"What does it say about this country that this is the state of our discourse? That Kavanaugh even stands any chance of being made one of the most powerful figures in the American government, with control over life and liberty?" currentaffairs.org/2018/09/how-we…
"He went before the United States Senate and showed total contempt for his vow to tell the truth. He attempted to portray a highly esteemed doctor as a crazy person, by consistently misrepresenting the evidence. He treated the public like we were idiots..."
"... like we wouldn’t notice as he pretended he was ralphing during Beach Week from too many jalapeños, as he feigned ignorance about sex slang, as he misread his own meticulously-kept 1982 summer calendar, as he replied to questions about his drinking habits ..."
"More than presenting a convincing rebuttal to Ford’s extremely credible account, Kavanaugh...seemed to be exterminating, live...the faint notion that a massively successful white man could have his birthright questioned..." newyorker.com/culture/cultur…
"What took place on Thursday confirms that male indignation will be coddled, and the gospel of male success elevated. It confirms that there is no fair arena for women’s speech. Mechanisms of accountability will be made irrelevant."
"Some people walked away from 1991 enraged. The next year was said to be the Year of the Woman. Our next year, like this one, will be the Year of the Man."
One of the most emotional, awful parts of today for me: 1/2 thru Dr. Ford's opening statement, I became attuned to a sense of relief. It took me a second, then I realized I was reacting to:
-Her country club background
-Her level of education & sophistication
Because surely *this* woman could be believed. A woman of color, a poor woman, an uneducated woman - these women would be dismissed, torn apart, stripped of credibility and humiliated well before the hearing today and utterly destroyed within it. 2/
And I realized the only reason I had a smidgen of hope that she would come out intact was that she was about as dominant culture as she could be, save for her gender. 3/
“This has been the ask of women, and most especially, of nonwhite women...: Take the diminution and injustice & don’t get mad about it; if you get mad, you will get punished for it, & then you will be expected to fix it, to make sure everyone is comfortable again.” YES @rtraister
The solution I see is for *all* women to rage so often and well that cultural expectations shift.
Yale continues to elevate a School of Medicine faculty member known to have committed sexual harassment. This is how academic institutions foster a toxic culture for women yaledailynews.com/blog/2018/09/0…
Over 650 students, residents, faculty, and alumni have signed a letter to Yale President Salovey protesting this decision as well as Dean Alpern’s role in addressing harassment over the years, which included a reluctance to penalize Simons in any meaningful way.
In a painfully painful statement, Yale clarified that Simons had not been honored but rather removed from one highly prestigious endowed chair (only after protest from the family sponsoring the endowment) to another one: news.yale.edu/2018/09/06/uni…
I recently noticed that a prominent male physician almost always RTs and quote tweets other men. So I checked out who he follows (it was a short list) and about 1 in 10 are women.
Also mostly white folks.
Imagine his personal feed: the priorities, opinions, and voices of mostly men. And if his collaborators & influencers IRL are anything like his Twitter feed - say it’s only 1/2 this bad and women are 20% of who he tunes into - well, that’s concerning.
Because this guy is a major player in the future of healthcare. And suddenly I don’t feel great about that future after seeing (at least one piece of) his POV.
Apropos of nothing, I thought I'd muse a little on what pathological narcissists do when backed into a corner.
Narcissists are self-focused, have an inflated, grandiose sense of self, and rarely cede personal goals to other ideals.
They are not oblivious to threat to self: they simply have abnormal, extreme responses to it. On the one hand, they demonstrate deficient fear processing and can be oblivious to the potentially devastating consequences of pursuing their self-serving goals.
“Nobody embodies more fully the connection between the African-American spiritual, the blues, R. & B., rock and roll—the way that hardship and sorrow were transformed ...
... into something full of beauty and vitality and hope. American history wells up when Aretha sings. That’s why, when she sits down at a piano and sings ‘A Natural Woman,’ she can move me to tears—...
...the same way that Ray Charles’s version of ‘America the Beautiful’ will always be in my view the most patriotic piece of music ever performed—because it captures the fullness of the American experience...
So my feeling on this is that it is neither surprising nor that different from the bias that happens when people assess women for roles in medicine in the U.S.: nytimes.com/2018/08/03/wor… (e.g., check out stories with the #thatsbias hashtag)
Requiring women to have higher scores to get a job has been experimentally observed, by the way, in this study: jstor.org/stable/10.1086…
Study subjects were asked to judge hypothetical candidates for a job, and one of the q's was WHAT MINIMUM SCORE IS REQUIRED ON AN EXAM TO BE CONSIDERED FOR EMPLOYMENT?
Females who were not mothers, 68%, who were mothers: 72%
Males who were not fathers:, 67%, who were fathers: 67%
A word about the universality of gender inequity. When I talk about a subgroup, whether about gender, gender identity, race, ethnicity, sexual orientation, I look at the data across these groups. Women have a *propensity* to have certain experiences in medicine.
Are men EVER sexually harassed in medicine? Yes, of course.
Are straight people EVER rejected by patients? Yes, of course.
Do mentors EVER turn away a white gende normative mentee? Yes, of course.
But we aim to fix gross inequities, and many of them tend to fall across lines of gender & race. I don’t expect any of the gender-related biases to occur in every interaction 100% of the time any more than I expect 100% of my PEs to present with tachycardia and hypoxia.
“Are women harsher on women than men are?” This is a question that comes up once or twice or a thousand times during my talks. So here’s the thing.
First, I have not seen data that supports this. I *have* seen data that shows that women have *as much* bias against women in the workplace as men do, but not more. Perhaps it exists, and I don’t know about it.
Second, I have heard many, many anecdotal accounts of this phenomenon - so much that it makes me wonder if it is just understudied.
I have participated in many women’s programs, including being President of a @AWAEM and helping build @feminemtweets. We can create women’s networks until we’re blue in the face but until we make headway with male-dominated leadership structures, the workplace will suffer.
My next hypothetical book will be entitled “On the Golf Course: How Systems of Gender Inequity are Fostered in Plain View.” The culture of broships allows terrible behavior to flourish and sustains leadership structures in which only men can thrive.
“It’s just golf.” Right, right. Along with hours and hours to walk and talk and bond and negotiate and make implicit and explicit agreements. On a regular basis. That can’t possibly affect you when a peer is up for promotion or disciplinary action.
“Women are welcome.” I happen not to be born with the desire to shoot every ball I see into a circle or rectangle, but I know some women love golf. And all I can say is that for the most part we are not out there with the men in power golfing.
Tweets are so ephemeral it's hard to feel that it makes real impact. Once in a while, you feel that you have entered people’s brainspace in a meaningful way. More commonly, it’s more about steadily contributing drops to the ocean of conversation on a topic. A4/#behavioralmedchat
I have this thing about authenticity. You can kind of tell when people are going for attention and RTs and follows. There are a million people trying to get hits. There is only one voice that is yours. A4/ #behavioralmedchat
So I think posting what you know, what you are passionate about, in a way that is true to your own inner voice, is the way to go. The impact follows naturally from there. A4/ #behavioralmedchat
A3. Start with people you admire and who post interesting and thoughtful things. Then look at who they follow: they likely get their content from being in the same space with OTHER great people. #behavioralmedchat
A3. Join in on conversations with people you follow. If there's a thread and you can add, jump in - just like you would in real life! And chats like this help you find like minded people too. Who you follow and chat with becomes your audience. #behavioralmedchat
A3. I had a looooong stretch of tweeting into the void. I totally get it! Being consistent, finding your people, hopping into conversations, pushing out interesting content and your unique take on it - these will draw people to you. #behavioralmedchat
A2. I follow people I admire, including clinicians of all backgrounds, researchers, health economists, scholars, policymakers, journalists, and activists. Curating that list means that I mostly only have good content to choose from. #behavioralmedchat
A2. I’m focused about content: I'm mostly on Twitter to discuss health care policy, social justice, & gender equity.Having a sense of purpose brings things into focus so it's not so overwhelming trying to find content. #behavioralmedchat
A2. Over time, when your interests are clear, people start to tag you on news stories or studies relevant to you. That makes things easier. Another reason to be very clear and consistent about your interest areas. #behavioralmedchat
A1. Our mission as scientists, physicians, public health advocates is to have knowledge reach as many people as possible for the largest impact possible. Social media is a wonderful way to realize that goal. #behavioralmedchat
A1. Misinformation spreads quickly, and we can be the steady, sure voices that provide a link to data. And often we are the ones who have to point out where there is insufficient data to make a claim. #behavioralmedchat
A1. It’s not always sexy to be the steady, constant, voice of reason and data. But it’s so important. And the social media platform allows us to have fun and be creative, visual, and entertaining as we broadcast information. #behavioralmedchat
You may be thinking, "why should I get excited about a state seat, let alone one far from me? I'll save my $ and efforts for the exciting national Senate seats." I felt this way until I attended a @Sister_District event.
During the part of the presentation entitled "Why States Matter," I broke out in a cold sweat. I realized I had been totally neglecting state races out of sheer ignorance.
Here's why state seats matter:
1. State laws are felt quickly, and can mitigate devastating federal decisions. Look at the health care fight and how states are buffering the ACA / Medicaid, and you'll see that state legislatures have the power to save the lives that this admin is placing in peril.