, my mom has worked at MGH as a Neuro ICU nurse since before I was born, and Jim was transferred into her unit. He assured me the mass they found in his brain was most likely  just a breach in the Lord of the Rings trivia containment unit, and not to worry. The surgery would remove the mass, and he also requested they remove the area that held knowledge of the Star Wars prequels.  I don’t handle things like normal people, so my course of action over the past 9 months was to keep speaking to him like nothing was wrong, and not to treat him any differently. We joked about death a lot. 

After he told me he was starting home hospice care at the end of April, the messages kept up, but as weeks passed, got harder and harder to decipher. He mused that at the end, Keith Richards and Bob Dylan appear in the room, ostensibly to explain the meaning of life and their secret to keep death at bay. He told me that once he slipped into unconsciousness, Morrissey jokes were fair game. I joked that I would keep pinging him like the Opportunity rover, until his battery was low and it got dark. And then the messages stopped.

I will forever miss having someone that i could text at basically any time of day with “ugh, these assholes” and not only would Jim immediately know which assholes I was talking about and what the assholes had said in particular, but also launch into a diatribe about why, exactly, the assholes were wrong, what they failed to grasp about this argument in particular, and how eventually they’d be replaced by robots anyway – so joke’s on them.  

There was no one in the world, no one I will ever meet again in  my lifespan, like Jim. Jim was such a larger than life person. Come to think of it, louder than life may be a better descriptor. While most humans learn to modulate the volume of their voice when they are a preteen, Jim never truly grasped that concept, much to our community’s delight and consternation. The last time I saw him in person was at the O’Maley production of Mary Poppins, where we inadvertently ended up sitting next to each other and I had to whack him to be quiet when he loudwhispered about the numerous set changes. Jim was the kind of guy Sefatia would need to tell to take it down a notch. 

Jim was a one of a kind friend – and I know everyone who has ever had the pleasure of him diving headfirst into their lives, loudly and without apology, feels the same. We’ve lost so much with his passing. He doesn’t leave holes in our lives, he leaves blast craters.

 

 

One of my favorite and most unexpectedly wholesome things about Jim was his unwavering belief that humanity could still solve the climate change crisis. During our trip to LA to film Patrick Stewart for the Snotbot Kickstarter, we ended up at a taco bar around the corner from our hotel, and the conversation over a nightcap turned to how our planet is a sauna and we’re over here squeezing our waterbottles over the coals. Myself as well as Iain, the head of Ocean Alliance, were of the opinion that this is it for us, that humanity has another 100 good years at most, that despite the brilliance of our species and the incredible feats and inventions we’ve accomplished, we won’t be able to work together to keep ourselves alive – despite all of us still trying our best. Jim, however, firmly believed that even if leadership lagged, the incessant research of the scientific community would eventually solve the issues enough to minimize the effects of global warming to continue our species beyond the next century. It’s ironic in an Alanis Morrissette sense that he got to peace out before the ending got spoiled for him.  

Jim’s ability to weave a narrative was unbelievable. I don’t know which type of posts were my favorite – angry screeds with snarky photos, or less angry, but still tough-love filled essays about how Gloucester gets to where it needs or wants to be. Jim dunked on Gloucester sometimes, but what a lot of people didn’t understand was the nuance. Jim LOVED Gloucester, and when you love something, you want what’s best for it. You have opinions about where it goes and what goes into it. Sometimes those opinions are peppered with profanity, but they’re just as valid. Thankfully, thousands of people understood his message, and those who didn’t were usually the type of person who has their profile picture wearing sunglasses in the driver’s seat of a lifted truck. Nuance is lost on them, anyway.

 

One of my favorite No Snark Sundays was a story he retold about hosting his septuagenarian aunt’s wedding to a high school sweetheart and realizing his back porch was completely rotted and filled with larvae. He had two choices: the easy way, to just block the back porch off so no one stepped through a rotted floorboard and push the repair off to some other future time, or the hard way, to completely pull up the rot and fix the deep-rooted problem. And he somehow seamlessly compared this dilemma to our country’s problem with police brutality and accountability when it comes to murdering unarmed POC. And he did it so well.

 

And so, I’ll leave you with this, from the master himself.

 

I know we say this here a lot, but it’s important to stress that we are not a frightened people. We are not afraid of terrorists, though they attack our city. We are not afraid of Ebola even though it’s foreign and scary-sounding. We’re not afraid of our kids mixing with new ideas and different social classes and cultures because this is what will make them real people not just another set of clones blithering around a mass-produced consumer culture. We are not afraid because each of us is descended from brave people who risked everything at one point or another. We owe our civilization to those who pushed back against the darkness. Who stood for justice and equality in the face of what then looked like insurmountable odds. Their blood flows in our veins and their DNA is what 3D printed us out into this crazy place and time. We have the tools. We have the people who know what needs to be done.

So take a breath. Roll up the sleeves. This is going to be hard.

But the fucking door stays open.”

 

I hope he got to see Keith Richards on his way out the door.

 

If you have a story about Jim you’d like to share, his family would love to hear it and keep these memories for his children to read. Email heyjimdowd@gmail.com with funny observations, memories, and so on. JUST NO CONDOLENCES. You don’t want to be haunted by someone that loud. 

My Plan From Here

[ed note: Jim Dowd, as many of you know, was diagnosed with a Grade IV Gioblastoma last August. He recently entered hospice care at home and is as peaceful as one Jim Dowd can possibly be. He hates condolences. His amazing wife Bo transcribed this for him. – KT]

 

Carbon has a half life of approximately three and a half thousand years.

Right now, I’m basically a big bag of grass clippings.

That grass specifically having been corn processed into the “ITO” family of products.

 

Fritos

Doritos

Tostitos

 

 

In about 3000 years the protons and neutrons and electrons from these carbon atoms will probably get picked up by the solar winds.

They’ll fly around the solar system just as they did the first dozen billion years out from the big bang. I imagine it as a carefree time.

 

 

As I am mostly carbon I imagine there is lots of useful material I could be incorporated into. Maybe structures or even potentially living things of the microbial variety.

So, if you are looking for me, you’ll most likely find me at the bottom of a yogurt in the chunky stuff.

 

I’ll try to remember to smile as I pass through.

Question 1: Forcing us all to suddenly become nurse/patient staffing ratio experts somehow?

Clam Nation, Question 1 is the November 2018 ballot question which has caused the most consternation among your Clamrades, who are pretty much split down the middle or undecided regarding the vote.

Short answer: vote yes because it will keep more people alive.

Question 1, also known as the Patient Safety Act, would mandate specific patient staffing ratios at hospitals around Massachusetts. There’s a lot of uncertainty, speculation, and rumor surrounding Question 1.

Image result for trump, l, forehead

Because we haven’t had enough of that yet, ffs

Here’s our analysis: Nurses are the front line of healthcare. For instance, if you wind up in a neuro ICU because an undiagnosed tumor in your brain just made you have full-on seizure including chewing on your tongue like a fruit roll-up, the people doing the actual work of keeping you alive (putting in lines and tubes, ordering tests, giving meds, all the actual action), will be done by nurses, not doctors.  

The pressure we currently put on nurses burns them out and they quit, especially floor nurses. Therefore: less burnout = more skilled nurses coming back to the bedside. And staffing more skilled nurses = less patient death overall because a skilled nurse is often the thing between a live patient and one stepping into a lighted tunnel going, “Granddad, you lost weight!”  

The outcome of the vote could change quite a few things around the highly-influential and science-y neighborhood that is the Massachusetts Health Care Industrial Complex, which regularly treats the sickest people in the world and gets penalized because of it (people come here literally from all over the world because they are really sick for treatment, some of them die, and we look like we’re not doing a good job).

So we would like to dissect the issue. Because that’s what nerds do. Also, we eat a lot of Fritos (unrelated). 

The Mass Nurses’ Association (MNA), our state’s most powerful nursing union, spearheaded this ballot initiative because of staffing concerns in hospitals throughout Massachusetts. There have been disagreements, even among nurses. Some are comfortable leaving things the way they are and say “This proposal undermines the flexibility and decision-making authority of nurses and puts rigid mandates above patient safety, clinical nurse input, nurse manager’s discretion, and every other consideration in a hospital.”

For hospital administrators and management staff who actually listen to floor nurses, this is great. However, would you believe some hospital administrations are more focused on the bottom line than they should be in our for-profit healthcare system? Shock, no? nursing unions exist for this reason, and we guarantee someone you love is alive because of them.

Looking at the hundred-year history of the MNA, it’s pretty interesting. And then, in 1994, it gets REALLY interesting.  With the introduction of managed care, health care systems in Massachusetts became more corporatized and, by design, pushed to get more for less. The nursing union pushed back because I mean, have you ever worked a 12-hour shift without going to the bathroom while being required to help everyone around you go to the bathroom, and then OMG there’s also a literal ream of paperwork you need to finish before you go home? That is some real Kafkaesque shit right there.

Not to mention being punched in the face, verbally abused, or possibly stabbed.

Meanwhile, in 1999, California passed AB 394, a benchmark safe staffing law similar to the one on the ballot here. In 2004, AB 394 was implemented. There isn’t anything else like AB 394 in the entire United States, so we don’t have much of a basis for comparison.

If you look at the “No on 1” website, they claim the effectiveness of mandated staffing ratios is “not scientifically proven” (right up there at the top of the page). ORLY?  Well, thank goodness after AB 394 was passed, a whole bunch of highly-credentialed folks including nurses, doctors, and policy wonks decided to study the outcomes of mandated ratios over several years.

While only 1/50 states have anything this comprehensive on the books, California is basically a country of 40 million people with a massive health care system. A quick Google search will take you to several publications touting the effectiveness of the mandated staffing ratio they implemented, even if only a little more effective than being without one. Your Google experience may vary – and always check your sources. Some hospital systems have published findings skewed in their favor.

Nurse staffing and patient outcomes: a longitudinal study on trend and seasonality” There are lots of equations and deltas and variables here, and right off the bat, the authors stipulate more research is needed. However, they found evidence that the incidences of things like falls and pressure ulcers (both of which kill people) lessen when there are more nurses on staff.

References to a study by Linda Aiken, Ph.D. RN, comparing staffing, staff satisfaction and patient outcomes in California to those in New Jersey and Pennsylvania:  
DPE Fact Sheet
UPenn’s LDI Issue Brief
Lower burnout rates = better employee longevity = more experienced nurses taking care of us over a longer period of time.

Image result for dumpster fire gif

Newark, probably

 

Some emergency room nurses are actually afraid the hospitals will make them turn patients away if this mandate is passed, which is why they’re voting no. What is particularly shocking to us is that hospital administrations would continue to spread this rumor, putting the burden of responsibility on their staff. Thankfully, since 1986, it’s been illegal for hospitals to turn people away as long as those hospitals take Medicare. Though to be fair, that requirement combined with ratios does create a potential conflict. But the law does give wiggle room for a crisis

“Question 1 would remove real-time decision-making power from nurses and caregiving teams and put it in the hands of a rigid government mandate.”

No. Just No.  Nurses exhibit real-time decision-making power all the time. Nurses need to think about notifying doctors of one person’s critical labs as they wade through blood and shit and are berated and harassed. Having fewer patients to focus on will give them more time they need to make decisions and advocate. Again, put yourself or your loved one in that bed and ask, “How much time should the nurse be given to review the critical lab results before they have to go deal with changing the fluid bag in room 5?”

If you have misgivings about government oversight of staffing, think about day care centers. Sure, a daycare provider would get more bang for her buck by having a 12:1 ratio. But would you really want to leave your kid for 10 hours with someone who has 11 other children to watch? Nah. Neither did other people, which is why Massachusetts imposed staffing regulations on licensed day care centers.

To be real, nobody in Massachusetts really knows what the health care climate here will be like if people vote in favor of mandating nursing staffing ratios. But if you end up in the hospital, do you want the nurse who hasn’t eaten in 12 hours, or the one who isn’t going into hypoglycemia as she takes your blood pressure? From this writer’s perspective (and the experience of the entire fucking state of California), more nurses = less death.

The politics behind this one are weird. The MNA fought for years to try and get some measures taken to protect their members through the legislative process, only to be outmaneuvered the whole way. So finally, they took Every. Single. Thing. on their wishlist and got it into a ballot question. If this had managed to go through the Legislature (where good ideas go to die at the hands of Speaker DeLeo) we’d probably have a common-sense system now, and not an incredibly expensive, divisive ballot question. Thanks, spineless legislature!

For a mostly balanced perspective on this topic, head over to WGBH’s take on the matter.

Last note: The final claim is regional hospitals will have to close because of mandated ratios. We can’t believe this is even an argument. Charitably, it’s the “You have to let us keep coal mines unsafe, otherwise you won’t have any coal,” line always made by billionaire coal-mine owners. Uncharitably, it’s what the passenger representative says to the press from the wing with a Kalashnikov in her back. “Just give the guys holding the plane what they want and they won’t kill us…or at least all of us.” It’s a hostage-taker argument. It’s obscene that it’s being made. We’re the richest country in the world. We can have safe regional hospitals and nurses not so exhausted they’re guaranteed to make critical mistakes. The end.

Related image

Threatening us with death: not the foundation of a productive discussion