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The Star Student With a Drug Problem

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Photo illustration via Canva.com

The stigma of drug addiction means people in small towns may keep secrets to themselves – until it’s obvious something is wrong. Fighting addiction means talking honestly about the problems confronting our rural communities.

The first time my drug use came to light, it was because of a random drug test that I had to take during my junior year of high school.  

 I was the principal’s assistant, an honor roll student, and a theater star. At home, I hid in my parents’ basement getting high and stealing alcohol from their liquor cabinet.  

Cassidy Webb, the author

 Upon finding out that I would be subjected to the random urine test, I was terrified. My arms shook and my heart raced. I knew I was going to fail. (Editor’s note: In 2002 the U.S. Supreme Court upheld the constitutionality of randomly drug-testing high school students engaged in many extracurricular activities.) 

 I tried everything possible to get out of the test. I asked to go to the nurse’s office because I felt sick, but they refused to send me home. I even asked the principal if I could take the test next week since I was on my period, but he simply told me that my period wouldn’t affect it. I had to take the test.  

 The person administering the test didn’t watch me, so I tried diluting the sample with toilet water. The temperature was too cold. I had to take the test again, this time, honestly.  

When the results of my drug test came back positive, the principal pulled me into his office. I was sure that I would face consequences. I was dreading having to tell my parents the truth. I didn’t want them to know that I was using drugs. I didn’t want to be seen as a failure.  

Normal protocol was to send students who failed the drug test to a substance-abuse class at the juvenile detention center and ban them from participating in after–school activities. However, in my case, the positive drug test was kept a secret. I was allowed to continue doing theater and didn’t have to go to the substance abuse class. Nobody wanted to admit that a star student had a drug problem. My addiction was nurtured and kept safe. I continued to get worse. 

Perhaps this could happen anywhere. But my experience growing up in a small town in the Arkansas Ozarks tells me that it’s especially likely in a rural area. In my town, everything was hush-hush on the surface. But people loved to gossip. Eventually, friends and family started to talk about me. They were more than willing to share information about my drug use, but nobody was willing to destigmatize my problems and offer me a solution.  

When the truth finally came out, I wasn’t viewed as a sick person trying to break an addiction. I was seen as an untrustworthy and unreliable waste of human flesh. I wanted to get sober, but I was terrified to ask for help. 

The Problem with the Word “Reputation” 

In small towns, a family’s reputation can be everything. Some families become obsessed with maintaining a facade that everything is perfect. God forbid somebody makes light of a dark situation in order to reach out for help and support. When your reputation is one of a successful, happy family, your biggest fear becomes the gossip about what you are doing wrong. Families don’t want to talk about their daughter who has been failing classes because she’s too busy taking care of her little brother while her parents work two jobs. They don’t want to talk about their son who’s been arrested for the third time for fighting in school because he doesn’t know any other way of coping with his anger. They certainly don’t want to talk about the girl with mental health issues who has found her solution in a bag of dope and a needle. 

Well, I do. I want to talk about it. 

Social and Cultural Norms 

A variety of factors can limit a person’s willingness to seek help for substance abuse. In rural areas, two of the biggest are social and cultural norms, according to a University of Tennessee study.  

It can be hard to keep your privacy in a small town. If an individual does go to treatment where they live, they risk being recognized by staff or another participant. If an individual goes somewhere else for treatment, their sudden absence might raise questions. Either way, fear of damaging one’s reputation interferes with recovery.  

Sadly, these fears are not necessarily misplaced. When I went to treatment 1,500 miles away from home, I met a woman there who was from my hometown. It was an unlikely coincidence, but it happened. She did her best to keep her treatment secret because she feared losing her job and facing judgment from others upon her return home. Unfortunately, she became the subject of gossip. As a result, she lost her job, even though she was on an approved paid leave. It seems wrong that an employer can call a person who is doing everything they can to get healthy an “unreliable employee,” but it happens.  

Breaking the Stigma 

The first step in shattering the stigma around addiction is to talk about it. This isn’t easy. We are more likely to have a negative attitude toward people who suffer from addiction than those who suffer with mental illness. Much of this has to do with a lack of understanding.  

By sharing personal stories of suffering through addiction and finding recovery, the public can become more understanding and supportive. Learning about these experiences allows people to view individuals with substance–use disorder as sick rather than immoral. The more that people view addiction as they do mental illness, as a disease rather than a choice, the more we can help. If communities continue to view addiction as a moral failure, people won’t seek help because they fear ruining their family’s reputation. 

There are websites such as Heroes in Recovery that allow people to share their stories and advocate breaking the stigma around addiction. There are also organizations such as Care Center Ministries that educate people about addiction issues and advocate for people in ways that make them more comfortable reaching out for help. When I sought help, Care Center Ministries is the only organization I felt safe reaching out to. They treated me like a real human being and encouraged me to get help. Today, the man who helped me get into treatment serves as a school drug and alcohol-abuse prevention counselor. He meets with every student each month in a one-on-one session, does educational workshops about drug abuse, and speaks freely about addiction so students may feel comfortable going to him if they need help. 

To me, courage means walking through fear. People who speak out about drug addiction in small towns and rural areas are courageous. Breaking the stigma is the first step toward saving more lives. 

Cassidy Webb is a writer who advocates spreading awareness on the disease of addiction. Her passion in life is to help others by sharing her experience, strength, and hope. 

The Daily Yonder’s “Speak Your Piece” is a guest column that explores diverse topics. The views and opinions expressed in “Speak Your Piece” are those of the author, unless otherwise stated.

This article was originally published by the Daily Yonder.

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Commentary: Immunizing Against Our Culture of Contempt

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In his first inaugural address in March of 1861, Abraham Lincoln said, "We are not enemies, but friends. We must not be enemies," and he invoked "the better angels of our nature." Photo: Wikipedia

Today’s public discourse is a petri dish for breeding disgust for people with whom we disagree. Debates about healthcare issues affecting rural America are no exception.

From the left’s “basket of deplorables” to the right’s “send her back,” our public and private spaces have become infected with a culture of contempt. On too many days, I feel I am in a country I barely recognize. I don’t know if conservatives and liberals equally engage in contempt of the other, only that I hear too much of it from both sides.

Tim Size

I take little comfort when individuals say it’s not so bad, that we were more divided during the Civil War. As savage as those days were, Abraham Lincoln knew we could and must do better.

“Though passion may have strained, it must not break our bonds of affection. The mystic chords of memory, stretching from every battlefield and patriot grave to every living heart and hearthstone all over this broad land, will yet swell the chorus of the Union when again touched, as surely they will be, by the better angels of our nature.”

Even while coming of age in the riot-torn ’60s, my evangelically conservative family would encourage me “to hate the sin but love the sinner.” And not dissimilarly, at the same time, the left made an icon of a Vietnam War protestor placing a carnation into the barrel of a soldier’s rifle.

From Fox News to MSNBC, our airwaves are filled with voices competing to be the loudest and the most adept at ridiculing their opponents. The dominant narrative is not to address ideas but to reduce those with whom who we don’t agree to a position beneath contempt. Once we allow ourselves to hold someone in contempt, all that the best of our culture teaches us about how we are to relate and support each other goes out the window.

I have taken heart from individuals who have begun to name this problem and suggest solutions, such as Arthur Brooks, long-time president of a conservative think tank, as he wrote about “Our Culture of Contempt” in a recent issue of The New York Times: “What we need is not to disagree less, but to disagree better. And that starts when you turn away the rhetorical dope peddlers–the powerful people on your own side who are profiting from the culture of contempt. As satisfying as it can feel to hear that your foes are irredeemable, stupid and deviant, remember: When you find yourself hating something, someone is making money or winning elections or getting more famous and powerful.”

If we are to reverse our country’s slide into increasingly entrenched and divided camps, we need to relearn how to productively talk about our differences instead of attacking the character, motive and personal attributes of the “other side.”

Brooks goes on to say that “each of us can make a commitment never to treat others with contempt, even if we believe they deserve it. This might sound like a call for magnanimity, but it is just as much an appeal to self-interest. Contempt makes persuasion impossible – no one has ever been hated into agreement–so its expression is either petty self-indulgence or cheap virtue signaling, neither of which wins converts.”

For those of us working in health care, contempt is not theoretical. We seem increasingly less able to make progress on important issues as the rhetoric heats up and the attacks get more personal. Here are a few examples of current health care issues that seem too often to be dominated by attacks on those who hold an opposing opinion rather than the opinion itself.

  • Advanced Practice Registered Nurse Collaboration
  • Family Planning
  • Federal Dollars for Medicaid Expansion
  • Medicare for All
  • Race and Geography in Health Disparities
  • Vaccination and Anti-vaxxers

While I know that I have and still can readily discount those who disagree with me on each of these issues, I have renewed my commitment to keep my advocacy based on the facts and our organization’s aspirations, not on trying to tear down those who might disagree. Will you join me in this quest?

Tim Size is executive director of the Rural Wisconsin Health Cooperative.

This article was originally published by the Daily Yonder.

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How Organized Labor Can Reverse Decades of Decline

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A union miner at the rally for pension protection. Photo: Aaron Payne, Ohio Valley ReSource

Collective bargaining has long been one of organized labor’s most attractive selling points.

In its simplest form, collective bargaining involves an organized body of employees negotiating wages and other conditions of employment. In other words, unions are saying: Join us, and we’ll bargain with your boss for better pay.

Unfortunately, traditional collective bargaining is no longer an effective strategy for labor union growth. That’s because employers and many states have made it incredibly hard for workers to form a union, which is necessary for workers to bargain collectively.

My own research suggests unions should pursue alternative ways to organize, such as by focusing on more forceful worker advocacy and offering benefits like health care. Doing so would help unions swell in size, putting them in a stronger position to secure and defend the collective bargaining rights that helped build America’s middle class.

Why unions still matter

Unions reached their pinnacle in the mid-1950s when a third of American workers belonged to one. Today, that figure stands at just 10.5 percent.

A big part of the problem is that employers have used heavy-handed legal and managerial tactics to block organizing and the elections necessary to form a union. And more than half of U.S. states have passed so-called right to work laws, which allow workers at a unionized company to avoid paying dues.

The stakes of this challenge are high – not just for unions but for most workers in the U.S. That’s because weaker unions correlate with lower wages, reduced benefits and greater economic inequality.

Millions stand to gain from a strengthened labor movement, from Uber and Lyft drivers in the gig economy to low-wage employees in retail and hospitality. And surveys show nearly half of nonunion workers in the U.S. say they would join one if they could.

I believe there are three models traditional unions could pursue to add members without relying on workplace certification and collective bargaining.

Advocating for workers

One approach is to build on the success of worker advocacy groups like Fight for $15 and the National Domestic Workers Alliance.

Fight for $15, for example, played a leading role advocating increases in the minimum wage in several states, most recently Connecticut, while the National Domestic Workers Alliance helped secure the passage of the domestic workers bill of rights in New York.

What they all have in common is that they engage in protests and strikes to call public attention to the plight of exploited workers while advocating for economic and social justice. Unions, which used to engage in more of this kind of activism, need to recapture some of that militant spirit.

Establishing minimum standards

A second model involves pushing employers to agree to a minimum set of standards for benefits and pay to provide workers.

The Writers Guild of America, which represent screenwriters and others in television, theater and Hollywood, exemplify this model. For example, they establish minimum levels of compensation for specific jobs and duties and then require members – both employers and workers – to adhere to them. It’s a collective bargaining agreement with a potentially much wider reach.

That’s because these agreements are negotiated with employers but also cover independent contractors who sign on as well. Their strength comes from the aggressive organizing and advocacy plus the strategic importance of the workers they represent, which puts pressure on employers to take part and meet the minimum standards.

Other unions could expand this approach to encourage workers throughout industries that have little or no labor representation to join their ranks as affiliated members, which should pressure employers to follow suit.

Unions peaked in the 1950s. Photo: AP Photo/Sam Myers

Unions with benefits

Another approach involves focusing on offering special benefits to independent workers in exchange for fees.

Some labor groups already do this, but the workers would benefit from unions combining their collective power to offer more heavily discounted goods and services, such as health care, disability benefits and legal representation.

For example, although the 375,000-strong Freelancers Union can’t negotiate over pay, it offers independent contractors these sorts of discounted benefits. Instead of charging dues, it charges fees for its benefits, essentially operating as its own insurance company. It also advocates for public policy changes that safeguard freelancers from exploitation, such as New York’s Freelance Wage Protection Act of 2010.

This model is probably the approach most likely to succeed in attracting large numbers of new members. The growing gig economy and low-wage industries like fast food are two areas that could receive benefits from these types of collective entities.

The endgame

Ideally, unions would embrace all three of these models, offering discounted benefits to any worker interested in signing on, fighting for minimum standards across industries and putting worker advocacy front and center. By broadening the ways in which workers can join and what they offer, unions will become stronger and closer to the people and communities that they are meant to represent.

But by no means are these models meant to supplant organized labor’s traditional collective bargaining role. My point is that unions should break the straightjacket fixation on traditional bargaining and use alternative models as intermediate steps to the ultimate goal of unionizing more workplaces in order to negotiate collective bargaining agreements on behalf of workers.

To get there, though, unions must mobilize a critical mass of workers. Only then will they break the dynamic of labor’s decline.

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Marick Masters, Professor of Business and Adjunct Professor of Political Science, Wayne State University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Why Do So Many Rural Americans Feel Politics is Pointless?

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Of Jennifer Silva’s sample of 108 working-class people, over two-thirds didn’t even vote in the 2016 election. Photo: AP Photo/Keith Srakocic

In sociologist Jennifer Silva’s first book, “Coming Up Short,” she interviewed working-class young adults in Lowell, Mass., and Richmond, Virginia.

Most had a tough time earning decent wages. Many felt like they were in a perpetual state of limbo, unable to reach the traditional markers of adulthood: job, marriage, house and kids. But Silva was surprised to learn that many blamed themselves for their situations and believed that relying on others could only result in disappointment.

After the book was published, it bothered Silva that she never pressed her subjects further on their politics to see how they might be connected to their worldview.

Jennifer Silva. Bucknell

Now, in a new book, “We’re Still Here: Pain and Politics in the Heart of America,” she has made working-class politics her focus.

Beginning in May 2015, Silva started conducting interviews in a once-thriving coal town in central Pennsylvania, which she calls “Coal Brook.” The timing was prescient: A month after she began her research, Donald Trump descended the escalator at Trump Tower and announced his candidacy for president.

Silva spent over a year interviewing townspeople. She gained their trust, forged relationships and spent time in their homes and at community meetings. After years of declining prospects under both political parties, some of the townspeople she interviewed were drawn to Trump’s anti-establishment message. But for most, their politics had devolved into an abyss of cynicism that couldn’t even be penetrated by a politician who promised to “fix” everything.

In an interview, which has been edited for length and clarity, Silva describes a community that is racially diverse, hardworking and politically aware. But its residents are also deeply distrustful and shoulder immense amounts of pain and alienation.


Can you talk a little bit about what inspired you to study working-class Americans?

I was the first person in my family to graduate from college, and I experienced some self-doubt and discomfort when I tried to integrate into the world of academia.

In my position between two worlds – growing up with more working-class roots, and then building a professional middle-class life – I would cringe whenever I saw upper-middle-class people treat working-class people with casual condescension or indifference. It sometimes seemed like the very colleagues who most loudly proclaimed their commitment to social justice were the ones treating the administrative assistant like their personal secretary or complaining about the cost of their housekeeper. It made me really skeptical of whether people’s stated political beliefs were even a good predictor of how they treat people with less power and status.

What was the hardest part of the research?

Getting people to open up to me. I wasn’t from the area. This is the kind of place where if you knock on someone’s door, they’re not going to let you in. I started off talking to white people. I’d go to football games and addiction meetings to try to meet people, and I was able to get to be known as “so-and-so’s friend.” Then I realized I wanted to have a non-white group in my book, because there’s been an increase in Latino and black people in the area. So I had to find out how to get this population to trust me because the white population and the minority population don’t overlap very much.

You spent months conducting interviews. Then the election happened, and Trump won. All of a sudden, there was a lot of interest in the very sort of community you had just spent time in. What’s your take on the ensuing media coverage of these small towns?

It seemed like there was one dominant story: older white men, angry and in pain, were feeling bad about not having jobs and blaming racial minorities or foreigners.

And an element of that certainly emerged in my research. But the overall picture was just so much more complex. One of the things that was very striking to me was how much distrust there was. Among everyone I interviewed – white, Latino and black – there was a fierce distrust and hatred of politicians, a suspicion that politicians and big business were basically working together to take away the American Dream. Everyone was very critical of inequality.

So it wasn’t this idea of “dumb white people voting for billionaires because they don’t understand it’s against their interests.” Almost everyone was aware that the system is rigged against poor people. They blamed politicians for refusing to raise wages to a level people can live on. Many wanted higher taxes to support education. I heard a lot of that, across all of the different groups, and I didn’t read a lot of that in the articles about these communities.

You interviewed 108 people and only 37 of them actually voted, with 26 voting for Trump. Of the 41 black or Latino people you spoke with, only four voted. So to me, one of the major stories wasn’t necessarily support for Trump. It was a refusal to participate in politics altogether.

Two-thirds of the sample were nonvoters. They knew the election was happening but they just viewed political participation as pointless. They thought of it as a joke. And they said, “Look at what’s happened in my lifetime, it doesn’t really matter who’s been president.”

One of the critiques I heard a lot was that everything’s about money now. If you have money, your life is good. You can buy anything. But if you don’t have money, the system is stacked against you. I heard that from old white men. I heard that from young black women. And it was interesting, because it’s not untrue, right? If you kill someone and you’re rich you’re more likely to get off.

So I think for them it was almost like, “Well, if we participate, we’re just playing along and pretending. But we’re not naive. We know already that politicians are bought off by corporations. No one actually cares about us.”

There’s that great story in the book where you showed up to an interview wearing your “I voted” sticker.

He laughed at me! Like, “Why would you vote? Are you crazy?”

And yet of those who voted, Trump did emerge as the clear favorite.

Well, Trump and Bernie Sanders. But Sanders wasn’t an option in the end. The general take on Trump was, “We like Trump’s personality, we like his aggressiveness, we like how he doesn’t care about the rules.” And then they liked Bernie Sanders for his authenticity and his heart. But for many who even ended up voting for Trump, they still didn’t think it would matter if they voted.

Where does this disillusionment come from?

There’s a sense of betrayal by a number of social institutions – education, the workplace, the military – all of these things that they thought they could trust, but, for one reason or another, ended up disappointing them.

So they turned inward. No one was really looking for external collective strategies changing the world. Many wanted to simply prove that they didn’t have to rely on other people. There was this sense that any kind of redemption is only going to come out of your own efforts. And then you’ll see some blame other people who don’t seem to support themselves.

Before and after the 2016 election, J.D. Vance, with the publication of his memoir, “Hillbilly Elegy,” was held up in the mainstream media as an oracle for dispossessed rural Americans. But in your book, you vehemently disagree with his worldview.

Vance seemed to look at other people in his community and think that the reason they were suffering was because of their own choices – that they weren’t really strong enough to face the truth about themselves, that they had to stop blaming the government and corporations and actually take responsibility.

And that just wasn’t the story that I heard. I heard a lot of self-blame and a lot of people who wanted to take responsibility for their own fate. There was a lot of soul searching and a lot of pain. Vance makes it seem like everyone just needs to be like him – a lone hero who escapes his difficult past on his own. It’s not that simple or easy.

Can the pain people feel be used as a bridge to bring people together? That’s how I end my book. And I saw signs of it. Families suffering from addiction were coming together and wondering, how can we change the ways that doctors prescribe medicine? Or how can we challenge pharmaceutical companies to stop making these medications that get our children addicted? Can we get the police to help addicts instead of arresting them?

That sounds like the stirrings of political mobilization. But what’s the biggest obstacle that’s preventing working-class voters from organizing en masse?

I think that it’s the absence of what you could call “mediating institutions.” The people in my book have a lot of critical and smart ideas. But they don’t have a lot of ways to actually connect their individual voices. So they don’t have a church group or a club that they would join that would then give them political tools or a louder voice. And I don’t even know if they would join one if these did exist, because of their distrust of institutions. So it just ends up being turned inward rather than outward.

Within academia, what are some of the most common misconceptions you encounter when it comes to working-class politics?

I have heard some liberal academics talk about how self-defeating and misinformed working-class white people are. They seem to believe that if these people just knew the facts, they would change their votes immediately. Or they dismiss all working-class white people as angry and racist.

The working-class people I met were often radically critical of inequality and deeply skeptical about whether we live in a meritocracy. It was important to me to show that the people in my book of all races are creative and thoughtful – that they arrive at their positions by piecing together their histories and experiences in meaningful ways.

Sometimes these ways are destructive and divisive, and sometimes they have the potential to be transformative and healing.

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Nick Lehr, Arts + Culture Editor, The Conversation

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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