Jul 202010
 

It’s no secret that the Great Recession has forced states to make devastating cuts to health care and social services. As the Times points out, people with disabilities and the elderly are particularly vulnerable to cuts in home care and other community-based services. The people who depend on these services are now facing greater risk of hospitalization or institutionalization, which will be paid out of state coffers, thus undermining the state’s original intent to cut costs. And because of Medicaid institutional bias, states have a great deal of flexibility to cut “optional” services like home care while preserving nursing home funding.

Unfortunately, this trend of service cuts isn’t likely to improve any time soon. The recession’s lingering aftereffects are going to be a drag on state budgets for years to come. Additional federal funding for home and community-based services would certainly be welcome, but Washington’s current preoccupation with the deficit makes that scenario unlikely in the extreme. People with disabilities and their advocates will have to wage some savage political fights just to ensure a 2% cut instead of a 5% or 10% cut. That’s likely to be the case here in Minnesota, which is confronting a $5-$6 billion deficit over the next two years. The only thing that gives me any comfort is the knowledge that I would be worse off in almost any other state.

Jul 192010
 

Christopher Nolan’s explorations of the human mind and the power of memory continue in Inception, a caper movie that fuses elements of noir, action, and Jungian psychology. In a world that may be parallel to our own, technology exists to enable people to infiltrate another’s dreams and steal secrets from that person’s mind. Leonardo DiCaprio is Don Cobb, a professional “extractor” who hires himself out to corporations wishing to steal trade secrets hidden in the dreams of their rivals. Cobb is blackmailed by one corporation into a job that involves planting an idea rather than stealing one–inception.

Like a lot of movies before it (Blade Runner, The Matrix, Brazil), Inception plays with our tendency to confuse dream with reality. And the arresting imagery of the film’s dreamscapes invites the audience to do the same. But what makes this film interesting is how it constructs a dreamworld with its own internal logic and rules. The characters themselves can sound a little silly when explaining dreamworld mechanics, but those mechanics also make for a taut and engaging story. Nolan trusts the audience to keep up with him and, judging from Inception‘s great box office numbers, that trust is well-placed. If only more movies respected their audiences as much.

Jul 152010
 

The good people of the Westboro Baptist Church would like you to know that God’s divine hatred isn’t reserved just for the gays. God also hates nerds and their heathen comic book idols. No word on whether geeks are also on Yahweh’s hit list. I’m also tempted to ask whether cosplayers and furries have anything to worry about, but that would involve explaining those terms to church members, which would just upset them.

Jul 142010
 

According to this site, my writing style most closely resembles that of Margaret Atwood. I’m going to mention that fact in all my future cover letters to literary agents. Maybe then they won’t be so quick to scoff at my sf/fantasy/historical/mystery/literary thriller (complete with maps and a few hundred footnotes). If some random website comparing me to such a respected author won’t convince them of my potential, then nothing will.

Jul 132010
 

I received pretty good care while I was in the hospital, but I still was surprised at some of the grossly inefficient policies I encountered. For example, all the medical staff agreed that I should have my tracheotomy tube changed to remove a possible infection vector. The trouble was that nurses weren’t allowed to perform trach changes. The same prohibition applied to respiratory therapists. Physicians couldn’t change trach tubes unless it was an emergency. They wouldn’t allow any of my nurses to change it because they weren’t hospital employees. The only person allowed to change it was some nurse practitioner in the pediatric ICU who never materialized. Since I knew I would be discharged soon, I waited until I was home to do the procedure. It took five minutes.

I understand that hospitals have legitimate concerns about liability, but policies like the one I described result in needless delay that could impede a patient’s recovery. Furthermore, nurses already perform any number of interventions that could potentially be risky for the patient (establishing an IV, administering meds, lifting a patient). It seems odd to treat this procedure differently.

Jul 122010
 

I’m guessing you had a better weekend than me. I came home from work Friday evening with a massive headache and a few hours later I was in the local emergency room with a scorching fever and a tweaked-out heart rate. Things were so bad that I seriously contemplated the possibility that I might spontaneously combust. I was admitted to the hospital and soon discovered I had pneumonia. After they pumped me full of antibiotics, I was sent home the next day (with even more antibiotics). I’m still not functioning at peak efficiency, but I’m happy to have avoided the discomfort and tedium of an extended hospital stay. In the meantime, the doctor has ordered plenty of fluids and sensual massages from women in fishnets. I intend to comply.

Jul 082010
 

My wheelchair was diagnosed with a faulty control module (the computer that controls the drive functions), but now seems to be working normally after a loaner module was installed. I’m going to give it a road test and see if I’ve developed an allergy to sunlight. More soon.

Jul 072010
 

It was only a matter of time before the Swedish vampire movie Let the Right One In became fodder for an American remake. The trailer for Let Me In seems to be pretty faithful to the source material, although I doubt it will contain the sexual subtexts of the original. And if you don’t know to what I’m referring, do yourself a favor and see the original. It’s a superb movie, but certain elements probably wouldn’t play well in Peoria. The trailer for the American version is effective in that it piques my interest in seeing the film, but I remain skeptical that it will measure up to the original.

While I don’t have a problem with American remakes of foreign films, it’s unfortunate that American audiences remain generally oblivious to international titles (even after the remake is released). Nearly everyone on the planet has at least heard of Avatar, but only a tiny sliver of American moviegoers have heard of Let the Right One In or City of God or Oldboy or any number of great movies made in other countries. I keep hoping that our freeflowing digital culture might change that, but maybe our strong aversion to subtitles is just too much to overcome.

Jul 062010
 

I’ve written before about how technology malfunctions can severely disrupt the life of someone with a disability. I was reminded of that again over the weekend when I discovered that my wheelchair’s drive system had completely failed. I can get around my home without much difficulty, but it’s too heavy to push any distance. And the combination of the holiday weekend and a not-so-helpful service provider means that it won’t get fixed until later this week. I may go into shock the next time sunlight hits my skin as I haven’t been able to leave my place in a few days.

This is just another annoyance to endure, but I need to have a sit-down with my equipment and remind them who’s in charge. Or at least beg them to let me pretend I’m in charge.