Tag Archives: Community health

What If: Will the United States Become Less Centralized? . by Alice B. Clagett *

Written and published on 6 December 2019
Prior title: What If the United States Became Less Federal and More Regional in Government? 

  • ECONOMIC STRESSORS THAT MAY LEAD TO DECENTRALIZATION OF THE UNITED STATES GOVERNMENT
  • CAVEATS REGARDING POSSIBLE LOCI OF SOCIAL UNREST
  • ON MAINTAINING A POSITIVE ATTITUDE IN THE FACE OF CHANGE
  • POSSIBLE FUTURE UNITED STATES ECONOMIC REGIONS AND TRADE REGIONS
    • HIV Pandemic Economic Stressor 1: One Eastern Economic Region Including the Southern States and the Eastern Seaboard
    • HIV Pandemic Economic Stressor 2: An Eastern Seaboard Economic Region and a Southern Economic Region
    • Western Economic and Cultural Stressors: Northwest Economic Region and California Central Valley Economic Region
    • Jade Helm Stressors: A Utah-Colorado Trade Region; a Texas Trade Region; a Mexican Trade Corridor; and a Florida-Caribbean Trade Corridor
    • Southwestern Arid Region: Small Town and Native American Reservation Citadels
    • Central Breadbasket Economic Region
    • Possible Future Capital Cities of the United States
  • FOR MORE INFORMATION
    • ECONOMIC AND HISTORICAL STRESSORS
      • Civil War Historical Stressor
      • Dust Bowl Economic Stressor
      • Historical Expansion Stressor
      • HIV-AIDS Pandemic Stressor
      • Jade Helm Economic Stressor
      • Rainfall – Aridity Economic Stressor
    • SURVIVAL FACTORS
      • Nuclear Power Plants and Seismic (Earthquake) Safety Survival Factor
      • Post-Nuclear-War Survival Factor
    • TRANSPORTATION
      • Longest United States Hiking Trails
      • Native American Trade Routes
      • Railroad Lines

Dear Ones,

ECONOMIC STRESSORS THAT MAY LEAD TO DECENTRALIZATION OF THE UNITED STATES GOVERNMENT

I have some thoughts on the state of the nation. Intuitively, I sense economic stressors that may gradually lead to our Federal government taking a lesser role in the governance of the United States, compared to regional alliances of states. I see the Federal government continuing to provide military defense, social security payments, and leadership in foreign affairs. I also see states taking more initiative in economics for their regions.

As to trade, I see future reliance on established railroad routes and water routes such as the Mississippi river. I anticipate that, should there be a gradual lessening of Federal power, then there might be more trade within an economic region, and less trade globally and nationally.

As to finance, I see potential reliance on barter, with care no to place our financial assets in overseas locations. Local-employment based credit unions may come into favor as regional savings repositories.

There may be more reliance on those economic sectors that hold strong during recessions … such as locally grown food, locally obtainable building materials, and water supplies not piped in over long distances.

As to economic stressors, I suggest the economic impact of the HIV pandemic, stress of regional aridity due to long-distance water transport costs,

A socially disruptive stressor is handheld psychosis, which may lead to chaotic events such as mass murders and actions by public utilities and military regarding perceived dangers that do not truly exist. This might precipitate social unrest in regions of the United States pinpointed by the Jade Helm exercises.

CAVEATS REGARDING POSSIBLE LOCI OF SOCIAL UNREST

In United States cities, the high cost of housing and the increasing phenomenon of homelessness may lead to social unrest and attempted land grabs through anarchist behavior; this is something for which, I feel, every large city mayor and every state government ought to have on hand emergency action plans. For states in arid regions, emergency anti-anarchist plans ought, I feel, to highlight security of water transport systems. Electrical grids, I feel, might also be an anarchist target.

We people in large United States cities can be of big help in creating peaceful environments for our children by offering our law enforcement departments volunteer help through neighborhood watch programs.

ON MAINTAINING A POSITIVE ATTITUDE IN THE FACE OF CHANGE

It seems unlikely to me that anything would happen in a moment; rather I feel that the United States might very slowly tend towards a model of government more akin to the state by state model of our early years as a nation. We may find, in future, that traveling from one state to the next is a refreshingly new experience. Not everyone may be watching the same thing on television every night anymore; there may be less airline flights from here to there; and so the natural flavor and local color of each region of the United States may become more striking to the casual tourist.

In addition, it may be that some regions of the United States may be more perilous for tourist travel, as was the case for travelers in the early years of our nation.

I realize the prospect of change can be unsettling. It is good to keep in mind that changes such as those spoken of above … if, indeed, change there be … would in all likelihood take place by slow stages, over the course of the next century or two. Thus I feel certain there would be plenty of time to make our plans and find our footing in the new.

POSSIBLE FUTURE UNITED STATES ECONOMIC REGIONS AND TRADE REGIONS

Below are some maps I have adapted to show possible United States economic regions and trade regions of centuries to come. I would be interested on your comments regarding this intriguing topic of the eventual possibility that the United States government might become less centralized, and more imbued with local flavor and with the strong spirit of our local communities.

HIV Pandemic Economic Stressor 1: One Eastern Economic Region Including the Southern States and the Eastern Seaboard

Image: “HIV Pandemic Economic Stressor 1: One Eastern Economic Region Including the Southern States and the Eastern Seaboard,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 … DESCRIPTION: To the right of the white line, One Eastern Economic Region including the Southern states and the Eastern Seaboard … CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons …

Image: “HIV Pandemic Economic Stressor 1: One Eastern Economic Region Including the Southern States and the Eastern Seaboard,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 …

DESCRIPTION: To the right of the white line, One Eastern Economic Region including the Southern states and the Eastern Seaboard …

CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg  … CC BY-SA 3.0 Unported

HIV Pandemic Economic Stressor 2: An Eastern Seaboard Economic Region and a Southern Economic Region

Image: “HIV Pandemic Economic Stressor 2: An Eastern Seaboard Economic Region and a Southern Economic Region,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 … DESCRIPTION: To the right of the white line, the earlier Eastern Economic Region divided by the yellow line into two smaller regions: an Eastern Seaboard Region and a Southern Region  … CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg  … CC BY-SA 3.0 Unported

Image: “HIV Pandemic Economic Stressor 2: An Eastern Seaboard Economic Region and a Southern Economic Region,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 …

DESCRIPTION: To the right of the white line, the earlier Eastern Economic Region divided by the yellow line into two smaller regions: an Eastern Seaboard Economic Region and a Southern Economic Region  …

CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg  … CC BY-SA 3.0 Unported

Western Economic and Cultural Stressors: Northwest Economic Region and California Central Valley Economic Region

Image: “Western Economic and Cultural Stressors,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 … DESCRIPTION: Along the Pacific Coast, two regions delineated by white lines. To the north is the Northwest Economic Region, including the parts of Washington state and Oregon with good rainfall. To the South is the California Central Valley Economic Region (also with good rainfall) … CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg … CC BY-SA 3.0 Unported

Image: “Western Economic and Cultural Stressors: Northwest Economic Region and California Central Valley Economic Region,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 …

DESCRIPTION: Along the Pacific Coast, two regions delineated by white lines. To the north is the Northwest Economic Region, including the parts of Washington state and Oregon with good rainfall. To the South is the California Central Valley Economic Region (also with good rainfall)  …

CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg  … CC BY-SA 3.0 Unported

Jade Helm Stressors: A Utah-Colorado Trade Region; a Texas Trade Region; a Mexican Trade Corridor; and a Florida-Caribbean Trade Corridor

Image: “Jade Helm Stressors: A Utah-Colorado Trade Region; a Texas Trade Region; a Mexican Trade Corridor; and a Florida-Caribbean Trade Corridor,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 … DESCRIPTION: Circled in yellow are two possible regions that might secede from the Union, but with which reciprocal trade agreements might be negotiated. Topmost is a Utah-Colorado Trade Region (which might be divided into two separate areas based on dominant religion). Lower and to the right is a Texas Trade Region comprising what is now eastern, central, and northern Texas. Then there are two southern regions delineated in white These are regions that might lean favorably towards alliance with Mexico, but with which we might anticipate establishing reciprocal trade agreements. To the left is a Mexican Trade Corridor comprising California from Los Angeles and to the south; the lower halves of Arizona and New Mexico, and the southwestern part of Texas. To the right is the state of Florida, which might lean favorably toward the Caribbean countries, but with which we might anticipate establishing reciprocal trade agreements; this I term the Florida-Caribbean Trade Corridor … CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg … CC BY-SA 3.0 Unported

Image: “Jade Helm Stressors: A Utah-Colorado Trade Region; a Texas Trade Region; a Mexican Trade Corridor; and a Florida-Caribbean Trade Corridor,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 …

DESCRIPTION: Circled in yellow are two possible regions that might secede from the Union, but with which reciprocal trade agreements might be negotiated. Topmost is a Utah-Colorado Trade Region (which might be divided into two separate areas based on dominant religion). Lower and to the right is a Texas Trade Region comprising what is now eastern, central, and northern Texas.

Then there are two southern regions delineated in white These are regions that might lean favorably towards alliance with Mexico, but with which we might anticipate establishing reciprocal trade agreements.

To the left is a Mexican Trade Corridor comprising California from Los Angeles and to the south; the lower halves of Arizona and New Mexico, and the southwestern part of Texas.

To the right is the state of Florida, which might lean favorably toward the Caribbean countries, but with which we might anticipate establishing reciprocal trade agreements; this I term the Florida-Caribbean Trade Corridor …

CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg … CC BY-SA 3.0 Unported

Southwestern Arid Region: Small Town and Native American Reservation Citadels

Image: “Southwestern Arid Region: Small Town and Native American Reservation Citadels,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 … DESCRIPTION: Circled in white is the large Southwestern Arid Region, which might move to more local forms of small town government … as well as continuing with Native American Reservation governments … should the nation become less centralized. These include the Great Basin, the Great Rocky Mountains, and the western portion of the Great Plains … CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg … CC BY-SA 3.0 Unported

Image: “Southwestern Arid Region: Small Town and Native American Reservation Citadels,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 …

DESCRIPTION: Circled in white is the large Southwestern Arid Region, which might move to more local forms of small town government … as well as continuing with Native American Reservation governments … should the nation become less centralized. These include the Great Basin, the Great Rocky Mountains, and the western portion of the Great Plains …

CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg … CC BY-SA 3.0 Unported

Central Breadbasket Economic Region

Image: “Central Breadbasket Economic Region,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 … DESCRIPTION: Circled in green is a Central Breadbasket Economic Region, with plentiful rainfall and good river transportation. This includes the eastern portion of the Great Plains, as well as the area south of the Great Lakes, west of the Appalachians, and north of the Southernmost states … CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg … CC BY-SA 3.0 Unported

Image: “Central Breadbasket Economic Region,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 …

DESCRIPTION: Circled in green is a Central Breadbasket Economic Region, with plentiful rainfall and good river transportation. This includes the eastern portion of the Great Plains, as well as the area south of the Great Lakes, west of the Appalachians, and north of the Southernmost states …

CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg  … CC BY-SA 3.0 Unported

Possible Future Capital Cities of the United States

Image: “Possible Future Capital Cities of the United States,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 … DESCRIPTION: The current capital of the United States is Washington DC (numbered ‘0’ on the map). Because of the AIDs crisis in Washington DC, and because our nation’s capital was once Lancaster PA, I suggest eventual relocation of the Capital back to Lancaster (numbered ‘1’ on the map). Farther out in time, it may be that Saint Louis, MO (labeled ‘2’) would prove a good location for our nation’s capital … CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg … CC BY-SA 3.0 Unported

Image: “Possible Future Capital Cities of the United States,” adapted by Alice B. Clagett, 6 December 2019, CC BY-SA 4.0 …

DESCRIPTION: The current capital of the United States is Washington DC (numbered ‘0’ on the map). Because of the AIDs crisis in Washington DC, and because our nation’s capital was once Lancaster PA, I suggest eventual relocation of the Capital back to Lancaster (numbered ‘1’ on the map). Farther out in time, it may be that Saint Louis, MO (labeled ‘2’) would prove a good location for our nation’s capital …

CREDIT: The topographic map is “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg  … CC BY-SA 3.0 Unported

In love, light and joy,
I Am of the Stars

FOR MORE INFORMATION

Below are maps I studied while writing this blog …

ECONOMIC AND HISTORICAL STRESSORS

Civil War Stressor

Image: “ United States map of 1861, showing affiliation of states and territories regarding secession from the Union at the start of the American Civil War,” by Júlio Reis, 23 February 2007, from Wikimedia Commons … This file is licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license. Legend: Brick red: States that seceded before April 15, 1861; Bright red: States that seceded after April 15, 1861; Yellow: States that permitted slavery, but did not secede; Blue: States of the Union where slavery was banned; Grey: U.S. territories, under Union Army control.

Dust Bowl Economic Stressor

Image: Map of states and counties affected by the Dust Bowl [1930s], sourced from US federal government dept. (NRCS SSRA-RAD).svg … “Based only on that PNG image. I made this file primarily using QGIS, and the following public domain [ … https://www.census.gov/geo/maps-data/data/tiger-cart-boundary.html shapefiles from census.gov] by Soil Science and Resource Assessment, Resource Assessment Division (NRCS SSRA-RAD) (Division of the U.S. Dept. Of Agriculture), 15 January 2012, from Wikimedia Commons … This work is in the public domain in the United States because it is a work prepared by an officer or employee of the United States Government as part of that person’s official duties under the terms of Title 17, Chapter 1, Section 105 of the US Code.

Historical Expansion Stressor

Image: “This is a map showing state land claims and cessions from 1782-1802 that I made. The disputed territory between New Hampshire and New York formed, in 1777, the independent country of ‘New Connecticut’ (later renamed ‘Vermont’) which eventually gained admission as the 14th state in 1791. Boundary disputes between states that were resolved before U.S. independence are not shown,” by Kmusser, in Wikimedia Commons.This file is licensed under the Creative Commons Attribution-Share Alike 2.5 Generic license.

This image or file is a work of a United States Census Bureau employee, taken or made as part of that person’s official duties. As a work of the U.S. federal government, the image is in the public domain.

HIV-AIDS Pandemic Stressor

Image: “Map infographic displaying rates of HIV Diagnosis in the United States based on 2017 CDC data, published by the CDC in February of 2019,” United States Centers for Disease Control, 1 February 2019, Source: https://www.cdc.gov/hiv/images/statistics/overview/geography/hiv-us-map-2017.png … in Wikimedia Commons … https://commons.wikimedia.org/wiki/File:Hiv-us-map-2017.png … This work is in the public domain in the United States because it is a work prepared by an officer or employee of the United States Government as part of that person’s official duties under the terms of Title 17, Chapter 1, Section 105 of the US Code.

Jade Helm Economic Stressor

Image: “U.S. Army Special Operations Command map, depicting the US military plans during the Jade Helm 15 exercise,” by U.S. Army Special Operations Command, 31 March 2015, Source: https://www.washingtonpost.com/news/checkpoint/wp/2015/03/31/why-the-new-special-operations-exercise-freaking-out-the-internet-is-no-big-deal/ … This image is a work of a U.S. Army soldier or employee, taken or made as part of that person’s official duties. As a work of the U.S. federal government, the image is in the public domain.

The above map leaves out Florida, Louisiana, and Mississippi, which were mentioned as being part of the Jade Helm 15 exercise here: “The joint exercise in realistic military training (RMT) known as Jade Helm 15[2] was sponsored by the United States Special Operations Command (USSOCOM or SOCOM)[3] and involved the United States Army Special Operations Command (USASOC) and Joint Special Operations Command (JSOC) with other U.S. Military units in multiple states, including Texas, Arizona, Florida, Louisiana, Mississippi, New Mexico, and Utah.” –from Link: “Jade Helm 15 conspiracy theories,” in Wikipedia … https://en.wikipedia.org/wiki/Jade_Helm_15_conspiracy_theories ..

This map of the Jade Helm exercises includes the states missing in the map above … Link: “Other information (unconfirmed) suggests that Jade Helm is geographically larger (10 states), involves larger forces and has already started,” in Citizens Journal … https://www.citizensjournal.us/wp-content/uploads/2015/05/jadehelmother.jpg ..

Rainfall – Aridity Economic Stressor

Image: “USA topo en.jpg [USA Topographical Map], from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:USA_topo_en.jpg … CC BY-SA 3.0 Unported

SURVIVAL FACTORS

Nuclear Power Plants and Seismic (Earthquake) Safety Survival Factor

Image: “”Map prepared for CRS report for Congress: Andrews, Anthony, 2011 ‘Nuclear power plant design and seismic safety considerations’ Library of Congress Congressional Research Service report R41805, May 2, 2011, Washington. p. 22, fig. 8.” Available also through the Library of Congress Web site as a raster image. Includes list of nuclear reactors with statistics. 2011. Source: https://www.loc.gov/item/2011594649/ … from Wikimedia Commons … https://commons.wikimedia.org/wiki/File:Operating_nuclear_power_plant_sites_vs._seismic_hazards_in_terms_of_percent_gravitational_acceleration_-_(United_States)_LOC_2011594649.jpg …. This work is in the public domain in the United States because it is a work prepared by an officer or employee of the United States Government as part of that person’s official duties under the terms of Title 17, Chapter 1, Section 105 of the US Code.

Post-Nuclear-War Survival Factor

Link: “The effects of a theoretical nuclear war in the USA – includes fallout, power outages, relief efforts, and more,” in Reddit … https://external-preview.redd.it/xyL0-MpSdZbu794s_N3NtCzySubUaitc9MoGcv_i7b0.jpg?auto=webp&s=c4630e18ef94d0ddf0c5759d3cf5d93222fcc9e4 ..

TRANSPORTATION

Longest United States Hiking Trails

Image: “Long Distance Hiking Trails in U.S.,” by ZeroGram …  https://cdn.imweb.me/upload/S201905065ccffe1baee08/5c94f72b9fa12.jpg ..

Link: “Long-Distance Trails in the United States,” by English Wikipedia … https://en.wikipedia.org/wiki/Long-distance_trails_in_the_United_States ..

Native American Trade Routes

Image: “Smithsonian Institution map of native American trade routes through a little of Mexico, some of Canada and the United States” … https://pbs.twimg.com/media/DNFnMn-XUAAXDqH.jpg ..

Railroad Lines

Image: “This is a map of the Class I Railroads I made using DOT data,” by Kmusser, 9 August 2006, in Wikimedia Commons. This file is licensed under the Creative Commons Attribution-Share Alike 2.5 Generic license.

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United States, government, economics, travels in the United States, history, geography, politics, social unrest, Jade Helm, community health, HIV pandemic, AIDS pandemic, homelessness, handheld psychosis, my favorites, future,

Call for Action: Lower the Cash Price for HIV Medicines in California . by Alice B. Clagett

Written and published on 6 December 2019

Dear Ones,

Here are rough notes on the need to lower the cash price of HIV medicines in California …

As the lifetime treatment of HIV is about $367,000, and as I estimate the lifetime wage of the average American to be about $461,000, it is clear that the HIV bloom nationwide will make it difficult for families that test positive for HIV to meet their medical expenses.

In addition, there may come a time when Obamacare is compromised with regard to providing HIV and AIDS medicines to Americans. In advance of such a possibility, I suggest looking into lowering the cost of AIDS medicines so that they may be affordable to HIV-compromised patients, as cash outlay, and even without the relief of having medical insurance.

The question is, how may drug companies be prevailed upon to lower their costs so that they are affordable? Maybe our California legislature will come up with an answer for us? My prayer is that they may.

In love, light and joy,
I Am of the Stars

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Creative Commons Attribution-ShareAlike 4.0 International License

Except where otherwise noted, “Awakening with Planet Earth” by Alice B. Clagett … https://awakeningwithplanetearth.com … is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0) … https://creativecommons.org/licenses/by-sa/4.0/ ..

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healthcare, HIV pandemic, community health, health, United States, California, Western medicine,

Call to Action: Annual HIV or AIDS Tests for Women. by Alice B. Clagett

Written and published on 6 December 2019

Dear Ones,

Recently I looked over a very good study which states that lifetime risk of HIV infection in the United States is 1 in 68 for men and 1 in 253 for women …

Link: “Lifetime Risk of a Diagnosis of HIV Infection in the United States,” by Kristen L. Hess, PhD, MPH, Xiaohong Hu, MS, Amy Lansky, PhD, MPH, Jonathan Mermin, MD, and H. Irene Hall, PhD, MPH, HHS Public Access Author Manuscript, Ann. Epidemiol. published in final edited form as: Ann Epidemiol. 2017 April ; 27(4): 238-243, doi:10.1016/j.annepidem.2017.02.003 … https://stacks.cdc.gov/view/cdc/46891/cdc_46891_DS1.pdf?This is a pdf file.

What am I missing here? Is it not true that most men in the United States date women? Do one in three United States men never date women, but only distribute HIV infection amongst their subgroup?

It seems to me more likely that the lifetime risk of HIV infection amongst United States women is about the same as that for men, but that because the medical profession guidelines for subgroups at risk are faulty, women are not being tested for HIV infection concomitantly with their level of risk.

My suggestion is this: That the medical profession suggest to each patient … whether man, woman or child … that they be tested for HIV (or for AIDS, if they are already HIV-positive), as part of the annual wellness checkup.

n love, light and joy,
I Am of the Stars

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calls to action, Western medicine, health, Community Health, HIV, AIDS,

 

Community Health Call to Action: HIV Testing and Segregation in Health Care and Education? . by Alice B. Clagett

Written on 4 December 2019 and published on 5 December 2019

  • CALL FOR HIV TESTING AND SEGREGATION OF HIV-POSITIVE HEALTH CARE PROVIDERS IN SENSITIVE HEALTH CARE SECTORS
  • CALL FOR HIV TESTING AND SEGREGATION OF HIV-POSITIVE CHILD CARE, DAY CARE AND GRADE SCHOOL CARE GIVERS, EDUCATORS, AND CHILDREN

Dear Ones,

There is, I feel, an urgent need here in the San Fernando Valley, California,for testing and segregation of HIV-positive people in sensitive health care and education sectors  as follows …

CALL FOR HIV TESTING AND SEGREGATION OF HIV-POSITIVE HEALTH CARE PROVIDERS IN SENSITIVE HEALTH CARE SECTORS

In addition, at the present moment it is of great importance to monitor the HIV status of United States physicians, especially surgeons  and others who perform invasive procedures, and the HIV status of phlebotomists (medical technicians who draw blood).

We must decide, community by community, whether those in sensitive health care positions who test positive for HIV ought to be moved to less sensitive health care sectors; or whether they might be reserved for the use of HIV positive patients.

CALL FOR HIV TESTING AND SEGREGATION OF HIV-POSITIVE CHILD CARE, DAY CARE AND GRADE SCHOOL CARE GIVERS, EDUCATORS, AND CHILDREN

I have read that HIV can be transmitted through mucus or blood or semen contact … as through kissing or diaper changing, or through dressing open wounds, or through sexual intercourse . Thus I feel that it is of equal importance, at the present moment, to monitor the HIV status of child care and day care providers and of grade school educators and also of children starting with newborns, and on up through puberty.

As above, we must decide, community by community, whether to restrict HIV-positive early childhood care givers and grade school educators to care or education of children who are HIV positive, and whether to separate children into HIV-positive and HIV-negative groups in child care, day care, and grade schools.

In love, light and joy,
I Am of the Stars

See also … Link: “CDC Reports: More HIV Testing, Treatment Needed: Agency Discusses Initiative to End HIV Epidemic,” by AFFP (American Academy of Family Physicians), 27 March 2019 … https://www.aafp.org/news/health-of-the-public/20190327mmwr-hiv.html ..

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HIV pandemic, AIDS pandemic, Community health, education, child-rearing, United States, California, Los Angeles, San Fernando Valley, phlebotomists, surgeons, heath, Western medicine, calls to action,

Community Health: Zero Population Growth in the United States by 2079? . by Alice B. Clagett

Written and published on 4 December 2019

  • ZERO POPULATION GROWTH IN THE UNITED STATES BY 2079?
  • ON THE NEED TO RESEARCH ECONOMIC IMPACT OF POPULATION GROWTH DOWNTREND
    • Financial Sector
    • Health Care Sector

Dear Ones,

In light of the global HIV pandemic, I researched a United States population growth rate chart, to find out if perhaps the spread of HIV in the United States (as well as other factors) might be having an effect on population growth.

ZERO POPULATION GROWTH IN THE UNITED STATES BY 2079?

Here is the chart I found …

Link: “Population Growth for the United States (1960-2018)” … https://fred.stlouisfed.org/series/SPPOPGROWUSA ..

As I saw a general downtrend in population growth, I took a look at a table on the topic …

Link: “Population of the United States (2019 and historical)” … https://www.worldometers.info/world-population/us-population/ ..

Here is a very rough extrapolation based on the tabular data …

In 1960, the yearly change in United States population was 1.69 %
In 1990, the yearly change in United States population was 0.95 %
In 2019, the yearly change in United States population was 0.60 %

In the ~60 years from 1960 to 2019, the decrease in the increase in the United States population was 1.69 % minus 0.60 % = 1.09 %

If this trend continues for the next 60 years, then there may be zero population growth in the United States population by 2079.

ON THE NEED TO RESEARCH ECONOMIC IMPACT OF POPULATION GROWTH DOWNTREND

In case this scenario should prove true, I feel it would be good to do workups on economic gear-downs for the various economic sectors, to do with man-hours available and necessary production.

Financial Sector

In the arena of finance, we might consider the impact of zero population growth on the stock market, on the value of a dollar, and on interest rates for the time span between now and the year 2109.

Health Care Sector

Should it be that the HIV pandemic is one of the driving factors in an ongoing decrease in population growth (as HIV couples are unlikely to have viable offspring), then the health care sector might want to consider the impact of HIV on medical care costs, on our ability to maintain necessary supplies of medications despite an aging and health-challenged population, and on the sustainability of the Obamacare program.

In love, light and joy,
I Am of the Stars

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HIV pandemic, AIDS pandemic, United States population, economics, finance, stock market, banks, manpower, zero population growth, Community health,

ADULTS ONLY (PG-13): Drug Lord . animated gif by Alice B. Clagett

Drawn on 19 November 2019; published on 1 December 2019

Dear Ones,

Here is an animated gif I drew, entitled “Drug Lord” …

ADULTS ONLY (PG-13 – GRAPHIC): Animated Gif: “Drug Lord,” by Alice B. Clagett, 19 November 2019, CC BY-SA 4.0, from “Awakening with Planet Earth,” https://awakeningwithplanetearth.com ..  … DESCRIPTION: A man with magenta hair and beard, and a purple cape stands facing forward, with an expression of dismay on his face. Behind him is a big demon that shimmers in dark colors; above the demon’s head is a cloud labeled ‘Drug Lord Demon’. . The man is saying: “Oh Lord, Lemme have sex, lemme have sex wit’ you.”

ADULTS ONLY (PG-13 – GRAPHIC): Animated Gif: “Drug Lord,” by Alice B. Clagett, 19 November 2019, CC BY-SA 4.0, from “Awakening with Planet Earth,” https://awakeningwithplanetearth.com ..  … DESCRIPTION: A man with magenta hair and beard, and a purple cape stands facing forward, with an expression of dismay on his face. Behind him is a big demon that shimmers in dark colors; above the demon’s head is a cloud labeled ‘Drug Lord Demon’. . The man is saying: “Oh Lord, Lemme have sex, lemme have sex wit’ you.”

In love, light and joy,
I Am of the Stars

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Creative Commons License
Except where otherwise noted, this work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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drawings by Alice, animated gif, drug use, drug trade, community health, astral rape, psychic rape, demon realm, hard drugs, drug war, cocaine,

Community Health: The Misleading Nature of CDC Reports on the HIV – AIDS Crisis in America . by Alice B. Clagett

Published on 4 November 2019

  • MISLEADING NATURE OF CDC HIV DATA
  • ‘INCIDENCE’ of HIV – AIDS
  • ‘PREVALENCE’ or ‘LIFETIME RISK’ of HIV – AIDS
    • How Family Wealth Planning for Future Generations Is Affected by HIV Prevalence
    • How May We Instill Hope in Our Families, Even Though They May Have HIV?
      • Careers Despite HIV
      • Continuing to Work Despite Blindness
  • RECENT CDC FIGURES ON HIV LIFETIME RISK
    • Table 1. Lifetime Risk of HIV Diagnosis, by Sex, Race/Ethnicity, and Risk Group, United States
      • Gender Inequality in Testing for HIV – AIDS
      • Lifetime Risk for Black Men Who Have Sex with Men
    • Table 2. Lifetime Risk of HIV Diagnosis, by State, United States
      • Great Disparity in Lifetime Risk, State by State
      • Possible Underreporting of Risk by States for Economic Reasons
      • Risk in Large Cities
    • Table 3. 10-Year Age-Conditional Risk (1 in n) of HIV Diagnosis Among HIV-Free Males and Females, Aged 20-50 Years, United States
      • Young Men Who Have Sex with Men Are at Greater Risk of New HIV Diagnosis
      • New HIV Diagnosis Risk for Young Men Who Have Sex with Men Varies Greatly by Race / Ethnicity
      • New HIV Diagnosis Risk for People Who Inject Drugs is Much Less Than for Men Who Have Sex with Men
      • New HIV Diagnosis Risk for Young Women Who Inject Drugs Is Twice as Great as for Young Men
      • Can We Extrapolate That HIV Diagnosis Risk for Young Women is Twice as Great as That for Young Men?
      • Importance of Gender Equality in HIV – AIDS Testing of Young People

Dear Ones,

MISLEADING NATURE OF CDC HIV DATA

Over the years I have written quite a few blogs on the HIV – AIDS global pandemic. Chicken that I am, I feel I have failed to convey my feeling that the Centers for Disease Control (CDC) is releasing data about the pandemic that greatly misrepresent the difficulties that lie before us as a nation. Perhaps this misrepresentation is intentional; perhaps it is political in nature … and perhaps not. Who can say?

The crux of the matter is that the data the CDC typically presents to the public have to do with disease ‘incidence’ rather than disease ‘prevalence’ or ‘lifetime risk’.

‘INCIDENCE’ of HIV – AIDS

As I understand it, disease ‘incidence’ has to do with how many new cases will be diagnosed next year, or the following year. These data are important to medical doctors, so that they can have sufficient medications on hand for the coming year.

‘PREVALENCE’ or ‘LIFETIME RISK’ of HIV – AIDS

‘Prevalence’, or ‘lifetime risk’ offers data on the likelihood that we and our families will contract HIV – AIDS during our lifetime. These are the data that I feel are hard to find in the CDC documents. Yet these are the data that help us plan for our families’ future.

How Family Wealth Planning for Future Generations Is Affected by HIV Prevalence

For instance, if our children, according to ‘lifetime risk’ data, are likely to contract HIV – AIDS in their lifetime, then we might ask: At what age are they likely to contract the disease?

If they contract it in early childhood, from what I have read, it is apparently likely they will die from it at a young age.

If they contract the disease at about the age of puberty, from what I have read, it is likely they will be unable to bear offspring that live more than a few years.

If our children contract the disease while their children are young, then apparently the risk is high that their young children will contract the disease from their parents through suckling milk, or transmission of bodily fluids while the family has bouts of cold or flu, or through childhood play.

Whether or not our children will contract the disease before they bear children is, I feel, very important to each family’s planning for the future. If there are no grandchildren, then that will make a big difference in the wealth that must be set aside for future generations. In addition, health care costs and the economic impact of sick leave downtime for our infected children and grandchildren is a wealth planning consideration.

How May We Instill Hope in Our Families, Even Though They May Have HIV?

If the lifetime risk of contracting HIV – AIDS is high, either because of lifestyle choices, or because of race or ethnicity, or because of the city or state or region of the United States in which we live, then now would be the time to plan with our children and grandchildren for a future that may involve infection.

Our families need to have some hope to live for, even though they may be infected.

I will say that, in my opinion, the CDC does a great job of glossing over the downside, and providing the upside of life with HIV – AIDS. So families can go to their site to learn that life with HIV is no big deal in the United States, any more.

By that is meant, I feel, that for those who are able to tolerate the drug regimens that have been developed, the prospect of a long and productive life is good. And that is something that might offer hope to our children: They may find that they, or their friends, contract the disease.

Careers Despite HIV. Maybe they may not be able to have families of their own, but they can look forward to fulfilling careers, and maybe good health for quite a long time.

Continuing to Work Despite Blindness. I note that, as of 2001 10-20% of people worldwide who had AIDS were becoming blind in one or both eyes …

Link: “HIV / AIDS and Blindness,” by P. G. Kestelyn and E. T. Cunningham, Jr, Bull World Health Organ 2001, 79(3), 208-213 … https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2566369/ ..

Thus, as a nation, we must retool as many industries as possible so that our eyesight-impaired HIV-positive children can continue on with their careers even should they have low vision.

RECENT CDC FIGURES ON HIV LIFETIME RISK

Today I found a pretty good pdf file offered by the CDC, that presents lifetime risk and also age-conditional risk by race and ethnicity, gender, and state. The data are from 2009-2013 …

Link: “Lifetime Risk of a Diagnosis of HIV Infection in the United States,” by Kristen L. Hess, PhD, MPH, Xiaohong Hu, MS, Amy Lansky, PhD, MPH, Jonathan Mermin, MD, and H. Irene Hall, PhD, MPH, HHS Public Access Author Manuscript, Ann. Epidemiol. published in final edited form as: Ann Epidemiol. 2017 April ; 27(4): 238-243, doi:10.1016/j.annepidem.2017.02.003 … https://stacks.cdc.gov/view/cdc/46891/cdc_46891_DS1.pdf? ..

By clicking on the above pdf link you can download the document to your computer.

Of special note are the three tables at the end of the document.

Table 1. Lifetime Risk of HIV Diagnosis, by Sex, Race/Ethnicity, and Risk Group, United States

Gender Inequality in Testing for HIV – AIDS. I note the total lifetime risk for men is 1 in 68 people, and for women 1 in 253 people. I believe this has to do with gender inequality in testing for HIV – AIDS. I feel the perception in the medical community is that MSM men are at risk for HIV – AIDS, and so, I feel, doctors are more likely to test men than women.

As I have mentioned priorly, it could be that bisexual men who are dating or married to women and raising families are also at risk, and that their wives and families are at risk and fail to test for HIV – AIDS because they are uninformed about their boyfriends’ or husbands’ exposure to risk.

I would like to see equal gender testing for HIV – AIDS, especially among couples with children where the boyfriend or husband tests positive for HIV. Then the medical community might, a few years from now, reassess the total lifetime risk for women.

Lifetime Risk for Black Men Who Have Sex with Men. I note the lifetime risk of contracting HIV – AIDS is 1 in 2 men. The overall lifetime risk for men who have sex with men is 1 in 6 men. From this I feel that women who want to have families ought to ascertain, before becoming pregnant, whether the prospective fathers in fact prefer to have sex with men. I feel that societal expectations, especially amongst Christians, make it especially difficult for Christian men to disclose this bias to prospective wives.

Given this, I feel all women hoping to have children ask those men they want to be intimate with for HIV test results, keeping in mind that chastity for one month after the last sexual contact is necessary before tests such as Oraquick can provide relatively accurate results. The last I read in the fine print of the Oraquick package was that there was a 10 percent error in this type of saliva test.  HIV blood tests, while more expensive, are a good deal more accurate; they are the best the medical community can offer presently.

Table 2. Lifetime Risk of HIV Diagnosis, by State, United States

From this table, I note a big range of risks, state by state, and in the District of Columbia.

Great Disparity in Lifetime Risk, State by State. For instance, the lifetime risk in Maryland is 1 in 56 people. But the risk in Montana is 1 in 674 people. The other states are in between these two extremes, with Georgia and Florida on the very risky side, and Idaho and North Dakota on the ‘unrisky’ side.

The first thought along these lines, for families who are concerned about HIV infection, might be (and I agree it seems logical) to relocate to a state that has less lifetime risk of infection.

Possible Underreporting of Risk by States for Economic Reasons. Amongst the states, I feel it likely that there may be HIV – AIDS ‘underreporting’, and that this may have to do with the tourist trade, or perceived need to attract new business to one’s home state. If this is true, I hope lifetime risk reporting will become more accurate in the next few years, as our states owe it to their residents to offer accurate figures, so that families can take steps for disease prevention and health care.

Risk in Large Cities. I note the lifetime risk of HIV – AIDS is 1 in 17 people in the District of Columbia, which is the heart of one of our large metropolitan areas. In past blogs, I have asked for a breakdown of lifetime risk for our large cities, as the very high risk in the District of Columbia may in fact indicate high risk in other large United States cities as well.

Table 3. 10-Year Age-Conditional Risk (1 in n) of HIV Diagnosis Among HIV-Free Males and Females, Aged 20-50 Years, United States

Young Men Who Have Sex with Men Are at Greater Risk of New HIV Diagnosis. From these data I see that overall, it is four times more likely that men who have sex with men, and who are 20 years of age will get a new diagnosis of HIV than will men who have sex with men, and who are 50 years of age.

New HIV Diagnosis Risk for Young Men Who Have Sex with Men Varies Greatly by Race / Ethnicity. For black men who have sex with men, the risk of new diagnosis of HIV is 1 in 4 at age 20 and 1 in 26 at age 50. For Hispanic men who have sex with men, the figures are 1 in 13 at age 20, and 1 in 40 at age 50. For White men who have sex with men, the figures are 1 in 39 at age 20 and 1 in 79 at age 50.

New HIV Diagnosis Risk for People Who Inject Drugs is Much Less Than for Men Who Have Sex with Men. Also, I see that people who inject drugs and are 20 years of age are somewhat less likely to get a new diagnosis of HIV than people who are 50 years of age; and that the overall new diagnosis risk for people who inject drugs is, across the age spectrum, very much less than for men who have sex with men.

New HIV Diagnosis Risk for Young Women Who Inject Drugs Is Twice as Great as for Young Men. Overall, for men who inject drugs the new diagnosis risk is 1 in 220 at age 20, and 1 in 167 at age 50. For women who inject drugs the new diagnosis risk is 1 in 108 at age 20 and 1 in 112 at age 50. That would mean that amongst people who inject drugs, women 20 years of age are about twice as likely to get a new HIV diagnosis as are men that age.

Can We Extrapolate That HIV Diagnosis Risk for Young Women is Twice as Great as That for Young Men? As both men and women who inject drugs know they are at risk, it seems to me fair to assume they are testing for HIV in a gender equal way. Thus the figures for new diagnosis risk for men and women who inject drugs might help provide an answer regarding the true new diagnosis risk for women who fail to test because they do not know their boyfriends or husbands are having sex with men.

We might go with the assumption that women who are dating or married to men who have sex with men have twice as much risk of new HIV diagnosis as the men. Amongst 20-year-old men having sex with men the new diagnosis risk is 1 in 15. Projecting from the drug injection risk, 20-year-old women who have sex with men who also have sex with men might be expected to have a new diagnosis risk of 1 in 8 (twice as risky as for the men).

I arrive at this estimate by creating a similar ratio, like this …

  • New diagnosis risk at 20 for men versus women who inject drugs = 1/220 for men versus 1 in 109 for women (about twice as risky for women)
  • Extrapolating new diagnosis risk at 20 for men versus women in relationships where the man has sex with men = 1 in 15 for men versus 1 in 8 (about twice as risky) for women

Importance of Gender Equality in HIV – AIDS Testing of Young People. The above estimate highlights how important gender equality in HIV – AIDS testing may be right now, as regards testing for young women.

From the above estimate we might also extrapolate the number of men who are not disclosing their bisexual lifestyle. If in fact it proves true that twice as many young women as young men, overall, are getting new HIV diagnoses, then it seems to me possible that as many as half of American men are engaging in sex with men as well as with their female sexual partners and wives.

What otherwise would account for young women having a higher incidence of new diagnoses than young men? I have read online that many young women have sex with two men by about age 20. If one of these two had HIV, and gave it to the young woman, then her new male partner would be at risk of infection as well. If this were to be so, then the risk for young women might be from young men who also have sex with men. And the risk for young men might be from having sex with either young men who have sex with men, or from having sex with young women who have done so. Do you not feel this to be true?

If so, then the feat that lies before the medical profession would be to find the most effective way of gathering information from young HIV positive men regarding their female sexual partners, and of persuading the men to allow their female sexual partners to test.

Blessings to all,

In love, light and joy,
Alice B. Clagett
I Am of the Stars

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Creative Commons License
Except where otherwise noted, this work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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politics, Centers for Disease Control, CDC, HIV, AIDS, community health, United States, health, HIV pandemic, health, Western medicine, abundance, prosperity, careers, child-rearing, social issues,