Rupa Marya, MD Profile picture
Feb 9 9 tweets 2 min read
When I share my thoughts on how to create equity in medicine or in society at large, people who I would characterize as liberal often say "Well, I'm not a 'burn it all down' kind of person" to put clear blue sky between ideas of transformative action and their ideas 1/ Image
to offer small adjustments to a highly toxic system.

And with this I ask myself--am I "burn it all down" kind of person? I do recognize the transformative and cleansing aspects of fire, as do most traditional people in human history. It is why fire plays such an important 2/
in customs, rituals and ceremonies. It is a powerful medicine that restores balance, dictated by the earth's tempos.

When people say "Oh, I'm not a 'burn it all down' kind of person," they are creating a false narrative, situating fire as destructive and bad, denying 3/
its place in human culture. They do not see the generative and creative aspects of walking away from a system that is damaging the best parts of our humanity and the life-giving aspects of the earth. They do not have the imagination or capacity to imagine a world 4/
that is structured along different beliefs, values and ways of relating to one another. And that lack of imagination stymies any forward motion.

Fire purifies. It offers its power in service of life. Not one life in particular. But the whole system of the web of life, 5/
of which we are a part.

Perhaps it is in that surrendering to the whole of which we are just an infinitesimally small part that terrifies people who insist they don't want to "burn it all down." The ego dies hard. 6/
I believe we must do both--create the new world as we shed the old one--the way a butterfly emerges from a chrysalis. The act of creation accepts the necessity of destruction. We must let the ways of the past 600 years fall to ashes and bring forward this other way of being, 7/
that we simultaneously know and do not know.

This faith is the faith of an artist. We all must become in touch with our artistry as humans, as earth people. It is critical that we exercise our imaginations in small and big ways, that we find the courage to share it out loud, 8/
that we find the courage to share it out loud, together, in community and put in the sweat, labor and love to make it so. 🔥🔥🔥

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More from @DrRupaMarya

Feb 11
I had shivering chills under 6 blankets, sore throat, myalgias, fatigue, racing heart rate, diarrhea for 16 days in March 2020 after the first Covid patient was transferred to our floor. Occ health refused to test me b/c I didn’t go to China or have “fever & cough.” 1/
They insisted there *no* in-hospital transmission and it wasn’t airborne. Front-facing (lower wage) staff were told not to wear any masks and several got sick. Our response at @UCSF has been a challenge for me from the start. ☹️
@UCSF By the time I convinced them that Walky talky Covid might look different from dying on the ventilator Covid, they tested me on day 18, when symptoms were better. It was negative. I had 8 months of chest pain, dizziness, diarrhea. By the time they ordered antibodies, negative.
Read 5 tweets
Feb 11
One of the things that drove me to learn more about soil health and farming practices was meeting the farmworkers and their children who show up at UCSF with bizarre anaplastic cancers and who refuse to be counted because of our racist border policies and 1/
how that creates a labor pool of people willing to do *anything* including working in toxic fields where synthetic pesticides/fertilizers are sprayed. We don't know the true human cost of Big Ag because they choose to stay invisible for their family's safety. 2/
We must advance a different food system in California--one that is centered in justice and health--for the Indigenous communities, the land workers, the soil, the water and the people who eat the food. We are prototyping an example with the Deep Medicine Circle. In 3 years we 3/
Read 4 tweets
Feb 10
With the Frisco5 Hunger strike I had doctors at @SF_DPH emailing me at work asking me to divulge health information about the hunger strikers. I had to remind them that they were violating federal privacy laws by asking me without consent. @OUSDNews is now 1/ Image
@SF_DPH @OUSDNews saying their concern for the Oakland Schools hunger strikers is motivating them to send EMS. But there’s not an emergency—except the racist policies around depriving Black/brown schools of resources to ensure student success. If OUSD was so concerned for their health, 2/
@SF_DPH @OUSDNews it behooves them to show up in person and bring others to the table to bring this hunger strike to an end. Moses and André have full capacity to refuse EMS intervention. Forcing it on them if they refuse and have capacity to refuse would be assault. 3/
Read 4 tweets
Jan 18
To spare myself the barrage of emails and concerns from our community, I’m putting out this statement—

UCSF doctors Jeanne Noble, Monica Gandhi and Vinay Prasad have been giving the most reckless and at times, blatantly false analyses on the pandemic. 1/
Monica celebrated the pandemic being over in July 2021. In case you haven’t noticed—It’s not over.

Vinay compared masking mandates to the Holocaust.

Jeanne Noble is putting out FALSE interpretations of our hospital data to support her agenda, which is to be over 2/
and done with the pandemic. We all would like to be but wishful thinking isn’t an analysis of reality.

All 3 have advocated for kids who are vaccinated to be unmasked in schools. I consider their reckless recommendations racist, classist/casteist and ableist. 3/
Read 7 tweets
Jan 16
Starting in February the Deep Medicine Circle will be hosting frontline healthcare workers from @UCSF at the farm on Ramaytush Ohlone territory to Heal the Healers. One thing we will do together is learn how to make tea that soothes us from plant medicines. 1/
So many of our colleagues are running on empty right now, carrying the trauma of the past two years and counting. Please support our Heal the Healers program. We are a 501c3 nonprofit women of color-led collective of farmers, healers, artists and activists. 2/
We are grateful to Ramaytush elder Catalina Gomes for welcoming this healing work onto the land and for being with us in this work. It is critical for us to care for ourselves, who are doing the hard labor of care. 💜

deepmedicinecircle.org
Read 4 tweets
Jan 5
Our Healthcare $$ Are Golfing in Hawaii 🧵

My mom lives in Hawaii. She loves to golf. She's in her late 60s and I'm happy for her. She was on the course the other day and saw a young man in his early 30s who goes to Hawaii several times a year to golf.

She was curious. 1/n
"How do you manage to get the time to go golfing at this stage in your career? What do you do? It took me forever to get this time off."

He responded, "I work in billing for health insurance companies. They can't handle all the administration so they contract it out to us." 2/n
My mom (a cancer survivor): You mean, you work for a health insurance company?

He: No, not even. I started my own company, & they pour tons of money my way to go and get them more money. I make a killing by doing the administration work they send. It pays for my golf vacays.3/n
Read 10 tweets

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