Health-Care Fears Loom Large In Gay Marriage Cases

INDIANAPOLIS (AP) — When Niki Quasney felt a piercing pain in her ribcage in March, the oncologist treating her advanced ovarian cancer told her to get to an emergency room immediately.

But instead of making the short drive to a hospital near her home in Munster, Indiana, she drove alone for more than 40 minutes to one in neighboring Illinois. Quasney said she was “terrified” her local hospital might not allow her and her partner of more than 13 years, whom she wed last year in another state, to be together if she suffered a health emergency. Quasney and her partner, Amy Sandler, are among dozens of couples challenging Indiana’s and Wisconsin’s gay marriage bans in a case being heard Tuesday in the 7th U.S. Circuit Court of Appeals in Chicago. Looming large in the case is the issue of medical emergencies faced by same-sex couples.

Crowds of supporters attended rallies in both states Monday and boarded Chicago-bound buses to support the plaintiffs, who are suing for the right to marry or to have their out-of-state marriages recognized. They argue that powers of attorney and domestic partner registries don’t guarantee they’ll be allowed to make critical end-of-life or life-saving decisions.

No legal document, they say, can provide the same protections as a marriage certificate.

Judi Trampf said that became clear when her partner of 25 years, Katy Heyning, suffered a seizure in New Orleans several years ago. The Madison, Wisconsin, couple had health care powers-of-attorney allowing each other to make medical decisions for the other, but that paperwork was at home.

Trampf told hospital workers Heyning was her domestic partner, but she said they refused to allow her to make any decisions without the documents. When Trampf tried to answer questions for Heyning, who was having trouble responding after regaining consciousness, the hospital staff ignored her.

“That’s when I realized I really didn’t have any rights in the situation,” Trampf said in a recent telephone interview. “Heterosexual couples don’t have to pull out anything.”

Judges have overturned numerous states’ gay marriage bans since last summer, when the U.S. Supreme Court ordered the federal government to recognize state-sanctioned gay marriages. Same-sex marriage is now legal in 19 states and the District of Columbia, and the remaining state bans all face legal challenges.

Henry Greene, who along with his partner of 23 years, Glenn Funkhouser, and their son were among nearly 100 people at an Indianapolis rally, said he believes same-sex marriage will eventually be legal nationwide.

“We’re pretty confident in the final outcome,” he said. “It’s playing out pretty much like all the experts said it would.”

In Milwaukee, rally goers blew bubbles and held supportive signs as same-sex couples and their supporters boarded a bus for Chicago, where they plan to listen to Tuesday’s arguments.

Federal judges struck down the bans in Wisconsin and Indiana in June, and hundreds of couples married in the two states before those rulings were put on hold following requests by the states’ attorneys general. The cases were combined on appeal because both states’ federal courts fall under the 7th Circuit.

Attorneys for Wisconsin and Indiana will defend the bans Tuesday. Indiana’s attorney general argued in the state’s final brief ahead of the hearing that traditional marriage is in the interest of the state, while a recent brief by Wisconsin’s attorney general contends there is no fundamental right to gay marriage.

Indiana also argued it was premature to require the state to change its definition of marriage until the U.S. Supreme Court decides the issue. Attorneys for both sides expect the issue to eventually land in the high court.

The appeals court did, however, let stand a specific order by the lower court that required Indiana to recognize the marriage between Quasney, 38, and Sandler, 37, because Quasney is dying. The women, who married in Massachusetts and have 3-year-old and 1-year-old daughters, are currently the only same-sex couple whose marriage is recognized in Indiana.

Paul Castillo, an attorney for the national gay rights group Lambda Legal, which is representing the couple and several others in the Indiana case, said health care is among the central issues.

“There’s something to be said when a state recognizes a marriage and the dignity that confers on a couple who is undergoing crisis moments, not to be burdened with the possibility that when they seek emergency medical treatment or have to make decisions with regard to end of life, that those will not be honored,” Castillo said.

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Associated Press writers Todd Richmond in Madison, Wisconsin; M.L. Johnson in Milwaukee; Charles D. Wilson in Indianapolis; and Tom Coyne in South Bend, Indiana, contributed to this report.

The Crisis in Medical Research Portends a Tsunami of Disease

The Bermuda Triangle is where aircraft, ships and people disappear. That is as may be.

Another less-mysterious triangle swallows good ideas and great science, and leaves people vulnerable. It is the triangle that is formed by the way we conduct medical research in the United States, the role of the pharmaceutical industry in that research and the public’s perception, driven by political ideology, of how it works.

The theory is that the private sector does research, and everything else, better than the government. But the truth is the basic research that has put the United States ahead of the rest of the world — as a laboratory for world-changing science and medicine — has been funded by the government.

It is the government that puts social need ahead of anticipated profit. It is the government that puts money into obscure but important research. And it is the government that will keep the United States in the forefront of discovery in science and medicine.

It is no good for politicians to rant about the importance of children taking more and harder math and science courses. Before politicians open their mouths, they should look at the indifferent way in which we treat mathematicians and scientists. We treat them as little better than day laborers, called on to do work ordered by government, then laid off as political chiefs change their minds.

A career in research, whether in physical sciences (such as astrophysics) or medical sciences (such as cell biology), is a life of insecurity. Had we put the dollars behind Ebola research years ago (the disease was first identified in 1976), we would not now be watching what may become a tsunami of death raging across Africa, and possibly the world. Shame.

Any gifted young person going into research nowadays needs career counseling. They will be expected to give their all, with poor pay and long hours, to serve mankind. Then the funding will be cut or the research grant will not be renewed, and they will be on the fast track from idealism to joblessness.

You may have heard of the celebrated virus hunter, Dr. W. Ian Lipkin, director of the Center for Infection and Immunity at Columbia University’s Mailman School of Public Health, because he has been called on for expertise in Ebola. What you might not know is that Lipkin is so starved of funding that he has had to use crowdfunding to support his research on Myalgic Encephalomyelitis, the ghastly disease commonly known as Chronic Fatigue Syndrome (CFS).

Nothing is more damaging to research than funding instability. The universities and many research laboratories — including those run by the government — operate like concertinas. They expand and contract according the whim of Congress, not the needs of science, public health or American leadership.

Industry is not the answer to absent government. Pharmaceutical companies spend an astonishing amount — up to $3 billion — to bring a new drug to market. Traditionally agencies of government, particularly the National Institutes of Health, seed research where the social need is apparent or where the discoveries, like an Ebola treatment, are defensive. Big Pharma often comes in later, as the developer of a drug, not the discoverer. Discovery starts with lowly dedication.

Sometimes the cost and risk initially is just too high for private institutions to take a therapy from the laboratory to the doctor’s office. Most drugs, contrary to legend, begin in the research hospitals, the universities and in government laboratories long before pharmaceutical companies develop manufacturing techniques and shoulder the giant cost of clinical trials.

Developing new drugs has become too expensive for the private sector, according to a recent article in Nature. The magazine says the pipeline for new antibiotics, so vital in fighting infectious disease, has collapsed as Big Pharma has withdrawn. The latest to leave is Novartis, which has ceased work on its tuberculosis drug and handed it over to a charity coalition.

Government funding for medical research is now at a critical stage. It has flatlined since 2000, as medical costs have ballooned. Also, congressional sequestration has hit hard.

Stop-and-start funding breaks careers, destroys institutional knowledge and sets the world back on its scientific heels. That is to say nothing of the sick, like those with Ebola or CFS, who lie in their beds waiting for someone to do something.

David Rivkin Hired As House GOP Lawyer For Obama Lawsuit

House Administration Committee Chairwoman Candice Miller (R-Mich.) announced on Monday her committee’s hiring of David Rivkin from the law firm BakerHostetler to represent the U.S. House of Representatives in its lawsuit against President Barack Obama.

The House passed a resolution on July 30 authorizing House Speaker John Boehner (R-Ohio) to sue Obama over what House Republicans contend is the president’s inadequate enforcement of the Affordable Care Act.

“No president is above nor should operate beyond the limits of the Constitution,” Miller said in the statement Monday.

“The president must be held accountable, and the House will continue to act in an open and transparent manner to preserve, protect and defend the Constitution,” she added.

According the contract, the House will pay $500 per hour in legal fees, up to a maximum of $350,000.

Rivkin has previously represented GOP Sens. John McCain (Ariz.), Lindsey Graham (S.C.) and Kelly Ayotte (N.H.), and worked in both the Ronald Reagan and George H.W. Bush administrations. He has also spoken out before on the prospects for such a lawsuit’s success.

A CBS News poll released on Aug. 6 indicated that a majority of Americans do not agree with the House GOP lawsuit against Obama.

Why Creating Content Trumps Face-to-Face Meetings

On a recent Halloween, Caitlin Seida dressed up as Lara Croft, one of her favorite video game characters. Later that night, she posted a photo of herself to Facebook (see below). She thought nothing of it.

Little did she know that while she was asleep the photo was spreading across the Internet.

When she awoke in the morning, she quickly discovered the surprise. At first she thought it was funny. That was until she saw people’s comments (i.e., ‘Fridge Raider’ ‘What A Waste Of Space’).

This story represents people’s worst fear on social media; posting something that seemed OK in context, only to later turn into the subject of viral shaming. What makes this story scary is that it could happen to any us.

Our society is quickly moving from the broadcast era to the social media era and viral shaming is just one of the results.

However, there’s an even bigger implication. You should be aware of it, because it has a much larger impact on your life than you may realize.

The Medium Is The Message

In 1964, famous media critic, Marshall Mcluhan, coined a phrase that is just as relevant today as it was when it was shared 50 years ago: “The Medium Is The Message.”

What McLuhan meant was that the way content is delivered is actually more impactful than the content itself. However, we generally notice the impact of the content and ignore the impact of the medium.

Much has been written about social media’s impact on our attention, happiness, and our existing relationships.

However, all of these articles miss one big thing.

The broadcast era created celebrities out of musicians, actors, tv and personalities. The social media era turns us all into microcelebrities. Here’s what this means for your life.

The Surprising Power Of Tribal Ties

In 1973, Mark Granovetter published a seminal study called The Strength of Weak Ties. Defying conventional logic, his research showed that weak ties are actually more influential in parts of our lives than strong ties (e.g. getting a job).

Forty-one-plus years later, it’s time for us to consider the surprising strength of an even weaker tie, what I will call the “tribal tie.

Weak and strong ties are people we personally know through one-on-one interactions. Tribal ties are people we don’t know, but who follow us (fans).

Tribal ties are built by creating useful content (art, photos, articles, books, music, videos, social media posts, etc.). This includes everything from a photo on Facebook, a podcast on iTunes, a video on Youtube, to a long-form article on Medium. Your tribal ties are your fans who resonate with the content you put into the world.

The professional implication of tribal ties is a large tribe of people who form the foundation of and receive the benefit of everything we do throughout our career. They help to co-create, fund, and spread what we release into the world.

The personal implication is a richer life that attracts diverse perspectives and meaningfully impacts many thousands.

Just as we all invest in our relationships with strong and weak ties throughout our life, we can invest in our tribal ties by creating content.

Here’s why you should consider making that investment…

Why Everyone Should Always Invest In Their Tribal Ties

I know that this is a long shot, but does anybody happen to know a CEO of a NASDAQ or NYSE listed company?

This was the beginning of a recent request I made to my Facebook network for our upcoming Empact Showcase event. I put it up as a last resort. I figured I wouldn’t get a response. Surprisingly, I got many within a few hours.

Even more surprisingly, most of the people that offered help, including the person that ultimately helped, were people that I didn’t know or that I met in passing.

Ultimately, Liana Taylor, who works at NASDAQ and who I met briefly after a speaking engagement in 2005, responded with the winning introduction. When I asked her why she helped, she responded:

I felt that this is something where I could help. Honestly I didn’t have an end goal in mind. I love to connect people and help when I can.

As far as why you specifically? I don’t go out of my way helping people who I don’t like or respect although if it’s a life or death situation, I would help anyone. After being Facebook friends with you for many years, I think I’ve gotten a peek at your character (or maybe you just put on a good show), which I like and respect. Given this, if there is something I could help you with, I’ll do it any day and don’t really need anything in return.

This one example illustrates the power and serendipity of tribal ties when you consistently create and share content that reflects your character and shares your insights.

The Amazing and Unexpected Scale And Impact Of Creating Content

Over the past year, I’ve written extensively on the art and science of building authentic relationships. I’ve written about the power of everything from cultivating one-on-one relationships and making introductions to organizing dinners. I’ve interviewed many of the world’s top relationship builders and researchers and then applied what I’ve learned in order to share the most powerful ways to build relationships. Ironically, what I’ve found to be most impactful has been the act of writing itself.

How could I miss something that was right in front of me for all along?

The answer is that I never looked at writing as a form of relationship building, and it’s not surprising why. As I write these words, I’m sitting alone in my living room. It feels like the opposite of ‘true’ relationship building that I’ve grown up with; real-time conversation.

However, I’m not sure that my 5-year-old daughter and 3-year-old son will grow up with this same bias. A lot of the communication in their lifetime will be through social media. Many of the words they write, pictures they share, and videos they upload will not be in real-time, and the recipients will be unknown in advance.

As I’ve let go of my pre-existing definition of what an authentic relationship is, I’ve learned one important lesson. What creating content lacks in one-on-one connection, it more than makes up for in size, impact, action, and depth:

  • Content Scale Exponentially More Than One-On-One Relationships. There is no more scalable way to share who we are with the world than creating content. Each in-person meeting you have takes time to have and to upkeep afterwards. Content doesn’t. We don’t have to write a new article for each person we meet. Our tribal ties have the potential to be several orders of magnitude larger and more diverse than our weak and strong ties.

    For example, it likely that 10,000 people will eventually read this article. Let’s assume that the average person spends two minutes reading it. Timewise, that’s equivalent to spending over 8 weeks connecting with people one-on-one.

  • Even Though Content Isn’t Personal, It Can Be Life-Changing. Are there any books, articles, interviews, or songs that have changed your life? Sharing your insights and personal experiences can be deeply transformative for someone’s life even if you don’t interact with them personally.

    Because content is asynchronous, it gives us a lot of time to refine what we truly want to say and make sure it has the most impact. It’s taken me over 30 hours to write this article, and it will only take you a few minutes to read it. It is the culmination of many hours of research, interviews, writing, reflection, and feedback. There is no way that I could have spontaneously shared everything in a conversation.

  • Tribal Ties Sometimes Help You More Than You’re Closest Friends. Counterintuitively, sometimes the people who are closest to us, are not our biggest fans. One doesn’t have to to look further than the early stages of a romantic relationship to understand this. Someone in the courtship stage goes out of their way deepen the relationship in a way that the average married couple does not. In the same way, a superfan, someone who doesn’t really know us at all might be the first person in line when we release anything new or publicly ask for help on a project.
  • Content Deepens Relationships With People You Already Know. Writing has not only helped me build tribal ties, it has unexpectedly led to the dramatic deepening of my relationships in two ways. First, my writing has often preceded my first meeting with someone. This means that the meeting starts with trust and respect. Second, it has accelerated my relationships with people I already know. It has done this by helping them learn more about other parts of my journey and the lessons I’ve learned along the way that I might not normally bring up in conversation.

The Invisible Tie That Can Make Or Break Us

The increasing importance of tribal ties can be easy to miss. Most social media users are observers, so they’re invisible. However, underestimate these ties at your own peril.

We often realize the power of our tribal at the extremes; when something we create spreads virally into a virtual shame storm or a positive story that deepens the network as was the case with Caitlin Seda.

Caitlin’s story has an happy ending. After a period of shock and depression, she decided to write an article for Salon.com that actually became more viral than the original photo of her. In the article, My embarrassing picture went viral, she owns her experience fully, even going so far as to repost the photo. She ends the article with sharing her lessons learned, “But I refuse to disappear. I still go jogging in public. I don’t hide my flabby arms or chubby ankles for fear of offending someone else’s delicate sensibilities. I dress in a way that makes me happy with myself. And this Halloween, I’m thinking of reprising my role as Lara Croft just to give all the haters the middle finger.”

The content we create will increasingly play a fundamental role in how we build relationships. It is often our first impression for people we’ve never met and our second impression after we’ve met someone for the first time.

Face-to-face meetings will continue to be the best way to build deep emotional one-on-one relationships. However, creating content trumps face-to-face meetings for building tribal ties. People already understand the power of face-to-face meetings, but they rarely understand the importance consistently creating content. By creating useful content, we all have an opportunity to not only deepen our weak and strong ties, but also to build an entirely new network of tribal ties that play a critical role throughout our entire life.

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This article is the first in a series in how to create content that builds authentic relationships. Upcoming articles will focus on digital storytelling, how to share your unique insights, and how to interact with your tribal ties. To receive those articles, subscribe to Michael Simmons’ newsletter.

Ferguson, Missouri

To understand what happened in Ferguson, nothing is more important than appreciating the extent of the political alienation that exists in that suburban community. With a population of 21,205, Ferguson is 65 percent African-American. Its voter participation rate was a shocking 12.3 percent in 2014, and was even lower in 2012 and 2013.

This political disaffection is not an aberration. In her book, Trust in Black America, Shayla C. Nunnally reports that survey data shows that “Blacks are more likely than any other racial group to report trusting local government ‘hardly ever.'” Dubious about the intentions and efficacy of government, especially at the municipal level, there is a logic to individuals choosing not to vote. The downside of that logic however is obvious. In the absence of the exercise of Black electoral power, Ferguson’s mayor, five of six members of its City Council and almost all members of its police force are White.

Obviously increased political engagement by the Black population is required to correct the racial imbalance of power that exists in Ferguson. The political under-representation of the city’s Black population provided the context for Michael Brown’s killing. Hence the call by the Rev. Al Sharpton and others for people in the city to register to vote. But that call will be a hard sell. A vicious circle is at work in Ferguson. Already existing deep distrust was further intensified by Brown’s death.

Nunnally writes that trust is “the glue that makes democracy work.” 2 In that perspective, trust — the belief that the political system will effectively address the population’s needs — has to increase before there will be a turn-around in Black voter participation in Ferguson. A vibrant democracy in that city awaits its majority population coming to believe that candidates they can trust — who represent their views — are able to run for office.

In our private-money driven political system that is not likely to happen. It is hard to envision the residents of Ferguson providing the funding that would allow such a candidate to run a winning campaign. Ferguson is a low income community. Almost half (46.5 percent) of households report annual earnings of $34,999 or less. Its median household income of $37,517 is 20 percent lower than the median for the state of Missouri as a whole. These are not people who can afford to finance winning political campaigns, even if they desired to do so. Without funding from an extensive network of local residents, successful races for office will either have to be paid for by office-seekers who use their own personal wealth or by donations from high income individuals. Neither situation is likely to create the trust that an upsurge in voting requires.

There are no easily available data to test the hypothesis that the residents of Ferguson are unable to provide the funding that would be necessary to create political trust. But indirect evidence in support of this pessimistic assessment is provided by the career of William L. Clay Jr., a Democrat whose First Congressional District includes Ferguson. Clay was first elected in 2000, succeeding his father who served in the House for 32 years. According to the Center for Responsive Politics (CRP), Representative Clay has collected about $4.5 million in campaign contributions over those years. What is of interest in the present context is that the CRP tabulates the sources of those funds by zip codes, and lists the top twenty sources of Clay’s funding. Ferguson is absent from the list. Fourteen of the top 20 zip codes are in St. Louis. Only five are in the same county as Ferguson and one is in Miami Beach, Florida. Of course, running for local office in Ferguson is much less expensive than is mounting an electoral campaign for the House of Representatives. Nevertheless Representative Clay’s fund-raising experience does suggest that political money is hard to come by in Ferguson.

More generally, Ferguson illustrates the way that a political system dependent on private financing marginalizes the poor. Low income people cannot provide the resources necessary for electoral success. As a result they are deprived of influence. This then means that they come up short in the resources and policies that flow from political decision-making. Political alienation grows, reinforcing their political marginalization.

When all of this is put in the larger national context of income stagnation for most households, while the incomes of the super rich have increased exponentially, it becomes clear why there has been no effective national political push back to growing income polarization. The circular causation that deprives the residents of Ferguson of influence in municipal politics occurs at the state and federal level as well. The people who are hard pressed economically vote less and contribute much less to political campaigns than those who are prospering. The unfair pattern of policy-making that follows is entirely predictable.

Thus it is that on a micro-level Ferguson demonstrates what is needed nationally to turn the country in a more egalitarian direction. We need a public campaign financing system that breaks into the vicious cycle of alienation that is eviscerating democracy.

Amazing 1960s Predictions About Satellites, Email, and the Internet

Amazing 1960s Predictions About Satellites, Email, and the Internet

It’s hard for many of us living here in the early 21st century to imagine a world without satellites. Well, in fairness, we don’t really think about satellites at all. Much like electricity or tap water, we only remember how vital they are when they stop working. Our GPS devices, smartphones, and modern military infrastructure all depend on satellites.

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A Single Android App Is Crippling the Nat'l Weather Service's Website

A Single Android App Is Crippling the Nat'l Weather Service's Website

If you’ve been trying to look up your forecast on the National Weather Service’s website this afternoon, you may have noticed that the forecasts are days out of date or not loading at all. Apparently, this is the result of a single “abusive” Android app overloading the agency’s servers.

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A Guide to the Golden Age of Corporate Logo Design

A Guide to the Golden Age of Corporate Logo Design

NASA. Audi. ABC. Lufthansa. The MTA. Beginning in the 1960s, some of the world’s best-known corporate entities were immortalized thanks to the work a group of graphic designers who were responsible for introducing to the notion of “branding.” And now, there’s an anthology that collects them all in one place.

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The NSA Made Its Own Google to Help Share Your Data with Cops

The NSA Made Its Own Google to Help Share Your Data with Cops

Well, here’s timely NSA revelation for you: The Intercept reports that the spy agency built a “Google-like” search engine for its seemingly bottomless cache of data on persons of interest. This tool allows the spy agency to share over 850 billion records with nearly two dozen U.S. government organizations, including the FBI and the DEA.

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This Clever Image Search Could Change The Way You Find Pictures Online

This Clever Image Search Could Change The Way You Find Pictures Online

Compared to searching for text, searching for images is super hard. But a new way to index and navigate through averaged images—those blurry composites that pull together millions of images into one—could radically change the way that we search for photos or products online.

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