Thread by @usnehal

Indeed. And I silence myself for no one. Too many women - ones who seek personal success by aligning with the past or perpetuating current system - are the ones shushing other women, especially shushing activist WOC with authentic lived experience of system gaps or harms.

https://twitter.com/dromolara/status/1329640907277266945

I’ve been in compliance myself. I still believe in the need for oversight of safety & quality. But petty policing that is common in those naturally drawn to compliance is itself waste & harm. “Professionalism”, used to silence “problem” WOC’s communication is harm. @COCoQC

Compliance cuts out waste & harm - overpolicing & gaining “market share” thru fear, not facts or outcomes, is an example

If your source of profit, revenue, or even job represents waste & harm, then yes, we might be coming for your job

Waste & harm:

psmag.com/news/research-…

I used to feel badly if people lost jobs

but if your work harms others

if your job is to block, deny, harass (demand more & more paperwork), stalk

if withOUT merit or factual, standards based rationale

then your job is soul-crushingly inhumane

If valid standards? 👍 carry on

Some jobs DO need to go away to free funding for other things. Is a tough minded approach if we go beyond hashtags to reality and if we are committed to generating measurable outcomes

Reduced administrative burden = fewer admin jobs, yes

journals.sagepub.com/doi/10.1177/10…

Despair my peers feel at the front lines

(amplified if a medical director who takes personal responsibility for outcomes)

is NOT personal failure
is SYSTEM failure

misdirected resources
waste, harm paid for & incentivized by system

I recognize this

nytimes.com/2020/07/11/nyr…

This by @danielleofri was pre-pandemic. Has only gotten worse

I am livid, disgusted, and have just had enough when I see systems, now, in a pandemic, double down on this

It is why I turned down another CMO job in NYC for 10 centers as pandemic rose

nytimes.com/2019/06/08/opi…

Don’t hire a WOC if you want us to be silent or token

“Barbot's claim..DOH staffers ‘talents must be better leveraged’..criticize..city's decision to put the department in the backseat of its coronavirus response”

WOC are not a diversity checkbox

cnn.com/2020/08/04/us/…

So, I *was* taught this in my all girls school and in my family of outspoken women of the same culture that gave us Malala, Asma Jehangir, Benazir Bhutto, Iqbal Bano

You know who shuts up women? Other women, often, acting on behalf of patriarchal values

mashable.com/article/kamala…

This is my aunt in Pakistan speaking to a room of doctors, on #womenshealth, talking on birth control

something that as a doctor in U.S. an employer could ban me or fire me for speaking on

I have courage & confidence cuz my brain & spirit got freedom from U.S. “professionalism”

Is your own biases/racism that assumes everyone who looks like me is eager to sell ethics, dignity, other humans to kowtow to power as a so-called “model minority”

Further some women perpetuate the idea of “saving” certain “oppressed” women or exploit sexist tropes for own gain

https://twitter.com/usnehal/status/1224475479014506496

What we need is less control over words & clothing - let women choose how much or little

live & let live for others choosing differently from you

Is a form of deep insecurity if women need cliques of self validating “safe spaces”

Empower
Be risk tolerant
Tolerate mere words

https://twitter.com/usnehal/status/1225067667150819335

Safe for whom? “Safe spaces” shut out/police out/shame BIPOC women as “too much” or making others “uncomfortable” despite posting memes on Kamala Harris. Why do you think it is a WOC & child of immigrants succeeded before a “daughter of the revolution”? We color outside the lines

https://twitter.com/dromolara/status/1328042046322601989

It is textbook, predictable, & tiring that this repeats over & over, embedded in culture and coded into “professionalism”

Professionalism often: compliance/policing to control others’ self expression or block questioning institutional actions or ethics

npr.org/sections/codes…