Tuesday, October 30, 2018

Watch This Space

Siblings, I haven't been regular, much less frequent, for some time. Well, change is coming. A few of you know. More of you will know soon. By spring, many things in my life will be different.

This is good news, or will be once I've shared it more widely. It is good for me and for my Best Beloved, and we have been planning it literally for years. I haven't started something really new and (largely) unshaped in some time.

And time is part of my hope. I hope that I will have time to share more. It will shock no one to hear that over these past years I have continued to be opinionated. I have just felt reasons I couldn't share, chiefest among them time. So, I have hope that I'll have time to return to being noisy and thinking out loud.

So, watch this space.

Wednesday, August 01, 2018

What I Did on my Summer Vaca.... General Convention: Responding to the Opioid Crisis 2

I wanted to give an update on my earlier post from before General Convention. Specifically, I wanted to update readers on C037 Responding to the Opioid Crisis.

As most of my readers know, each resolution addressed at General Convention requires public testimony to the designated legislative committee. As I noted in my earlier post, I was on Legislative Committee 8 Social Justice and United States Policy, and it was our committee that addressed resolution C037.

In the testimony we heard moving testimony about the impact of the opioid crisis on individuals and families, and about how the Church might be engaged. We also heard another issue addressed. We heard about the problems of patients with chronic conditions and especially chronic pain whose access to appropriate medications was being affected by legislative and regulatory responses to the opioid crisis. In fact, this is an issue I'm also aware of. The Center for Practical Bioethics, one of our great resources in Kansas City, has had among its programs the PAINS Project. (That project has recently transferred to the Academy of Integrative Pain Management [AIPM].)

It is important to realize both concerns are accurate. There is a crisis in the United States, and especially in more economically distressed populations, in addiction to opioid drugs; and while that has turned in the last year or two from abuse primarily of prescription drugs to problems with heroin and imported synthetic fentanyl, control and proper use of the prescription drugs is important. There is also a crisis of poorly managed chronic pain, and patients who need the prescription drugs, and sometimes in unusual dosages, not only to just manage from day to day but to continue to function, to work, to participate in life.

So, when you look at the link above to the finalized language of C037, you'll see we addressed both. We retained concern about the opioid crisis, and continued the request for a task force in the Church to address it. We also acknowledged the proper uses for those drugs and called on the Church to understand and to advocate for those who appropriately need them. Really, I think we did a pretty good job of recognizing both problems, and in speaking to the Episcopal Church about the two needs.

Take a look at the final resolution. Consider how both problems are appearing in your own community, even in your own congregation. Recognize as well that sometimes that's how resolutions get "perfected:" testimony changes how your Deputies and Bishops understand an issue, and how we see God's call to the Church. 

Saturday, July 07, 2018

General Convention: Thoughts from the Floor

So, we are gathered again at General Convention. There are many matters, each of them weighty at least to someone. If you’re ever blessed to be at General Convention (and, remember, I believe every Episcopalian should spend at least some time at General Convention as a Visitor, if not otherwise), take time to watch a legislative committee. If you can be there in the first week, watch testimony. There must be an opportunity for public testimony on each and every resolution, and it is often in those committee hearings that the most moving rhetoric is heard, the most moving stories are heard.

And this morning - indeed, even now - we are considering action that could start the process of revising the 1979 Book of Common Prayer. We spent an hour on that yesterday, and will spend another half hour today. That may not sound like a lot of time for something this important, but that’s only the discussion in the House of Deputies. There has been extensive discussion, and opportunity for testimony in the legislative committee, and there will be discussion on this in the House of Bishops. And that, of course, assumes that not changes happen in the process. This starts in Deputies; and if what Deputies send is amended in Bishops, it will come back to Deputies; and if amended again, back to Bishops; and…. Well, really, that’s enough. As Convention adjourns at a fixed time, if it hasn’t been settled before that time, the measure - this or any measure -  fails for lack of completion. That’s not a shock to those of us who’ve been around a while. Each Convention many resolutions - more than 100, certainly - fall this way.

And this morning, we are considering Prayer Book revision. Yesterday many voices were heard. We couldn’t hear everyone who wanted to be heard. We had to extend time just to consider amendments, and we won’t get to all those, either. However, I don’t know that this is necessary, at least to inform the body. I listened yesterday and heard a great deal of emotion, and a number of moving stories. That said, I heard only a few themes.

  • We need to study the Prayer Book so that we can better worship with new and renewed language.
  • We need to study the Prayer Book so that we can better worship with the language we have now.
  • We need to have better translations so that new communities we are encountering can worship in their own languages.
  • We need to have better translations to serve communities already among us not yet worshiping in their own languages.
  • We need to embrace new forms in worship that will be meaningful to our children and our young people.
  • We need to hold to our current forms for our children and our young people.

If it begins to sound to others that the same points are being used to argue both for and against undertaking a process of revision - really, not even a process of revision, but a process to study revision - well, that makes sense, because that’s what it has sounded like to me. To study and understand our liturgy; to have our liturgies in our various languages “to be understanded of the people” among us and who might be among us; to speak to our children and young people: these are matters to be addressed in our liturgy, whether we revise or not.

There was, however, one further theme, and it also cut both ways.

  • I’m afraid if we revise we will lose who we are and who we have been.
  • I’m afraid if we don’t revise we will lose who we are and who we are becoming.

Personally, I think we need to pursue revision. Blessed Marion of Sewanee, when he was teaching me and my seminary about the 1976 first text that would become Book of Common Prayer 1979, he was explicit that the then existing Standing Liturgical Commission thought this a Prayer Book to be revised in 30 years. They thought indeed, as I recall, that no Prayer Book ought to last longer than 30 years, as the language was certain to change.

However, there is a different issue that concerns me, and that is fear. Whether we pursue revision or don’t pursue revision, please God do not let us be driven by fear but called to mission. To understand our liturgy as it is and as it might be; to reach the communities among us and the communities we encounter; to reach out in faith with our children and young people - all of these are wise and necessary, with or without revision. Let us pursue them, then, because God calls us to them, in whatever language.  And if we revise (and, really, sooner or later we will revise), let us, like the wise householder, take both from our old treasure and from our new. I have faith we can be who we’re becoming without losing who we are and who we’ve been. I have faith that if we go forward in faith, doing what is needed to pursue God’s mission, we will have what we need. What we will lose is what no longer services God’s mission. What we gain will be only what serves God’s mission. Who we will be will be who we need to be to pursue God’s mission - which is, really, who we are. Where we fall short is not in who God has empowered us to be, but how clearly we embrace who God has empowered us to be. Our language will change, as it changes constantly; and as a result our liturgy will change. God will not change, and will not change God’s ability to use us for God’s mission.

Friday, June 29, 2018

General Convention: Responding to the Opioid Crisis

I’m getting close to General Convention, and there are a couple more resolutions that relate to health and healthcare. One is C037 Call to Respond to Opioid Epidemic. The text is below:

Resolved, the House of _______ concurring, That the 79th General Convention call all dioceses and parishes in The Episcopal Church to respond to the opioid epidemic with training, pastoral care, advocacy, and liturgy; and be it further
Resolved, That dioceses and parishes be encouraged to: partner with First Responders and others in the medical community to host trainings on how to administer Narcan in the event of an overdose; partner with other faith communities and recovery programs in their local contexts to offer pastoral care to those affected by this epidemic; partner with other faith leaders to advocate with local and state government regarding policies and laws to promote healing and wholeness for those affected by this epidemic; and to lift up the needs of those affected by the epidemic in the Prayers of the People; and be it further
Resolved, That the 79th General Convention direct the Office of Government Relations of The Episcopal Church to advocate for the federal government of the United States to address this as public health crisis, affirming that opioid addiction is a disease, which needs adequate resources for treatment options; and be it further
Resolved, That the 79th General Convention direct the Standing Commission on Liturgy and Music to develop additional liturgical resources to address the needs and concerns of those whose lives have been profoundly affected by this epidemic.
THis is certainly not the first resolution relating to addition, including to opioids. At the same time, it is certainly timely. In addition, the call to the Standing Commission for Liturgy and Music suggests responses that are within our tradition of addressing important needs with both social and liturgical responses.

The call to make Narcan more widely available could save lives. In the hands of more professionals, and especially of those who are in the field, could be helpful indeed.  Whether that can extend beyond professionals could be debated.

However, this is a worthwhile effort. I do expect it will pass, if perhaps adapted. 

Thursday, May 31, 2018

General Convention: Disaster Resilience

I've continued to look at resolutions to General Convention that have some relation to healthcare topics. One recently added that I want to hold up is D007: Disaster Resilience Policy. As the text is somewhat lengthy, I won't copy in the whole thing, but I do encourage you to read it.

The larger points of the policy are to commend Episcopal Relief and Development in their past work of disaster relief, and to encourage dioceses and congregations, working with ERD, to develop not only short term but also longer term resources and plans to respond to disaster. That longer term response is the point of "resilience:" that to rebuild and restore after a disaster takes a long time, and a longer commitment of resources and effort.

I was, though, struck by one further sentence: "That the General Convention urge the U.S. federal government to fund and support not only immediate, but also long-term community and economic recovery from human-caused and natural disasters in the 50 States and U.S. Territories in equal treatment,...." [emphasis mine] That seems particularly apt, especially in light of the recently reported Harvard study estimating that in Puerto Rico Hurricane Maria resulted in thousands more deaths than have been reported by official agencies. The study uses the criteria of the Centers for Disease Control and Prevention (the justly-famous CDC), and reflects both those who died directly (flying debris, floods, etc.) and those who died because the healthcare and social systems around them were destroyed and not quickly rebuilt.

While there can be arguments whether responses of governments at all levels have been adequate in our recent disasters, including Maria (in 2017 territories and states of the United States were also struck by Hurricanes Harvey and Irma), there's a strong case to be made that federal resources to the states affected were significantly and proportionally greater than those provided to Puerto Rico. I can't speak to whether the response to the U.S. Virgin Islands was more similar to the states or to Puerto Rico; but the differences between that territory and the states has been widely reported and evaluated. In that light the call for equal treatment for territories as for states seems especially poignant.

By the way, please remember that the Resolutions in the Virtual Binder for General Convention are available to anyone. Link to the Virtual Binder, or link through from the General Convention web site, and you can see what's proposed. Remember that what's proposed may not be what's actually debated and voted on; but's it's where we'll start. So, take some time to look and see what might interest you.