I accidentally left out the first part of my comment on why I support Brandon Johnson:
After George Floyd's murder at the hands of police and widespread demands to overhaul the nation's public safety systems, Cook County Commissioner Brandon Johnson introduced a resolution
stating that county leaders “should engage in efforts to redirect funds from policing and incarceration to public services not administered by law enforcement.” He later said, "We’re spending $5 million a day policing alone, and that hasn’t solved any of our systemic problems."
Lori Lightfoot, by contrast, embraced the opposite stance, choosing to redirect hundreds of millions of dollars in federal Covid relief money meant for struggling Chicagoans to instead further enlarge the Chicago Police Department's already-bloated budget. As someone who works
as a psychiatrist in a downtown emergency department and sees the consequences of refusing to invest in supportive services for Chicago's most vulnerable residents, the contrast between these two candidates isn't theoretical for me; it's a matter of life and death every single
day. Brandon's policies are what my colleagues and I need behind us to keep our patients safe and alive; Lightfoot's, by contrast, and similar proposals by Vallas and Garcia to double down on failed policing systems make our jobs to protect vulnerable patients all but impossible.

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More from @_Eric_Reinhart

Feb 7
THREAD
I've no interest in being a provocateur, but real political arguments that challenge power engender resistance. It's concerning to me, then, that this OpEd that I meant as indictment of US medicine's complicity has so far elicited little resistance. nytimes.com/2023/02/05/opi…
Those in power may feel unthreatened because they believe their position, however much it may be criticized, is materially unassailable because so deeply entrenched and protected by both major US parties. But I meant also to challenge rank-and-file healthcare workers, myself
included, to recognize how we have played a central historical and still-ongoing role in allowing our murderously perverse healthcare system to come to be and to endure. The goal in that is not to make people feel bad, but to push us to recognize the power and
Read 14 tweets
Feb 6
An (excellent) reporter recently asked me for comment on why, as a public health and public safety expert focused on violence prevention, I support @Brandon4Chicago for Mayor of Chicago. My response: 1/
Brandon's observations that our policing and prisons policies have resulted in an abysmally failed public safety system is just about the most obvious and essential observation that a US politician can make. It's also one that nearly all other politicians––including Lightfoot,
Garcia, and Vallas––refuse to acknowledge, calling instead for even more money for punishment rather than investing in supportive services. By doing so, they put their career-building campaign strategies above the truth and above protecting the public they are supposed to serve.
Read 18 tweets
Feb 5
For the last three years, report after report has documented rampant dysfunction, corruption, inequality, racism, exploitation, profiteering, and deadly systems-wide failures in US healthcare. Despite this, policymakers and healthcare administrators 1/ nytimes.com/2023/02/05/opi…
have been urgently pursuing a “return to normal” without any plans to make real changes to our universally indicted healthcare system. How is this possible in a nation that has just witnessed the catastrophic inadequacy of what’s arguably its most essential civic institution? 2/
The US is the only high-income nation that does not provide universal healthcare as a fundamental public service to its citizens. Instead, it maintains a system of for-profit healthcare that has, for decades, overseen at least tens of thousands of preventable deaths each year 3/
Read 20 tweets
Feb 5
I have a pessimistic essay on US healthcare out tomorrow. I hope readers will find in it a productive pessimism that encourages us to stop investing in superficial reforms that leave rotten foundations untouched rather than organizing to demand the reconstruction we need. 1/3
What should guide reconstruction? For me, the principle and practice of accompaniment should be at the core of what we might remake together. Rather than continuing with top-down biomedical logics, we need to build collectively by taking direction from those most excluded. 2/3
I have several pieces coming over the next week that, as I see them, interweave to explain further what this could look like and what changes we need to embrace to get there. This essay is a common point of departure for my thinking in each of them. 3/3 bostonreview.net/articles/eric-…
Read 4 tweets
Jan 13
In 2011, @Atul_Gawande asked in his "super-utilizers" New Yorker article if we could improve health and reduce spending by focusing on better care for patients with highest need. This paradigm is even more key for public health and safety, where it's been largely ignored. 1/
In public health, to get maximum population-level gains, we focus preventative and supportive resources on protecting the most at-risk populations. The same applies to public safety. Unfortunately, in US safety policy, this has been distorted to instead just inflict more harm. 2/
How? By using "hot-spot" policing to focus punitive––rather than supportive––resources on communities suffering from lack of healthcare, financial wealth, trust, and safety, which only exacerbates and deepens the underlying problems that then manifest as crime and violence. 3/
Read 10 tweets
Jan 13
One of the frustrating realities of the US welfare state is that people always say that while of course it would be ideal if we ensured housing, food, income, and healthcare for people, it’s simply impractical because too expensive. But we already largely do this; we just do 1/
it in an overwhelmingly reactive, haphazard, and maximally inefficient way. The US has an expensive, piecemeal, and dangerous housing shelter system and then relies on a gargantuan jail and prison system to manage homelessness. 2/
Healthcare is obtained through emergency departments and costly crisis response systems rather then basic preventative care. Jails and prisons are by far the largest providers of psychiatric care. Food pantries and soup kitchens and schools feed people. 3/
Read 5 tweets

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