Magdi Semrau Profile picture
Jan 19 14 tweets 3 min read
There are absolutely huge barriers to accessing services for poor &/or rural Americans. So much needs to be improved, from cutting red tape to providing better info. But I think it's somewhat infantilizing to claim vulnerable people don't know how to make appointments at Rite Aid
Am I saying we shouldn't do more to improve access to services? Absolutely not. We should focus on the *real* issues that vulnerable people face. They are not incapable of navigating the world. They've done so for years. If we pretend they can't, it's both distracting & insulting
I am also not saying that technology isn't a barrier. It is a big one! We should talk about how to improve it. My point is that, on this website, people talk about vulnerable people as if they are incapable of doing *anything* to manage their own lives, when that is not the case.
I live in a rural community where there is a very high rate of disability. The disabled people here absolutely need help. They are also incredibly resilient. We need to make society better for them. That requires looking at the actual barriers they face & not infantilizing them.
The people here know how to get to a pharmacy. They know that's where they can get shots. The real problem is not their knowledge, but snow on the sidewalks & transport more generally. So I'm working in my community to make sure sidewalks are cleared for people in wheelchairs.
These folks *know* how to navigate their worlds. What we need to do is make this navigation much easier, as well as to improve their worlds over all. This is why we should advocate for the elder/disability care portion of Build Back Better. It would vastly improve so many lives.
Additionally, getting a shot at Rite Aid is pretty easy. Other things are less so, like signing up for more comprehensive services. Many don't even know these services exist or are overwhelmed by the process. That's why the Biden admin is working on cutting red tape for services
I have a friend who is in a wheelchair. He has one lung and only one functional arm, due to a stroke. Now he has a hernia b/c he tried to use his functional arm to dig himself out of the snow. He knows how to get to Rite Aid. The snow stops him.
My friend also knows how to make doctors' appointments. He's got one now for the hernia repair. What my friend needs is:
-more money from the gov't
-elder/disability care, of which regular human company would be a big part
-snow removal
If you want to help him, advocate for BBB
I am absolutely *not* saying that there are no Americans living in isolation. I am saying that the way we talk about vulnerable people in general is distracting & insulting. And the needs of people in one community may not be the same as the needs of people in other communities.
My friend needs the sidewalks cleared. People in another community might not have sidewalks at all. Both are issues that need fixing. That's what we should focus on. Actual issues. Above all, people need BBB's expanded elder/disability care. People need human contact.
I also find it frustrating & odd that some folks on this site spend more time claiming vulnerable people have no idea how to navigate their worlds than they do advocating for policies like elder/disability care. Home care would be a game-changer for those who have trouble w/ tech
There is a world of difference btwn
1. identifying all of the very real issues facing vulnerable people, many of which make things like trips to the pharmacy difficult
&
2. claiming vulnerable people have no knowledge of how the world works or how to navigate their own lives
Please also note I am *not* saying that I believe access to vaccine-related info has been equitable. In fact, I have frequently argued on this website that not all vaccinated people should be lumped together. My point is much more general: don't infantilize vulnerable people.

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More from @magi_jay

Jan 20
Yes. I'll add to this that Schumer is treated as bumbling & ineffectual, whereas McConnell is portrayed as a Machiavellian wunderkind.
Obviously, Senate Democrats have had a rough couple of months, but the Democratic vision Schumer is trying to carry through is transformative. Dems also passed ARPA & BIF. Compare that to tax cuts & a failed bid to take away people's healthcare w/ a visionless Frankenstein plan.
After the failed ACA repeal, McConnell should have carried egg on his face for a lot longer. He brought signature legislation to the floor w/out knowing how his own caucus would vote. Meanwhile, Schumer is weak for using the Senate floor to shine a light on voting rights.
Read 8 tweets
Jan 20
There's a dynamic in press coverage wherein Republican politicians' racism, authoritarianism, obstructionism, & lack of policy vision are treated as normal phenomena, but, conversely, Republican voters are viewed as exotic creatures straight out of a David Attenborough film.
The Republicans' abjectly anti-democratic behavior is accepted as a baseline, rather than abnormal & worthy of intense inquiry, but Republican voters' *loyalty* to this abnormal behavior is worthy of extreme curiosity. So we get a lot of "Trump voters still love Trump" stories.
Meanwhile, Democratic politicians are messy for attempting to participate in democracy. Democratic voters, in contrast, are treated as bores. The press largely ignores them. What's interesting, after all, in being committed to a party that's actually trying to be democratic?
Read 6 tweets
Jan 19
The obvious answer is that vaccination is proven to reduce illness & death. Vaccination also likely mitigates immune responses that trigger Long COVID. Another under-recognized variable is that transmission between vaxx'd people is likely different than between unvaxx'd people
To be clear, here: I'm making a general point about the prevention of community harm induced by vaccination & corresponding immunity. Vaccinated individuals absolutely can spread Omicron & infect other vaccinated people. Everyone should follow guidelines closely.
When we're thinking about the power of vaccination, we need to think on the community level. Data from the Delta period indicate that the probability of breakthroughs goes UP if community vaccination is low. Every vaccinated person attenuates the spread.
Read 10 tweets
Jan 19
A journey through COVID preprint twitter ImageImageImageImage
I'm not trying to slam any specific person here. But there's been a real problem w/ how preliminary data is disseminated on this website, particularly in how it is framed. It's really important to get this right when we're talking about immune responses.
"Natural Immunity" is a big talking point among anti-vaxxers & I can guarantee you there are a slew of unvaxx'd people who got Omicron who now think they're well-protected. We need to do a better job gate-keeping. alternet.org/2021/09/anti-v…
Read 4 tweets
Jan 18
I do not know why some on the left continue to deny that there is climate change legislation in Congress right now. If you tell people it doesn't exist, they won't know to fight for it. This doesn't seem like behavior that reflects a true concern about climate change.
Here is the cold, hard political reality. There is massive support within the Dem party for BBB. 2 Senators, particularly Joe Manchin, are standing in the way. Dems, especially those in the House, need a win before the midterms. It is very possible that BBB will be chopped up.
Read 9 tweets
Jan 17
Yes. I do not understand how anyone who cares about climate change would actively attempt to elide the differences between Democrats and Republicans on the issue. It's great to say how Democrats could do better, but it's a matter of empirical fact the parties are not the same.
If we lose the House & the Senate this year, we will lose our chance to do anything about climate for several years. Losing the Senate will also further disadvantage us in the courts. If you care about climate, you should advocate for Build Back Better & voting for Democrats.
You can elect Dems & petition them to be more progressive on the issues you care about or you can cry on Lisa Murkowski's voicemail & beg her not to take your healthcare away

I'm sorry, but those are your options. And if you actually care about an issue, you need to realize this
Read 6 tweets

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