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Thursday, August 14, 2014

Robin Williams - When a Suicide is a Cause to Celebrate Courage

   I can relate the this story and I am sure that many of you can, so I am reposting it from Dailykos. It is well worth the read.

   By Anti Fanatic on Wednesday, August 13, 2014

Suicide has touched my life personally through friends and acquaintances - and through my own attempts at suicide.  I have often heard the discussion in the aftermath of how suicide is cowardly, and selfish because of the hurt it leaves for survivors. 

Yes, it does leave hurt in the aftermath.  But sometimes, such as in the death of Robin Williams, I think we should look beyond the immediate fact of the suicide and celebrate the courage of the person who fought for so long before succumbing to the forces that drove him to suicide.

I am bi-polar, and believed when I first wrote this diary that Robin Williams had admitted to having the same condition.  After further research, I know he was believed to be bi-polar, but may never have stated that.  It really makes no difference to my views on his death.  He suffered from bi-polar or depressive disorder. I am writing in admiration of the courage it took for him to battle his condition for probably 50 years before he finally lost the battle.

This will be personal, because the struggles to deal with the bi-polar condition are personal to me.  I didn't write immediately after news of Robin Williams' suicide because it took time to organize my thoughts and feelings.

Robin Williams and I were born only a few months apart.  Bi-polar symptoms usually occur with adolescence.  I was about 13 when the voices started, and Robin Williams was probably about the same age.  That means he successfully battled his condition for 50 years.  FIFTY YEARS.  That is a very long time to fight.

Those who are not bi-polar, or afflicted with pure depression, probably can't understand what was happening in those 50 years.  I have heard family members, spouses, or friends tell me, or my family members who are in the depressive phase of our disease to just "snap out of it" or "stop moping around."  They have absolutely no idea that what they are advising is physically impossible.  A bi-polar family member once described it to me as waking up each morning of the depression and saying, "Oh, God!  Why did you let me wake up for another day just to hurt like this?"

To someone on the outside, we may have everything to live for.  From the inside of the maelstrom of the depressive episode, however, there is nothing to live for and no end in sight.  No, we are not "sane" in those periods in the sense of being able to accurately evaluate our lives.  That's why it is called mental illness.  It just hurts.  Sometimes it hurts too much to bear.

To some on the outside, such as those posting cruel comments about Robin Williams being just another druggie, our behavior may seem self-indulgent at times.  However, one of the diagnostic symptoms of the bi-polar condition is overindulgence in pleasurable activities such as sex, alcohol or drugs.  We self-medicate.  We drink to come down.  We take drugs to go up.  No, it is not the best way to cope, but sometimes it seems the only way.  And so, we struggle, as Robin Williams did, to overcome the addictions that come from those activities even as we struggle with our mental health condition.

The courage it takes to keep going, even with the overwhelming pain, even with our mind telling us that the pain will never end, is tremendous.  It is not one day at a time, or one hour at a time.  It is minute by minute.

I have always watched Robin Williams with the knowledge of his condition and a great appreciation of how he had the talent, and willingness, to take his condition and transform it into comedy and drama we enjoyed.  I don't mean that he always was manic when he performed comedy or depressed when he performed dark drama, although I'm sure he was at times.   I mean that I could see the "thinking too fast to process it all" manic energy which we have in the manic phase in his brilliant comedy.  I think he was an intelligent, self-aware man who used his experiences to craft his performances.

Of course, not all bi-polars can do anything like the brilliant performances of Robin Williams, and not all comics are bi-polar (though many others, such as Jim Carrey, are).   But, I could see Robin Williams using both his tremendous talent, and what would otherwise be seen as an affliction, and combining them to produce something extraordinary.

As I watched Robin Williams' career, I often thought of the toll it must take on him.  As bi-polars, our condition is easily affected by disruptions in our sleep patterns and stress.  Even those of us who are very stable on our medications can be thrown completely into manic or depressive swings by sleep disruption and/or stress.  All those years, he managed the long hours necessary for television or movie production.  He traveled around the country giving live shows, hopping time zones.  All of those things were additional strains on his condition.

So, I'm back to where I started.  I'm writing this in admiration for a brilliant man who had the courage to fight his condition for approximately 50 years before he lost the fight.  I'm writing in admiration of a man who did things to allow him to share his brilliant performances with us, even those things would likely aggregate his condition.

I wish he could have continued to hold off his personal demons longer.  I wish we could have had more years to enjoy him.  I wish so much that his children could have had more years with their father.  But, I recognize that he fought a good and courageous fight.

Originally posted to Anti Fanatic on Wed Aug 13, 2014

Tuesday, August 12, 2014

Non-Expanding States Will Lose $423.6 Billion In Medicaid Funding

  A public service announcement from the  Daily Kos Staff

The 24 states that have refused to expand Medicaid are losing out on some $423.6 billion between now and 2022, according to a new study [pdf] from the Urban Institute and Robert Wood Johnson Foundation. Using that data, Jonathon Cohn created an interactive map (click here to see the map actually interacting) to show how much each denying state was missing out on.

Over the next ten years Florida will lose $66.1 billion. Texas, $65.6 billion. North Carolina, $39.6 billion. Even states with small populations, like Idaho ($3.3 billion) and Wyoming ($1.4 billion) are foregoing huge amounts of funding relative to state budgets. Most of the states argue that the eventual costs of expansion will be far too high, so they are being fiscally prudent in rejecting it. This study puts that argument to rest. Here's an example from Cohn.

The Urban Institute researchers have made projections for just how much money each state is implicitly giving up by refusing to expand Medicaid. Georgia is a good example. According to the Urban report, Georgia would have to spend an additional $2.5 billion over the course of a decade in order to finance its share of the Medicaid expansion. But the state is giving up more than ten times that—$33.5 billion—in federal funds.

There's plenty else the states are missing out on, besides having a potentially healthier population. In 2015 alone, these 24 states could create 172,400 jobs and their hospitals would receive $168 billion in new reimbursements. The economic shot in the arm from Medicaid expansion could do wonders for some of these struggling states. But it's far more important to most of these Republican legislatures and governors to fight Obama.